New month, new challenges in the health and medical field in our dear continent.

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New month, new challenges in the health and medical field in our dear continent.  The past month has decided to give us a hard time:
The epidemic of the Marburg virus disease in Ghana, a first in the country;

The measles epidemic declared in the Democratic Republic of Congo with more than 2500 cases and 20 deaths recorded in Kasai-Oriental;

In Tanzania, the mysterious epidemic that killed three people in the Lindi region, and which is believed to be leptospirosis, or Mgunda fever, transmitted by rats;

the thorny issue of management, vaccination and early detection of viral hepatitis, as well as the disease burden in Africa of the more deadly B and C strains…

And Liberia, which confirmed on July 23, a case of monkeypox, via its national public health reference laboratory: the first case since 2018 for this West African country.

So many health situations that have put the African health systems to the test. However, not everything is to be discarded. It is appropriate to salute the partnership effort between Burkina Faso and Niger during the fourth mission of cardiac surgery in Burkina Faso during which two (2) eminent cardiovascular surgeons of the General Hospital of Reference of Niamey, Dr. Daouda AMADOU and Dr. Mahamadou Hima ABOUL KADER were invited by their colleague, Dr. Adama SAWADOGO, Head of the Cardiovascular Surgery Department, to participate in the fourth cardiac surgery mission which took place from July 14 to 28, 2022 at the Tengandogo University Hospital.
Also, remarkable progress in terms of systematic vaccination has been recorded in three West African countries (Benin, Côte d’Ivoire and Mali) concerning diphtheria, tetanus and pertussis.

But efforts are still needed. So this new month should be an opportunity for the ministries of health of each African country to question themselves and ask the right questions.  One of them is how to make the right to health of each population real and satisfactory.

Dr Samira KILANYOSSI

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Lusaka — African health ministers and partners are calling for increased investment in integrated health services to address the growing burden of severe noncommunicable diseases (NCDs), particularly those affecting women and underserved populations across the region. At a high-level side event during the Seventy-fifth session of the WHO Regional Committee for Africa, delegates emphasized the urgent need for equitable access to prevention, screening, treatment, and rehabilitation across the continuum of care for NCDs. Disparities are especially pronounced in rural areas, where health infrastructure and services remain inadequate. Breast and cervical cancers are among the leading causes of cancer-related deaths among women in sub-Saharan Africa—particularly cervical cancer, which is both preventable and treatable. It remains the most common cause of cancer death for women in the region. In 2022, Africa accounted for nearly a quarter (23%) of the 76 000 global cervical cancer deaths. Meanwhile, severe NCDs such as Type 1 diabetes, sickle cell disease, and heart conditions claim more than half a million lives annually, including among children, adolescents, and young adults in some of the continent’s poorest communities. Inequitable access to health services continues to hinder efforts to reduce this burden. To improve cervical and breast cancer care in the region, urgent investment is needed in leadership, governance, and financing. Strengthening these foundations is critical in the current funding landscape. Advancements in strategic planning, healthcare infrastructure, workforce training, and—most importantly—equitable access to screening, diagnostic, and treatment services are essential. To address these challenges, WHO and its partners showcased successful integrated models such as the Women’s Integrated Care for Cancer Services (WICS), the BEAT Breast Cancer Project, and the PEN-Plus Strategy. WICS strengthens early detection, treatment, and integration of women’s cancer services into primary health care systems in Côte d’Ivoire, Kenya, and Zimbabwe. The BEAT Breast Cancer Project is a transformative multi-year initiative aimed at reducing breast cancer mortality among women in Tanzania and Ghana through early detection, timely diagnosis, and comprehensive treatment access. “PEN-Plus, WICS and the BEAT Breast Cancer Initiative are models for a new standard of care, rooted in equity, access and health justice. I urge countries to prioritize policies that embed these models into broader health system strengthening, said Dr Mohamed Janabi, WHO Regional Director for Africa”. Côte d’Ivoire offers a compelling example of progress, combining high HPV vaccination coverage—reaching over three million girls (91.4%)—with WICS-supported community-based screening campaigns to strengthen cervical cancer prevention. In Kenya, cervical cancer screening has been successfully integrated into national health services. “This gathering marks a pivotal moment to accelerate action for breast cancer prevention in Africa. We deeply value the leadership of the Ministries of Health of Ghana and Tanzania, and the steadfast support of the Pfizer Foundation in helping us achieve this milestone. The side event builds momentum for the policy prioritization of women’s cancers, partnerships to strengthen the broader women’s cancer ecosystem, and advance a health-systems approach to breast cancer prevention and management”, said Dr Somesh Kumar, Senior Director, Jhpiego. PEN-Plus expands access to care for severe NCDs at the district hospital level. Since its implementation, 20 countries in Africa have increased access to services for severe NCDs. Over 15 000 people are currently receiving treatment for chronic conditions such as sickle cell disease and Type 1 diabetes through PEN-Plus clinics.