A rapidly spreading meningitis outbreak is currently straining health authorities in Nigeria. The outbreak has resulted in 151 deaths, with children disproportionately affected.

The Nigeria Centre for Disease Control (NCDC) has reported that the outbreak, which began in October, has now spread to 23 of the country's 36 states. A significant portion of the fatalities, 74, have occurred this year. Local partners have expressed alarm at the recent surge in deaths.

A key factor contributing to the high death toll is delayed access to healthcare. Many infected individuals either do not seek medical attention promptly or arrive at health facilities with severe complications. This issue has been a recurring problem in previous outbreaks.

The current outbreak presents a particular challenge for Nigeria's healthcare system, which is already dealing with the impact of reduced aid. Nigeria had previously relied heavily on this aid to combat outbreaks and support its underfunded healthcare systems.

Meningitis outbreaks are a seasonal occurrence in Nigeria, particularly during the dry season in the northern regions. The scale and severity of the current outbreak, combined with existing healthcare system challenges, necessitate immediate and comprehensive action to control the disease's spread and prevent further loss of life.

The majority of the worst-affected states are located in the north, where health providers have warned of the outbreak's rapid spread in hard-to-reach areas. Meningitis, more common during the hot season in Nigeria, affects the protective membranes surrounding the brain and spinal cord. It is a major public health challenge for a country already grappling with a high burden of malaria.

Nigeria recently received its first batch of over one million vaccine doses from the global vaccine alliance Gavi. The NCDC is collaborating with state authorities to enhance disease surveillance, focusing on tracking new cases, laboratory testing, and public awareness campaigns.

Public awareness campaigns are also underway, encouraging residents to take precautionary measures and seek immediate medical attention if they experience symptoms such as high fever, stiff neck, and severe headaches. However, access to hospitals remains a significant challenge.

According to Doctors Without Borders (MSF), hundreds of admissions and numerous deaths have been recorded within a few weeks. The high fatality rate is attributed to challenges in accessing care and low vaccination coverage. The most vulnerable are residents in remote areas who often arrive late to medical facilities. The rapid progression of meningitis necessitates mass vaccination campaigns.