Joshua M., 9

Joshua Messe is a 9 year old child living in Makoko , a very impoverished area in Lagos state Nigeria. During the Meyiwavera medical outreach program, conducted in partnership with Helpster Charity in Makoko, children were being screened and Joshua was one of those children. This type of community health initiative is crucial in underserved areas, as it can identify children who might otherwise go undiagnosed and untreated. Joshua was presented with a case of Recurring bone pain, fever and headache. The fever was followed by chills and rigors. Upon presentation at our hospital, and after further evaluation, he was diagnosed with Malaria and Sickle cell Anemia (significant anemia) and an ongoing crisis.

Joshua was one of the children found during the outreach held at Makoko in September 2025, where Helpster Charity partnered with Meyiwa Vera to treat sick children in the environs. They couldn't afford transportation to the our hospital and Helspter charity paid their transportation. Upon presentation, they refused to admission citing finances to be maintained at the hospital and general logistics cost as a challenge.

Joshua is currently diagnosed with Malaria and has a known history of Sickle Cell Anemia (HbSS). The malaria infection is characterized by febrile illness, parasitemia, and systemic weakness, necessitating prompt antimalarial therapy. Joshua is showing signs of an ongoing sickle cell crisis. He has significant anaemia (Hb 7.38) and an elevated white cell count, which aligns with his symptoms of fever, headache, and bone pain. His malaria test and urine test were normal. With strict medication use, good hydration, and close follow-up, his symptoms are expected to improve, but he must be monitored carefully for worsening crisis signs.