Health
Experts Warn Of Rising Advanced HIV Cases In Nigerian Children
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Health experts have raised concerns over the increasing cases of Advanced HIV Disease among children and adolescents in Nigeria, warning that stigma, poor awareness, and limited access to diagnostic tools are worsening the situation.
The warning followed the release of findings by the IMPAACT4HIV Consortium, which conducted research across Lagos, Kano, Rivers, and Gombe states to assess the challenges affecting children living with HIV and their caregivers.
Speaking while presenting the findings to journalists in Abuja on Friday, Executive Director of Support for Women and Teenage Children, Dr Ramat Garra, said many cases of advanced HIV disease could be prevented if there was greater awareness and early access to treatment.
She noted that the study, which used focused group discussions and key informant interviews, revealed that many caregivers and community members had little or no understanding of Advanced HIV Disease or its warning signs.
“In Rivers State, over 60 per cent of community participants showed little to no understanding of AHD warning signs, while caregivers at HIV clinics in Kano said they had never been informed about the condition,” Garra said.
According to her, the lack of awareness often leads caregivers to seek medical help only after the illness has progressed to a critical stage.
She also identified stigma as a major factor contributing to the worsening condition of children and adolescents living with HIV.
Garra said many adolescents stop taking their medications because they fear being seen at clinics, while some parents delay disclosing the HIV status of their children, a situation that allows the disease to advance.
“In Gombe State, three people reportedly died in the past year after stigma pushed them toward herbal remedies instead of seeking medical care,” she added.
The report also highlighted serious gaps in diagnostic capacity in many health facilities, including the unavailability of CD4 count tests, Cryptococcal Antigen tests, and TB-LAM assays used to detect advanced HIV disease.
According to the findings, shortages of testing reagents in Kano caused delays in diagnosis, while some patients with cryptococcal infections in Gombe were discharged without treatment due to a lack of medication.
The consortium further noted that none of the four states studied currently has a standalone policy addressing Advanced HIV Disease, as they all rely on general national HIV guidelines.
Experts warned that the absence of a specific policy framework has resulted in inadequate funding and persistent gaps in the management of advanced HIV cases.
They also pointed to the financial burden faced by many families, noting that while HIV treatment is officially free, indirect costs such as transportation continue to limit access to care.
In Rivers State, for instance, a change in drug pickup frequency reportedly increased transportation costs for caregivers, while in Gombe, some case managers used personal funds to help patients access treatment.
Also speaking, Executive Director of the African Network of Adolescents and Young Persons Development, Aaron Sunday, called on governments, donors, and healthcare providers to intensify efforts to address the growing challenge.
He urged state governments to develop dedicated policies on Advanced HIV Disease with specific budgetary provisions and strengthen adolescent-friendly HIV services.
Sunday also called on the National AIDS and STDs Control Programme and implementing partners to ensure the consistent supply of critical diagnostic tools and integrate AHD screening into paediatric, tuberculosis, and prevention of mother-to-child transmission services.
The IMPAACT4HIV Consortium, which includes the African Network of Adolescents and Young Persons Development, Initiative for Sustainable Community Development, and Support for Women and Teenage Children, said addressing stigma, improving diagnostics, and expanding community awareness would be key to preventing avoidable deaths among children living with HIV in Nigeria.
Health
Couple Told They Would ‘Never’ Conceive Defy Medical Odds, Welcome Healthy Triplets
A couple who were told by fertility specialists that they would most likely never conceive naturally have celebrated the birth of triplets, describing the children as nothing short of miraculous.
Marina and Bishoy Salib, a married couple from England, said they were left heartbroken in 2024 after doctors informed them that their chances of having biological children together were extremely slim. Despite the discouraging prognosis, they refused to give up hope. Just over a year later, they welcomed three healthy babies.
Their extraordinary journey began after months of unsuccessful attempts to start a family. Seeking medical advice, Marina, now 30, underwent an Anti-Müllerian Hormone (AMH) test in August 2024. The test measures the level of anti-Müllerian hormone in the body, which is commonly used as an indicator of a woman’s ovarian reserve, or the number of eggs remaining.
According to the results, Marina had a significantly diminished ovarian reserve, leading specialists to conclude that natural conception would be highly unlikely.
Speaking in an interview with SWNS, Bishoy, 33, recalled the devastating consultation.
“They told us that my wife couldn’t get pregnant,” he said. “When we saw the fertility specialist, he made it clear that there was no chance for her to conceive naturally.”
The diagnosis deeply affected Marina, who struggled emotionally with the news.
Bishoy said watching his wife cope with the disappointment was one of the most difficult periods of their marriage.
“She was heartbroken and cried a lot. She kept asking herself why she couldn’t have children,” he said.
Although medical professionals suggested using an egg donor as the most realistic option for pregnancy, the couple said the recommendation conflicted with their deeply held religious beliefs as members of the Coptic Orthodox Church.
“I told the specialist that we are Christians and we believe in miracles,” Bishoy explained. “Even our general practitioner repeated that egg donation was the only possible route, but we remained committed to our faith.”
While remaining open to adoption if necessary, the couple continued praying and hoping for a miracle while trying to conceive naturally.
Their persistence paid off unexpectedly on May 19, 2025.
According to Bishoy, he felt an unexplained urge to ask Marina to take a pregnancy test, even though both of them believed the outcome would be negative.
“She looked at me and asked why she should even bother taking the test after being told she wasn’t producing enough eggs,” he recalled. “Honestly, I still don’t know why I insisted.”
To their amazement, the test came back positive.
Marina was overwhelmed with emotion, unable to believe what she was seeing.
“She couldn’t even stand. She was shaking, laughing and crying at the same time,” Bishoy said.
Still convinced there had been a mistake, Marina reportedly took several more pregnancy tests to confirm the result before finally calling her husband to share the life-changing news.
The surprises did not end there.
During a subsequent hospital appointment, doctors informed the couple that they were not expecting one baby, but three.
On November 28, 2025, Marina gave birth to non-identical triplets a daughter named Miracle and two sons, Levi and Suriel.
Looking back on their remarkable journey, Bishoy said the children are a constant reminder that hope can endure even in the face of seemingly impossible circumstances.
The couple now describe their son and daughter as their “miracles,” saying their experience has strengthened both their faith and appreciation for parenthood after overcoming what once appeared to be insurmountable odds.
Health
Ebola deaths exceed 300 in DR Congo – Heath authorities
The Ebola epidemic has claimed more than 300 lives in the Democratic Republic of Congo (DRC), a little over one month after it was declared, health authorities said on Friday.
The deadly viral disease, which spreads through direct contact with bodily fluids, can cause severe bleeding and organ failure.
A total of 304 people in the DRC have now died of the virus, from 1,115 confirmed infections since the outbreak was detected on May 15, giving a mortality rate of 26.3 percent, the National Public Health Institute (INSP) said.
This is a jump from the 202 deaths confirmed on June 18 by the African Union’s health agency, from 875 confirmed infections — a mortality rate of 23 percent.
The Red Cross warned last week that the outbreak of the haemorrhagic fever has yet to peak and could take up to a year to contain.
In some rare good news, the DRC authorities announced in early June that several Ebola patients had been treated and cured.
Responders to the epidemic, the 17th to hit the vast, unstable central African country, face towering challenges.
No approved vaccines or treatments exist for the Bundibugyo strain of the virus responsible for the latest outbreak to hit the DRC, which is one of the world’s poorest countries.
The three affected provinces in eastern DRC — Ituri, North Kivu and South Kivu — have been plagued for three decades by conflict and mass displacement, complicating the response.
The outbreak has spread to neighbouring Uganda, where containment measures have been effective.
Kampala has reported 20 confirmed cases nationwide, including two deaths since May 15. Most of those infected are Congolese nationals who have travelled to Uganda.
On Wednesday, France reported the outbreak’s first confirmed case of Ebola outside Africa — a Congolese doctor who was working in the DRC for the international medical aid NGO ALIMA.
The World Health Organization says there is minimal risk of the virus spreading in Europe and there is no need for travel restrictions.
Air France, on which the doctor flew back to France, has nevertheless suspended all flights to Kinshasa for several days.
– Ituri –
The vast majority of cases in the DRC have been detected in Ituri.
The mineral-rich province is plagued with unrest from a string of rival armed groups, and frequent population movements favour the spread of the disease.
More than 91 percent of all infections have been registered in the provincial capital, Bunia, and more than 82 percent of all deaths.
Efforts to contain the virus have been ratcheted up in Ituri.
But healthcare facilities -– which often operate with limited resources — still lack basic equipment and supplies, such as personal protective equipment and chlorine.
Many clinics set up by the WHO and aid agencies are close to full, the country’s public health agency said.
At least 78 healthcare workers have been infected with the virus, and 18 have died, it added.
Medical and aid workers also have to contend with deep mistrust from some local communities.
Some families have demanded that hospitals hand over the bodies of the deceased, not realising that touching the body puts them at risk of contamination.
The reluctance of some families to allow post-mortem examinations on the victims is also leading to an underestimation of the number of cases, officials said.
AFP
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
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