Health
WHO calls for countries to address disruptions to TB services
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In the wake of massive cuts in US funding, the World Health Organization (WHO) today called on global health leaders, donors, and policymakers to protect and maintain tuberculosis (TB) care and support services around the world.
In a statement issued ahead of World Tuberculosis Day (March 24), the WHO said the “drastic and abrupt” cuts to global health funding threaten to reverse gains made in global efforts to combat TB, which remains the world’s deadliest infectious disease. Those efforts have saved an estimated 79 million lives worldwide since 2000, the organization said.
“The huge gains the world has made against TB over the past 20 years are now at risk as cuts to funding start to disrupt access to services for prevention, screening, and treatment for people with TB,” said WHO Director-General Tedros Adhanom Ghebreyesus, PhD. “But we cannot give up on the concrete commitments that world leaders made at the UN General Assembly just 18 months ago to accelerate work to end TB. WHO is committed to working with all donors, partners and affected countries to mitigate the impact of funding cuts and find innovative solutions.”
USAID cuts have crippled TB control efforts
While the statement does not specifically mention the US Agency for International Development (USAID), the Trump administration’s freeze of USAID funding, and the subsequent canceling of thousands of contracts issued by the agency, have left a gaping hole in funding for TB prevention, screening, and treatment services. The US government has been the leading bilateral donor to global TB control efforts, contributing $200 million to $250 million annually—roughly one quarter of international donor funding for the disease.
The WHO said 27 countries are facing crippling breakdowns in their TB response, with the biggest impact seen in high-TB burden countries in Africa, Southeast Asia, and the Western Pacific. Among the services that have been disrupted are diagnosis, active case finding, screening, and contact tracing, and those disruptions are resulting in delayed detection and treatment and increased transmission risk. Drug supply chains, laboratory services, and data and surveillance systems have also been undermined.
A recent update from StopTB Partnership, which works on TB response with more than 2,000 partners in 100 countries, provides some detail on the services affected by the USAID funding cuts. In Cambodia, active case finding has halted in half the country, resulting in 100,000 people missing TB screening and 10,000 cases of drug-susceptible (DS)-TB going undetected. In Kenya, sputum sample transport once supported by USAID has halted, affecting the diagnosis of DS- and drug-resistant (DR)-TB. In India, USAID-funded TB screening projects in vulnerable groups have stopped.
The huge gains the world has made against TB over the past 20 years are now at risk as cuts to funding start to disrupt access to services for prevention, screening, and treatment for people with TB.
Those are just three of dozens of examples. In a news release today, StopTB Partnership Executive Director Lucica Ditiu, MD, echoed Tedros’s call for action.
“People with TB need us,” Ditiu said. “We have to remain strong, and we can never ever give up the fight. Through innovative, global and national efforts and standing together, we will be able to achieve these targets of ensuring TB prevention, treatment, and care are accessible to all.”
TB was responsible for an estimated 1.25 million deaths in 2023, according to the WHO’s most recent annual report. An estimated 8.2 million people were newly diagnosed with the disease—the most cases in a year recorded by the WHO since it began global TB monitoring in 1995. High-burden TB countries have only recently begun to recover from the disruptions caused by the COVID-19 pandemic, which the WHO estimates resulted in 700,000 excess TB deaths.
Cuts exacerbate funding shortfalls
As the WHO notes, the funding cuts come amid what was already a shortfall in funding for global TB control efforts. In 2023, $5.7 billion was available for TB prevention, diagnostic, and treatment services in low- and middle-income countries, but that’s only 26% of the 2027 target goal of $22 billion. TB research is receiving just one fifth of its 2022 target of $5 billion. Cuts to US funding are only going to exacerbate the problem.
In a joint statement issued earlier this week, Tedros and the Civil Society Task Force on Tuberculosis called on countries to take urgent action to prevent any disruption to TB services, ensure domestic resources to sustain equitable and essential TB care, and safeguard essential TB drugs, diagnostics, care, and social protection coverage for TB patients. They also urged the establishment of national partner platforms that would bring together public and private sectors, civil society, nongovernmental organizations, professional societies, and donors to maintain momentum against TB in affected countries.
“This urgent call is timely and underscores the necessity of swift, decisive action to sustain global TB progress and prevent setbacks that could cost lives,” said Tereza Kasaeva, PhD, director of WHO’s Global Programme on TB and Lung Health, in today’s WHO news release.
Health
DR Congo Ebola outbreak tops 1,000 cases, kills 254
More than 1,000 Ebola infections have been recorded in the Democratic Republic of Congo, where the latest outbreak has killed more than 250 people, official figures showed Monday.
The country’s National Institute of Public Health (INSP) confirmed 1,003 cases and 254 deaths, with a fatality rate of 25 percent.
The latest outbreak of the deadly haemorrhagic fever was declared on May 15.
Almost all cases are in Ituri province in the northeast, a conflict-weary region plagued by armed groups.
In total, three provinces have been affected: Ituri, neighbouring North Kivu and South Kivu, home to around 15 million people.
The virus has also spread to neighbouring Uganda, where the World Health Organization has recorded 20 cases and two deaths, though Kampala said the situation was “under control” earlier this month.
The outbreak is caused by the rare Bundibugyo strain of the virus, for which there is no vaccine or specific treatment.
Existing Ebola vaccines, developed between 2018 and 2019, are only effective against the Zaire strain, which caused previous major outbreaks.
The World Health Organization has declared an international public health emergency, warning the outbreak could last months.
“The outbreak was declared around two months after the first suspected deaths were reported… During that time, the disease spread unchecked in ways we still don’t fully understand,” an international aid group representative told AFP, speaking anonymously.
AFP
Health
Fed govt moves to prevent Ebola outbreak, sets up presidential task force
The federal government on Thursday inaugurated a Presidential Task Force on Ebola Virus Disease Preparedness, declaring that Nigeria would not wait for an outbreak before taking action and vowing to prevent a repeat of the 2014 Ebola scare.
Chief of Staff to the President, Femi Gbajabiamila, said the task force was established as a proactive measure to ensure the country is fully prepared against any possible outbreak of the deadly disease, even as he confirmed that no case of Ebola has been reported in Nigeria.
Speaking with State House correspondents after inaugurating the task force at the State House, Abuja, Gbajabiamila said the government’s focus is on prevention rather than response, stressing that authorities were determined not to be caught unprepared.
“We did the inauguration today on the preparedness of Nigeria for the Ebola virus disease. We’ve covered a lot of ground. Right now, there’s no reported case, which is good news, and that’s why all hands have to be on deck to make sure the measures we are taking are preventive, not curative.
“We don’t want to be in the situation we were last time, where we had a carrier in the country and we’re all running helter-skelter”, he said.
He disclosed that the task force had established several subcommittees to coordinate critical areas of preparedness, including surveillance, border control, immigration management and emergency response.
According to him, one of the key lessons from the 2014 outbreak is the need for stronger coordination among all stakeholders, particularly between the Federal Government and states with international points of entry.
Gbajabiamila noted that governors and representatives of states hosting international airports, including Lagos, Rivers, Enugu and the Federal Capital Territory, participated in the meeting, describing the collaboration as essential to preventing the virus from entering the country.
He said special attention was also being given to Nigeria’s extensive land borders, warning that disease transmission through informal migration routes posed a significant risk.
“Normally, when people talk about emergency preparedness and cross-border diseases such as this, they think about airports. But now we’re covering not just airports; we’re placing greater emphasis on land borders.
“We have a lot of cross-migration through the land borders, and the Border Control Development Agency is involved, immigration is involved, and a lot of the border communities are involved”, he said.
The Chief of Staff said the government had drawn valuable lessons from the country’s successful containment of the Ebola outbreak in 2014 and was building stronger structures to eliminate gaps in preparedness.
“What we want is a zero case, as we have now. We want to maintain a zero case”, he added.
Also speaking, Director-General of the Nigeria Centre for Disease Control and Prevention (NCDC), Dr. Jide Idris, said surveillance systems had already been strengthened at major points of entry across the country, particularly airports.
He confirmed that Nigeria currently has no recorded case of Ebola but stressed that preparedness remained critical given recent developments in parts of Africa.
“The focus is to be prepared. We don’t have any Ebola case here now, but we need to be prepared. We need to ensure that we don’t get that Ebola virus here.
“However, just in case one slips in, we want to be prepared nationally to identify and deal with the case”, Idris said.
The NCDC boss explained that existing disease surveillance and emergency response structures were being upgraded and adapted specifically to address Ebola-related threats.
He said the preparedness framework brings together multiple government institutions, including the ministries of health, interior and education, as well as immigration, border control agencies and state governments.
According to him, emergency preparedness requires a coordinated national response built on teamwork, clearly defined responsibilities and an effective command-and-control structure.
“The bottom line is that the objective is that we do not allow Ebola to come in. If it does come in, we are prepared to rapidly identify and manage the case nationally”, he said.
Idris added that state governments across the federation had already been mobilised as part of the preparedness strategy, with efforts focused on surveillance, early detection, rapid response and public health coordination.
The inauguration of the task force comes amid heightened vigilance across several African countries following renewed concerns over Ebola outbreaks in parts of the continent.
Health
NARD Issues 21-Day Ultimatum To FG Over Attacks On Doctors
The Nigerian Association of Resident Doctors (NARD) has issued a 21-day ultimatum to the Federal Government to start implementing a national framework for the protection of healthcare workers, following a growing wave of attacks on medical personnel across the country.
NARD issued the ultimatum at a press briefing to end its Ordinary General Meeting (OGM), which took place in Kano. It also declared an industrial dispute with the government over 14 unresolved demands affecting the health sector.
According to the union’s president, Mohammad Suleiman, the rising cases of assault, intimidation, harassment and violent attacks on doctors pose a serious threat to Nigeria’s already fragile healthcare system.
“The OGM observed with grave concern the disturbing rise in cases of assault, harassment, intimidation and violent attacks against doctors across the country while discharging their professional duties.”
Suleiman described the trend as “barbaric, unacceptable and a dangerous threat” to the survival of the health system.
As part of its resolutions, the association demanded the immediate investigation, arrest, and prosecution of perpetrators of attacks on health workers, while urging the government and security agencies to strengthen protection for medical personnel and facilities nationwide. He further added that,
“Consequently, the OGM gives the Federal Government a 21-day window to commence concrete actions towards the development and implementation of a National Healthcare Workers Assault Prevention and Response Protocol, as well as the initiation of the necessary legislative process to address this menace.”
These include the immediate release and payment of the 2026 Medical Residency Training Fund (MRTF), which the association noted remains unpaid despite repeated assurances.
“The OGM demands the release and payment of the 2026 Medical Residency Training Fund to all eligible resident doctors nationwide within the next 21 days,” Suleiman said.
The association also demanded payment of outstanding 25/35 per cent CONMESS arrears, settlement of 19 months of unpaid professional allowance arrears, and clearance of salary and promotion arrears across federal and state health institutions.
It called for correction of discrepancies in professional allowance payments made in May 2026 and settlement of all related arrears.
Welfare and Recruitment Concerns
NARD raised concerns over worsening welfare conditions for house officers, including salary delays, unpaid arrears, and challenges in internship placement and onboarding.
It also demanded full implementation of outstanding provisions in the Medical and Health Workers’ Collective Bargaining Agreement (CBA) and urged government action on excessive workload, prolonged call-duty hours, casualisation of doctors, and abusive locum appointments.
Suleiman criticised delays by the Federal Character Commission (FCC) in issuing compliance letters, saying it has stalled recruitment and worsened manpower shortages in the health sector.
“The OGM demands the immediate issuance of a letter of compliance by the Chairperson of the FCC within the next 21 days to facilitate employment of healthcare workers and avert further worsening of the brain drain crisis,” the NARD chief said.
The association also called on federal and state tertiary health institutions to urgently address welfare, remuneration, infrastructure, and staffing challenges.
It specifically highlighted unresolved disputes at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, and the Lagos University Teaching Hospital (LUTH), including provision of call meals and alleged victimisation of doctors.
Industrial Dispute Declared
While commending the governors of Osun and Kano states, Ademola Adeleke and Abba Kabir Yusuf, respectively, for interventions in the health sector, NARD warned that failure to meet its demands could trigger further industrial action.
“The Association hereby declares an industrial dispute with the Federal Government on the outlined matters above and cannot guarantee industrial harmony after the 21-day window,” it said.
He added that the association’s National Officers Committee would engage stakeholders during the ultimatum period, after which the National Executive Council would determine the next line of action.
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