A stampede was triggered during the distribution of food and money, $13.75 per person, in Diffa, the main town of a southwest region of that name that abuts Nigeria and Chad.
At least 20 people, many of them women and children, were trampled to death on Monday in a stampede for food and money for refugees in southeast Niger, sources said.
"We have a provisional toll of 20 dead," a medical source said. Aid workers confirmed the account and said about 10 people had been injured.
The accident occurred at a youth and culture centre in Diffa, the main town of a region of that name that abuts Nigeria and Chad.
The aid being distributed had been given by Babagana Umara Zulum, the governor of Borno state in northeast Nigeria, said a Nigerian official.
He had come to the region to visit camps for refugees and the displaced and had already left the town when the stampede occurred.
The region has been repeatedly hit by attacks by Nigeria's Boko Haram militant group since 2015.
It hosts 119,000 Nigerian refugees, 109,000 internally displaced people, and 30,000 Nigeriens who have returned to Nigeria because of instability there, according to UN figures released in October.
How it kicked off
"They were distributing food and money — $13.75 per person," said a local resident, referring to Nigeria's national currency.
"Thousands of people, most of them refugees, heard about the handout and left the camps, sometimes travelling up to 100 kilometres to get to Diffa," the source said.
A local official said he was astonished at the situation.
"Normally, people who are entitled to the handouts send a representative to Diffa to pick it up. But this time, the refugees themselves decided to come and get it, travelling dozens of kilometres."
Another resident said, "Even ordinary inhabitants of Diffa rushed there in the hope of getting the handout."
A large amount of food, cooking oil and clothing, as well as the money, was due to be distributed, said a Diffa municipal worker.
"Thousands of people were in the courtyard of the MJC (Culture and Youth Centre) and nearby," he said.
"As soon as the first people received their rations, the compressed crowd started to get excited, the organisers were swiftly overwhelmed and then it all kicked off — women, children, and the fit ones started to push," the employee said.
"The weakest people fell to the ground. Some were injured and others were crushed to death."
A local journalist said the emergency services arrived swiftly, taking wounded people to local treatment centres, while bodies were taken to the morgue of the nearby Diffa hospital.
Floods pile misery
Zulum visited three sites housing more than 100,000 Nigerian refugees — camps at Bosso, Garin-Wazan, and Toummour.
In addition to a crisis sparked by militant violence, Diffa is also battling floods caused by the Yobe River, which delineates part of Niger's border with Nigeria.
The floods have left more than 20,000 people without shelter, according to the local authorities.
They have also devastated rice and pepper fields, whose harvests provide the backbone of the local economy.