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Expert warns against practices that can cause condom failure

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An HIV prevention expert has cautioned that improper use of condoms, including the use of oil-based lubricants, can increase the likelihood of condoms breaking and undermine protection against HIV and other sexually transmitted infections.

The Senior Manager for Prevention Programmes at the AIDS Healthcare Foundation, Taofeek Adeleye, issued the warning in Lagos on Thursday during a two-day training for journalists and social media influencers on HIV Pre-Exposure Prophylaxis (PrEP).

The National Agency for the Control of AIDS (NACA) organised the training in collaboration with the World Health Organisation (WHO). It aims to enhance journalists’ understanding of PrEP and other HIV prevention strategies and to improve public access to accurate information about HIV.

Adeleye stated that those relying on condoms for protection should be vigilant about correct usage, including selecting the right condom size and employing suitable lubricants.

He advised against the use of palm oil, vegetable oil, and other oil-based substances with condoms, recommending water-based lubricants instead.

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“You can’t use palm oil, honey oil, balsamic, or vegetable oil. You can use water-based lubricants, which are advisable,” he said.

His caution aligns with international guidance on condom usage.

The United States Centres for Disease Control and Prevention (US-CDC) advises people using latex condoms to use water-based or silicone-based lubricants rather than oil-based products. The agency emphasises that oil-based lubricants can weaken condoms and lead to breakage.

Similarly, WHO says lubricants can reduce the likelihood of condoms breaking, slipping or falling off when used correctly.

Adeleye also underlined the importance of using condoms of the appropriate size.

He recommended that individuals take precautions before engaging in sexual activity and remain conscious of potential risks.

“I always advise men that when you are going to engage in sexual activity, you should also look around. When you are coming in here, you look at the room before you enter. You don’t just go into a place without knowing what is there,” he explained.

Condoms still crucial with PrEP

This discussion coincides with Nigeria’s expanding focus on preventing new HIV infections through multiple measures, including condoms, HIV testing, and PrEP.

PrEP is an HIV prevention method for individuals without HIV but at risk. It involves medication to reduce the chance of acquiring the virus.

However, PrEP does not guard against other sexually transmitted infections or unintended pregnancies. WHO recommends that condoms and lubricants continue to be part of HIV prevention services along with PrEP.

READ ALSO: Condom prices set to rise globally, may affect Nigeria

Nigeria is also seeking to strengthen its HIV prevention response. In March, NACA launched the National HIV Prevention Plan 2026–2030, shifting greater attention towards preventing new infections rather than relying primarily on treatment after infection.

New infections

Despite progress in expanding treatment and prevention services, Nigeria continues to see thousands of new HIV infections, according to NACA’s Director-General, Temitope Ilori.

Ilori stated that about 45,000 new infections were recorded last year, with concerns about infections among young people.

“We have new infections coming up. There were about 45,000 new infections as of last year. We’re still gathering information regarding this year,” she said.

She highlighted that these figures reinforce the need to strengthen prevention efforts, noting that while approximately 1.3 per cent of the general population live with HIV, over 98 per cent are HIV-negative.

She asserted that Nigeria’s response should focus on preventing new infections while ensuring that those living with HIV have access to treatment.

Ilori identified condoms and PrEP among the key HIV prevention options, emphasising that individuals should adopt prevention methods suitable for their circumstances and level of risk.


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Health

Nigerian drugmaker Fidson selected to manufacture generic influenza antiviral under global licence

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A Nigerian pharmaceutical company, Fidson Healthcare Plc, has been selected to develop and manufacture a generic version of baloxavir marboxil, an antiviral medicine used to treat influenza.

The selection makes Fidson one of 11 manufacturers across nine countries chosen under a voluntary licensing agreement between the Medicines Patent Pool (MPP) and Swiss pharmaceutical company Roche.

The company disclosed this in a press release signed by its media contact, Tope Akindele. The MPP, a United Nations-backed public health organisation, also announced the sublicence agreements on 25 September.

The selected manufacturers are from Brazil, China, India, Indonesia, Malaysia, Nigeria, Uganda, Ukraine and Vietnam. The MPP said the arrangement is intended to “diversify supply pathways for influenza treatment, support regional production, and strengthen preparedness for future outbreaks and pandemics.”

What it means for Fidson, Nigeria

The selection makes Fidson one of the manufacturers that would develop, manufacture and supply generic versions of baloxavir in 129 countries covered by the licence, subject to regulatory authorisation.

The agreement also gives selected manufacturers access to technical data, reference products for bioequivalence studies and other support to facilitate product development and regulatory approval.

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The MPP said it selected the manufacturers following an open Expression of Interest process and an assessment of their technical and regulatory capacities and commitment to producing quality-assured baloxavir products.

The organisation said having manufacturers in different regions would help build production capacity closer to the populations the medicines are intended to serve and strengthen the resilience of global supply.

For Nigeria, the selection places a local pharmaceutical manufacturer in a global effort to expand production of an influenza antiviral while strengthening domestic and regional pharmaceutical manufacturing capacity.

Selection strengthens Africa’s role

Fidson’s Managing Director and Chief Executive Officer, Biola Adebayo, described the selection as a validation of the company’s commitment to quality-assured pharmaceutical manufacturing and innovation.

“Being selected by the Medicines Patent Pool as a sublicensee under the Roche-MPP voluntary licensing programme for baloxavir marboxil is both an honour and a validation of Fidson’s longstanding commitment to quality-assured pharmaceutical manufacturing, innovation, and improving healthcare outcomes,” Mr Adebayo said.

He said the partnership would allow the company to contribute to efforts to strengthen regional health security and preparedness for future health emergencies.

“As an African healthcare company, we are proud to contribute to global efforts aimed at strengthening regional health security, enhancing preparedness for future health emergencies, and ensuring that life-saving medicines reach the patients who need them most,” he said.

Mr Adebayo said the partnership also demonstrated the growing role of African manufacturers in the global health ecosystem.

He said Fidson would work with Roche, the MPP and other stakeholders to support broader access to baloxavir across eligible markets.

READ ALSO: Fidson, Nigeria’s largest pharmaceutical company, delivers N3.6 billion dividend to shareholders

Part of pandemic preparedness

The announcement came as global leaders gathered in New York for the United Nations General Assembly to discuss pandemic prevention, preparedness and response.

The MPP said the licensing arrangement is designed to build manufacturing capacity before, rather than during, a health emergency.

Charles Gore, Executive Director of the MPP, said the organisation would work with the selected manufacturers on product development and regulatory approval, aiming to make quality-assured generic baloxavir available as quickly as possible.

“By combining global manufacturing capacity with regionally focused production, we are helping build a more geographically diverse and resilient supply base for the future,” Mr Gore said.


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Non-communicable diseases caused 74% of global deaths in 2023

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Non-communicable diseases (NCDs) such as heart disease, diabetes and dementia accounted for 74 per cent of global deaths in 2023, up from 58 per cent in 2000, according to the latest estimates released by the World Health Organisation (WHO).

The findings, contained in the WHO’s latest Global Health Estimates released on Friday, show that although global life expectancy has largely recovered from the disruption caused by the COVID-19 pandemic, the world’s disease burden is increasingly shifting towards chronic illnesses and mental health conditions.

According to the report, global life expectancy reached 73.3 years in 2023, almost returning to the 73.4 years recorded in 2019 before the pandemic. However, healthy life expectancy, which measures the number of years people live in good health, recovered more slowly, reaching 62.8 years in 2023, still 0.4 years below its pre-pandemic level.

The WHO noted that eight of the world’s 10 leading causes of death were NCDs in 2023, highlighting a long-term global shift away from communicable diseases.

Cardiovascular diseases remain leading killer

The report identified cardiovascular diseases as the leading cause of death and disease burden worldwide.

It said ischaemic heart disease alone caused approximately 9.5 million deaths and 210 million disability-adjusted life years (DALYs) in 2023. DALYs measure years of healthy life lost due to illness, disability or premature death.

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While many parts of the world have made significant progress in reducing the burden of ischaemic heart disease since 2000, the WHO reported rising individual-level risks in the Western Pacific and South-East Asia regions, highlighting persistent inequalities in cardiovascular health outcomes.

The organisation also reported substantial increases in the burden of other chronic diseases.

According to the report, the risk of dying from diabetes has risen considerably since 2000, particularly in South-East Asia.

Alzheimer’s disease and dementia have also become more prominent.

Dementia rose from the 19th leading cause of death globally in 2000 to the fifth in 2023, while deaths linked to the condition tripled during the period.

Mental health concerns

The WHO also highlighted the growing impact of mental health conditions on global health.

Between 2019 and 2023, the global age-standardised DALY rate increased by approximately 20 per cent for depressive disorders and nearly 45 per cent for anxiety disorders.

Together, depression and anxiety accounted for an estimated 110 million years of healthy life lost through premature death and disability in 2023.

The report further showed changing patterns in drug use disorders across regions.

Between 2000 and 2023, the WHO Region of the Americas recorded the largest increases in mortality risk and healthy life loss associated with drug use disorders, while the Western Pacific region experienced substantial declines.

READ ALSO: Drug-resistant bacterial infections kill one million people annually – WHO

Need for stronger health data systems

Speaking further on the findings, Alani Labrique, Director of WHO’s Department of Data, Digital Health, Analytics and AI, described rising life expectancy as one of public health’s greatest achievements.

However, Mr Labrique noted that the next challenge is ensuring that the additional years people live are spent in good health, while health systems adapt to the changing needs of ageing populations and the growing burden of chronic diseases.

He said the estimates provide countries with evidence on how patterns of death and disease burden are changing over time, helping governments shape health policies, strengthen digital and data infrastructure, and improve their ability to generate insights needed for targeted health interventions.


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