Connect with us

News

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

Published

on

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.

ALSO READ  DHL renews partnership with Africa’s largest e-commerce event

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.

ALSO READ  West African nations break off French colonization, name common currency

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.

ALSO READ  Life-saving role of Red Cross volunteers during Ebola outbreak highlighted by new study.

[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

Comments

News

Reps passes resolution to investigate ₦15trn Lagos-Calabar coastal road contract

Published

on

By

The House of Representatives has passed a resolution to delve into the intricacies of the procurement process surrounding the award of the ₦15 trillion Lagos-Calabar coastal road contract.

The motion, spearheaded by Honourable Austin Achado on Thursday, was underscored as a matter of urgent national importance.

Citing breaches of the 2007 Procurement Act and the absence of requisite approvals from the National Assembly, the House highlighted glaring irregularities in the contract award process.

Consequently, the House has demanded that the Minister of Works, the Minister of Finance, the Attorney General, and the Minister of Justice furnish the National Assembly with copies of pertinent documents related to the contract.

This development unfolds against the backdrop of recent demolitions of buildings and structures along the designated route of the project.

Minister of Works, Dave Umahi, shed light on the financial scope of the undertaking, revealing that the construction of the Lagos-Calabar coastal road would amount to approximately ₦4 billion per kilometer.

Spanning a distance of 700 kilometers, the Lagos-Calabar coastal road is poised to establish a crucial link between Lagos and Cross River, traversing through Ogun, Ondo, Delta, Bayelsa, Rivers, and Akwa Ibom states before reaching its terminus in Cross River.

ALSO READ  FG postpones population census to May 

Despite its ambitious scope, the project has not escaped scrutiny. Notable figures including Peter Obi, the 2023 presidential candidate of the Labour Party, have criticised the endeavour, branding it a misallocation of resources by the Federal Government.

Similarly, former Vice President Atiku Abubakar labeled the project as fraudulent, although his assertions were promptly rebuffed by the Presidency.

 

Continue Reading

News

Biden Vows Arms Suspension as Israel Shells Rafah

Published

on

By

Demonstrators protest during a rally in support of Rafah, next to a pro-Palestinian encampment at California State University, Los Angeles (Cal State LA) in Los Angeles, California, on May 7, 2024. (Photo by Etienne LAURENT / AFP)

Israel shelled Rafah on Thursday as US President Joe Biden offered his starkest warning yet over the conduct of its war against Hamas, vowing to cut off arms transfers if an offensive into the southern Gaza city goes ahead.

Israel has defied international objections by sending in tanks and conducting “targeted raids” in the border city, which it says is home to Hamas’s last remaining battalions — but is also crowded with displaced Palestinian civilians.

AFP journalists reported heavy shelling in Rafah early Thursday, and the Israeli military later said it was also striking “Hamas positions” further north in the centre of the Gaza Strip.

In an interview with CNN on Wednesday, Biden warned he would stop US weapons supplies to Israel if it pushed ahead with its long-threatened Rafah ground offensive.

“If they go into Rafah, I’m not supplying the weapons that have been used… to deal with the cities,” Biden said. “We’re not gonna supply the weapons and the artillery shells that have been used.”

On Tuesday, Israel forces seized Rafah’s border crossing into Egypt, which has served the main entry point for aid into besieged Gaza.

The White House condemned the interruption to humanitarian deliveries at the time, and the secretary of defence later confirmed Washington had paused, for the time being, a shipment of heavy bombs to Israel after it failed to address concerns over its Rafah ground incursion.

“Civilians have been killed in Gaza as a consequence of those bombs,” Biden said in his interview. “It’s just wrong.”

He insisted, however, that the United States was “not walking away from Israel’s security”.

ALSO READ  You're an exceptional leader - Better Life for Women Initiative felicitates Tinubu at 71

The United States, along with Egypt and Cairo, has been heavily involved in talks currently under way in Cairo aimed at brokering a ceasefire in the seven-month war.

– ‘Extreme fear’ –

The Israeli military said Wednesday it was reopening another major aid crossing into Gaza, Kerem Shalom, as well as the Erez crossing.

But the UN agency for Palestinian refugees, UNRWA, said the Kerem Shalom crossing — which Israel shut after a rocket attack killed four soldiers on Sunday — remained closed.

Late Wednesday, the army said a soldier was lightly wounded when Kerem Shalom was again targeted by rockets.

The heavy shelling in Rafah overnight into Thursday followed a day of what the Israeli military said were “targeted raids on the Gazan side of Rafah crossing”, in the city’s east.

An army statement later on Wednesday said that Hamas naval commander Mohammed Ahmed Ali was killed in an air strike “in the past day”. Hamas did not immediately comment.

Civilian life in Rafah, meanwhile, “has completely ceased”, said displaced Gazan Marwan al-Masri, 35, noting “the streets are empty” in the western part of the city.

“We are living in Rafah in extreme fear and endless anxiety,” said Muhanad Ahmad Qishta, 29.

“Places the Israeli army claims to be safe are also being bombed,” he told AFP.

– ‘Catastrophic’ health situation –

An emergency doctor working in Rafah and nearby Khan Yunis said that with humanitarian access compromised, the health situation was “catastrophic”.

“The smell of sewage is rife everywhere,” said the doctor, James Smith. “It’s been getting worse over the course of the last couple of days.”

ALSO READ  Tinubu Requests Swift Senate Confirmation for FCCPC Chairman's Removal

World Health Organization chief Tedros Adhanom Ghebreyesus said Wednesday that hospitals in southern Gaza had only “three days of fuel left” because of the border closures.

“Without fuel all humanitarian operations will stop.”

The war in Gaza was sparked by Hamas’s unprecedented October 7 attack on Israel, which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.

Israel in response vowed to crush Hamas and launched a military offensive that has killed at least 34,844 people in Gaza, mostly women and children, according to the Hamas-run territory’s health ministry.

Militants also took about 250 hostages. Israel estimates 128 of them remain in Gaza, including 36 who officials say are dead.

– Truce talks –

Talks involving Qatari, US and Hamas delegations aimed at cementing a long-stalled ceasefire deal were ongoing Wednesday in Cairo, said Al-Qahera News, which is linked to Egyptian intelligence.

It noted that there were “points of contention” during the discussions, but also reported some “convergence” without elaborating.

A senior Hamas official said the latest round of negotiations would be “decisive”.

Hamas “insists on the rightful demands of its people”, the official said on condition of anonymity because he was not authorised to speak publicly about the negotiations.

In Jerusalem, CIA director Bill Burns met Israeli Prime Minister Benjamin Netanyahu to discuss the “possibility of Israel pausing the operation in Rafah in exchange for hostage releases”, an Israeli official said, also on condition of anonymity.

The Hamas official had previously warned the Cairo talks would be Israel’s “last chance” to free the hostages still in militants’ hands.

ALSO READ  FG postpones population census to May 

Mediator Qatar also appealed “for urgent international action to prevent Rafah from being invaded and a crime of genocide being committed”.

Palestinian analyst Mkhaimar Abusada said Israel’s seizure of the Rafah crossing could be an attempt to create new facts on the ground, or a bid to “sabotage the truce talks”.

Israel’s seizure of the Palestinian side of the Rafah crossing came after Hamas said it had accepted a truce proposal — one Israel said was “far” from what its own negotiators had previously agreed to.

Netanyahu has described the Rafah operation as “a very important step” in denying Hamas “a passage that was essential for establishing its reign of terror”.

 

Continue Reading

News

CBN orders banks to suspend deposit charges

Published

on

By

 

The Central Bank of Nigeria (CBN) has directed deposit money banks and financial institutions to suspend processing fees on deposits until September 30, 2024.

In a circular dated May 6, 2024, the apex bank ordered financial institutions to suspend processing charges imposed on cash deposits above N500,000 for individuals and N3,000,000 for corporates.

This directive, signed by the CBN’s Acting Director of Banking Supervision, Adetona Adedeji, aims to alleviate financial burdens on depositors.

The recent directive follows previous instructions from the CBN, which mandated deposit money banks to impose a 0.5% cybersecurity levy on transactions, a move that has stirred public outcry.

The circular stated, “Please refer to our letter dated December 11, 2023, referenced BSD/DIR/PUB/LAB/016/023 on the above subject, suspending processing charges imposed on cash deposits above N500,000 for individuals and N3,000,000 for corporates as contained in the ‘Guide to Charges by Banks, Other Financial Institutions and Non-Bank Financial Institutions’ issued on December 20, 2019.”

It continued, “The Central Bank of Nigeria hereby extends the suspension of the processing fees of 2% and 3% previously charged on all cash deposits above these thresholds until September 30, 2024. Consequently, all financial institutions regulated by the CBN should continue to accept all cash deposits from the public without any charges until September 30, 2024.”

ALSO READ  16 Million Individuals In Nigeria Live With Chronic Viral Hepatitis – FG Discloses

.

Continue Reading
Advertisement

Tweets by ‎@megaiconmagg

Subscribe to our Newsletter

* indicates required

MegaIcon Magazine Facebook Page

Advertisement

MEGAICON TV

Trending