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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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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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