worsening

Rats are invading displacement camps across Gaza, where piles of garbage, overflowing sewage and overcrowded shelters are worsening a public health crisis. Doctors report more severe skin diseases as families struggle without proper sanitation or adequate medical care.

Every Thursday, 35-year-old Fatima Sani joins hundreds of other women from neighbouring communities across Demsa, a local government area in Adamawa State, northeastern Nigeria, to obtain Ready-to-Use Therapeutic Food (RUTF) for her one-year-old malnourished daughter at the Demsa Primary Healthcare Centre. The mother of nine has made several trips to the centre to ensure her daughter recovers from malnutrition. Her treatment includes RUTF, a paste made from powdered milk, peanuts, butter, vegetable oil, sugar, and a mix of vitamins and minerals. A sachet contains 500 calories and essential micronutrients. 

“My youngest children are twins, and both of them were diagnosed with malnutrition,” Fatima told HumAngle. “One of them has been declared healthy and discharged by the centre, so I no longer bring him here, but I come to obtain RUTF for his twin, and hopefully, she recovers and gets discharged too.”

She noted that the twins were the only children in her household ever to be diagnosed with malnutrition in her household. When asked what the cause might be, Fatima replied: “Hunger.” 

She sells fresh vegetables at the local market in Demsa, and her husband, whom she referred to as Sani, is a rice farmer. She explained that most of his harvest is kept for household consumption, while the rest is sold to meet other needs. Then, a disaster repeatedly washed away his produce. 

“For three years in a row now, floods have been destroying my husband’s farm,” she said, adding that the destruction in 2025 left him devastated. “The rice had reached maturity, but on the expected day of harvest, the flood came and washed everything away.” 

‘Food is scarce’

UNICEF, in its 2025 report, highlighted that flooding is worsening the nutrition crisis in Adamawa, as the destruction of farmlands, disruption of livelihoods, displacement of households, and damage to health and nutrition facilities have all contributed to reduced access to food and essential nutrition services in the state. This has led to a surge in malnutrition levels, doubling the previous year’s estimates and placing children, pregnant women, and lactating women at increased risk. 

After the flood ravaged her husband’s farm, Fatima said, feeding her family became extremely difficult. “We now eat once or twice a day. Some days, there is nothing at all,” she said.  She added that her husband, Sani, left Demsa about two months ago in search of greener pastures due to feeding difficulties in their household. 

Helen Daniel, another woman who collects RUTF for her malnourished granddaughter at the healthcare centre in Demsa, told HumAngle that the 20-month-old child was almost dying when she first saw her. “I had gone to the village to check on my daughter when I noticed that my granddaughter’s ribs were visible. At close to two years, she could barely stand, and she was struggling to keep her head firm,” Helen said.  

Her daughter and son-in-law are full-time farmers in Wuro-Laka, a nearby village in Demsa, so when floods ravaged rural communities around their area, including their farmland, they lost their only means of livelihood.

“Food is scarce, and they only eat what they can get,” Helen said. 

Since she had seen women trooping into the Demsa Primary Healthcare Centre with their children who exhibited the same symptoms as her granddaughter, Helen returned to Demsa town with the child after her visit and headed there too. There, the child was diagnosed with malnutrition in March.

“This is my sixth trip to the centre, and I can boldly say there has been a significant improvement in my granddaughter’s health since I started feeding her the RUTF. She has gained weight, and I can’t wait for her to start walking,” Helen said. 

Dr Innocent Agaba, Senior Registrar at the Department of Paediatrics, Modibbo Adama University Teaching Hospital, Yola, explained that malnourished children who are left untreated do not attain their full intellectual potential and may eventually die. “They will be duller than their peers, and they are literally going to be shorter and smaller than their peers,” he said. 

His observation is consistent with global research. Studies by the World Food Programme, World Health Organisation, and UNICEF have found that childhood malnutrition and stunting are linked to poorer cognitive development, reduced educational outcomes and delayed physical growth, with long-term consequences that can persist into adulthood.

The paediatrician also noted that malnourished children are prone to health complications and organ failures. 

Across flood-prone areas 

According to the Integrated Food Security Phase Classification, armed conflict, inflation, and extreme weather are the main drivers of acute malnutrition in Northern Nigeria, which is affecting about 6.4 million children aged 0 to 59 months, as well as 786,000 pregnant and breastfeeding women. 

The 2025 analysis shows that, of the 21 local governments analysed in Adamawa State, the malnutrition rate was reported to be in the Alert Phase (Phase 2), indicating a deteriorating nutrition situation requiring close monitoring and targeted interventions. Meanwhile, some LGAs in Borno were in the Critical Phase (Phase 4), meaning malnutrition levels had reached an emergency threshold, with a high risk of illness and death among affected children and urgent action was needed to prevent further deterioration.

The effects of repeated flooding on child nutrition are not limited to Demsa. Across Adamawa State, other flood-prone communities are facing similar challenges. In Imburu, a community in Numan Local Government Area of Adamawa State, families are also grappling with rising cases of malnutrition linked to the loss of farmland and livelihoods.

Twenty-one-year-old Shaawalatu Yakubu is one of the RUTF recipients at the primary healthcare facility in Imburu. She told HumAngle that her family is yet to recover from the devastating impact of last year’s flooding. The family relied on produce from their maize farm. Before the damage, she explained, her family’s needs were fully met, and her daughter was on a different meal plan that included soya beans and custard pap with milk, but now, the child is fed whatever is available.

“The flood washed away our maize farmland that reached maturity, including other farmlands and households in the area,” she said. 

Shaawalatu, who resides in Ngbalang, a neighbouring community around Imburu, receives RUTF for her malnourished daughter every Wednesday. “The RUTF is free, and I have seen changes in my daughter since I started feeding her with the supplement,” she said. 

Aisha Musa, whose son is being treated at Imburu Primary Healthcare Centre, said that the prices of foodstuffs in the area had gone up because most farmers are trying to make up for losses incurred in the previous flood. “One mudu of maize was ₦550 Naira, but now, it’s ₦750,” she said.  To help her son tackle the crisis, she feeds him soya beans and guinea corn pap alongside the RUTF supplement. 

An assessment conducted by the National Emergency Management Agency (NEMA) and the Adamawa State Emergency Management Agency (ADSEMA) in June 2025 found that over 9,000 hectares of farmland were destroyed by floods across Adamawa State, while over 23,000 people were displaced. Communities in Numan, including Imburu, Ngbalang, Lure, and Zangun, were severely flooded. Farmlands were submerged, and residents were forced to seek shelter in makeshift homes. 

Still, there’s a challenge 

Every registered woman receives 14 packs of RUTF per child each week across the state’s nutrition centres. Two sachets are to be administered daily. However, there are times when supply is inconsistent, and the children don’t meet the feeding standard.

Norah Noel, a healthcare provider at a nutrition centre in Fufore, another flood-prone local government area in Adamawa, said that RUTF shortages affect recovery rates among malnourished children in the region and that, despite assistance from the Adamawa State government and humanitarian agencies, these shortages persist. 

“Since last October, we haven’t had RUTF on the ground. The rate of malnutrition is increasing because we have plenty of cases that are coming,” she told HumAngle. 

Norah stressed that children aged six to 10 months are among the most affected in the region, adding that more cases are recorded during the rainy season because repeated flooding in the area causes food scarcity. 

The healthcare provider also explained that the Fufore facility, located in the town centre, is always overwhelmed with cases from neighbouring villages. Since there is a shortage of RUTF, Norah stated that the centre is seeking alternative measures to provide care for those affected, while critical cases are referred to larger healthcare facilities. 

She explained that some people spend an average of ₦6,000 to ₦10,000 on transport to reach the centre, only to be disappointed by RUTF shortages. 

“What we do is show them how to make Tom Brown,” Norah said. Tom Brown is a locally produced flour mixed with grains to prevent relapse in malnourished children. 

While the healthcare centre carries out outreach in some of the rural communities in order to reach the malnourished children, Norah believes some children might never make it to the facility, especially those in inaccessible areas. 

In June 2025, UNICEF revealed that over 400,000 children in Nigeria’s northeastern and northwestern regions would be at risk of imminent nutrition stockouts. This means a shortage of RUTF and Supplementary Food, with data indicating a reduction in overall partner and financial volume.  

According to the paediatrician, it is important for malnourished children to complete their full course of RUTF, which can last several weeks or even months. Recovery is considered complete only when a child reaches the recommended weight-for-height Z-score or when their Mid-Upper Arm Circumference (MUAC) returns to a normal range. 

Stopping treatment too early can undo any progress that has been made. “If a person begins to enjoy some benefits from some recovery and then stops, he just reverses back to his initial stage and returns to a pre-morbid state,” he said. 

Yet for many families in rural Adamawa, completing treatment is often easier said than done. During the rainy season, flooding frequently cuts off access to healthcare facilities, making it difficult for caregivers to obtain RUTF or attend follow-up appointments.

Smith Jocthan, the Facility Manager at Demsa Primary Healthcare Centre, told HumAngle that residents from communities like Kodomun, who rely on the facility for RUTF, do not usually show up during the rainy season. Other residents in Fufore raised a similar concern. 

“Their culverts have a problem. When it is flooding season, it’s not easy for them to come to the facility,” he said. 

For health workers on the frontlines, these access challenges underscore a broader problem. Both Jocthan and Norah identified flooding as a major driver of the malnutrition crisis in Adamawa. In Demsa, Jocthan said, repeated flooding is affecting children’s well-being.

Beyond the physical barriers created by flooding, health workers say social and cultural factors also hinder efforts to tackle malnutrition. Jocthan noted that certain misconceptions also contribute to the slow recovery rate in the region, which leads to low rates of discharge among the malnourished children in Demsa. “One such tradition among some people is that a child under five years should not eat eggs. Because if they do, they will become thieves. We know eggs are a source of protein, but most children are denied the opportunity of getting that protein,” he said.

Despite the setbacks, he said the facility is making progress. “This is because many are educated on how to prepare local foods. Before, there was no knowledge of that,” Jocthan said.

In May, Médecins Sans Frontières (MSF), an international humanitarian organisation, warned that malnutrition is no longer a seasonal emergency but a permanent feature of Nigeria’s humanitarian landscape, especially in the northern region, where cases are extremely critical. 

Dr Agaba stated that RUTF supplementation alone is far from enough. “One of the biggest challenges to dealing with malnourished children, especially in impoverished settings, is that people assume RUTF is enough,” he said. The paediatrician stressed the importance of other aspects, such as a healthy, well-fed mother, understanding of a balanced diet, and exclusive breastfeeding.

What to do with the floods?

A study on the causes and effects of floods in Adamawa State has identified the opening of dams, excessive rainfall, rising water levels, and poor drainage as major factors.

When floods pushed families out of their homes in the Benue River Valley in 2025, Agoso Bamaiyi, an environmental scientist, noted that the overflowing of the Benue River through its tributary, the Gongola, is the main driver of flooding in the region. Even though the expert acknowledged climate change and global warming as contributing factors to the rising frequency and intensity of floods, he argues that the Benue’s overflooding remains the central cause in Adamawa. He says dredging the Benue River and constructing a reservoir dam will address the flooding situation. 

In May, the National Emergency Management Agency (NEMA) met with the Adamawa State Governor, Ahmadu Fintiri, as part of its response to rising climate-related threats. Zubaida Umar, NEMA’s Director-General, disclosed that no fewer than 33 states are at risk of flooding this year, with Adamawa listed among the most vulnerable according to projections. 

Governor Fintiri has said that his administration is preparing ahead of the disaster. While measures such as monthly sanitation and drainage clearing are already in place, he emphasised the need for continuous sensitisation of residents in high-risk areas and revealed the government’s plan to establish temporary shelters to accommodate displaced persons in the event of flooding. 

Fintiri also advocated for stronger federal support so as to ease the impact of the flood on affected communities.

HumAngle reached out to the National Emergency Management Agency (NEMA) and the Adamawa State Management Agency (ADSEMA) for comments on their efforts to address the root causes of the flooding, but has not yet received a response. 

With little clarity on what is being done to prevent future flooding, families continue to grapple with its consequences on their own. Helen is determined to nurse her granddaughter to full health. “I will make sure she eats well and is taken care of, and once she recovers, I won’t send her back to the village but will live with her instead. I’m not sure she can survive another cycle of hunger,” she said. Fatima shares a similar hope for her child. She wants her daughter to fully recover and eventually get cleared of malnutrition, just like her twin brother. 

For two weeks, the fate of Major General Rabe Abubakar (rtd) had become a barometer for testing whether Nigerian authorities could secure the release of a high-ranking military officer from the hands of terrorists operating in the northwestern region.

The answer came on Saturday, June 13, in a press statement by Nasiru Muazu, Katsina’s Commissioner for Internal Security and Home Affairs. The retired general could not be rescued, the Katsina government itself said. Rabe, who served as the Director of Defence Information at Nigeria’s Defence Headquarters between 2015 and 2017, died while in detention at the hands of the terrorists who abducted him. 

Rabe was abducted alongside his wife, Hajia Amina, on May 30. A native of Batsari from Katsina State, he was kidnapped on the Matazu–Sayaya road, a road that has now become one of the most volatile in the North West. 

“It is with profound sadness that we confirm the General’s death while in bandits’ captivity. Despite the relentless and concerted efforts of the State Government and various Security Agencies to secure his safe release, the situation ended in this tragedy. The deceased Retired General died a natural death from complications of diabetes and hypertension,” Nasiru said in the statement.

The abduction of the general had exposed how deeply terrorism has eaten into the fabric of Nigeria, especially the North West, where criminals have turned into full-time armed gangs that engage in kidnapping, pillaging, and other forms of terrorism. 

For over a decade, Katsina and other states in the region have faced incessant attacks from these terrorists, forcing local authorities to consider a “reconciliation” with the armed groups to restore peace. Some local government areas in Katsina, such as Jibia, Batsari, Kurfi, Safana, Danmusa, Matazu, Musawa, Kankara, Faskari, Malumfashi, and Bakori, have agreed to establish peace accords with terrorists in their areas. 

However, while some of these areas have seen relative calm, the situation in Matazu, Bakori, Musawa, Kankia, and Malumfashi has only deteriorated. The Marabar Musawa – Musawa – Matazu – Kafin Soli road (where the General was abducted) became volatile after the peace deal broke. 

Even before May 30, there were several cases of abduction on the road as well as attacks on communities and towns in the area. HumAngle reports that Muhammadu Fulani, the terrorists’ leader in the Matazu – Musawa area, is accusing the state government of arresting three of his men and seizing his livestock. 

Ambush on a wedding road 

Rabe was travelling with his driver and wife to Katsina for a wedding ceremony when the terrorists emerged near a village called Zakin Baure, blocked the road, and opened fire on his vehicle, a red coloured Peugeot 406 car, according to media reports. That forced the vehicle to a halt, enabling the terrorists to abduct him and his wife and push them into a nearby forest. His driver, however, escaped with gunshot injuries and was later admitted to a hospital. 

They were heading toward Katsina city for a family wedding through the perilous corridor, Marabar Musawa–Musawa–Matazu–Kafin Soli, which sits at the fault line of a regional peace architecture that has become increasingly fragile.

Abduction timeline 

June 6: The terrorists released a video clip of the couple begging for the government to rescue them. The wife, who spoke, asked the government to facilitate the release of some three terrorists arrested by security agents in exchange for the couple’s freedom. 

June 8: The terror group leader, Muhammadu Fulani, said he would not release the wife of the General, Amina, as promised, after the government dispatched security agents to the area to fight him. 

June 11: A video clip of the General, his wife and four others went viral on social media. HumAngle checks revealed that the other four persons in the video were members of the All Progressive Congress (APC) from Danja Local Government Area of the state who were abducted last month on the same road. 

June 12: A special prayer session was organised at the Sa’ad Bin Abi Waqqas Mosque in Barhim Estate, Katsina city, at 5 p.m.. Several relatives and friends of the Major General attended the prayer session, where the Imam called on the government to ensure the safe return of Rabe, his wife, and all abducted victims.

June 13 (morning): A WhatsApp message began circulating, especially in Katsina. The message said the General had died Friday night, June 12. “Innalillaihi wa ina ilaihil rajiun. This is to announce on a sad note. The death of General Rabe Abubakar last night at the hands of the bandits.” A HumAngle reporter also received a message from a retired civil servant asking for confirmation. 

June 13 (afternoon): The Katsina State government, through the Ministry of Internal Security and Home Affairs, confirmed the General’s death, saying that he died “a natural death from complications of diabetes and hypertension”. 

A symbol, and a warning

General Rabe’s death has reverberated through Nigeria’s security establishment and social media platforms precisely because of who he was: a man who had once stood before cameras explaining the state’s fight against terrorism. It also brings renewed attention to Nigeria’s growing terrorism and persistent security challenges facing several northern states despite ongoing military operations against the armed groups. 

Dikko Umaru Radda, the Katsina State governor, called the episode a “dark moment,” saying it highlighted the urgent need for a stronger, more coordinated security response, while pledging that those responsible would be pursued.

For residents of Katsina’s volatile corridors, Rabe’s death is a confirmation of what many have long understood: on the state’s insecure roads, rank, fame, and a lifetime of service offer no immunity at all.

His wife’s status was not addressed in Saturday’s statement, and her deceased husband was buried according to Islamic rites, but sources told HumAngle she was released alongside her husband’s remains.

Cuba has announced the first shipment in an expected donation from China of about 60,000 tonnes of rice, as the Caribbean island contends with an ongoing humanitarian crisis.

In a series of social media posts on Sunday, Cuban President Miguel Diaz-Canel confirmed that the first load of 15,000 tonnes had arrived a day earlier in the port of Havana.

He also expressed “deep gratitude” to China, as well as to members of the European Parliament who denounced the pressure campaign his government faces.

Since January, the United States has increased its sanctions against Cuba, as part of a hardline turn under the second term of President Donald Trump.

“Thank you very much for the solidarity, and for the firm and unequivocal condemnation of the collective punishment to which our people are being subjected,” Diaz-Canel wrote, likening Cuba’s situation to “genocide”.

While Trump has sought to check China’s growing influence on Latin America, Cuba has increasingly relied on the Asian superpower for assistance.

Already, China has donated solar panels to Cuba to help update its ageing energy grid and transition the island away from fossil fuels. Currently, Cuba relies on imports for nearly 60 percent of its oil supply, according to the International Energy Agency.

But since the start of the year, the Trump administration has largely blocked the export of oil to Cuba.

The de facto oil blockade began shortly after January 3, when the US launched a military operation to abduct and imprison Venezuelan President Nicolas Maduro.

Trump followed that operation with the announcement that no more oil or funds would be transferred from Venezuela to Cuba.

By the end of the month, he had also issued an executive order identifying Cuba as an “unusual and extraordinary threat” to the US and threatening economic penalties to any country that supplies it with oil.

Since then, only a single Russian tanker has been permitted to reach the island. Earlier this month, Energy Minister Vicente de la O Levy announced that the island had exhausted its oil supplies.

While Cuba is no stranger to power outages, the recent crisis has caused island-wide blackouts and has brought public services — including transportation and medical care — to a standstill in many areas.

But Trump has continued to impose sanctions on the island’s communist government, in an apparent effort to force regime change.

Media reports have indicated he has sought Diaz-Canel’s resignation and would be open to a situation akin to Venezuela’s, where Maduro’s government has been left largely intact, though Maduro himself has been replaced.

Trump has also repeatedly suggested he may consider a military response should Cuba fail to give in to his demands, though his administration has sent mixed messages about possible intervention on the island.

“Other presidents have looked at this for 50, 60 years, doing something, and it looks like I’ll be the one that does it,” Trump said last week from the Oval Office.

Negotiations between the two countries, however, are likely to be strained after the Trump administration unveiled a murder indictment against Cuba’s former president, Raul Castro, for the 1996 downing of two planes run by Cuban exiles.

Since the 1960s, Cuba has been under a sweeping US trade embargo that has weakened its economy.

US officials, however, have blamed the Cuban government for economic mismanagement and the oppression of its people, particularly political dissidents.

Earlier this month, US Secretary of State Marco Rubio disclosed that the Trump administration offered $100m in humanitarian aid to Cuba, on the condition it implement “meaningful reforms”.

In Sunday’s posts, however, Diaz-Canel sought to project defiance in the face of Trump’s “maximum pressure” campaign.

“The ‘maximum pressure’ strategy — which some in the US morbidly trumpet — is part of a strategy intended to justify the false narrative of an impending collapse, and thereby pave the way for military intervention,” he wrote.

Diaz-Canel added that Cuba would continue to strengthen its ties with the US’s economic and political rival, China.

“The cherished bonds of friendship and cooperation that unite us grow stronger in these crucial times,” he said.