Via Thomson Reuters: Referral challenge hits bid to contain cholera in Nigeria's northeast. Excerpt:
MAIDUGURI, Sept 12 (Reuters) - Efforts to contain a cholera outbreak that has struck more than 1,000 people in refugee camps in northeast Nigeria are being hampered because people are failing to report suspected cases to authorities, a United Nations official said.
Health officials in Borno, the northeastern state at the epicentre of both an insurgency by Islamist militant group Boko Haram and the disease outbreak, said the number of suspected cholera cases had jumped to 1,626 as of Sept. 11.
Forty people had died, it said, up from the 23 reported by the U.N. on Sept. 6.
Around 1.8 million have fled their homes because of violence or food shortages, U.N. agencies say. The rainy season has spread disease in densely populated camps where many people live in unsanitary conditions.
Most cholera-related deaths have been recorded at the Muna Garage camp, on the outskirts of Borno state capital Maiduguri.
Speaking from the camp, Souleymane Sow - a United Nations Children Fund (UNICEF) coordinator - said the "main problem" in containing the outbreak was a lack of referrals.
"When the people are sick they don't proactively report to the clinics," he said, adding that aid workers were conducting visits to homes in the camps to bring sick people to a treatment centre.