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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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Army reveals how month-long operation freed 44 abducted Oyo pupils, teachers

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The Nigerian Army on Friday revealed how a month-long intelligence-driven joint security operation led to the rescue of 44 pupils and teachers abducted by terrorists in Oriire Local Government Area of Oyo State.

The victims, who were kidnapped on May 15, 2026, regained their freedom on July 10 after spending 56 days in captivity.

The Acting Deputy Director, 2 Division Army Public Relations, Lt. Col. Danjuma Jonah, disclosed this in a statement, saying the operation was carefully planned and executed to ensure the victims were rescued unharmed without collateral damage.

According to him, the operation was coordinated by the General Officer Commanding, 2 Division, Maj. Gen. C.R. Nnebeife, in collaboration with the Office of the National Security Adviser through the National Counter Terrorism Centre, Defence Headquarters, the Nigerian Army Special Forces, the Nigerian Navy, the Nigerian Air Force, the Nigeria Police Force, the Department of State Services, the National Intelligence Agency, the Nigeria Security and Civil Defence Corps, the Amotekun Corps, as well as local vigilantes and hunters.

Jonah said intelligence gathered during the operation enabled security operatives to identify the terrorist kingpins responsible for the abduction, dismantle their criminal network, disrupt their logistics chain, expose informants and locate their hideouts in the Old Oyo National Park and adjoining forests.

He added that several suspects were arrested in Oyo State and other parts of the country, a development that significantly weakened the criminal syndicate and intensified pressure on the kidnappers.

According to the army spokesman, the sustained pressure eventually forced the terrorists to release the abducted pupils and teachers unconditionally.

“The arrests completely disorganised the group, exerted overwhelming pressure on them and ultimately led the terrorist group to unconditionally release the pupils and teachers,” the statement read.

The Army, however, disclosed that some security personnel lost their lives during the operation.

It added that the rescued pupils and teachers were receiving medical attention at an undisclosed hospital before being handed over to the Oyo State Government for reunification with their families.

Nnebeife, on behalf of the participating security agencies, commended President Bola Tinubu for providing strategic direction, resources and support that contributed to the successful operation.

He also appreciated Oyo State Governor, Seyi Makinde, and residents of the state for their cooperation throughout the rescue mission.

The GOC further acknowledged the support of the National Security Adviser, Mallam Nuhu Ribadu, the Minister of Defence, the Chief of Defence Staff, the Chief of Army Staff, other Service Chiefs, the Inspector-General of Police, the Directors-General of the DSS and the NIA, as well as heads of other security agencies for ensuring seamless coordination.

He equally thanked media organisations and Nigerians for their patience, understanding and confidence in the country’s security architecture.

Nnebeife urged members of the public to remain vigilant and continue providing credible and timely intelligence to security agencies to strengthen efforts at tackling kidnapping, terrorism and other violent crimes.

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Tinubu hails rescue of Oyo pupils, teachers after 56-day ordeal, eight kidnappers held

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President Bola Tinubu on Friday hailed the successful rescue of abducted pupils and teachers from Oriire community in Ogbomoso, Oyo State, after 56 days in captivity, commending the military, the Department of State Services and the Nigeria Police Force for the operation.

The President said eight suspected kidnappers were arrested during the rescue mission, while several others were neutralised, describing the operation as a major breakthrough in the fight against insecurity and a source of relief to the victims, their families and the country.

Tinubu’s commendation was contained in a statement issued by his Special Adviser on Information and Strategy, Bayo Onanuga.

He expressed sympathy for the pupils, teachers and their families over the trauma they endured during the nearly two-month ordeal, assuring them that his administration would ensure those responsible for the crime faced justice.

“I am profoundly happy that our security forces successfully rescued the abducted pupils and teachers from Oriire, Ogbomoso in Oyo State today after a military, police and intelligence-driven operation that neutralised some of the terrorists that perpetrated the evil act and the arrest of eight of them,” the President said.

He added, “This successful military operation has ended the siege and standoff of over 50 days and has brought relief to the entire nation and the affected families in particular. On behalf of the country, I express my gratitude to the officers and men of our armed forces, the intelligence agencies and the police for the safe rescue of the children and their teachers.”

Tinubu vowed that his administration would prosecute those behind the abduction, including those responsible for the killing of one of the teachers, Mr Oyedokun.

“My government will get justice for these children and their teachers and for the family of Mr Oyedokun, who the terrorists gruesomely murdered,” he said.

The President also commended the Oyo State Government for working closely with the Federal Government throughout the rescue operation.

“I must commend the Government of Oyo State for working cooperatively with us in bringing this unfortunate incident to a successful end,” he added.

Tinubu further directed relevant emergency response agencies to work with the Oyo State Government to provide the rescued pupils and teachers with immediate medical attention, psychosocial support and other relief assistance to aid their recovery.

He also urged the Oyo State Government to strengthen security around schools to forestall similar incidents in the future.

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Abducted Oyo pupils, teachers regain freedom

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There was widespread relief on Friday as the pupils and teachers abducted in Oriire Local Government Area of Oyo State regained their freedom after days in captivity.

The development was announced by the Special Adviser to the President on Information and Strategy, Bayo Onanuga, in a post on his verified X handle.

Onanuga wrote, “Finally, the kidnapped pupils and teachers in Orire, Oyo have been freed by their abductors.”

Shortly after the announcement, a video circulating online showed the freed victims expressing gratitude to President Bola Tinubu and security operatives for securing their release.

In the video, some of the victims thanked the President for his intervention and commended the efforts of security agencies, saying they were grateful to have regained their freedom after the traumatic ordeal.

The development brought an end to days of anxiety for the victims’ families, colleagues and residents of the affected communities, who had waited in hope for their safe return.

As of the time of filing this report, the Federal Government and security agencies had yet to disclose the circumstances surrounding the victims’ release, including whether any ransom was paid or whether their freedom was secured through negotiations or a rescue operation.

Details later.

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