Plagues, Pestilences and Diseases
Cholera stalks West Africa as rains spread disease
By JON GAMBRELL
The Associated Press
Friday, September 10, 2010; 11:35 AM
GANJUWA, Nigeria -- Patients jammed rudimentary clinics and health
workers in surgical masks sprayed anti-bacterial solution on muddy
paths as the government struggled to contain a cholera epidemic that
has killed nearly 800 Nigerians in two months.
The worst epidemic in Nigeria in 19 years is spreading to Cameroon,
Chad and Niger, where it has killed hundreds more.
At a maternity clinic and a nearby hospital in Ganjuwa, patients with
blank eyes lay contorted on fouled mattresses from severe diarrhea
triggered by the cholera. Small children laying under traditional
brightly colored cloth were hooked up to IV tubes as doctors tried to
save them by rehydrating them intravenously.
As more and more patients arrived and occupied all the beds in the
wards, doctors had to put them into storerooms and concrete hallways
wet with human waste.
Throughout villages like Ganjuwa and cities across West Africa, lack of
clean drinking water is allowing the waterborne bacterial disease to
bloom. In Nigeria, 13,000 people have been sickened, according to the
nation's Health Ministry.
Salisu Garba needs only to look at a communal trash pit outside his
family's home in Ganjuwa to see how the cholera bacteria sickened and
ultimately killed his 20-year-old brother. Seasonal rains have turned
the trash pit into a pond of raw sewage, which seeps into nearby wells,
infecting Garba's family and others in this rural village in northern
Nigeria.
"That pond is a source of worry," Garba said. "We don't have any hope."
"These areas become breeding ground for cholera," said Chris Cormency,
a UNICEF official monitoring the epidemic.
Cormency said the disease began in Nigeria and then spread to
neighboring Cameroon, where more than 300 people have died and 5,000
have fallen ill. In Chad, more than 40 have died and 600 are sickened,
while the disease also has popped up in nearby Niger, he said. It was
not immediately clear how many people were affected there.
After someone was found sick with cholera on a train in Cameroon, the
other 1,500 people onboard panicked. Health officials gave out
antibiotics and tried to decontaminate the train, media in Cameroon
reported.
Cholera is a fast-developing, highly contagious infection that causes
diarrhea, leading to severe dehydration and possible death. The current
outbreak is the worst in Nigeria since 1991, when 7,654 people died,
according to the World Health Organization.
Cholera is easily preventable with clean water and sanitation but in
places like West Africa, sanitation often remains an afterthought in
teeming city slums and mudwalled villages.
In Nigeria, almost half the country's 150 million people lack access to
clean water and proper sanitation, according to the WHO, even though
the government earns billions of dollars a year as one of Africa's top
oil exporters.
Poor sanitation "is the backbone of this disease," said Adamu Abubakar,
a Red Cross official in Bauchi state, a rural region of rolling
mountains and pasturelands where Ganjuwa sits.
Doctors at the maternity clinic, which during this crisis has been
transformed into a cholera hospital, try to keep the disease from
spreading by waving off well-wishers and preventing ill mothers from
holding their children.
The poorly funded clinics put patients on torn, yellow foam mattresses,
with only a plastic bucket underneath to catch the waste that drains
off.
The seriously ill receive drugs through an IV. Many can be treated
simply by remaining well hydrated during the illness. Abubakar and
other Red Cross officials offered powdered mixes to families in Ganjuwa
on a recent morning and gave advice.
In Bauchi, the state capital, the major state hospital has a clinic
staffed by Doctors Without Borders, where more than 100 cholera
patients are being treated. Officials say many more cholera sufferers
are in local clinics or at home in other states throughout Nigeria's
north.
Volunteers carrying large sprayers moved through the littered, narrow
dirt streets of Ganjuwa and into family compounds, spraying a chlorine
solution designed to kill the cholera bacteria. The teams also dumped
chlorine tablets into wells.
Dr. Musa Dambam Mohammed, a Bauchi state health official, said the
local government has chlorinated every well in the region and informed
the public about how to avoid contracting the illness.
However, the chlorine wears off over time, leaving the wells again
susceptible to cholera. And the rains have not stopped. They flush
sewage out of small holes at the base of mud walls along narrow dirt
paths and into the trash-pit pond near Garba's family compound, where
chickens peck at refuse and children learn to read the Quran from
wooden tablets.
But now, everyone here knows the danger lurking in the algae-covered
water.
"Within two hours you can be dehydrated," Garba said. "You cannot even
stand on your toes."
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Online:
United Nations Children Fund:
http://www.unicef.org