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The Rise of Nigeria's Digital Herbal Marketplace In Abuja, Nigeria, Oke Bola thought a fertility supplement she found online might help her conceive. Instead, within days of taking it, she struggled to breathe. Her experience reflects a growing online trade in unverified herbal remedies promoted across social media platforms. Bola, who is in her early 40s and has never had children, bought the supplement earlier this year and increased the recommended dosage, hoping for quicker results after hearing about it from friends and family. "I recognised the symptoms of asthma; the wheezing sound at night was familiar," she told Al Jazeera. "When I checked online, I realised it could be from the herbal medication." Her experience is not isolated. Across Nigeria, doctors and pharmacists report a surge in social media-driven self-medication, particularly involving unverified herbal products. This trend is worsening health outcomes, delaying treatment, and adding pressure to an already strained healthcare system serving about 230 million people. Nigeria's young, hyperconnected population increasingly uses digital platforms for health information and advice. But that access has also created what Dr Isaac Kolawole and Dr Fidelis describe as an "algorithmic apothecary" – an unregulated online marketplace where influencers and anonymous sellers promote remedies directly to consumers with little or no scientific backing. Health Impacts of Unverified Herbal Remedies Within this ecosystem, herbal remedies, long part of Nigeria's medical and cultural landscape, are increasingly repackaged as miracle cures, sometimes with dangerous consequences. Doctors report more patients arriving at hospitals only when their conditions have significantly worsened, often after prolonged use of unverified treatments. A consultant nephrologist at the University College Hospital in Ibadan, Dr Yemi Raji, said herbal medicine continues to play a role in kidney disease cases in Nigeria. "When you take herbal medication, you are taking both the good and the bad," he said. "Patients often arrive late, when treatment is more difficult and expensive." Dialysis alone can cost between 50,000 and 100,000 naira ($36-72) per session, several times a week. Studies link herbal use to kidney and liver disease cases across Africa, including findings that about 46 percent of liver disease admissions in one Nigerian hospital involved herbs or roots. A 2022 study found that 76.65 percent of participants had used herbal medicine, with more than a third combining herbal and conventional treatments while 82.44 percent did not inform their doctors. The Algorithmic Amplification Effect On a smartphone screen, relief is just a click away: fertility tonics, eye drops promising restored vision, syrups claiming to "flush out" disease. The advertisements are polished, persuasive and constant, woven into TikTok, Facebook, Instagram and X feeds. "The platforms themselves amplify this effect," said Dr Egemba Chinonso Fidelis, a public health advocate known online as Aproko Doctor. "Their algorithms reward engaging content and push it to wider audiences." Even users who try to avoid such content often encounter it repeatedly, shaped by emotional storytelling, music and urgency-driven messaging. A 2025 Nigeria-based study on Jinja Herbal Mixture found it appeared safe for short-term use within tested dosage ranges, but researchers recorded biochemical changes at higher doses, including altered creatinine and sodium levels in test subjects, signs of possible kidney and liver stress. The study called for further research into long-term effects and interactions with conventional medicines. Regulatory Challenges in the Digital Age The National Agency for Food and Drug Administration and Control (NAFDAC) says it is working to track unregistered manufacturers, but enforcement remains difficult, especially online. "With the sheer volume of products online, enforcement has limited reach," said Isaac Kolawole, the southwest zonal director of NAFDAC. Many sellers use fake or incomplete addresses, making them difficult to trace. NAFDAC requires strict registration, testing and approval before herbal products can be sold or advertised, but regulation has not kept pace with online commerce. Fidelis argued that stronger regulation alone is not enough. "If there are no consequences for lying about healthcare online, people will keep doing it," he said. He noted that scammers have even used AI-generated versions of his image to promote fake products. "Real medicine does not promise to cure everything, and it does not rely on countdowns," he added. "Scammers do." Path Forward for Safer Digital Health As Nigeria's digital economy expands, the intersection of technology and healthcare will only grow more complex. Fidelis stressed that access to affordable healthcare must improve, public trust must be rebuilt, and digital platforms must take responsibility for the health content they amplify. Pharmacist Akinade Akinlolu noted that while conditions like diabetes and hypertension can be managed, online claims often suggest cures. "Economic pressure is also pushing people towards cheaper or 'miracle' alternatives," he added. "Without stronger safeguards," Fidelis warned, "the algorithmic apothecary will continue to grow and put more people at risk." The challenge for Nigeria's healthcare system is to harness the power of digital platforms while ensuring they promote evidence-based care rather than potentially harmful alternatives.

The LeadMost men in the UK will not be offered prostate cancer screening if the government accepts the final recommendation of an expert committee. The UK National Screening Committee (UKNSC) has concluded that widespread screening using the prostate-specific antigen (PSA) test was "likely to cause more harm than good" despite prostate cancer being the most common cancer in the UK.The Recommendation DetailsThe committee recommended screening only for men with the BRCA2 gene variant who have a family history of certain cancers, suggesting they be screened every two years between the ages of 45 and 61. For this specific group, prostate cancer is more common, develops earlier, and can be more aggressive. Of 100 men with a BRCA2 variant, between 21 and 35 will develop prostate cancer before the age of 80.The committee recommended against screening for other at-risk groups, including black men, citing "ongoing uncertainty on whether screening would cause more good than harm." The main harms of population screening include incontinence and erectile dysfunction in men who do not need treatment for the disease.The Prevalence DataProstate cancer is the most common cancer in the UK, with more than 64,000 men diagnosed every year. However, there is currently no national screening programme for the disease. The UKNSC estimates that its final recommendation would lead to "a few thousand" men being screened for prostate cancer each year.Only around one in every 300 to 400 people will have BRCA gene variations, though as many as one in every 40 Ashkenazi Jewish people carry these variations. In England, the NHS offers free BRCA gene testing for anyone aged 18 or over who has at least one Jewish grandparent.The Impact AnalysisThe decision will come as a blow to campaigners who have voiced support for more widespread screening, including high-profile figures like Sir Chris Hoy, David Cameron, and Sir Stephen Fry. Prostate Cancer UK expressed being "deeply disappointed" with the recommendation, stating that without a screening programme for the UK's most common cancer, "we lose more than 12,000 dads, brothers and partners every single year."However, medical experts argue that screening can reduce deaths from prostate cancer only to a small extent and does not improve overall survival. The challenge remains that once a prostate cancer is found, doctors still can't reliably tell which cancers need treatment and which do not, and treatments can cause long-lasting harm.The Future OutlookThe government will now consider the recommendation, with the new Health Secretary James Murray set to meet with the UKNSC chair. The Department of Health and Social Care stated that Murray "will give full and careful consideration to the recommendation" and would update on the government's response shortly.The committee acknowledged that more research is needed to address evidence gaps, particularly regarding black men. The UKNSC will work with the Transform trial, launched by Prostate Cancer UK, to gather more data. It was noted as "particularly important" that a "sufficient number" of black men be invited to participate in this trial.

The Partial Internet Restoration Reveals Public AngerThe partial lifting of internet restrictions in Iran has revealed a rising tide of anger about food price inflation as ordinary Iranians decry annual price increases of 308% for vegetable oil, 190% for chicken, and 170% for rice. Iranian authorities began restoring the connection to the global internet that was severed on the first day of the US-Israeli war against the Islamic Republic on 28 February, as it had been during mass protests in January.Connectivity Remains Limited Despite Partial RestorationConnectivity remained patchy on Wednesday, with mobile internet still largely disconnected and many sites remaining restricted. But even the partial restoration was enough to reveal an outpouring of anger over price inflation and food shortages. "Everything is so expensive. It has become a disaster," wrote one user on social media. "You leave the market with a broken heart after spending all your savings. It is unbearable. We have no patience left to lead a normal life."Government Response and Blame-ShiftingPresident Masoud Pezeshkian, who has been given some credit for lifting the internet restrictions, blamed the US for Iran's economic woes, saying Washington "had moved to economic warfare after failing to bring the government down." In a lengthy statement, the ministry of intelligence revealed its concerns that internet freedom could be used for "cognitive warfare", warning that Iran's adversaries aimed to "incite protesters and drag them on to the streets."Hyperinflation Data Reveals Economic CrisisThe government announced the launch of a "resistance economy committee" to crack down on price gouging and address surging shortages, but hyperinflation is now endemic in Iran owing to trade sanctions, exchange rate pressure, and moves taken to reduce subsidies given to traders in January. Data from the International Monetary Fund showed food inflation had risen to between 140% and 200%, pushing overall inflation to 70%. Support for continuing internet restrictions was put at just 9% in a survey published on Wednesday.Government Propaganda and Public ResponseIn an attempt to forestall support for Reza Pahlavi, the son of the late shah, government backers tried to flood the internet with claims directed at "youngsters returning to the internet" that Pahlavi had openly applauded the attacks mounted by Israel and the US. Others expressed simple relief that they could now talk to the wider world. The human rights activist Emadeddin Baghi wrote: "Three bloody months have passed, but not for those who lost a loved one or had their home destroyed. In this period our voices found no echo except on some internal platforms and to the best of our ability we spoke and wrote in defence of the rights of the voiceless."Future Outlook: Digital Rights and Economic InstabilityThe prominent rapper Toomaj Salehi, who was sentenced to death in 2024 for supporting protests in 2022 but was later released, said being connected to the internet was "not a favour to us – it is our right. And without filters as well. Like free elections, freedom of expression, freedom of assembly, freedom of parties, and many other freedoms, these are our rights and not favours," he wrote on X. With public sentiment increasingly turning against the government and economic conditions worsening, Iran faces a precarious future balancing between maintaining control and addressing growing public discontent.

The Hidden Cost Excluding PhD Parents from Childcare SupportThe education secretary, Bridget Phillipson, has asked the Competition and Markets Authority to examine hidden childcare charges. At the same time, the Department for Education’s own eligibility criteria for the 30 hours of funded childcare leave a large group of doctoral researchers without support.Eligibility Rules That Bar PhD Stipend EarnersPhD students on a typical UK Research and Innovation‑funded course earn roughly £20,000 a year. Because their stipend does not meet the narrow definition of “income” used to qualify for the scheme, they are denied the benefit that most working families receive.Eligibility hinges on a technical income definition set by the Conservatives.The Department for Education suggested qualifying by adding 16 hours of part‑time work per week.£8,000 Gap and Income ThresholdsThe author estimates that a PhD‑parent family misses out on about £8,000 of childcare support over the eligible period. This shortfall represents a substantial portion of a household earning £20,000 annually.Funded childcare is intended for families with children under five, offering up to 30 hours per week.PhD stipends fall below the income threshold, despite the parents’ “working family” status.Consequences for Academic Talent and Family ChoicesWithout the support, many doctoral candidates face a dilemma between continuing their research and leaving the programme to seek paid employment. The loss of potential scientists and clinicians could weaken the UK’s research pipeline.Reduced diversity in higher‑education research staff.Potential brain‑drain as talented individuals seek more supportive environments abroad.Possible Policy Revisions Under a Labour AdministrationThe author argues that a future Labour government should broaden the definition of qualifying income and remove the “nerd tax”. A review by the CMA could pave the way for more inclusive criteria, aligning the scheme with its stated goal of supporting working families.Re‑evaluate income definitions to include stipend‑based earnings.Consider flexible work‑hour requirements that recognise doctoral research commitments.

The Lead: Pakistan's Dominant Start to ODI SeriesPakistan secured a comprehensive victory over Australia in the first of three one-day internationals, with debutant spinner Arafat Minhas delivering a stunning five-wicket haul and then contributing with the bat to seal the win. The 21-year-old left-arm spinner's performance, combined with solid batting from Babar Azam and Muhammad Ghazi Ghori, helped Pakistan chase down Australia's target with ease in Rawalpindi.The Event Details: Minhas' Match-Winning PerformanceMinhas, making his ODI debut, put Australia in a spin with his tricky left-arm variation, plundering five wickets for just 32 runs. The young spinner cleaned out the Australia top order, trapping Josh Inglis for 13 and Marnus Labuschagne for a duck. His magical delivery that hit the top of Cameron Green's off-stump, spinning away from the right-hander, was particularly impressive. Minhas capped his brilliant performance by hitting 18 runs, including a towering six to seal the five-wicket victory with 45 balls remaining.The Data Analysis: Key Match StatisticsAustralia struggled to post a respectable total of 200, with Matt Renshaw top-scoring with 61 and Matt Short contributing 55 from the opening partnership. The visitors were hampered by the absence of first-choice bowlers Pat Cummins, Josh Hazlewood, and Mitchell Starc, as well as Adam Zampa who was ruled out late due to neck spasms. Pakistan's chase was built on a solid 134-run partnership between Babar Azam (69) and Muhammad Ghazi Ghori (65), with the home side reaching the target with 45 balls to spare.The Impact Analysis: Shifting Momentum in the SeriesThis victory represents a significant boost for Pakistan's confidence, especially after their recent performances. The performance of young debutants like Minhas and Oliver Peake (Australia's youngest-ever specialist ODI batter at 19) highlights the changing landscape of international cricket. For Australia, the loss exposes vulnerabilities in their batting lineup, particularly against spin bowling, and raises questions about their strategy without their premier fast bowlers. The result puts Pakistan in a strong position to win the three-match series.The Prediction: What Happens Next in the SeriesWith momentum firmly in their favor, Pakistan will be confident heading into the remaining two matches in Lahore. Australia will need to regroup quickly and find solutions to counter Pakistan's spin attack, especially with the same conditions likely to prevail. The series continues with matches on Tuesday and Thursday, and if Pakistan maintains this level of performance, they are well-positioned to secure a series victory. The absence of key Australian players could prove decisive in the remaining games.

The Collaboration Behind 'Fairyland' Sofia Coppola and Andrew Durham are no strangers to each other. They've worked together on various projects, including Coppola's TV show 'Hi-Octane' and her short film 'Lick the Star'. So when Coppola optioned Alysia Abbott's memoir 'Fairyland: A Memoir of My Father', she knew Durham would be the perfect director for the film. Personal Connections to the Story Both Coppola and Durham have personal connections to the story. Durham grew up in the Bay Area of San Francisco in the 1970s with a gay dad, Jerry, who died of AIDS in 1992. Coppola's own experiences growing up with a famous father, Francis Ford Coppola, also inform her perspective on the film. The Film's Themes and Inspiration The film explores themes of family, identity, and coming-of-age. It's a bittersweet father-daughter story that continues a pattern in Coppola's filmography. Durham notes that he and Coppola share a similar sensibility and taste, which made her the perfect producer for the film. The Future of 'Fairyland' 'Fairyland' is set to release in cinemas on May 29. With its talented cast, including Emilia Jones and Scoot McNairy, and its unique perspective on the LGBTQ+ experience, the film is sure to resonate with audiences. As Coppola says, it's in the tradition of championing things you love and believe in – just like her father did at his production company, Zoetrope.

The Lead: A Provocative Debut Rozie Kelly's frank and feisty debut novel, Kingfisher, has been shortlisted for this year's Women's Prize for Fiction and begins with a case of lust at first sight. The unnamed narrator, a 35-year-old writer, becomes infatuated with a famous poet 17 years his senior, setting the stage for a complex exploration of desire, power dynamics, and unconventional relationships. The Novel's Premise: An Unconventional Attraction The novel introduces us to a "beautiful" 35-year-old writer in a complicated but loving relationship with the equally beautiful but somewhat boring Michael. The object of his sudden attraction is a renowned poet running a popular course at the same university. Despite barely knowing her, he experiences an intense desire "to be inside her," expressing surprise at his own reaction: "A woman! What was the world coming to?" The narrator's infatuation is initially fueled by the poet's success, wealth, and fame, though he also admits to wanting to subjugate her, "to push her down, to render her imperious intelligence stupid with the weight of my body." Thematic Exploration: Love, Lust, and Power Kelly shrewdly explores the different forms love and lust can take, complicated by shifting power dynamics. The relationship begins when the poet and narrator meet to discuss his (nonexistent) poetry collection, leading to an unexpected night together. As their relationship develops, particularly after the poet receives a terminal cancer diagnosis, they settle into the rhythms of a loving relationship. The narrative also explores the narrator's complicated relationship with his racist and homophobic mother, Hetty, confined to a care home, and his deteriorating relationship with Michael, who eventually leaves him for a younger partner. Narrative Structure: Stylistic Uncertainties Despite a confident start and intriguing premise, Kingfisher suffers from narrative inconsistencies. Interesting characters are established then forgotten, and narrative threads are never fully developed. The novel struggles with tonal shifts, moving from "bracing language and violent desires" to "bedside solicitude and quiet domesticity." A late-stage shift into gothic fantasy further destabilizes the narrative, with the ending dangerously approaching "it was all a dream" territory. Throughout, the narrator questions the nature of their relationship: "Who's using who here, do we think?" The answer, as presented in the novel, is that both characters are using each other, as "writers on the make; everyone is potential copy." Critical Assessment: Verve Without Fire Kingfisher possesses considerable verve and energy, demonstrating Kelly's willingness to take risks and embrace absurdity. The novel "crackles and sparks," but ultimately "never quite catches fire." While the book successfully challenges conventional narratives about love and desire, particularly through its exploration of non-traditional relationships and power dynamics, it fails to maintain its initial momentum. The narrative uncertainty and inconsistent tone prevent what could have been a groundbreaking exploration of contemporary relationships from achieving its full potential.

The World Health Organization (WHO) is deploying its highest leadership to the Democratic Republic of the Congo (DRC) as the nation grapples with its 17th Ebola outbreak, a crisis exacerbated by the absence of approved vaccines for the specific viral strain. The Strain of Survival: Lack of Vaccines for Bundibugyo The current outbreak is caused by the Bundibugyo strain, a distinct variant from the more common Zaire strain. This distinction is critical because while previous DRC outbreaks had established vaccines and treatments, the Bundibugyo strain currently has no approved vaccines or treatments. WHO Director-General Tedros Adhanom Ghebreyesus emphasized the critical role of health workers in Bunia, the capital of Ituri province, stating they are the "backbone of this response." As of the latest reports, one patient has recovered, offering a glimmer of hope amidst the challenges. Quantifying the Crisis: Confirmed Cases and Regional Spread The scale of the outbreak is significant, with latest government figures revealing a total of 1,077 suspected cases and 246 suspected fatalities. The confirmed data shows 121 confirmed cases and 17 confirmed deaths, though authorities estimate the true number of casualties may be higher. The crisis has not been contained within DRC borders; Uganda has confirmed eight cases, including one death, prompting the government to close its borders for at least four weeks. Confirmed Cases: 121 Confirmed Deaths: 17 Suspected Cases: 1,077 Suspected Fatalities: 246 Ugandan Cases: 8 Geopolitical and Logistical Barriers to Containment Containment efforts are severely hampered by logistical shortages and regional instability. Health workers are operating with scant supplies, resorting to wearing expired medical masks in some areas. Furthermore, the volatile security situation in eastern DRC, where armed groups vie for power, has led to attacks on health centers and public distrust of authorities. The WHO chief made a direct appeal to these armed groups, urging a brief ceasefire to allow health workers to operate safely. The Race for a Vaccine and a Ceasefire The global community is mobilizing resources to combat the spread. The DRC government has released $20m to fund the response, while the United States has allocated an additional $80m, bringing total US aid to $112m. On the scientific front, the Africa Centres for Disease Control and Prevention (Africa CDC) has pledged to have a vaccine and medicine ready against the Bundibugyo strain by the end of 2026. Until then, experimental treatments will be used strictly in clinical trials, highlighting the urgent need for scientific breakthroughs to match the speed of the virus's spread.

PSG Clinches Back-to-Back Champions League TriumphParis Saint-Germain held their nerve in Budapest’s Puskas Arena, defeating Arsenal 4‑3 on penalties after a 1‑1 draw through extra time. The victory makes PSG the first club since Real Madrid (2016‑2018) to retain the Champions League trophy.Match Statistics and Penalty Shootout BreakdownFinal score after extra time: 1‑1Penalty shootout: PSG 4, Arsenal 3Shots on target: Arsenal 1, PSG 0 (extra time)Possession: PSG dominated with 68% overallKey moments: Kai Havertz scored in the 6th minute; Ousmane Dembele equalised from the spot in the 65th minute; Lucas Beraldo netted the decisive penalty.Historical Significance and Club LegacyThe win cements PSG’s emerging dynasty under Luis Enrique, who now boasts a 12‑of‑13 record in one‑off club finals and six successful shootouts. It also marks Arsenal’s first Champions League final loss on penalties, despite an unbeaten run to the final.Implications for the European Football LandscapePSG’s back‑to‑back titles shift the balance of power in Europe, challenging the traditional dominance of Spanish and English clubs. The triumph enhances PSG’s brand value and could attract further elite talent, while Arsenal must reassess its squad after a season that fell just short of continental glory.Looking Ahead: What Next for PSG and Arsenal?PSG will aim to leverage the momentum into the domestic Ligue 1 campaign and the upcoming 2026‑27 Champions League.Arsenal’s manager Mikel Arteta is expected to reinforce the squad, focusing on depth to avoid future shootout reliance.Both clubs face financial fair‑play scrutiny as prize money and sponsorship deals swell after the final.