The World Health Organisation (WHO) has urged African governments to strengthen national hepatitis programmes and expand access to vaccination, testing, and treatment, warning that millions of people across the continent continue to miss out on life-saving services despite the availability of effective interventions.
In a statement issued ahead of World Hepatitis Day, the WHO Regional Director for Africa, Mohamed Janabi, said viral hepatitis remains a major public health challenge across the region, even though new hepatitis B infections declined by 25 per cent between 2015 and 2024.
Mr Janabi noted that while effective vaccines, diagnostics, and treatments are available, many people are still diagnosed too late or cannot access care, leading to preventable deaths.
“No one should die from a disease that can be prevented, diagnosed and, in many cases, treated,” he said.
He called on governments, development partners, health workers, and communities to remove barriers preventing people from accessing hepatitis services.
“Eliminating viral hepatitis is within our reach, but only if proven interventions are available to everyone who needs them,” he said.
Bringing services closer to communities
Mr Janabi said the region already has the tools needed to eliminate viral hepatitis as a public health threat.
According to him, the hepatitis B vaccine, introduced in the early 1990s, provides up to 95 per cent protection against infection, while reliable diagnostic tools enable early detection. He added that hepatitis C can be cured, and lifelong treatment for hepatitis B can prevent complications such as liver cirrhosis and liver cancer.
He stressed that integrating hepatitis prevention, testing, and treatment into primary healthcare would make services more accessible and affordable, while also reducing pressure on health systems.
Mr Janabi said the challenge is no longer scientific but one of political commitment, financing, and equitable access.
He noted that countries in the WHO African Region have recorded progress by expanding the universal hepatitis B birth dose vaccine, advancing the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B, and pioneering hepatitis C elimination pathways.
However, he said these gains must be sustained and expanded across all 47 WHO African member states.
Late diagnosis
Mr Janabi warned that many people living with viral hepatitis remain unaware of their infection until serious liver damage has occurred.
He attributed the problem to inadequate access to testing and treatment, particularly in underserved communities, as well as stigma and limited public awareness.
To close these gaps, Mr Janabi urged countries to integrate hepatitis services into routine healthcare throughout a person’s life while investing in research and innovation to improve access to new diagnostic tools and treatments, including for hepatitis B and hepatitis D co-infection.
He also called on development partners to sustain technical and financial support to help countries achieve the global target of eliminating viral hepatitis as a public health threat by 2030.
World Hepatitis Day
Observed annually on 28 July, World Hepatitis Day raises awareness about viral hepatitis and promotes actions to prevent, diagnose, and treat the disease.
This year’s theme, “Hepatitis: Let’s break it down,” calls for breaking down financial, social, and systemic barriers that prevent people from accessing hepatitis services and accelerating progress towards eliminating the disease.
According to the WHO, viral hepatitis causes inflammation of the liver and can lead to severe complications, including liver cirrhosis, liver failure, and liver cancer if left untreated.
Nigeria’s burden
According to the WHO, Nigeria remains one of the countries most affected by viral hepatitis globally. The organisation estimates that more than 20 million Nigerians are living with hepatitis B, hepatitis C or both, yet over 80 per cent do not know their status. Data from the 2018 Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) also showed a hepatitis B prevalence of 8.1 per cent and a hepatitis C prevalence of 1.1 per cent among adults aged 15 to 64 years.
The burden extends beyond Nigeria. WHO estimates that more than 90 million people across the African Region are living with viral hepatitis, accounting for about 26 per cent of the global burden. Despite ongoing efforts to strengthen hepatitis control programmes, PREMIUM TIMES has previously reported persistent challenges, including low testing rates, limited access to treatment, and gaps in the uptake of the hepatitis B birth dose vaccine, leaving many infections undetected until serious liver complications develop.
Against the backdrop of the region’s high hepatitis burden, Mr Janabi reaffirmed WHO’s commitment to supporting African countries in strengthening health systems and expanding equitable access to hepatitis services.
“Together, we can prevent new infections, save lives and ensure that viral hepatitis is no longer a barrier to healthier lives for the people of Africa,” he said.
The National Agency for Food and Drug Administration and Control (NAFDAC) has intercepted two tankers designated to transport edible vegetable oil after they were found carrying Automotive Gas Oil (diesel) in Lagos.
Speaking to journalists on Monday, the agency’s Director of Investigation and Enforcement, Martins Iluyomade, described the incident as a serious breach of food safety regulations and a potential threat to public health.
Mr Iluyomade said the discovery was made during a recent enforcement operation in Lagos.
He said the agency investigation revealed that the two tankers, meant exclusively for edible vegetable oil, had been loaded with diesel in violation of food safety regulations.
The director said the manager claimed ignorance of the colour-coding requirements for edible oil tankers and that the vehicles had previously been used only to transport diesel.
Mr Iluyomade said the two tankers and their drivers had been taken into custody, while investigations were ongoing to determine the full extent of the violation and ensure appropriate regulatory action.
“Vegetable oil has nothing to do with petrol or petroleum products, and that is why we are very particular about it,” he said.
“Any tanker designated for edible vegetable oil must be dedicated exclusively to that purpose, which is in line with international best practices for food safety.
The director assured the public that NAFDAC would intensify its enforcement and ensure additional vigilance to prevent a recurrence of such violations.
Mr Iluyomade, who is also the chairman of the National Taskforce, urged operators in the sector to comply with established safety and regulatory requirements.
The agency also appealed to members of the public to support its enforcement efforts by reporting suspicious activities to the nearest NAFDAC office nationwide.
A new report has revealed that about half of the approved diagnostic tests for six epidemic-prone diseases prioritised by the Africa Centres for Disease Control and Prevention (Africa CDC) cannot be used in most primary healthcare facilities across Africa because they require laboratory infrastructure that is often unavailable.
The report found that 50 per cent of approved diagnostics for Mpox, dengue, cholera, bacterial meningitis, malaria and Ebola depend on laboratory facilities beyond the reach of many frontline health centres.
For Ebola alone, 88 per cent of approved diagnostic tests require laboratory infrastructure.
It also found that funding for diagnostic research and development has steadily declined since 2015, despite Africa’s continued vulnerability to infectious disease outbreaks.
Findings come months after the 2026 Bundibugyo ebolavirus outbreak, during which health authorities initially failed to detect the virus because available diagnostic tests were designed to identify the Zaire strain of Ebola.
The mismatch delayed confirmation of the outbreak by 10 days, highlighting the consequences of gaps in Africa’s diagnostic preparedness.
The report, titled Diagnostics Deficit: Funding, Access, and Preparedness Gaps in African Health Systems, was launched by global health organisations PATH and Impact Global Health ahead of the African Union Extraordinary Health Summit in Accra, Ghana.
Rapid diagnostic tests play a critical role in identifying outbreaks early, guiding treatment and helping health authorities contain the spread of infectious diseases. However, limited access to these tools, particularly in primary healthcare centres where many patients first seek treatment, continues to weaken disease surveillance and emergency response across the continent.
Uneven progress
The report examined six diseases selected from Africa CDC’s priority list for their epidemic and outbreak potential: mpox, dengue, cholera, bacterial meningitis, malaria, and Ebola. Measles, although also on the priority list, was excluded because comparable G-FINDER funding data were unavailable.
Researchers identified 577 approved diagnostic products across six diseases, with another 59 still under development.
However, innovation remains heavily concentrated in just two diseases. Dengue and mpox account for 84 per cent of all approved and pipeline diagnostic products, while cholera and bacterial meningitis, both identified by Africa CDC as major outbreak and antimicrobial resistance threats, have only seven approved or pipeline products each.
Despite a growing number of diagnostic products, access remains a major challenge. Of the 577 approved diagnostics, 288 require clinical laboratory infrastructure, limiting their use in PHC facilities.
While 83 per cent of malaria diagnostics can be deployed at the PHC level, most approved diagnostics for Ebola and mpox remain laboratory dependent, restricting their use in frontline health facilities.
Further review showed that investment in diagnostic research and development has continued to decline. Using G-FINDER data, the analysis found that annual funding for six diseases has fallen by nearly $4 million (approx. ₦6 billion depending on exchange rates) since 2015, dropping from almost $55 million to less than $26 million in 2024.
It warned that funding typically rises during major outbreaks before falling sharply once emergencies subside, a cycle that leaves African countries inadequately prepared for future epidemics.
Volunteer health worker Paul Mpundu Kulema, 49, preparies to test Maman Peto’s daughter, Marie-Josie Kasonga, 3, for malaria.
Experts’ concerns
Commenting on the findings, Sabastine Wakdok, Director of Research at Impact Global Health, said a steady decline in funding reflects a diagnostic research system struggling to keep pace with Africa’s growing outbreak risks.
Mr Wakdok said investment in research and development for diagnostics targeting six priority diseases has continued to fall despite rising disease incidence across the continent.
He noted that funding often increases during outbreaks but drops sharply once the immediate crisis passes, leaving African countries inadequately prepared for future epidemics.
“Diagnostic R&D investment for six Africa CDC priority diseases has fallen nearly $4 million annually since 2015. More troubling, this decline persists despite rising disease incidence and outbreak risk,” he said.
He added that the continent was not receiving the sustained investment needed for epidemic-prone diseases, warning that outbreak-driven funding cycles leave Africa “perpetually underprepared.”
Also commenting, PATH’s Senior Director for the Centre for Advocacy and Policy, Bernard Aryeetey, said the challenge goes beyond developing new diagnostic technologies to ensuring they reach the people and health facilities that need them most.
Mr Aryeetey stressed that the availability of diagnostic tools alone is not enough if they cannot be accessed during outbreaks or integrated into frontline health systems.
“It is not solely whether diagnostics exist, but also whether they can reach clinics and surveillance systems when they are most needed, especially during outbreaks,” he said.
He warned that unless barriers relating to access, affordability, deployment and manufacturing readiness are addressed, people will continue to die needlessly even when effective diagnostic tools are available.
To address identified gaps, the report called for sustained domestic and international investment in diagnostic research, arguing that emergency-driven funding alone cannot build resilient health systems.
It urged African governments to increase national financing for diagnostics while encouraging global health donors to provide predictable, long-term support.
Authors also recommended that Africa CDC make diagnostics a central pillar of the continent’s health security strategy and called on researchers and manufacturers to prioritise developing diagnostic tools for use in PHC facilities, rather than relying mainly on technologies that require sophisticated laboratory infrastructure.
To improve access across the continent, the report urged the African Medicines Agency to harmonise regulatory approval processes so that diagnostic tests approved in one African country can be recognised more easily in others.
It also highlighted Africa’s growing manufacturing capacity, noting that facilities across the continent can collectively produce more than 500 million diagnostic units annually.
However, weak demand, fragmented regulation, financing constraints and limited ecosystem support continue to prevent manufacturers from operating at scale.
The report concluded that although Africa has expanded its diagnostic pipeline in recent years, improving access, affordability, manufacturing capacity, and deployment will be critical to strengthening the continent’s preparedness for future disease outbreaks.