The leaked US diplomatic cable below, dated 4 February, 2009, says former minister of agriculture Sayyadi Abba Ruma donated a kidney to the late President Umaru Yaradua in 2001-2002. The cable was posted by whistle blower website Wikileaks yesterday.

Introduction. Ref A requested updated information about the health of Nigerian President Umaru Musa Yar’Adua. We note that our GON and private contacts continue to state that President Yar’Adua is managing his known health issues -- chronic kidney problems -- and is not suffering from something more serious.


The Villa also continues to keep a tight hold on any information concerning his health and has been cautious about any indications on travel outside of Nigeria, to avoid additional concerns. As a result, attempts to gain specific and/or verifiable information on his condition, prognoses, medication, treatment options are limited. The Ambassador’s last personal dialogue with him (Ref. C), in which she observed him up close, noted that he was extremely frail, more soft spoken than usual, his skin was extremely drawn, teeth were extremely tarred and his involuntary cough had increased.

He was, however alert and could carry on a sophisticated conversation. We have also reported, ref. B, recent extensive critical comments by a Villa staff member on the impact of the President’s health on the country’s governance. What is clear is that the President’s health is a matter of growing concern, particularly on the minds of the northern Nigerian elite. We have noted a considerable up-tick in what appears to be behind-the-scenes machinations and backroom dealing, most notably the recent reconciliation meeting between former President Obasanjo and former VP Atiku and Atiku’s pending official return in March to the ruling PDP, former President Babangida’s sudden return to the political scene with a string of public pronouncements, and Kwara Governor Saraki’s machinations to possibly be a PDP candidate in 2011.



If Yar’Adua were closer to “death’s door,” we would expect more of a political power struggle publicly to break out drawing in these traditional “Godfathers” of Nigerian politics, as well as newer groupings including Kwara State

Governor Saraki (and Governors’ Forum chairman), some of the other Governors (e.g. Niger and Kaduna), and some members of the “Katsina clique” who have gathered around Yar’Adua. All these groups have a shared interest either in maneuvering VP Goodluck Jonathan out of assuming the presidency, or in assuring that his power as President was strictly circumscribed and that he appointed a strong Northerner as his VP. (We note there has been a speculation of a Yar’Adua demise in February 2009. Thus, this has not happened and he may either not be suffering from a terminal disease or could -- as other leaders have done in the past -- hang on longer than we anticipate.) Yar’Adua began a two-week vacation on January 26 (to date he still remains in Abuja and his vacation is scheduled to end on Monday, February 9). However, official statements from the Presidential Spokesman indicated that he would pass the two weeks in Lagos, Cross River State (at the Obudu Cattle Ranch) and at his home state of Katsina. There is widespread speculation, however, that the Villa may be using the guise of a “vacation” to hide medical treatment.

On January 27, Kwara State Governor Saraki insisted to Ambassador that Yar’Adua will not/not leave Nigeria during his vacation; however, we believe that he is most likely receiving clandestine medical treatment in Nigeria during this period. Ambassador was told by two key contacts, Shell VP for Africa on January 27 and Information Minister Akunyili on February 2, that experts from Germany have been brought in to oversee the President’s treatment. END INTRODUCTION.

Information below on the health of President Yar’Adua is keyed to Ref. A questions:

A 1. (S/NF) DIAGNOSES: Despite continued statements by the Villa spokesperson that the President is not in poor health, several individuals xxxxxxxxxxxx and First Lady Turai Yar’Adua) have admitted privately to the Ambassador that he suffers from acute kidney disease (Refs. C, G, H and others). We continue to hear press and blog reports that Yar’Adua suffers from lung cancer, although this is generally from sources further removed from the Presidency. xxxxxxxxxxxx is the only credible source who confirmed that he heard reports of lung cancer. xxxxxxxxxxxx is not close to the President and has access to tertiary information at best.) On October 27, First Lady Turai Yar’Adua told Ambassador that Yar’Adua did not have lung cancer, but admitted that he suffered from long-term kidney disease and from asthma (Ref. G). On January 27, Kwara State Governor Saraki, a medical doctor by training, told Ambassador that Yar’Adua is “not at death’s door” and that he is learning to cope and manage his energy levels better, leading to an improvement in his energy and breathing since the September 2008 timeframe. xxxxxxxxxxxx a contact xxxxxxxxxxxx at the German Julius Berger company said that Yar’Adua is steadily weakening and going downhill, noting that although he is “not in danger of dying soon,” his ailments were serious and chronic. Other media outlets, such as the online news site “Sahara Reporters” have reported several conditions: Churg Strauss Syndrome and/or lung cancer along with kidney disease.

In a follow-up meeting with Information Minister Akunyili on February 2, xxxxxxxxxxxx told the Ambassador that Yar’Adua remained extremely weak. xxxxxxxxxxxxx noted that when xxxxxxxxxxxx last met with him it was at the residence and not the office as he has substantially reduced his office hours to conserve his energy. xxxxxxxxxxxx said Yar’Adua told xxxxxxxxxxxx that he really wanted to go out of Nigeria for “a rest” but given the uproar over his September 2008 trip to Saudi, he was compelled to stay in Nigeria to avoid more speculation on his health. xxxxxxxxxxxx added that Yar’Adua’s current strategy is to have meetings planned well in advance so he can rest up in order to be able to have enough energy to complete the session.

xxxxxxxxxxxx A 2. (C) PAIN: Most of Post’s information concerns his lack of energy and fatigue; however, information exists in other channels regarding pain management.

A 3. (s/nf) health improved/worsened, changes in appearance:

We believe that Yar’Adua still remains weak and as physically fragile as he was in November-December 2008. Ref. C contains Ambassador’s observations during her meeting with Yar’Adua on the margins of the December 19, 2008 ECOWAS meetings.

Ambassador noted: he coughed more extensively as he delivered his speech on becoming ECOWAS Chair, he appeared to weigh no more than 130-140 pounds, his skin was very taunt, his handshake was weak, voice was fainter than on previous meetings, his eyes were deep set with dark circles underneath, and his teeth were also very badly tarred. Over the past several weeks, Yar’Adua has made few public appearances. Despite this, he was able to carry on a sophisticated conversation. His most recent appearance was at his daughter’s marriage on January 25, 2008, to Bauchi State Governor Yuguda. Although we believe these appearances were meant to calm public anxiety, they actually tended to renew suspicions about his health. Based on pictures and TV coverage of these events he appears pale and weak. He continues to lose weight and he coughs and appears at times to have difficulty breathing when he talks. U.K. diplomats told us January 28 that they have seen reports that Yar’Adua wears make-up for public appearances and padding to hide his weight loss.

A 4. (S/NF) RESTRICTIONS TO ACTIVITY/SCHEDULE: Yar’Adua’s schedule, since assuming office in May 2007, has never included long days or late night appointments (Ref. M); however, it has clearly been severely restricted since late Summer and appears to be more so since late December 2008.

President Yar’Adua has made few international trips since assuming office, including missing the September 2008 UN General Assembly meetings. xxxxxxxxxxxx contact of the Mission shared his risk-analysis paper with us in late 2008 (Ref. B, q.v.), in which he complained that Yar’Adua’s restricted office hours are “taking a heavy toll on governance.” He also noted then that the President “works for limited hours, often can’t keep scheduled appointments, and cannot undertake rigorous national tours.” On xxxxxxxxxxxx told PolCouns that Yar’Adua’s health has improved “a bit” since last fall; however, there has been no positive impact on his ability to meet the demands of the presidency. (This comment dove tails with Saraki’s, who also indicated that Yar’Adua has had a slight improvement.) A 5. (s/nf) yar’adua aware of his diagnoses/prognoses:

Although the spokesman for the Villa continues to maintain that Yar’Adua has no serious health problems that hinder his ability to carry out his executive functions, the President’s wife admitted his serious kidney ailment to the Ambassador.

We do believe that those around him may be jeopardizing his well-being for their own political gain. We note that, in conversations with other foreign diplomats, the First Lady has indicated she is looking forward to Yar’Adua running for a second term in 2011.

A 6. (C) NAMES AND SPECIALTIES OF PHYSICIANS: Adamu Banye Barau serves as Chief Physician to the President. Barau applied for a U.S. visa in April 2008. xxxxxxxxxxxx Barau planned to travel to the U.S. to purchase medical equipment. In addition, we know Hussaini Yakasai Munir serves as a Villa medical officer.

I didn't read anything about actually donating the kidney! News Whores