Poverty is usually presented as a percentage. Noma makes it impossible to look away. The disease begins inside a child’s mouth, often as inflammation of the gums. In malnourished children—especially where clean water, nutrition, hygiene and early care are scarce—it can move quickly through facial tissue and bone. It is bacteria exploiting a society’s neglect. The World Health Organization recognised noma as a neglected tropical disease in December 2023. Early detection can mean antibiotics, oral-hygiene support, nutritional supplements and healing without long-term consequences. Late detection can mean reconstructive surgery, difficulty eating and speaking, stigma—or death. The disease is cruel. Its timetable is crueller. This week, the Associated Press reported from Sokoto that Médecins Sans Frontières is providing free, multi-stage operations. More than 500 children were treated there between 2023 and 2025. One eight-year-old boy has undergone six operations since 2021. This ...
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