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‘I am scared to think what will become of my children and me’

In Bakassi, the oldest of Maiduguri’s camps, the majority of the residents have been displaced for several years. There are neat rows of identical tarpaulin huts as far as the eye can see. Every family has a shelter. But many people find social distancing difficult to practise here as well.

Aishatu, a 38-year-old widow, shares a four-by-six metres hut with her 10 children. “I heard that I should avoid crowds,” she says. “It makes me nervous because it is very difficult to do.”

As the number of COVID-19 cases grows, many Nigerians feel the immediate economic impact of the restrictions on movement. For some of the displaced people, who have lost everything, including their social support networks, the blow is extremely hard.

“I am scared to think what will become of my children and me in a time like this,” says Rebeca, a mother of six, who lives in one of the informal settlements for displaced people near Yola, the capital of Adamawa state. 

Four years ago, Rebeca and her children fled their home in southern Borno when their village was attacked. Until this day, she does not know if her husband is dead or alive.

To feed her six children, Rebeca helps at farms on the outskirts of Yola, earning 200 Naira ($0.5) a day. But when Yola went into lockdown for two weeks at the beginning of April, the family lost this income.

‘We face constant dilemmas’

While the global pandemic is spreading, the long-standing armed conflict has not loosened its grip on peoples’ lives.

This March, the number of attacks registered by the United Nations was twice that recorded in the same month of the previous two years.

“We face constant dilemmas, as we are responding to the humanitarian emergency, and now there is also a global public health emergency that we have to consider,” explains Stanley Latani, a hospital project manager for the International Committee of the Red Cross (ICRC) in Maiduguri. 

To increase the space between the beds and ensure physical distancing between the patients in its surgical ward, which treats war-wounded people, the ICRC had to review its admission criteria and treat as many cases as possible as outpatients. But as the violence continues and wounded people keep arriving, this standard is difficult to maintain. 

Before COVID-19 became part of the equation, 35 percent of the health facilities in Adamawa, Borno and Yobe states were damaged by the conflict, according to the World Health Organization (WHO). As a result of the lack of access to healthcare, people die of preventable and treatable diseases like malaria, measles and cholera.

The potential effect of the coronavirus, which has overwhelmed some of the best healthcare systems in the world, worries many health specialists.

But healthcare workers in the northeast of Nigeria face an additional threat – being attacked. 

“After all, you can take preventive measures against COVID-19,” says Clara Okafor, a nurse in Maiduguri Hospital, “[but] you cannot do anything to protect yourself from a blast.”