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What To Know About Typhoid Fever

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Muhammad,15, noticed a swelling in his stomach after he was wrongly diagnosed with appendix. After surgery, the symptoms still continued. He then went to the hospital and was diagnosed with typhoid intestinal perforations.

Dr Ikram Muhammad Lawal, a medical officer at Graceland Hospital, GRA Barnawa, Kaduna State, described typhoid fever as a severe illness characterised by fever, abdominal pain and diarrhoea .

He said about 21 million people have typhoid fever around the world, adding that over the years, it has become increasingly resistant to antibiotics.

The doctor said typhoid fever is usually caused by a bacteria called salmonella typhi, and that it happens due to consumption of food and water contaminated by the faeces of a sick patient.

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He said typhoid fever is most prevalent in impoverished areas that are overcrowded with poor access to sanitation and clean water. He further said that typhoid fever is more common in children and young adults than in older and young children.

Dr Ikram added that typhoid fever symptoms vary between 5 and 21 days and that the person with typhoid fever would develop a high fever rising steadily during the first week with headache, chills, abdominal pain, abdominal distention, cough, joint pain and muscle pain.

He said malaria and typhoid share the same symptoms so most times people often mistake malaria for typhoid fever.

Diagnosis

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The medical expert said typhoid fever could be diagnosed with clinical presentations and laboratory tests such as widal, “which is not very useful because it can become positive after several days of the disease which makes it unreliable.”

He added that tests are carried out on stool and urine which is usually positive during the incubation period.

“We also carry out a polymerase chain reaction (PCR) test which gives results within a few hours and is more specific and sensitive to blood culture, but diagnosis is mainly based on clinical symptoms and the history of possible exposure,” he said.

Complication

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Dr Ikram said if typhoid fever is left untreated, it may progress to intestinal perforation which usually occurs in the distal ileum with marked abdominal pain and tenderness, tleadshat to leaking of gastric juice within the abdomen.

He said intestinal perforation occurs during the early stage of typhoid fever, through contaminated food or water whereby the bacteria travels into your intestine and then into the blood which leads to perforation.

He added that bleeding is the second most common complication.

“If untreated, this happens as a result of perforation that will later lead to loss of blood and sepsis which leads to shock and causes death,” he said.

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Prevention

Dr Ikram said typhoid fever can be prevented by proper hand-washing, improved personal hygiene, and sanitary habits, adding that they are very important preventive measures.

He added that provision of clean water and adequate sewage disposal were also important

“Immunisation is also done as a preventive measure for typhoid fever,” he added.

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Treatment

Dr ikram said the best way to treat typhoid fever is to see your healthcare provider first. However, he added that since the disease is caused by bacteria, it can be treated with different choices of antibiotics which should be done according to the culture report and antibiotic sensitivity.

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Health

Cholera outbreak kills two inmates at Kano custodial centre

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Two inmates have died following a cholera outbreak at the Kurmawa Medium Security Custodial Centre in Kano State, the Nigerian Correctional Service has said.

The NCoS said the outbreak was confirmed through laboratory tests on September 23 by its medical team and Kano State public health authorities.

In a statement issued on Saturday by its spokesman, Chief Superintendent of Corrections, JN Osuji, the Service said the outbreak was first detected on September 17 after an inmate developed vomiting and diarrhoea.

“The inmate was immediately admitted and treated at the facility’s medical centre, while emergency medical protocols were activated the following morning as health workers intensified medical intervention and monitoring,” Osuji said.

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According to the statement, one of the deaths occurred at the custodial centre, while the other was recorded at the Kano State Infectious Diseases Hospital.

The Controller-General of Corrections, Sylvester Ndidi Nwakuche, expressed condolences to the families of the deceased and directed that measures to protect inmates and personnel be sustained.

“The Service regrets that the outbreak claimed two lives; one at the facility and the other at the Kano State Infectious Diseases Hospital,” the statement said.

The NCoS said its coordinated interventions had brought the outbreak under control, adding that no further deaths had been recorded since the diagnosis.

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It said additional preventive measures had also been introduced in collaboration with the Kano State Government to reduce the risk of another outbreak.

The service added that continuous disease surveillance, early detection and prompt medical intervention were being strengthened across custodial facilities.

Nwakuche also directed a team of senior medical personnel from the Service’s National Headquarters to proceed to the facility for sustained monitoring.

“The Controller-General has further directed a team of senior medical personnel from the Service’s National Headquarters to proceed to the facility for sustained monitoring of the situation,” the statement added.

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The service reassured the public that healthcare services remained available to inmates through qualified medical personnel and urged Nigerians to rely on verified information from official channels.

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Health

Diphtheria: Death toll rises to 27 as suspected cases hit 303 in Plateau

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The death toll from the outbreak of Diphtheria in Plateau State has risen to 27 while suspected cases have hit 303.

The State Epidemiologist, Dr Maren Damulak , disclosed the figures while speaking with newsmen in Jos, the state capital on Wednesday.

This is just as the state government said it is making efforts to contain the outbreak of the disease.

He said most of the suspected cases were recorded in Jos North LGA, with Rikkos community identified as one of the worst-affected areas.

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“As of today, the cases have increased from 149 to 303. The death has also increased from 23 to 27. The high cases of the disease are in Jos North. 99 % of the cases are in Jos North.”

“Most of the people that were affected were those that did not take diphtheria vaccine. Apart from Jos North, we also have few cases from other LGAs Children account for a significant proportion of those affected,” Damulak said.

The state government had last week ordered temporary closure of all public and private primary and secondary schools following the detection of suspected cases in Jos North, Jos South, Bassa and Wase Local Government Areas.

The measure, according to the government, was aimed at reducing transmission among students and school staff while health authorities strengthen surveillance and response activities.

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Our correspondent reports that some patients are currently receiving treatment at the Jos University Teaching Hospital, JUTH, and Plateau State Specialist Hospital, PSSH, where isolation facilities have been provided.

In Jos North, the local government council has deployed additional logistics, including motorcycles, to enhance contact tracing, field surveillance and community outreach.

Governor Caleb Manasseh Mutfwang had on Monday directed the immediate mobilisation of drugs and other medical commodities to health facilities to combat the disease.

The Director-General of the Plateau State Drug and Medical Commodity Management Agency, PSDMA, Pharmacist Kim Jerry Bot, disclosed that government intervention was already ongoing at JUTH and PSSH.

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Bot said the state government acted swiftly following reports of the outbreak, adding that efforts were underway to extend the support to other affected health facilities.

Meanwhile, the Executive Chairman of Jos North Local Government Council, Barrister John Kyohroh Christopher, on Wednesday urged residents to prioritise personal and environmental hygiene to help curb the spread of the disease.

Christopher spoke during an on-the-spot assessment of affected communities and a visit to some suspected patients receiving treatment at the Primary Healthcare Clinic in Abba Na Shehu Ward.

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2026: Nigeria records 252 Lassa fever deaths, 1,035 confirmed cases

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Nigeria has recorded 1,035 confirmed cases of Lassa fever and 252 deaths across 23 states and 117 Local Government Areas (LGAs) in the first 33 epidemiological weeks of 2026, with the fatality rate rising to 24.4 per cent.

The latest Lassa Fever Situation Report of the Nigeria Centre for Disease Control and Prevention (NCDC), covering August 10 to 16, showed that the country recorded 14 new confirmed cases and two deaths during epidemiological week 33.

The 2026 cumulative figures represent an increase from the 854 confirmed cases and 159 deaths recorded during the same period in 2025, when the Case Fatality Rate (CFR) stood at 18.6 per cent.

According to the report, the 14 new confirmed cases recorded in week 33 were reported in Ondo, Edo, Bauchi and Benue States, representing a sharp rise from the four cases recorded in epidemiological week 32.

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The NCDC said five states accounted for the overwhelming majority of confirmed infections in the country, with 87 per cent of all confirmed cases reported from Ondo, Bauchi, Taraba, Edo and Benue states.

Ondo State accounted for 33 per cent of the cases, followed by Bauchi with 25 per cent, Taraba 13 per cent, Edo 10 per cent and Benue six per cent. The remaining 13 per cent of cases were reported across 18 other states.

The report further indicated that people aged 21 to 30 years constituted the predominant age group affected, although confirmed cases ranged from one to 93 years, with a median age of 30 years. The male-to-female ratio among confirmed cases was 1:0.9.

The NCDC also disclosed that 54 healthcare workers have been affected by Lassa fever in 2026, although no new healthcare worker infection was recorded during week 33.

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It said 12 patients were being managed at treatment centres during the reporting week, bringing the cumulative number of cases managed at treatment centres in 2026 to 783.

On contact tracing, the report said 2,007 contacts had been listed cumulatively, with 168 still under follow-up. A total of 1,836 contacts had completed follow-up, while 110 symptomatic contacts had been identified and 49 tested positive.

The NCDC said it had intensified interventions to contain the outbreak, including training healthcare workers, strengthening infection prevention and control measures, supporting active case search and contact tracing, and pre-positioning personal protective equipment and other supplies in health facilities.

It also said a 30-day Healthcare Worker Protection Plan had been developed to reduce infections among frontline health workers in endemic states, with support from the World Health Organisation and the US Centers for Disease Control and Prevention.

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The agency said National Rapid Response Teams had also been deployed across seven high-burden states, while Incident Management Systems for Lassa fever had been activated in Benue, Plateau, Kebbi, Kano and Gombe states.

However, the NCDC identified late presentation of cases, poor health-seeking behaviour linked to the high cost of treatment, poor environmental sanitation, low awareness in high-burden communities and healthcare worker infections as major challenges to controlling the disease.

The agency urged states to sustain community engagement on Lassa fever prevention throughout the year, while advising healthcare workers to maintain a high index of suspicion, make timely referrals and commence treatment promptly, alongside strict adherence to infection prevention and control procedures.

The NCDC further called for stronger state capacity to prevent, detect and respond promptly to Lassa fever outbreaks.

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