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The Nigeria Centre for Disease Control and Prevention (NCDC) announced on Thursday that the country has recorded 39 confirmed cases of mpox across 33 states and the Federal Capital Territory (FCT) in 2024, with no fatalities reported.
The Director General of NCDC, Dr. Jide Idris, revealed this during a press conference in Abuja, where he also disclosed that 5,951 suspected cholera cases and 176 deaths have been reported across all 36 states and the FCT as of August 11, 2024.
The announcement comes as the Africa Centre for Disease Control declared a public health emergency earlier in the week due to the escalating Mpox outbreak, which has particularly impacted the Democratic Republic of Congo (DRC).
The outbreak in DRC has now spread beyond its borders, with a new viral strain first detected in September 2023 being identified in other African countries.
As of 2024, there have been 2,863 confirmed mpox cases and 517 deaths across 13 African nations.
Dr. Idris emphasized the seriousness of the situation in Nigeria, stating, “In Nigeria, cumulatively, a total of 39 confirmed cases and zero deaths have been recorded across 33 States + FCT, from the beginning of the year 2024. Bayelsa (five), Cross River (five), Ogun (four), Lagos (four), Ondo (three), and Ebonyi (three) lead the pack.
“Noting the significant concern of the ease of cross-border transmission, this press conference is part of the effort to intensify our coordination and communication with stakeholders to manage the spread of the virus and prevent disease importation.”
The NCDC has ramped up its efforts to monitor and control the spread of mpox, with heightened surveillance at Nigeria’s five international airports, 10 seaports, and 51 land border crossings.
Port health officers have been placed on high alert, and diagnostic protocols have been distributed to these locations.
Additionally, certain states, including Lagos, Abuja, Enugu, Kano, Rivers, Cross-River, Akwa-Ibom, Adamawa, and Taraba, have been put on high alert. Contact tracing and monitoring are also being conducted for confirmed cases to prevent further spread.
Mpox, a rare zoonotic viral disease, is endemic in several African countries, particularly in the rainforests of Central and West Africa.
While the exact animal reservoir of the virus remains unknown, it is suspected that rodents, squirrels, and monkeys play a role in its transmission.
The virus can spread from animals to humans through direct contact with infected animals or their body fluids, and from human to human through contact with infected individuals or contaminated materials.
The NCDC is also considering vaccination efforts for high-risk groups, with Nigeria expecting to receive 10,000 doses of the Jynneos vaccine.
Regarding cholera, Dr. Idris provided an update, noting that, as of August 11, 2024, there have been 5,951 suspected cholera cases and 176 deaths recorded across 36 states and the FCT.
The most affected demographic is children under five years old. He warned that the trend of cholera cases may continue to fluctuate, with the potential for an increase in cases due to current rainfall patterns.
Contributing factors to the cholera outbreak include high rates of open defecation, which contaminate water sources.
The NCDC plans to intensify prevention strategies and improve case management to combat the ongoing cholera outbreak effectively.
The post Nigeria Records 39 Mpox Cases In 33 States, FCT – NCDC appeared first on WWW.ADNG.NG.

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From Tramadol to Canadian to Exol-5 The New Drug Destroying Nigerian Youths An Investigative Article .From Tramadol to Canadian to Exol-5: The New Drug Destroying Nigerian Youths An Investigative Report on the Shifting Landscape of Substance Abuse in Nigeria Nigeria faces a severe and evolving drug crisis, particularly among its youth. What began with the widespread abuse of Tramadol has progressed through mixtures like “Canadian” to newer pharmaceutical diversions such as Exol-5. This shift reflects deeper issues: easy access to prescription drugs, weak regulation, socioeconomic pressures, and aggressive street-level marketing. NDLEA operations and health studies reveal a public health emergency that threatens an entire generation. Phase 1: The Tramadol Epidemic (2010s–Early 2020s) Tramadol, a synthetic opioid prescribed for moderate to severe pain, became Nigeria’s most notorious street drug. Cheap, potent, and widely smuggled (often from India and other Asian countries), it offered users energy, euphoria, and pain relief — appealing to commercial drivers, laborers, students, and young men seeking confidence or stamina. Scale of the Problem: Millions of tablets seized annually by NDLEA. High prevalence among young males aged 15–35. Linked to increased crime, sexual violence, organ damage (kidney failure, seizures), and mental health breakdowns. Contributed to broader opioid misuse alongside codeine cough syrups. Government responses included tighter import controls and public awareness campaigns, but these only displaced demand to other substances rather than eliminating it. Phase 2: The Rise of “Canadian” (Mid-2020s) “Canadian” or “Canadian Loud” emerged as a popular code for high-grade cannabis (often indica-dominant strains) or cannabis mixed with other synthetics. It gained traction as users sought alternatives or combinations to Tramadol’s effects. This phase marked a move toward imported or locally cultivated premium weed, sometimes laced with stronger chemicals. Youths in urban centers like Lagos, Kano, Jos, and Onitsha embraced it for its perceived “cleaner” high compared to opioids. However, it fueled polydrug use — combining cannabis with opioids, sedatives, or alcohol — amplifying health risks. Phase 3: Exol-5 – The Current Threat (2024–2026) Exol-5 (Benzhexol Hydrochloride / Trihexyphenidyl 5mg), originally a prescription medication for Parkinson’s disease and drug-induced movement disorders, has become the latest pharmaceutical being heavily abused. Why Exol-5? Euphoric Effects: Users report intense euphoria, hallucinations, and a sense of detachment — making it attractive as a cheap “upper” or escape. Accessibility: Sold over-the-counter or on the black market despite being a controlled prescription drug. NDLEA has seized millions of pills in single operations (e.g., 3.1 million pills in Kano in late 2024, and over 5.6 million combined with Tramadol in other busts). Street Names: Exol, Artane, Benzhexol, “Farin Mallam” (in Northern Nigeria). Demographics: Prevalent among youths, laborers, and even psychiatric patients who divert prescriptions. Studies show abuse rates as high as 25% among certain outpatient groups. Health Consequences: Anticholinergic toxicity: Confusion, dry mouth, blurred vision, urinary retention, constipation, and in high doses — delirium, psychosis, seizures, and heart issues. Long-term: Cognitive impairment, addiction, exacerbated mental health disorders. Often mixed with Tramadol, codeine, or cannabis, creating dangerous synergies. In cities like Jos, Exol-5 sits alongside diazepam, Rohypnol, and Tramadol on street markets, easily available to teenagers and young adults. Why This Evolution Continues Supply-Side Failures: Porous borders, corrupt officials, and overproduction of pharmaceuticals enable diversion. Demand Drivers: Unemployment, poverty, peer pressure, trauma, and the pursuit of performance enhancement (e.g., for “hustle” culture). Weak Regulation: Many pharmacies sell restricted drugs without prescriptions. Online and street vendors fill gaps. Displacement Effect: Cracking down on one substance (Tramadol/codeine) pushes users and dealers toward the next available option. NDLEA reports ongoing large seizures, but the problem persists due to high profitability and low risk for mid-level distributors. Broader Impacts on Nigerian Youths Education: Increased dropout rates and poor academic performance. Mental Health: Rising cases of psychosis and depression. Economy: Lost productivity among the working-age population. Crime and Violence: Drug-fueled robberies, cultism, and family breakdowns. Public Health System Strain: Overburdened hospitals treating overdoses and chronic complications. Young people aged 15–39 remain the hardest hit, with national surveys showing drug use prevalence significantly above global averages. What Must Be Done Stronger Enforcement: Consistent prosecution of corrupt enablers and large-scale traffickers. Regulation: Crackdown on rogue pharmacies and better tracking of prescription drugs. Prevention & Rehabilitation: School programs, community outreach, and expanded treatment centers (currently woefully inadequate). Economic Alternatives: Address root causes like youth unemployment. Public Awareness: Honest campaigns highlighting real dangers of “Exol-5” and similar drugs. Conclusion From Tramadol’s opioid grip to “Canadian” cannabis culture and now Exol-5’s anticholinergic highs, Nigeria’s drug crisis is mutating faster than responses can contain it. Exol-5 represents the dangerous new frontier — a legitimate medicine turned youth destroyer due to misuse and greed. Without urgent, multi-layered intervention — combining supply disruption, demand reduction, and socioeconomic support — an entire generation risks being lost to addiction. The time for half-measures is over. Nigeria’s future depends on winning this fight.