30. The Complainants also argue that the Commission's jurisprudence does not
require the exhaustion of local remedies in the context of serious and massive
violations.
31. The Complainants refer to the case of Sudan Human Rights Organisation & Centre
on Housing Rights and Evictions v. Sudan, in which the Commission found that
"the scale and nature of the alleged abuses, the number of persons involved
ipso facto make local remedies unavailable, ineffective and insufficient"."
32. The Complainants maintain that this Communication contains serious and
massive violations. They furtherzargue' that, unlike in the Communication
Socio-Economic Rights and Accountability Project (SERAP) v. Nigeria, which the
Commission found inadmissible because a.: single incident, an oil pipeline
explosion that caused 700 deaths and other permanent injuries, did not qualify
as a case of serious and massive violations and/could have been the subject of
a single tort lawsuit case under the Oil Pipelines Act (2004),8in the present
Communication, each of the 40,000 daily maternal deaths and the estimated
one million additional cases of maternal mo~bidity would be the subject of
separate laws-uits 'address the violations that occurred in a single year.? The
Complainantsfurther claim that they represent all the victims of a single year,
in addition tp{Jhe cumulative total number of victims of past years, when
maternal mort~lity and morbidity were even higher.
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33. The Complainants argue that dO?;testiclaw does not provide for any cause of
action capable of grouEtng the. countless number of distinct violations into a
manageable number of legal actions, and that tort law cannot provide sufficient
redress that would bring about a structural change in the health care system.
34. The Complainants further contend that the present Communication is
comparable to the Sudan Human Rights Organisation v. Sudan'» and Malawi
Africa Association v. Mauritania't communications, in that the violations of
maternal health care are serious and massive, occurring on a large scale and on
a continuous basis. In addition, the Complainants allege that women in Nigeria
have suffered serious and massive violations as a result of the conflict with
Boko Haram in northern Nigeria. The Complainants state that hundreds of
women were abducted, raped and gotten pregnant, and that even those who
were released did not have access to adequate maternal health care.