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Interpretation of Lagos HIV data misleading, figures reflect routine testing- Official

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The immediate past chairman of the Nigeria Medical Association (NMA), Lagos State chapter, Babajide Saheed, has challenged the interpretation of figures showing that Lagos recorded 10,430 new HIV cases in 2025, arguing that the data reflects routine HIV testing rather than newly diagnosed infections.

Mr Saheed made the clarification on Channels Television during The Morning Brief show on Wednesday while reacting to figures from the ”State of the Health of the Nation Report 2025,” which have sparked widespread discussion on social media.

The report indicates that Lagos recorded 10,430 new HIV cases in 2025, the highest among Nigeria’s 36 states and the Federal Capital Territory (FCT), and higher than the combined figures for Kaduna, Adamawa and the FCT.

During the programme, the television anchors questioned why Lagos continued to record such high numbers despite years of HIV awareness campaigns and prevention efforts.

Interpretation

Responding, Mr Saheed said the figures should not be interpreted as newly diagnosed HIV infections.

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According to him, the numbers largely represent HIV positivity from routine testing carried out among people already receiving treatment, alongside newly diagnosed cases.

“It is routine testing,” he said repeatedly during the interview, urging viewers to refer to the clarification issued by the National Agency for the Control of AIDS (NACA).

He explained that people living with HIV routinely undergo tests while receiving antiretroviral treatment, and those results are captured in health records.

However, despite disagreeing with the interpretation of the figures, Mr Saheed acknowledged that Lagos continues to bear a significant HIV burden.

He described the situation as “a red flag”, noting that Lagos, alongside states such as Rivers and Benue, has consistently recorded high HIV numbers over the years.

Factors driving the trend

Mr Saheed attributed the trend to a combination of reduced international donor funding, economic hardship and challenges accessing HIV treatment.

He said funding cuts by international partners, coupled with Nigeria’s economic situation, may have contributed to disruptions in HIV services.

“If people cannot afford to feed themselves, how can they afford transportation to the hospital?” he said.

He urged the federal government to increase domestic funding for HIV programmes, invest in local production of antiretroviral medicines, strengthen public awareness campaigns and decentralise HIV treatment to primary healthcare centres and private facilities.

Mr Saheed also called for intensified public education on HIV prevention, including condom use, abstinence and early testing, particularly among young people and women, whom he identified among the groups most affected.

PREMIUM TIMES review

A review of the 2025 Final State of the Health of the Nation Report, produced by the Federal Ministry of Health and Social Welfare, confirmed that Lagos recorded 10,430 new HIV cases in 2025, down from 14,622 in 2024.

The report also shows that Lagos recorded the highest number of reported new HIV cases among the 36 states and the Federal Capital Territory (FCT).

Further review of the data shows that, aside from Lagos, the highest figures were recorded in Rivers (6,287), Kano (6,010), Akwa Ibom (5,413), Taraba (4,854), Benue (4,804), Anambra (4,468) and Kaduna (3,699).

Other states

The report revealed that other states recorded comparatively lower figures, including Adamawa (2,989), Bauchi (2,736), FCT (2,764), Sokoto (2,592), Abia (2,546), Cross River (2,545), Imo (2,539), Delta (2,469), Nasarawa (2,410), Borno (2,311), Zamfara (2,134), Ogun (2,107), Plateau (2,084), Niger (2,020), Ebonyi (2,015), Oyo (1,910), Jigawa (1,776), Kogi (1,752), Ondo (1,622), Edo (1,619), Kebbi (1,572), Katsina (1,541), Yobe (1,483), Enugu (1,479), Kwara (1,371), Osun (1,093), Gombe (1,083), Bayelsa (982) and Ekiti (462).

READ ALSO: US HIV funding withdrawal from South Africa could cost lives, UNAIDS warns

The report also shows that Ekiti recorded the lowest figure nationwide, followed by Bayelsa, Gombe, Osun, Kwara, Enugu and Yobe, while Lagos, Rivers, Kano, Akwa Ibom, Taraba and Benue recorded the highest numbers.

NACA’s earlier clarification

In April, NACA cautioned against interpreting similar state-by-state HIV figures as representing the actual burden of the disease, saying they had been taken out of context.

The agency explained that the figures reflected HIV positivity from routine testing conducted in health facilities and should not be used to estimate HIV prevalence or incidence or rank states by disease burden. It said such data are influenced by factors including population size, testing coverage and reporting practices.

NACA also warned that HIV data should only be generated, interpreted, and disseminated by authorised government health institutions, in line with established protocols, to avoid misleading the public.


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Health

British national tests positive for Ebola in DRC

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A British national has tested positive for Ebola in the Democratic Republic of the Congo (DRC), the UK government has confirmed.

According to the BBC, the British man tested positive for the virus while in the DRC. Reuters subsequently reported that he would be medically evacuated to the UK for specialist treatment. However, the exact time of the evacuation was not immediately known.

This marks the first confirmed case of a British national contracting the virus during the ongoing outbreak in the DRC, which has claimed more than 5,000 lives.

Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other bodily fluids of an infected person.

Symptoms include fever, headache, vomiting, muscle pain, weakness, and diarrhoea.

“The UK has well-established procedures for dealing with cases like this, and those processes have been activated,” a UK government spokesperson was quoted as saying.

“Further information will be shared in due course as appropriate. The risk to the UK public from Ebola remains low.”

Ebola outbreak

The current outbreak is caused by the Bundibugyo virus, a species of Ebola virus, and was first declared in DRC in May 2026.

According to the latest figures from the United States Centres for Disease Control and Prevention (CDC), the outbreak had recorded 10,563 confirmed cases and 5,130 deaths across five countries as of 1 November 2026.

The DRC accounts for the majority of the cases, with 10,532 confirmed cases and 5,126 deaths. The outbreak has affected eight provinces in the country.

Kenya has recorded nine confirmed cases and two deaths, while Uganda has recorded 20 confirmed cases and two deaths, alongside one probable case and one probable death.

Nigeria confirmed its first case on 20 October after a traveller with a history of travel to Uganda tested positive for the virus. The patient was subsequently medically evacuated to Switzerland for treatment.

According to the European Centre for Disease Prevention and Control (ECDC), 62 contacts linked to the Nigerian case had been identified and were under follow-up as of 29 October.

Symptoms and transmission

The World Health Organisation (WHO) has explained that Ebola survivors may transmit the virus through sexual intercourse if it persists in their semen after recovery.

However, survivors who have met the criteria for discharge from treatment are not expected to transmit the virus through sweat or saliva, as the virus is cleared from their blood.

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Six climate measures could save 1.6 million lives yearly – WHO

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Six proven climate and health interventions could prevent 1.6 million deaths annually and generate trillions of dollars in economic benefits if implemented globally, the World Health Organisation (WHO) has revealed.

The measures, which include heat-health warning systems, access to safe water and sanitation, cleaner household energy and more efficient fossil fuel pricing policies, could generate $3.9 trillion in annual economic welfare benefits and a further $5.4 trillion in fiscal gains.

The WHO disclosed this in a new report titled ‘Global benefits and costs of prioritised actions on climate change and health’, released ahead of the 31st United Nations Climate Change Conference (COP31), where countries are expected to present their climate commitments.

According to the report, the six interventions could prevent one in every 40 deaths globally, based on modelled projections, while avoiding 16.7 billion tonnes of carbon dioxide emissions annually.

The estimated emissions reduction is equivalent to 31 per cent of global annual greenhouse gas emissions, excluding emissions from land use, land-use change and forestry.

The report, which the WHO described as its first comprehensive assessment of the economic and fiscal returns from scaling up the six recommended interventions, highlights the potential health and financial gains of integrating public health considerations into climate policies.

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It argues that many health consequences of climate change are preventable through existing solutions, but governments must implement them across health and other sectors that determine people’s health.

Six interventions

The report identifies six interventions: heat-health warning systems, climate-resilient drinking-water services, basic sanitation services, hygiene and handwashing facilities, cleaner household fuels and technologies for cooking and heating, and efficient fossil fuel pricing policies.

The WHO estimates that five of the interventions could generate $24 in benefits for every $1 invested, with returns expected to be greater in low- and middle-income countries.

Heat-health warning systems are projected to deliver particularly high returns, generating an estimated $835 in benefits for every $1 invested.

The report attributes the high returns to the relatively low cost of expanding existing warning systems and their potential to prevent heat-related illnesses.

Efficient fossil fuel pricing policies, however, are projected to deliver the largest overall gains.

Such policies, including removing inefficient fossil fuel subsidies and appropriately taxing fossil fuels, could prevent 1.2 million deaths annually while generating $3 trillion in economic welfare benefits and $5.4 trillion in fiscal gains.

Health at the centre of climate action

Commenting on the findings, WHO Director-General Tedros Ghebreyesus said the climate crisis was also a health crisis, but many of its consequences could be prevented using existing interventions.

READ ALSO: WHO raises alarm as 75% of diabetes cases in Africa remain undiagnosed

He said expanding proven and affordable interventions could save millions of lives, particularly in countries with the greatest need.

“The climate crisis is a health crisis, but much of the harm it causes can be prevented with tools we already have,” he said.

Mr Ghebreyesus urged governments to place health considerations at the centre of climate action as they prepare for the next round of international climate negotiations.

The WHO said countries were already experiencing record-breaking climate shocks in 2026, investing in measures that protect human health and the environment increasingly urgent.

The health body called on governments, development partners and financing institutions to use the economic evidence to scale up the interventions, noting that they could deliver simultaneous benefits for public health, climate mitigation and national economies.


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