A constant stream of ambulances comes and goes at Guidan Roumji hospital in the Maradi region of southern Niger. Throughout the day, the team from Médecins Sans Frontières (MSF) has been busy treating the many children weakened by malnutrition and malaria.
Over the past few days, the number of children admitted to the hospital has risen from 117 to 430. “The intensive care and paediatric units are overwhelmed – we have an occupancy rate of 200 per cent,” says Mirko Tommasi, MSF head of mission in Niger. “We were already treating lots of malnourished children but, with the start of the rainy season, there has also been a sudden peak in malaria cases. Nearly 80 per cent of the children admitted have malaria.”
Rainy seasons worsen food crisis
The heavy rains, which started in July, have destroyed crops and grain reserves, making an already desperate food situation worse. Food shortages are inevitable in the ‘lean season’ between the May and September harvests. The rains have also led to a proliferation of malaria-transmitting mosquitoes.
When children in remote villages catch malaria, their condition often becomes serious before they can get to see a doctor. “Children with malaria often arrive too late, in a comatose state, owing to a lack of access to adequate healthcare in their villages,” says MSF’s medical coordinator Véronique Van Frachen.
“One of the reasons malaria is so deadly is that it can cause severe anaemia, just like malnutrition,” says Véronique Van Frachen. Malaria and malnutrition are a fatal combination. Malnourished children lack the strength to fight illness and so are more susceptible to complicated malaria. A malnourished child will have a greater risk of dying than a child who has enough to eat.
Malnourished children who develop a severe form of malaria are treated in an inpatient unit for both illnesses. Malnutrition is treated with ready-to-use therapeutic food, while severe malaria is treated with an artesunate-based therapy.
A recurring emergency
Every year, the people of Niger face recurring food crises, putting a tremendous strain on communities. Often people have barely recovered from one food crisis before the next strikes, forcing them to sell valuable possessions and run into debt in order to buy enough to eat.
To reduce the cycle of malnutrition and associated diseases, MSF and Niger’s Ministry of Health are carrying out prevention work, including vaccination campaigns and the distribution of specific nutritional products and mosquito nets. Since the beginning of the year, more than 150,000 children throughout the country have received emergency treatment from humanitarian agencies.
“To break this cycle of recurring emergencies, a long-term solution is needed, one that will improve access both to healthcare and to food suitable for young children,” says Mirko Tommasi.
In Niger, MSF is carrying out medical and nutritional work in the regions of Tahoua, Maradi, Zinder and Agadez. More than 50,000 children with acute malnutrition and 105,000 cases of malaria have been treated since the beginning of the year in medical facilities managed by MSF and its partners.
After service in the British SAS Regiment the author became a physician and then an orthopaedic surgeon.
He has held professorial positions in Canada, Vietnam and the United States, practiced and taught orthopaedic surgery in three continents and in several wars.
He has extensive experience as an expert witness in court. Somewhere along the way, time was found to operate a four hundred acre mixed farm, a one hundred seat restaurant and to obtain a licence as a flying instructor.
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