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Rising tobacco farming exposes African workers to health risks – WHO

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A new analysis by the World Health Organisation (WHO) has revealed that tobacco-leaf production in Africa increased by almost nine per cent between 2012 and 2024, despite a nearly 19 per cent decline in global production.

The increase, according to the findings, is raising concerns about the health risks faced by tobacco farmers and workers, as well as the wider environmental and social consequences of tobacco cultivation.

Africa produced more than 639,000 tonnes of tobacco leaf in 2024, representing about 11 per cent of global tobacco-leaf production, the analysis noted.

The findings showed that tobacco production is highly concentrated in five countries: Zimbabwe, Malawi, Tanzania, Mozambique and Uganda.

East Africa alone accounts for nearly 90 per cent of tobacco-leaf production on the continent.

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Health risks

Vinayak Prasad, head of the Tobacco Free Initiative at WHO, said tobacco farming exposes workers and their families to serious health risks, while also damaging the environment and potentially trapping farmers in cycles of debt.

Mr Prasad said the issue extends beyond tobacco control and should also be viewed through the lens of health, trade, development and environmental sustainability.

“This is not just a tobacco-control issue. It is a health, trade, development and environmental issue,” he said.

The analysis identified green tobacco sickness as one of the direct health risks faced by tobacco farmers.

The condition occurs when nicotine from wet tobacco leaves is absorbed through the skin during handling.

Farmers and other workers may also be exposed to pesticides and tobacco dust during cultivation and processing, the report noted.

Beyond direct exposure, tobacco farming also consumes large amounts of land, water and other natural resources that could otherwise support food production and sustainable livelihoods.

The practice is also associated with soil degradation, deforestation and greenhouse gas emissions from the curing of tobacco leaves.

Children at risk

WHO also raised concerns about children from poor households being involved in tobacco farming.

According to the organisation, children in some low and middle-income countries miss school to work on tobacco farms and supplement their family income.

The report said this could further expose children to the health and social risks associated with tobacco cultivation while affecting their education.

Tobacco’s economic burden

The health concerns come alongside an increase in Africa’s cigarette imports.

According to the analysis, the continent’s cigarette import bill more than doubled between 2012 and 2024, rising from $833 million to $1.77 billion.

The findings also challenged the argument that tobacco is economically indispensable to most countries.

Tobacco-leaf exports account for more than one per cent of gross domestic product in only a small number of economies, including Malawi and Zimbabwe.

For most countries, the economic contribution of tobacco production and trade is limited, while the health, social and environmental costs remain substantial, WHO said.

Mr Prasad said countries needed support to move away from economic dependence on tobacco and provide alternative livelihoods for farmers and workers.

“Countries need support to move away from economic dependence on a product that harms health, farmers and the environment,” he said.

He said the findings showed why trade and development policies needed to be aligned with public health and sustainable development goals.

READ ALSO: FG begins nationwide distribution of ambulances to strengthen emergency care

Alternative livelihoods

Under Articles 17 and 18 of the WHO Framework Convention on Tobacco Control, countries are encouraged to promote economically viable alternatives for tobacco workers and growers.

The provisions also call on countries to protect the environment and human health from the effects of tobacco cultivation.

WHO called for stronger support for countries seeking to diversify away from tobacco production, protect farming communities and strengthen tobacco-control policies.

The organisation also urged countries to reduce the economic burden associated with tobacco use and trade.


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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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Health

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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