ObjectiveWe assessed the impact of political conflict (Boko Haram) on tuberculosis (TB) case notifications in Adamawa State in North-east Nigeria.DesignA retrospective analysis of TB case notifications from TB registers (2010–2016) to describe changes in TB notification, sex and age ratios by the degree of conflict by local government area.SettingAdamawa State.Participants21 076 TB cases notified.Results21 076 cases (62% male) were notified between 2010 and 2016, of which 19 604 (93%) were new TB cases. Areas affected by conflict in 2014 and 2015 had decreased case notification while neighbouring areas reported increased case notifications. The male to female ratio of TB cases changed in areas in conflict with more female cases being notified. The young and elderly (1–14 and >65 years old) had low notifications in all areas, with a small increase in case notifications during the years of conflict.ConclusionTB case notifications decreased in conflict areas and increased in areas without conflict. More males were notified during peace times and more female cases were reported from areas in conflict. Young and elderly populations had decreased case notifications but experienced a slight increase during the conflict years. These changes are likely to reflect population displacement and a dissimilar effect of conflict on the accessibility of services. TB services in conflict areas deserve further study to identify resilient approaches that could reach affected populations.

Childhood lymphoma in northeastern Nigeria has a slight shift in varied clinical presentation in favor of NHL. Patients in this study had late presentation.

Background: Neonatal morbidities like neonatal sepsis (NNS), prematurity and perinatal asphyxia constitutes the major causes of neonatal mortality worldwide, even though, there may be slight intra and inter country variations. Objective: The main objectives of our study were twofold: 1) To determine the morbidity and mortality pattern of neonates admitted to the Special Care Baby Unit (SCBU) of the Federal Medical Centre Yola (FMCY), Adamawa state. 2) To provide relevant public health information that will be of benefit in reducing neonatal morbidity and mortality. Methods: A hospital-based retrospective study was carried out. Case notes of neonates admitted and managed for various morbidities at the SCBU of the FMCY over a period of seven months between April 2012 and October 2012 were retrieved and reviewed using a structured questionnaire, to document demographic characteristic, diagnosis and the number of deaths that occurred. Statistical analyses were performed by use of SPSS statistical software version 16, Illinois, Chicago USA and a computer program for epidemiologist PEPI version 3.01. Results: Total admission for the period was 292 (100 %). There were 124 (42.5 %) males and 168 (57.5 %) females. The male to female ratio is 1:1.4. Highest morbidity 47 (72.3 %) was observed in April, but highest mortality was bimodal, one in April 14 (27.7 %) and the other 14 (26.9 %) in August. Overall association of the morbidity and mortality figures for the period was not significant (p = 0.296). The mean Morbidity and mortality was 33.0 (8.9) and 8.7 (4.5) respectively. Multivariate test showed a significant difference between NNS on the combined dependent variables (morbidity and mortality), p = 0.012. When the results for the dependent variables were considered separately in a Univariate model using a Bonferroni adjusted alpha levels, both dependent variables were significance at p = 0.001 for morbidity and p = 0.000 for mortality. Conclusions: Neonatal sepsis and prematurity were the major causes of neonatal mortality, whereas, severe perinatal asphyxia was the second cause of morbidity in this study.