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MSF nurse emerges winner of HIV-TB prize for life-saving TB test research.

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Chenai Mathabire, Zimbabwean Doctors Without Borders (MSF) nurse and researcher has won an HIV/TB Research Prize at this year’s International Aids Society Conference on HIV Science (IAS2017). Through a study conducted in Malawi and Mozambique, Chenai has provided strong evidence that an easy-to-use point-of-care TB LAM test, which quickly diagnoses tuberculosis (TB) in severely ill HIV patients, is feasible to use in real-life clinics with high numbers of HIV-TB patients.

TB is the biggest killer of people living with advanced HIV, with over 400,000 patients dying each year from the disease. People with advanced HIV, also known as Acquired Immune Deficiency Syndrome (AIDS) have very weakened immune systems, leaving them susceptible to common infections, which can quickly become deadly.

Successfully treating ill AIDS patients involves rapidly assessing the strength of their immune systems and putting them on the right treatment straight away, whether they have TB or another disease deadly to HIV patients, cryptococcal meningitis.

However, in poorer countries, limited laboratory and X-ray facilities, and the time spent waiting on results can mean long and often deadly delays for sick patients arriving at clinics or hospitals. At the same time, people with late-stage HIV often can’t produce enough sputum for more common TB sputum tests so common tests such as sputum microscopy cannot be done. X-rays are also less useful to detect TB in people with advanced HIV.

At $3 per test, the TB LAM test offers a quick, simple and cost-effective alternative that gives on-the-spot results in 30 minutes. Yet despite being available since 2010, only 140,000 TB LAM tests are used each year.

“In Malawi, some HIV patients with suspected TB were waiting months for laboratory or X-ray results to come back. Clinicians don’t like to start patients on treatment based only on clinical signs and symptoms, they prefer to have a diagnostic test result,” says Chenai, who was responsible for implementing and supervising the study. “The TB LAM test helped them make that decision, and they felt better about starting HIV patients on TB treatment. It doesn’t replace existing tests, but adding this test helps us identify more TB cases and can improve the patients’ chances of survival.”

The test uses the HIV patient’s urine to detect LAM (Lipoarabinomanan), a protein created when TB bacteria cells break down. The lower the patients’ immunity, which is measured by numbers of CD4 T-cells, the more LAM appears in the urine and the more sensitive the test becomes. This is why the test is recommended for use in patients with CD4 cells below 100. The MSF study found the test was well accepted by staff, easy to use, and led to better, faster results than sputum or X-ray tests. Nearly 99% of TB LAM test patients received a timely result, versus 70% with sputum and 35% with X-rays.

Currently the main barrier to wider use of the TB LAM test by national governments is that it isn’t included in country guidelines and national TB programmes are not actively pushing it. Use of the TB LAM test has been recommended by the new WHO guidelines for advanced HIV for use in severely ill patients in hospitals but not yet in primary care, given the test’s decreased accuracy in patients with stronger immune responses.

MSF will use the study to advocate for health ministries in countries with high HIV TB burdens to use the TB LAM test in primary care and hospital centres, as well as include TB LAM within a diagnostic package for patients with advanced HIV. This would include point-of-care tests for CD4 (to allow rapid bed-side assessment of immune strength), cryptococcal meningitis and TB to help quick diagnosis and, most importantly, improve patients’ chances of survival.

MSF currently uses TB LAM as part of a diagnostic package in HIV projects in Democratic Republic of Congo (DRC), Guinea, Kenya, Malawi, Mozambique, Niger, Uganda and Zimbabwe. MSF currently supports over 230,000 people living with HIV on antiretrovirals in 19 countries, with a focus on free quality care, and provides free hospital-based care for people living with advanced HIV in DRC, Kenya Guinea, and Malawi.

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Presidency Backs World PR Forum, Onanuga Urges Better Nigeria Image

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The Presidency has thrown its weight behind the 2026 World Public Relations Forum scheduled to hold in Abuja from November 15 to 21.

The Special Adviser to the President on Information and Strategy, Bayo Onanuga, gave the assurance on Wednesday when the planning committee of the forum visited him at the State House, Abuja.

The delegation was led by the President of the Nigerian Institute of Public Relations, Dr Ike Neliaku.
The forum, which has the theme,

“Deepening Responsible Communications,” is expected to attract about 3,000 delegates from 126 countries.
Onanuga said the hosting of the global event was a major opportunity for Nigeria to showcase its culture and present the country’s story to the international community.

He, however, expressed concern about the negative picture of Nigeria often presented by some Nigerians, especially on social media.

According to him, the forum should be used to correct misconceptions about the country and give foreign visitors a better understanding of Nigeria.

“You see, as a Nigerian, I always feel very odd when you read online the kind of things our people put out in the public space. They say negative things about this country,” Onanuga said.

He added, “This is a great opportunity for us to correct those things of concern to people. For me, I’ve seen the conference as something that will be good for our country, and it should be supported.”

Earlier, Neliaku said the delegation visited Onanuga to seek the support of the Presidency for the successful hosting of the forum.

He said Nigeria was the first African country to secure the hosting rights, adding that the event would provide an opportunity to showcase the country’s rich cultural heritage.

Neliaku noted that Mexico, India and Germany had hosted the forum at different times.

He disclosed that participants at the Abuja event would sign an agreement to be known as the “Abuja Declaration.”

The NIPR president also announced that the President of Zambia, Hakainde Hichilema, would deliver the keynote address at the forum.

He added that President Bola Tinubu would receive a Lifetime Award of Excellence in Reforms during the event.

The Chairman of the Planning Committee, Dr Suleiman Haruna, said preparations were already in top gear.
Haruna said the committee was working with media organisations and security agencies to ensure a successful hosting of the delegates.

Also speaking, a member of the committee and Director-General of Strategic Communications to the Nasarawa State Government, Yakubu Lamai, disclosed that the state government was building a Public Relations University.

He said the project was part of efforts to strengthen the public relations profession and boost confidence in Nigeria among international participants.

A veteran broadcaster and member of the delegation, Moji Makanjuola, said the forum would be inclusive, with women and persons with disabilities adequately represented.

Makanjuola appealed to the Presidency to support the event, stressing that Nigeria must be ready to receive participants from around the world.

“We have to be ready as Nigerians to receive the world; it is a Nigerian thing, it is not for the Ministry,” she said.

The World Public Relations Forum is expected to bring together public relations practitioners, communication experts, policymakers and other stakeholders from across the world to discuss responsible communication and the future of the profession.

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FG adds 208MW to national grid, upgrades Ijora, Apapa substations

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The Federal Government has commissioned upgraded transmission substations at Ijora and Apapa Road in Lagos, adding a combined 208 megawatts of bulk transmission capacity to the national grid.

The projects, inaugurated by the Minister of Power, Joseph Tegbe, are expected to boost electricity supply to major industrial, commercial and residential areas across Lagos.

At the Ijora 132/33kV transmission substation, two new 100MVA transformers have raised the installed capacity from 90MVA to 230MVA, providing an additional 112MW of bulk transmission capacity.

The upgrade is expected to improve power supply to Ijora, Costain, Oyingbo, Customs and adjoining communities within the franchise area of the Eko Electricity Distribution Company.

At the Apapa Road transmission substation, two new 60MVA transformers and modern Gas Insulated Switchgear were installed and energised, increasing the facility’s capacity from 60MVA to 180MVA and adding another 96MW to the transmission network.

The Apapa project is considered particularly important because the area hosts major ports, maritime businesses, logistics companies, warehouses and manufacturing industries. The additional capacity is expected to increase the bulk electricity available to EKEDC for distribution to Apapa Causeway, Ijora, Amukoko, Ajegunle, Apapa Wharf, Tin Can Island and surrounding communities.

Speaking at the commissioning, Tegbe said the projects were part of the Federal Government’s efforts to tackle structural challenges in the nation’s electricity sector.

He said expanding transmission capacity was essential to ensuring that electricity generated was effectively delivered to areas where demand was highest.

According to him, rapid population growth, industrial expansion and increased commercial activities had put considerable pressure on existing power infrastructure, resulting in suppressed load and constrained electricity supply.

Tegbe said reliable electricity remained central to Nigeria’s economic transformation, adding that the administration’s ambition of building a $1tn economy could not be achieved without adequate and dependable power supply.

The Managing Director and Chief Executive Officer of the Transmission Company of Nigeria, Sule Ahmed Abdulaziz, described the projects as a significant investment in strengthening the country’s transmission network. He said the Apapa project was supported by the Japan International Cooperation Agency, while the Ijora intervention received support from the World Bank in partnership with TCN.

Abdulaziz called for similar interventions to rehabilitate and upgrade other critical sections of the national transmission network. He said continued investment in the network was necessary to ensure that improvements in power generation translated into better supply for homes and businesses.

The Federal Government said the additional 208MW would improve grid stability and strengthen electricity supply to some of Lagos’ most important commercial and industrial corridors, with the projects expected to support businesses and communities that depend heavily on reliable power.

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Nasarawa, firm sign $2m lithium deal

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Nasarawa State Governor, Abdullahi Sule, on Friday presided over the signing of a $2m supplementary lithium agreement between the state government and Diamond New Energy.

The agreement, signed at the Nasarawa State Governor’s Lodge in Abuja, followed Sule’s recent visit to China and is aimed at securing raw materials for the company’s lithium processing operations in the state.

Speaking at the ceremony, Sule said the agreement would protect the interests of both the state and the company while ensuring that the factory remained operational and workers retained their jobs.

He said, “By keeping your factory operational, we ensure that you continue to get raw material. That is the essence of this agreement.”

The governor added that the state’s decision to secure the necessary licence was also intended to protect its interests in the mining operations.

“We are going to keep your factory functional, and we also have an interest as licence owners in whatever you are doing in your company. More importantly, the people you have employed will remain employed,” Sule said.

The governor urged Diamond New Energy to maintain a peaceful relationship with its host communities and contribute to their development, stressing that the cooperation of the communities was important to the success of the investment.

He further disclosed that payments due to the state under the agreement would be made directly to Nasarawa Mining Company Limited in foreign currency, with the terms subject to periodic review.

Earlier, the Commissioner for Environment and Natural Resources, Margaret Elayo, commended the investors for their commitment to Nasarawa State.

Elayo expressed optimism that the partnership would encourage more investors to consider the state as a destination for mineral development and other investments.

The Managing Director and Chief Executive Officer of the Nasarawa State Investment Development Agency, Ibrahim Abdullahi, said the latest agreement was an extension of the exclusive mining cooperation agreement signed between the state government and the company in 2024.

According to him, the earlier agreement contributed to the completion of what he described as the largest lithium processing refinery in West Africa.

He said the supplementary agreement would further strengthen investor confidence and allow the continued supply of lithium materials from the state government’s mining block to the refinery.

Abdullahi said the arrangement would also create more employment opportunities for youths and women in the state.

“This supplementary agreement gives credence to these issues. It further gives confidence to the investor to do even more within Nasarawa State,” he said.

He added that the agreement would provide an immediate financial benefit to the state, with Nasarawa expected to receive $2m upon signing, while further revenues would accrue according to the terms of the agreement.

A representative of Diamond New Energy, David Siong, said the company remained committed to deepening its operations in Nasarawa State through local processing of mineral resources, job creation and economic development.

Siong said the company believed in the further development and deep processing of Nasarawa’s mineral resources, adding that it looked forward to continued support from the state government.

Also at the ceremony, the Attorney-General and Commissioner for Justice, Isaac Danladi, presented copies of the deed of assignment between Nasarawa Mining Company Limited and Ganfeng Lithium Industry Limited.

Danladi explained that the deed transferred the mining rights and interests of Nasarawa Mining Company within 3.5 mining cadastral units located at Endo, Nasarawa Local Government Area, to Ganfeng Lithium Industry Limited.

He said the transfer followed a review of the terms by the parties involved.

The signing ceremony was witnessed by officials of the state Ministry of Justice, Ministry of Environment and Natural Resources, NASIDA, Diamond New Energy and Ganfeng Lithium Industry Limited.

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