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HIV-positive pregnant women can now have vaginal delivery –NACA

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By Francesca Hangeior.

 

Now, pregnant women living with the Human Immunodeficiency Virus who are on Antiretroviral Therapy and have a low or undetectable viral load can have a vaginal delivery, says the National Agency for the Control of AIDS.

In as much as HIV can pass to the infant during birth, NACA said the risk of transmission is low in women with virally suppressed loads.

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The agency noted that the advances in HIV treatment have greatly lowered the chances that a birthing parent would pass HIV on to their baby (also known as perinatal HIV transmission, vertical transmission, and sometimes called ‘mother-to-child’ transmission).

According to NACA, Nigeria has the highest burden of children born with HIV in the world.

It, however, warned that HIV can be transmitted from an infected mother to her child during pregnancy, childbirth, and breastfeeding if she is not on treatment.

The Deputy Director, Community Prevention and Care Department, NACA, Dr Yewande Olaifa, said for many years now, pregnant women living with HIV have been giving birth vaginally and not only through caesarean sections.

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Olaifa said, “Yes, for over a decade now, vaginally, women can deliver unless it is contraindicated because of obstetrics matters.

“But as long as there is no contraindication, she can deliver per vaginal irrespective of the fact that she is HIV positive.

“What is important is that if she is HIV positive, she is on treatment not only for herself but also for the baby. So if we can bring the viral load down with ART, the probability that she will transmit to the baby is limited.”

The American College of Obstetricians and Gynaecologists also affirms that vaginal delivery is appropriate for HIV-infected pregnant women, who have been maintained on combined antiretroviral therapy and who have viral loads of 1,000 copies/mL or less at or near delivery.

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Speaking further, the deputy director said it is also compulsory to test all pregnant women for HIV when they come to for antenatal clinic, stressing that it helps in the prevention of motor-to-child transmission of the disease.

According to the World Health Organisation, without any intervention, the risk of HIV transmission from a mother to her child during pregnancy, labour, delivery, or breastfeeding can be as high as 45 per cent.

As such, the WHO states that the identification of HIV infection should be immediately followed by an offer of linkage to lifelong treatment and care, including support to remain in care and virally suppressed, as well as an offer of partner services.

Nigeria faces a critical challenge in PMTCT of HIV and ensuring access to care for children living with HIV.

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According to NACA, its epidemiological estimates indicate that 140, 000 children under 14 are living with HIV as of 2023, with 22,000 new infections and 15,000 AIDS-related deaths in children.

The agency disclosed that current PMTCT and paediatric HIV coverage remain alarmingly low at less than 33 per cent, far short of the 95 per cent target.

Meanwhile, the Joint United Nations Programme on HIV/AIDS established the 95-95-95 targets calling for 95 per cent of all people living with HIV to know their HIV status, 95 per cent of all people with diagnosed HIV infection to receive sustained antiretroviral therapy, and 95 per cent of all people receiving antiretroviral therapy to have viral suppression by 2030.

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Health

Bitter kola, salt water not Ebola cure, NCDC warns

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The Nigeria Centre for Disease Control and Prevention has warned Nigerians against relying on unverified home remedies for Ebola Virus Disease, stressing that substances such as bitter kola, salt water, herbs, and seasoning cubes cannot prevent or cure the deadly infection.

The agency issued the warning in a public advisory obtained by our correspondent, titled “Ebola Virus Disease (EVD): Myths vs Facts,” amid growing concerns and online rumours linked to a regional Ebola outbreak.

According to the NCDC, Nigeria has not recorded any confirmed case of Ebola, but misinformation surrounding fake cures could create panic and endanger lives.

“There is currently no approved home remedy for Ebola Virus Disease,” the agency stated.

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It added: “Early reporting, supportive medical care, and strict infection prevention and control measures are critical. Avoid self-medication and seek care promptly if symptoms develop.”

The agency specifically debunked widespread claims circulating on social media suggesting that “drinking salt water, consuming bitter kola, or using herbal mixtures could protect people from Ebola infection.”

Public health experts have repeatedly warned that reliance on unproven remedies during disease outbreaks often delays proper treatment and increases the risk of transmission.

The NCDC also cautioned Nigerians against spreading unverified health information online, noting that false claims could undermine public health response efforts.

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“Sharing unverified information can create panic and confusion. Members of the public are advised to rely only on updates from official public health authorities and credible sources,” the advisory said.

The agency urged Nigerians to remain vigilant despite the absence of any confirmed Ebola case in the country.

“Although no case has been confirmed in Nigeria, outbreaks in the region require vigilance, preparedness, and responsible public health behaviour to reduce the risk of importation and transmission,” it stated.

The warning has revived memories of Nigeria’s 2014 Ebola outbreak, when rumours about salt-water baths and bitter kola consumption flooded communities after the virus entered the country through an infected traveller from Liberia.

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At the time, health authorities dismissed the claims after reports emerged that some Nigerians consumed excessive amounts of salt water in desperate attempts to avoid infection, leading to health complications in some cases.

Nigeria was eventually lauded globally for successfully containing the 2014 Ebola outbreak through aggressive contact tracing, rapid isolation of suspected cases, public awareness campaigns, and coordinated emergency response measures.

In its latest advisory, the NCDC urged Nigerians to prioritise preventive measures such as regular hand hygiene, avoiding contact with bodily fluids of sick persons, and promptly reporting unusual illnesses to health authorities.

The agency also reassured the public that surveillance and preparedness activities were ongoing across the country to prevent any possible outbreak.

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Ebola outbreak will get worse as cases rise in DRC, Uganda – WHO

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The World Health Organisation, WHO, on Monday raised fresh alarm over the rapidly spreading Bundibugyo Ebola outbreak in the Democratic Republic of Congo, DRC, and neighbouring Uganda, warning that the epidemic is outpacing response efforts and could worsen in the coming weeks.

Speaking at a virtual ministerial briefing convened by the Africa Centres for Disease Control and Prevention, WHO Director-General Tedros Ghebreyesus described the outbreak as extremely serious and difficult, revealing that more than 900 suspected cases and 220 suspected deaths have already been recorded in DRC.

“So far, 101 cases have been confirmed in DRC, with 10 confirmed deaths. But we know the epidemic in DRC is much larger. In the early hours of Sunday, May 17, I declared the Ebola outbreak in DRC a Public Health Emergency of International Concern after consulting the Ministers of Health of both DRC and Uganda, and following Africa CDC’s notification,” Tedros said.

He disclosed that WHO had upgraded the national risk assessment in DRC from “high” to “very high,” while maintaining regional risk at “high.”

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Countries bordering DRC, he warned, are particularly vulnerable and must take immediate preventive action.

“In Uganda, there are five confirmed cases and one death,” he said, commending President Yoweri Museveni for cancelling this year’s Martyrs’ Day celebrations, an annual religious event that attracts nearly two million people.

“I appreciate the leadership of President Museveni in cancelling the Martyrs’ Day commemoration to prevent further spread of the virus,” he added.

Tedros noted that insecurity and public distrust in eastern DRC are worsening the crisis.

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“The delay in detecting the outbreak means that we are now playing catch-up with a very fast-moving epidemic. We are urgently scaling up operations, but at the moment, the epidemic is outpacing us.”

According to him, intensified fighting in the provinces of Ituri and North Kivu has displaced more than 100,000 people in recent months, complicating surveillance and response operations.

“There is also significant distrust of outside authorities among the local population. In the past week, there have been two security incidents at health facilities,” he stated.

“Building trust in affected communities is critical to a successful response and is one of our highest priorities.”

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The WHO chief further disclosed that there are currently no approved vaccines or therapeutics specifically for the Bundibugyo strain of Ebola, which has only caused two previous outbreaks — in Uganda in 2007 and DRC in 2012.

“Last week, WHO convened leaders of several partner organisations to review the pipeline of vaccines, therapeutics and diagnostics,” he said.

“WHO has recommended prioritising two monoclonal antibodies to advance in clinical trials. We are also recommending evaluation of the antiviral obeldesivir in a clinical trial as post-exposure prophylaxis for high-risk contacts.”

He added that the clinical trial is being jointly developed with Africa CDC and the Collaborative Open Research Consortium on Filoviruses.

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Tedros said WHO had already released $3.9 million from its Contingency Fund for Emergencies to support response efforts and announced plans to travel to DRC alongside Chikwe Ihekweazu.

He stressed that unity among African nations and international partners would determine how quickly the outbreak could be contained.

“We are facing an extremely serious and difficult outbreak. It will get worse before it gets better. But we know this virus, and we know how to stop it. We have stopped every previous Ebola outbreak, and we will stop this one too.

“The question is just how quickly we can do it, and how many more lives will be lost before we do,” he said.

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Ebola: WHO releases additional $3.4m as death toll rises to 139

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The World Health Organisation (WHO) has approved an additional $3.4 million to support emergency response efforts following the worsening Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda, where suspected deaths have risen to 139.

WHO Director-General, Tedros Adhanom Ghebreyesus, announced on Wednesday during a media briefing in Geneva that the agency had declared the outbreak a Public Health Emergency of International Concern (PHEIC) amid growing fears of wider regional transmission.

Tedros said the declaration was made on Sunday under Article 12 of the International Health Regulations after consultations with health authorities in the DRC and Uganda, citing the need for urgent international action.

According to WHO, 51 Ebola cases have so far been confirmed in the DRC, particularly in the provinces of Ituri and North Kivu, including the cities of Bunia and Goma, while Uganda has recorded two confirmed cases in Kampala, including one death linked to travellers from the DRC.

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The agency also confirmed that an American national who contracted the virus in the DRC had been transferred to Germany for treatment.

Tedros, however, warned that the outbreak was far more severe than confirmed figures indicate, with nearly 600 suspected cases and 139 suspected deaths already reported.

He said the outbreak had spread to several urban centres, while infections among health workers pointed to transmission within healthcare facilities.

The WHO chief identified insecurity, mass displacement and intense population movement in mining communities within eastern DRC as major factors heightening the risk of regional spread.

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He noted that over 100,000 people had been displaced in Ituri Province following escalating violence since late 2025.

Tedros also expressed concern that the outbreak involves the Bundibugyo strain of Ebola, for which no approved vaccines or therapeutics currently exist.

“In light of all these risks, I decided it was urgent to act immediately to prevent more deaths and mobilise an effective international response,” he said.

He commended the governments of the DRC and Uganda for their cooperation, particularly Uganda’s decision to postpone the annual Martyrs’ Day celebrations, which typically attract millions of participants.

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WHO said the additional $3.4 million approved from its Contingency Fund for Emergencies brings the organisation’s total emergency support funding for the outbreak to $3.9 million.

The agency added that response teams, medical supplies and emergency support personnel had already been deployed to affected areas as efforts intensify to contain the virus.

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