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High numbers of people dying from AIDS in sub-Saharan Africa, MSF reveals.

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AN unacceptably high number of people continue to develop and die of AIDS[1]-related diseases across sub-Saharan Africa. They remain left out of the global HIV response without access to treatment that prevents AIDS or the medical care they need, says international medical humanitarian organisation Médecins Sans Frontières / Doctors Without Borders (MSF).

In MSF’s briefing paper “Waiting isn’t Option: Preventing and Surviving Advanced HIV[2]” , data from MSF-supported hospitals presented at the International AIDS Society (IAS) Conference on HIV Science in Paris today, highlights that in MSF-run and MSF-supported hospitals in Democratic Republic of Congo (DRC), Guinea, Kenya and Malawi, people arrive with such severe immune failure that overall mortality for patients presenting with AIDS is between 30-40%. Almost one-third of those deaths occur within 48 hours.

The main causes of illness and death are due to treatment failure or interruption and late diagnosis leading to delayed treatment. Unlike in the early 2000s, when little treatment was available, more than 50% of AIDS admissions at referral hospitals supported by MSF had already started antiretroviral therapy (ART), with many showing clinical signs of treatment failure. “Despite extensive access to antiretrovirals, there has not been the expected drop in late-stage presentations of HIV in developing countries. What’s different is that among people admitted to hospitals, the majority are already diagnosed and many have been on treatment for several years. In Kenya, in Homa-Bay, where antiretrovirals have been available for years, half of the patients hospitalised AIDS cases show signs of treatment failure. We’re pushing to switch these patients to second-line antiretrovirals more rapidly,” says David Maman, MSF Epicentre epidemiologist.

At community level, MSF population surveys also show that a proportion of people living with AIDS in communities in southern and eastern Africa remain untested and untreated. Around 10% of people living with HIV in districts of Malawi, Kenya and South Africa had AIDS, of which 47% had never received testing or treatment. “People are still being diagnosed late. We need new ways to detect those left out, early on, before they arrive at hospital in often fatal condition or die at home without ever receiving care. Stigma and lack of information still remain high, leading to delayed treatment or no testing and treatment at all. This illustrates the need to complement increased antiretroviral coverage at community level with improved care for those on treatment for years,” says Gilles van Cutsem, MSF HIV Advisor.

Clinicians, including from MSF, have increasingly voiced concern over the lack of attention and means going towards the prevention and treatment of AIDS across Africa. The World Health Organisation (WHO) yesterday issued its first ever guidelines for the treatment of AIDS in low-resource settings. While this is a positive step forward, MSF calls for the urgent implementation of the guidelines with additional measures to address potential drug resistance and treatment failure.

Key interventions urgently needed to prevent and treat AIDS include the rapid rollout of ‘test and start’, CD4 baseline testing at ART initiation, routine viral load testing, point of care diagnostics for tuberculosis, improved treatment for cryptococcal meningitis, rapid switch to second-line ART for failing and advanced patients, and swift, effective and accessible treatment for opportunistic infections. MSF is also calling for models of care geared towards prevention, treatment and support for patients with AIDS, and free specialised hospital-based care free of charge for patients[3].

MSF is also concerned that the situation will only be exacerbated as funding for the global HIV response continues to stagnate. Anticipated cuts in US funding to the Global Fund (17%) and PEPFAR (11%) from 2018 onwards will see many countries facing further grant restrictions. Shrinking funding envelopes and the need to preserve ART purchases will imperil community responses, including targeted testing and improved treatment literacy and adherence, while starving essential investments needed for health workers, laboratory and diagnostics.

“Each patient presenting with AIDS is a terrible testimony to the challenges to get timely access to test & treatment and to continue their ART uninterrupted. With global political will and funding for HIV on the decline, not only is the broader fight against the virus at risk go into reverse but specifically these patients arriving at hospitals sick with AIDS will have any hope of reprieve snatched away,” says Mit Philips, MSF Health Policy Advisor.

[1] Acquired Immune Deficiency Syndrome (AIDS) is defined as a CD4 count of less than 200 or WHO clinical stage 3 or 4.

[2] Advanced HIV is synonymous with Acquired Immune Deficiency Syndrome (AIDS).

[3] MSF’s report ‘Les Négligés de L’infection au VIH’  also released at IAS, shows the lack of referral-based hospital care for treating AIDS in Kinshasa

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Tinubu sends state police bill to Senate

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President Bola Tinubu has transmitted a Constitution Alteration Bill to the Senate seeking the establishment of state police as part of efforts to reform Nigeria’s security architecture.

The proposed legislation, contained in a communication dated June 15, 2026, was read during plenary on Tuesday by Senate President Godswill Akpabio.

Tinubu said the bill was aimed at providing a legal framework for a dual policing structure that would allow states to establish and operate their own police services alongside the Nigeria Police Force.

According to the President, the proposed amendment forms a key component of ongoing efforts to restructure the country’s policing system to improve security and enhance the protection of lives and property.

He explained that under the arrangement, communities, municipalities and local government areas would play more active roles in policing, enabling local authorities to detect suspicious activities and promptly relay intelligence to security agencies.

Following the presentation, Akpabio referred the bill to the Senate Committee on Constitution Review and directed it to report back on Wednesday.

Speaking on the importance of community-based policing, the Senate President said local authorities were better placed to identify security threats and support proactive responses by law enforcement agencies.

“You will know when foreigners infiltrate Nigeria and alert security agencies so they can react proactively rather than reactively,” he said.

Akpabio expressed optimism that sustained collaboration between the executive and legislative arms would ensure the successful passage and implementation of the initiative.

He disclosed that the process would be undertaken in phases through constitutional amendments and subsequent Acts of Parliament.

“We will do it in two phases through alteration and an Act of Parliament. There will be a lot of safeguards; let us come and do this important task. It is extremely important that we come tomorrow,” he said.

The Senate President also informed lawmakers that plenary would not entertain other major business following the death of a member of the House of Representatives, Yahaya Tongo of Gombe State.

Similarly, the Senate Leader urged senators to attend the next sitting, stressing the significance of the proposed state police framework.

“We need a minimum of two-thirds of members to vote on constitutional alterations. The issue of state police is non-partisan and cuts across geopolitical zones and interests,” he said.

The latest development came barely two weeks after the Senate passed an executive bill on state police for second reading.

Akpabio said the fresh Constitution Alteration Bill transmitted by the President builds on the earlier proposal and seeks to provide the constitutional foundation necessary for the establishment and operation of state police services across the country.

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Kola Oyewo’s family to Adeleke, Ooni, Atiku: Your condolences are our pillar of strength

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The family of the late veteran actor and scholar, Chief (Prof.) Adekola “Kola” Oyewo, has expressed deep appreciation to Governor Ademola Adeleke of Osun State, the Ooni of Ife, Oba Adeyeye Enitan Ogunwusi, Ojaja II, and former Vice President Atiku Abubakar, among other Nigerians, for their messages of condolence and support following the death of their patriarch.

In a statement issued on Saturday by Dr. Adewale Oyewo on behalf of the family, the bereaved household said the overwhelming show of sympathy, prayers, visits and acts of kindness from across Nigeria and beyond had served as a strong pillar of comfort in their period of grief.

The family described the late Oyewo as a respected community leader, accomplished academic, devoted family man, and traditional title holder whose life was defined by service, integrity, and unwavering commitment to societal development.

According to the statement, the tributes received in his honour reflect the far-reaching impact he made on students, colleagues, cultural practitioners and the wider society.

The family particularly appreciated Governor Ademola Adeleke for his condolence message and prayers, noting that his support had been deeply comforting.

It also expressed gratitude to the Ooni of Ife, whose words of encouragement were described as uplifting and consoling during the mourning period.

The statement further acknowledged the Oloba of Oba-Ile, Oba (Prof.) Adekunle Ashamu Oyeyemi (Tewogbade I), the Oloba-in-Council, and other traditional institutions for their fatherly support and solidarity.

Former Vice President Atiku Abubakar was also commended for his message of sympathy, which the family said brought reassurance in their moment of loss.

The family extended appreciation to professional bodies including the National Association of Nigerian Theatre Arts Practitioners (NANTAP) and the Theatre Arts and Motion Pictures Practitioners Association of Nigeria (TAMPAN), as well as academic communities of Obafemi Awolowo University, Redeemer’s University, Ekiti State University, and Elizade University, where the deceased served.

They also thanked friends, associates and well-wishers who stood by them with prayers and support.

“As we continue preparations to honour the life and legacy of our beloved patriarch, we humbly seek continued prayers and support,” the statement added, praying for the peaceful repose of his soul.

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IGP appoints Iniedu Force spokesman, replaces Placid

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photo combo of Anietie Iniedu and outgoing Force spokesman, Anthony Placid

The Inspector-General of Police, Tunji Disu, has appointed Anietie Iniedu as the new Public Relations Officer of the Nigeria Police Force, succeeding Anthony Placid, who was appointed to the position barely three months ago.

The appointment was announced in a statement issued on Friday by Placid, who described his successor as a seasoned police officer with extensive experience in public communication, operational policing, intelligence management, institutional accountability and administration.

An indigene of Etinan Local Government Area of Akwa Ibom State, Iniedu holds a Bachelor of Science degree in Pure Chemistry from the University of Uyo and has attended several professional courses in investigative interviewing, crime scene management, intelligence analysis, strategic communication and human rights-based policing.

Before his latest appointment, Iniedu headed the Complaint Response Unit at the Force Headquarters, Abuja, where he coordinated the management of public complaints and drove initiatives aimed at deepening transparency, accountability and public trust in the Nigeria Police Force.

He also served as Public Relations Officer of the Police College of Information Technology, Kobape, Ogun State, in addition to holding several operational and administrative positions across the country.

His previous postings include Operations Officer at the Maisandari Division in Yobe State, Area Crime Officer at the Umuahia Area Command in Abia State, Staff Officer at the IGP Secretariat, Force Headquarters, Second-in-Command of the 50 Police Mobile Force Squadron, Kubwa, and Officer-in-Charge of the Force Headquarters Situation Room, where he coordinated the dissemination of crime and security information nationwide.

The statement quoted the Inspector-General as expressing confidence in Iniedu’s capacity to lead the Force Public Relations Department, noting that his wealth of experience and professional background would further strengthen the police’s strategic communication architecture and enhance engagement with members of the public.

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