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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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Ajimobi’s Legacy Still Guides Us, Oladele Urges Oyo APC Unity

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A chieftain of the All Progressives Congress in Oyo State and aspirant for the Irepo/Oorelope/Olorunsogo Federal Constituency seat in the 2027 general elections, Hon. Bosun Oladele, has called on members of the party and the wider progressive family in the state to embrace unity in order to preserve and advance the legacy of the late former Governor, Senator Abiola Ajimobi.

Oladele made the appeal on Thursday as political associates, loyalists and admirers marked the remembrance of the former governor, whose administration was widely associated with the popular slogan, “Koseleri.”

In a statement he personally issued,  the federal lawmaker hopeful described Ajimobi as a visionary leader whose passion for development transformed Oyo State and left an enduring footprint in its political history.

According to him, the annual remembrance of the late governor offers an opportunity for progressives to reflect on the ideals, discipline and commitment that defined Ajimobi’s leadership.

“It is that time of the year to remember the passion that once drove the developmental strides of the Pace Setter State, the centre of politics in Nigeria and a state renowned for many firsts,” Oladele said.

He noted that although the former governor had departed, his contributions to governance and public service remain fresh in the minds of many residents and party faithful.

“Oyo State still misses his sharp mind, problem-solving abilities, oratory prowess, focused leadership and developmental initiatives. His style of governance inspired confidence and demonstrated what purposeful leadership could achieve,” he stated.

Oladele stressed that Ajimobi’s legacy should continue to serve as a source of inspiration for members of the APC, urging them to close ranks and work towards a common goal.

“Even though he is gone, his legacy gives the progressive family in Oyo State hope that the future he envisioned for our dear state remains achievable through oneness and unity of purpose.

“I therefore call on all members of the APC and the progressive family at large to join hands, put aside differences and work together towards winning future elections as part of efforts to actualise the developmental aspirations our departed leader had for Oyo State,” he added.

The APC stalwart also prayed for the repose of Ajimobi’s soul and sought divine strength for his family, particularly his widow, Ambassador Florence Ajimobi, as she continues to shoulder public and private responsibilities.

He expressed optimism that Oyo State would once again witness progressive governance driven by visionary leadership, inclusiveness and a shared commitment to the welfare of the people.

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Senate passes state police bill, governors to appoint CPs

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The Senate on Wednesday passed a bill seeking to amend the 1999 Constitution to establish state police services across the country, a major milestone in ongoing efforts to decentralise policing and tackle Nigeria’s worsening security challenges.

The proposed legislation introduces a dual policing framework comprising a Federal Police Service and State Police Services, effectively replacing the existing structure under which policing is exclusively controlled by the Federal Government through the Nigeria Police Force.

The bill was passed after Senate Leader, Opeyemi Bamidele, presented its general principles on the floor of the Red Chamber.

It subsequently scaled second reading, underwent a rigorous clause-by-clause consideration and was passed for third reading after securing the support of more than two-thirds of the senators.

A key provision of the constitutional amendment empowers governors to appoint Commissioners of Police for their respective states, subject to confirmation by the state Houses of Assembly.

Clause 17 of the bill provides that a State Police Service shall be headed by a Commissioner of Police appointed by the governor on the recommendation of the National Police Council and confirmed by the House of Assembly of the state.

The proposed law further defines the operational relationship between governors and state police commands, allowing governors to issue lawful written directives of a general policy nature to Commissioners of Police on matters relating to the maintenance of public safety and order within their states.

To address widespread concerns over possible abuse of the proposed policing structure, lawmakers incorporated safeguards aimed at protecting political freedoms and civil liberties.

The bill expressly states that a state Commissioner of Police shall not arrest, detain, investigate or deploy force against any individual, political party or group merely for criticising the government, except in accordance with the law.

The provision is intended to prevent state police formations from being used to intimidate political opponents, activists, journalists and other dissenting voices while ensuring that all actions taken conform with due process.

The amendment also empowers the Federal Police Service to temporarily intervene in the internal security affairs of a state where there is an actual or imminent breakdown of public order or public safety which the state police are unable or unwilling to contain.

Such intervention must be authorised in writing by the President, who is required to state the grounds, territorial scope, functions and duration of the operation.

The President must also notify the governor, the Speaker of the state House of Assembly, the National Police Council and the National Assembly within 48 hours of the commencement of the intervention.

The bill further provides that no federal intervention shall continue beyond a period to be prescribed by an Act of the National Assembly unless approved by a resolution of the Senate.

The Senate’s approval came barely a day after President Bola Tinubu transmitted the bill to the National Assembly as part of his administration’s efforts to reform Nigeria’s security architecture.

According to the President, the proposed amendment is designed to provide a legal framework for a dual policing structure that would allow states to establish and operate their own police services alongside the federal police.

Tinubu said the proposal is a critical component of ongoing efforts to reorganise the country’s policing system, enhance security and better protect citizens, adding that communities, municipalities and local government areas would play more active roles in policing responsibilities under the new arrangement.

The renewed push for state police comes amid growing concerns over insecurity, banditry and mass kidnappings across parts of the country.

Supporters of the proposal argue that decentralised policing would strengthen grassroots intelligence gathering, deepen community-based security initiatives and ensure quicker responses to crimes and emergencies.

Critics, however, have cautioned against possible political interference by governors, funding challenges and the risk of exacerbating ethnic or communal tensions.

Tinubu had earlier described state police as inevitable in addressing the nation’s security challenges and urged lawmakers to fast-track constitutional amendments aimed at bringing the proposal to fruition.

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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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