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  • Adamawa, Nigeria: 76 dead from cholera

    Two markedly different articles on the same outbreak, released almost simulatneously. I tend to trust the first source more than Xinhua, as it is a Nigerian source, but the contradiction is striking.



    Cholera: 76 Killed , 840 Hospitalised in Adamawa
    From Mathew Onah in Yola, 09.25.2009

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    At least 76 persons have been confirmed dead from a suspected outbreak of an epidemic of cholera in about seven local government councils of Adamawa state.
    The strange disease which manifests with symptoms of vomiting, diarrhea, coughing and mild fever is ravaging communities in seven local government areas, of Mubi, north and south, Maiha, Michika, Madagali, Girie, and Hong in the northern part of the state.
    So far, 76 people have died, while 846 are receiving treatment at the various state health establishments in the state.Commissioner of Information, Culture and Tourism, Alhaji Musa Bubakari Kamale, who stated this yesterday after the weekly executive council meeting, said the government had dispatched adequate drugs and a medical response team to attend to those already afflicted with the disease in the affected areas.

    He said blood and tissue samples of victims of the disease had been collected and sent to the University of Maiduguri Teaching Hospital, the University Teaching Hospital Ibadan, France and U.S. for expert analysis to determine the cause and nature of the disease.It would be recalled that the Emir of Mubi, Alhaji Abubakar Isa Ahmadu, had on Monday, alerted the state government on the rampaging epidemic affecting the area when he paid ramadan sallah homage to the governor. The Emir had intimated the governor that there was shortage of drugs and medical personnel in the affected areas and appealed for assistance.The commissioner said the disease may have been caused by filthy environment occasioned by the rainy season and advised people in the affected areas to purify their drinking water as well as keep their environment clean.

    ------------------------




    Strange disease kills 71 people in Nigeria's Adamawa State


    www.chinaview.cn 2009-09-25 14:51:10 Print

    LAGOS, Sept. 25 (Xinhua) -- At least 71 people have been confirmed dead and other 746 lying critically ill of a yet to be diagnosed disease in northeast Nigeria's Adamawa State, the Nigerian Tribune newspaper reported on Friday.

    Bubakari Musa Kamale, state commissioner for information, confirmed the death toll, saying the nature of the disease has not been determined.

    The official said the state government is waiting for the outcome of the specimen sent for analysis. The epidemic has continued unabated for the past weeks, he said, ruling out the outbreak of cholera.

    "This is a strange disease that is characterized by excessive vomiting, diarrhea, high fever and in some instances, coughing," said the commissioner.

    According to Kamale, the samples have since been sent for analysis to teaching hospitals in southwest Nigeria's Oyo State and northern Borno State, as well as to France and the United States.

    He said the state government had taken measures to arrest the situation from spreading by providing drugs to the Health Ministry for administration in the affected areas.

  • #2
    Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)

    From the previous day. This article is probably what inspired the Xinhua article.

    The number of persons killed by the outbreak of a strange disease in northern Adamawa State continues to increase with the state government saying yesterday that so far, more than 70 persons have died from the unknown ailment. State Commissioner of Information Alhaji Musa Bubakari Kamale, who briefed reporters, said the disease outbreak has claimed 71 lives across the northern part of the state, while another 746 persons were hospitalized.


    Nigeria: 70 Die of Strange Disease
    Ibrahim Muhammad
    24 September 2009

    --------------------------------------------------------------------------------

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    Yola ? The number of persons killed by the outbreak of a strange disease in northern Adamawa State continues to increase with the state government saying yesterday that so far, more than 70 persons have died from the unknown ailment. State Commissioner of Information Alhaji Musa Bubakari Kamale, who briefed reporters, said the disease outbreak has claimed 71 lives across the northern part of the state, while another 746 persons were hospitalized.

    According to him, the strange disease could not be cholera, even though it involves severe vomiting, diarrhea and even cough. He said blood and other body fluid samples from afflicted persons have been sent to University College Hospital Ibadan, University of Maiduguri Teaching Hospital as well as to some French and American laboratories for analysis.

    He said seven out of the 21 local government areas of the state are severely affected, but that government made arrangements and supplied adequate drugs to those areas.

    He identified the affected local government areas as Mubi North, Mubi South, Michika, Madagali and Maiha.

    The commissioner said the strange disease could be due to water contamination by herbicides used by farmers to clear weeds from their farms. He therefore called on the people to adopt oral rehydration therapy (ORT) and avoid using dangerous chemicals on farmlands.

    It could be recalled that recently, there were reports of cholera outbreak in some parts of the state which claimed many lives.

    Comment


    • #3
      Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)

      This one is two days old.

      Fitch Ratings is a leading provider of credit ratings, commentary and research for global capital markets.


      Cholera Epidemic In Adamawa Community
      Nigeria - Pharmaceuticals & Healthcare - Sep 24 2009


      News: Alhaji Abubakar Isah Ahmadu, the Emir of Mubi in the Adamawa state of Nigeria, has alerted the Adawama State Governor, Murtala Nyako, about the sharp spread of cholera. He urged the government to implement measures to curb the increasing death toll from the disease. He also expressed his concerns over the shortage of medical staff and medicines causing the ravaging epidemic to spread.
      To read the full text for this story please either login or register

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      • #4
        Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)

        And this one is three days old. It seems that most of the articles suspect the outbreak is cholera, and there seems to be a single article, repeated with slight variations, that calls this a mystery disease and denies that it is cholera.

        Keep in mind that not all diarrhea is cholera - it could just as easily be bacterial dysentery.

        And the man quoted as calling it a mystery disease suspects pesticides in the water caused this - a highly unlikely scenario that IMO diminishes his credibility.



        Emir alerts Nyako on cholera epidemic
        Posted To The Web: Tuesday, September 22, 2009 - Umar Yusuf



        --------------------------------------------------------------------------------

        Rating : by 0 users Viewed 7 Times


        Yola — Emir of Mubi in Adamawa State, Alhaji Abubakar Isah Ahmadu, has alerted Governor Murtala Nyako on cholera epidemic ravaging the entire emirate.

        Emir Ahmadu who spoke in Yola when he led his subjects on a Sallah homage on the Governor requested the government to urgently come to their aid to curb the death toll arising from the cholera scourge.

        He said shortage of medical personnel and medicament had thwarted efforts to contain the ravaging epidemic which he said had continued unabated for close to two months.

        Ahmadu called on the state government to deploy medical experts to the area to put the scourge under control.

        He also complained of the deplorable road between Hong and Mubi axis of the Yola – Maiduguri road, saying the deplorable road has rendered life unbearable for motorists and commuters in Mubi emirate and neighbouring states.

        Responding, Governor Nyako said the Federal Government had assisted the state with drugs to contain the cholera epidemic, adding that government will beef up surveillance and deploy more medical personnel and medicaments to the area.

        Nyako condoled the Emir and his subjects over the loss of lives following the cholera outbreak and promised to ensure immediate rehabilitation of Hong–Mubi road, describing the road as very vital to the economic base of the state because of its link with the Republic of Cameroon.

        Nyako then enjoined the people to conduct themselves orderly and peaceful during the forthcoming by-election into the House of Representatives for the Mubi North/Mubi South/Michika constituency.

        Comment


        • #5
          Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)

          And here's another possiblity, that would explain the discrepancy: This is not one disease, but several seasonal diseases.

          the sun, sun newspaper, nigerian news, politics, entertainment, business, politics, 2023 Governorship Election


          Death toll rises in Adamawa epidemic
          By DAVID MOLOMO, Yola
          Saturday, September 26, 2009


          More Stories on This Section
          Contrary to the earlier claims that the disease that claimed a number of lives in Adamawa State was cholera, the state government stated on Thursday that it was a mere misfortune of the season just as it stated that the death toll has reached seventy.

          The victims of the epidemics with symptoms of vomiting, diarrhea, coughing and mild fever, had ravaged communities in seven local government areas in the northern part of Adamawa State.

          The Federal Government, last week, according to Governor Murtala Nyako dismissed claims that the strange disease was cholera.
          However, a number of victims receiving treatment in hospitals are on danger list. Seventy-one others have been confirmed dead, while seven hundred and forty six affected are still confirmed ill of the disease.

          The state Commissioner for Information, Culture and Tourism, Alhaji Bubakari Musa Kamale who disclosed this to pressmen in Yola on Thursday also stated that the actual name of the disease cannot be readily ascertained since laboratory and chemical tests are being awaited.
          He stated that the government has already dispatched adequate drugs and a medical response team to attend to those already hit by the disease in the known areas.

          Alhaji Musa Kamale further disclosed that samples of the disease were sent to the University of Maiduguri Teaching Hospital, the University Teaching Hospital Ibadan, France and US for experts to analyse and determine the cause and nature of the disease.

          According to him, the disease was suspected to have emanated from filthy environment and therefore, advised people in the affected areas to purify their drinking water as well as keep their environment clean.
          Kamale said, the state government has approved the release of one hundred and twenty million Naira to the Ministry of Health to boost the free medical care programme for pregnant women and children below five years.

          He, however, noted some shortcomings in the implementation of the free medical programme in some public institutions in the state. He further disclosed that adequate measures have been taken to safeguard diversion of drugs and other acts of sabotage by health personnel.

          Comment


          • #6
            Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)

            And a ProMed EAFR posting. The other posts at bottom are simply most of the "Undiagnosed fatalities" posts from ProMed - they are not related to this outbreak.



            ProMED-EAFR:East Africa

            View printable version
            Published Date
            2009-09-25 16:28:51
            Subject
            PRO/EAFR> Undiagnosed fatalities - Nigeria: (Adamawa) RFI
            Archive Number
            20090925.202673
            Full Text
            UNDIAGNOSED FATALITIES - NIGERIA: (ADAMAWA) REQUEST FOR INFORMATION
            ************************************************** *****************
            Date: Thu 24 Sep 2009
            Source: AllAfrica, Daily Trust (Abuja) report [edited]
            The number of persons killed by the outbreak of a strange disease in northern Adamawa State continues to increase with the state government saying yesterday that so far, more than 70 persons have died from the unknown ailment. State Commissioner of Information Alhaji Musa Bubakari Kamale, who briefed reporters, said the disease outbreak has claimed 71 lives across the northern part of the state, while another 746 persons were hospitalized.



            Nigeria: 70 die of strange disease
            ----------------------------------
            The number of persons killed by the outbreak of a strange disease in
            northern Adamawa State continues to increase with the state
            government saying yesterday [23 Sep 2009] that so far, more than 70
            persons have died from the unknown ailment. State Commissioner of
            Information Alhaji Musa Bubakari Kamale, who briefed reporters, said
            the disease outbreak has claimed 71 lives across the northern part of
            the state, while another 746 persons were hospitalized.

            According to him, the strange disease could not be cholera, even
            though it involves severe vomiting, diarrhea, and even cough. He said
            blood and other body fluid samples from afflicted persons have been
            sent to University College Hospital Ibadan, University of Maiduguri
            Teaching Hospital as well as to some French and American laboratories
            for analysis.

            He said 7 out of the 21 local government areas of the state are
            severely affected, but that government made arrangements and supplied
            adequate drugs to those areas. He identified the affected local
            government areas as Mubi North, Mubi South, Michika, Madagali, and
            Maiha.

            The commissioner said the strange disease could be due to water
            contamination by herbicides used by farmers to clear weeds from their
            farms. He therefore called on the people to adopt oral rehydration
            therapy (ORT) and avoid using dangerous chemicals on farmlands.

            It could be recalled that recently, there were reports of cholera
            outbreak in some parts of the state, which claimed many lives.

            [Byline: Ibrahim Muhammad]

            --
            Communicated by:
            ProMED-EAFR


            [The current fatalities reported in northern Adamawa State follow
            recent reports of cholera outbreak in the state but the authorities
            are concerned that current fatalities could be due to contamination
            of water by herbicides and hence the need for extensive
            investigations. Detailed information on the source and cause of the
            current outbreak will be appreciated.


            Northern Adamawa can be found on the HealthMap/ProMED-mail
            interactive map of Nigeria at
            http://healthmap.org/r/00RN - Mod.JFW]

            [Background information is available from the general ProMED-mail
            list. The postings below can be found at http://www.promedmail.org.
            - Mod.JFW]


            [Undiagnosed fatalities - Malawi, Mozambique (02): RFI 20090724.2625
            Undiagnosed fatalities - Malawi, Mozambique: RFI 20090711.2489
            Undiagnosed fatalities - Congo DR: (BC), hem fever susp, RFI 20090626.2326
            Undiagnosed fatalities - Kenya: (BN), RFI 20090503.1659
            Undiagnosed fatalities - Venezuela (02): (Vargas) Chagas susp, RFI
            20090404.1305
            Undiagnosed fatalities - Venezuela: (Vargas), Chagas, susp, RFI 20090402.1279
            2008
            ----
            Undiagnosed fatalities - S. Africa ex Zambia (10): arenavirus 20081028.3409
            Undiagnosed fatalities - S. Africa ex Zambia (09): arenavirus 20081018.3300
            Undiagnosed fatalities - S. Africa ex Zambia (08): arenavirus 20081013.3241
            Undiagnosed fatalities - S. Africa ex Zambia (07): arenavirus 20081012.3234
            Undiagnosed fatalities - South Africa ex Zambia (06): WHO 20081010.3211
            Undiagnosed fatalities - South Africa ex Zambia (05) 20081008.3192
            Undiagnosed fatalities - South Africa ex Zambia (04) 20081008.3188
            Undiagnosed fatalities - South Africa ex Zambia (03) 20081007.3178
            Undiagnosed fatalities - South Africa ex Zambia (02) 20081006.3157
            Undiagnosed fatalities - Pakistan: (NWFP) 20081005.3144
            Undiagnosed fatalities - South Africa ex Zambia: RFI 20081005.3139]
            ...................................mpp/jfw/mj/be

            Comment


            • #7
              Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)



              NIGERIA: Strike paralyses health services

              Photo: Aminu Abubakar/IRIN
              Patients at Yola hospital in Adamawa state have been neglected
              KANO, 25 September 2009 (IRIN) - A health worker strike in northern Nigeria?s Adamawa state has paralysed public hospitals, forcing patients to forgo medical treatment.

              Most of the state?s 7,000 health workers, including nurses, specialists and administrators but not general doctors, began an indefinite strike on 25 June to protest the suspension of an improved salary structure by the state government, according to head of the health workers union Babangida Philibus.

              People requiring medical care are frightened. Wada Jibrin broke his leg in a car crash on 16 July and requires continued orthopaedic care. ?I?m praying that the strike is called off so that I can go back to hospital and continue receiving treatment. I fear I may lose my leg if the strike is prolonged because my case needs specialized care.?

              Ahmad Abdulhamid, a physician at state-run Yola Specialist Hospital, told IRIN: ?The industrial strike action has forced all in-patients to go back home because there is no one to nurse them here?.We have been reduced to mere consultancy clinics where we only examine patients, diagnose their ailments and prescribe drugs for them to buy at drug stores.?

              He said the situation is dire in public hospitals across the state. ?Only a few patients who can afford high medical fees have moved to private clinics, while [most] have resigned to their homes hoping the matter is soon resolved and the strike suspended.?

              Cholera response affected

              Aliyu Sambo, head of the Nigeria Emergency Management Agency (NEMA), told IRIN the strike hindered the government?s emergency response to flood and cholera victims.


              A cholera outbreak in August and September 2009 killed 70 people and left 746 hospitalized, according to Adamawa information commissioner Musa Bubakari.

              The government relied on volunteers from NEMA and the Nigerian Red Cross to assist cholera victims in hospitals.

              Union leader Philibus said: ?The government should take responsibility for all the people who are suffering from sicknesses as a result of the ongoing strike because the government caused it. Deaths in the recent cholera outbreak could have been avoided were health workers not on strike.?

              Access to adequate healthcare is poor in much of northern Nigeria according to the UN, and the country is not on track to meet the Millennium Development Goals to reduce maternal mortality or improve maternal health. Life expectancy for Nigerians is 46.6 years.

              Why the strike

              The Adamawa state government on 9 June suspended a new salary package introduced in August 2008 for health workers in public hospitals. The package increased basic salaries for hospital staff from US$56 a month to $84, according to union head Philibus.

              The state government says it is suspending the structure while it eliminates a problem of ghost workers in the health sector.

              ?The suspension of the new salary structure became imperative following mounting salary bills and allegations of a high number of ghost workers in the sector, in the face of dwindling government revenues due to the economic crunch,? Saidu Bobbo, permanent secretary in Adamawa health ministry, told IRIN. He said once the problem is resolved the new salary structure will resume.

              Health workers have said they will strike until the government reinstates the higher wages. Philibus said the government should have consulted unions before taking action.

              aa/aj/np

              Comment


              • #8
                Re: Adamawa, Nigeria: 76 dead from mystery disease (Or is it cholera)



                Death toll from cholera rises to 71 in Nigeria: official
                Source: Agence France-Presse (AFP)

                Date: 25 Sep 2009


                KANO, Nigeria, Sept 25, 2009 (AFP) - The death toll from a cholera outbreak in northern Nigeria's Adamawa State has risen to 71 from 52 a month ago, the state health commissioner said on Friday.

                "The death toll from the cholera outbreak stands at 71 out of the 746 cases recorded in some areas in the northern part of the state", Zainab Baba Kwanci told AFP from state capital city Yola.

                "Cholera cases have been recorded in seven out of the 21 local governments in the state and the government is doing all within its powers to contain the outbreak. We have dispatched drugs to the affected areas", she said.

                However a strike by medical workers in the state since July 25 was hampering efforts to assist the sick.

                Last September, a spate of cholera outbreaks in northern Nigeria claimed almost 100 lives in Katsina, Zamfara and Bauchi states.

                Cholera is a water-borne disease and can also be transmitted by food that has been in contact with sewage.

                It causes serious diarrhoea and vomiting leading to dehydration. With a short incubation period, it can be fatal if not treated in time.

                abu/ade/smo/cw

                Comment


                • #9
                  Re: Adamawa, Nigeria: 76 dead from cholera

                  If nine out of 10 samples are positive for cholera, this isn't a mystery disease. Send this to ProMed.



                  Adamawa ‘strange disease’ death toll increases to 77
                  Written by Ibrahim Muhammad, Yola
                  Sunday, 27 September 2009 05:05
                  The death toll of a strange disease ravaging some parts of Adamawa State has continued to increase with the state government confirming that the has increased, as so far more than 77 persons were reported dead as more were expected to occur.
                  Confirming the increase in the death toll, the state commissioner of information Alhaji Musa Bubakari Kamale had on Saturday said that the outbreak of the disease had so far claimed 77 lives across the northern part of the state, while 934 persons were recorded to have been afflicted by the disease, meaning there was additional 200 cases from the earlier reported 746.

                  He said seven out of the 21 local government areas of the state were most affected as government had provided enough drugs to attend to those who were afflicted as parts of efforts to control the spread of the disease.

                  The worst hit local government area is Mubi North where 22 persons were confirmed dead with 347 cases recorded. The other local government areas affected are: Fufore, Hong, Mubi South, Michika, Madagali as well as Maiha.

                  He said from the report received from the University of Maiduguri Teaching Hospital, where blood and other body fluid samples of 10 affected persons were sent for laboratories analysis, nine were confirmed to be positively cholera cases.
                  Investigations revealed that cases from the epidemic could not be readily tackled due to the ongoing strike embarked on by local government medical and health workers across the state.

                  In order to battle the upsurge of the disease the state government according to him, would seek the intervention of the federal government as people were in dire need of medical intervention.

                  Cholera is an intestinal bacterium that causes serious diarrhea and vomiting, leading to dehydration. With a short incubation period, it can be fatal if not treated in time. Cholera is a water-borne disease and can also be transmitted by food that has been in contact with sewage.

                  Comments
                  Saad Bello
                  0 What a disappointment, a water borne disease infecting a state where the acheivement of the state Government is said to be a provision of portable water. We are washed with information on how the state govt. spent huge sum of money on water, without of course the water. Just go to any part of Yola and see the type of water been pumped by the state water board, even animals can not drink it. Well, Allah ya sauwake
                  Sunday 27 September 2009, 07:59
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                  Idris ibrahim musa
                  0 We should not just blame d government alone, sometimes people are careless dat they dont mind d kind of water dey drink. D poor masses should boil water before drinking it.

                  Comment


                  • #10
                    Re: Adamawa, Nigeria: 77 dead from cholera

                    And this is an independent source. Please rename and move this thread.



                    Vomiting, diarrhea signs of cholera - Comm

                    The Adamawa commissioner for Information, Mr Musa Kamale, says the scourge of vomiting and diarrhea which ravaged some local government councils in the state in August has been identified as cholera.

                    Kamale, who made this known in an interview with the News Agency of Nigeria (NAN) in Yola on Saturday, cited results of clinical tests.

                    He said that nine of the 10 samples from the affected persons sent to the University of Maiduguri (UNIMAD) for laboratory analysis confirmed that it was cholera, contrary to earlier speculations that the epidemic was caused by misuse of herbicides.

                    He said the number of cases recorded by the state Ministry of Health had increased from 746 to 934 while resultant deaths also increased from 71 to 77.

                    Kamale said the most hit councils were Fufore, Hong, Maiha, Madagali, Michika, Mubi North and Mubi South.

                    He said that laboratory analyses of samples sent to the University Ibadan as well as France and the U.S. were still being awaited, ``but we want to believe that the disease is cholera''.

                    The commissioner said that reports from the Epidemiological Unit of the Ministry of Health observed the prevalence and re- occurring rate of cholera in the last 10 years.

                    Comment


                    • #11
                      Re: Adamawa, Nigeria: 76 dead from cholera



                      Cholera kills 88 in Nigeria
                      2009-09-30 16:07
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                      Cholera kills 52 in Nigeria
                      Cholera outbreak kills 39


                      Kano - Cholera has killed 11 people in the past 10 days in northern Nigeria, taking the death toll from the latest outbreak to 88, officials said on Wednesday.

                      The latest toll was recorded in Jigawa, a previously untouched state, where at least 400 new cases emerged in under a fortnight.

                      "We have received reports of a cholera outbreak in Bashuri village in Dutse local government area where 11 people have died and 400 other persons infected by the disease hospitalised in the last 10 days," Jigawa health commissioner Ibrahim Mohammad Nashabaru said.

                      Village traditional chiefs put the death toll at 20, blaming the outbreak on a recent visit to Adamawa state by a resident of the village.

                      "So far 20 people have died in the outbreak and over 400 others are in hospital," Bashuri deputy chief Sabo Saleh said in a telephone interview.

                      Spate of cholera outbreaks

                      Cholera has claimed 77 lives in recent weeks in Adamawa state, leaving nearly 1 000 people hospitalised since early August.

                      "At the moment we have recorded 77 deaths and 934 cases in the cholera outbreak," said Adamawa information commissioner Musa Bubakari on the telephone from Yola, the state capital.

                      In September last year, a spate of cholera outbreaks in northern Nigeria claimed almost 100 lives in Katsina, Zamfara and Bauchi states.

                      Cholera is a water-borne intestinal infection and can also be transmitted by contaminated food. It causes serious diarrhoea and vomiting leading to dehydration. With a short incubation period, it is potentially fatal.

                      Comment


                      • #12
                        Re: Adamawa, Nigeria: 76 dead from cholera



                        Cholera kills 113 people in Nigeria's Borno State


                        www.chinaview.cn 2009-10-05 19:02:16 Print

                        LAGOS, Oct. 5 (Xinhua) -- At least 113 people have been killed in a cholera outbreak in northern Nigeria's Borno State, the Nigerian Tribune newspaper reported on Monday.

                        Nearly 956 others are infected, the report said, citing a local official.

                        The state commissioner for health, Zubairu Maina Shani, said the Adamawa State cholera outbreak had spread into Borno as the two areas share the same state boundary.


                        He said the outbreak of the disease in Biu area of Borno and two other communities was compounded by the poor sanitary conditions of the affected communities, noting that throughout the rainy season, the people failed to abide by the rules of personal hygiene and sanitation to wade off the rapid spread.

                        He said about 600 people had contracted the disease at Biu by the weekend and were rushed to the Biu General Hospital for diagnosis and treatment.

                        According to the official, out of the 600 patients, 53 died on Saturday. Because of the rapid spread of the disease, the management of the hospital, in conjunction with the State Ministry of Health, decided to evacuate the patients to an isolated treatment camp.

                        Cholera is an infectious disease that spreads through drinking contaminated water.

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