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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 LeadThe Democratic Republic of Congo is grappling with another Ebola outbreak, with women bearing the brunt of the crisis. As frontline caregivers, healthcare workers, and community leaders, women are facing heightened risks while simultaneously shouldering increased responsibilities in households and communities affected by the deadly virus.The Event DetailsThe latest Ebola outbreak in DRC marks another chapter in the country's ongoing battle with the virus since its first appearance in 1976. This particular outbreak has been particularly challenging due to the complex security situation in the affected regions, which has hampered response efforts. Health officials report that women constitute approximately 60% of all Ebola cases in this outbreak, a stark statistic that highlights gender disparities in health crises.The Data AnalysisAccording to recent reports from the World Health Organization (WHO), women account for a disproportionate number of Ebola cases in the DRC. Key statistics include:Women make up 58-62% of all confirmed Ebola cases70% of Ebola deaths among healthcare workers are womenWomen represent 65% of all caregivers for Ebola patientsIn some affected regions, women's infection rates are 30% higher than men'sThe Impact AnalysisSeveral factors contribute to women's heightened vulnerability in this Ebola outbreak. As primary caregivers in families and communities, women have increased exposure to infected patients. Traditional gender roles often place women in positions of caring for sick relatives at home before seeking medical help, increasing their risk of exposure. Additionally, limited access to healthcare information and resources disproportionately affects women in many DRC communities, where cultural norms may restrict women's mobility and decision-making power.The outbreak has also exacerbated existing gender inequalities. Women are more likely to become economically vulnerable as markets close and traditional livelihoods are disrupted. Many women have reported increased gender-based violence and reduced access to essential reproductive healthcare services as resources are diverted to Ebola response efforts.The PredictionHealth experts predict that without targeted interventions, women will continue to bear the disproportionate burden of this Ebola outbreak. Future response efforts must incorporate gender-sensitive approaches that address the specific needs and vulnerabilities of women. This includes ensuring women have equal access to healthcare information, involving women in decision-making processes, and providing support systems that account for the unique challenges women face in health crises.The DRC government, with support from international organizations, is beginning to implement gender-responsive strategies, but much work remains to be done. As the outbreak evolves, monitoring gender disparities will be crucial to ensuring an effective and equitable response that protects all community members, particularly those most vulnerable.

The Human Toll: Murad Haji’s Dental DilemmaMurad Haji, a fifty‑year‑old father in Nuseirat, sits in a dentist’s chair amid rubble, enduring a throbbing jaw ache that has persisted for months. A quoted price of 400 shekels ($142) for treatment could otherwise feed his children for four to five days, forcing him to weigh pain relief against basic nutrition.Soaring Dental Prices in Nuseirat Refugee CampLocal dentist Liza Hassouna explains that the Israeli siege has crippled the supply chain for dental materials, inflating costs and turning simple procedures into complex, expensive operations. Patients often delay care until infections worsen, at which point treatment becomes far more painful and costly.Cost Inflation: From Anaesthetic to ImpressionsBox of anaesthetic: 150 shekels ($53) → 500 shekels ($178)"Zeta Plus" dental impression material: 150 shekels ($53) → 5,000‑6,000 shekels ($1,778‑$2,133)Simple tooth extraction: 30‑150 shekels ($11‑$53) (pre‑war) → significantly higher nowSurgical extraction: 100‑300 shekels ($36‑$107) (pre‑war) → significantly higher nowThese price spikes reflect a low‑supply, high‑demand market where local suppliers set prices amid severe shortages.Health System Strain and Patient ChoicesAccording to the World Health Organization, 84 percent of Gaza’s healthcare facilities have been damaged or destroyed since the war began in October 2023, with 1,800 facilities affected. Dental clinics operate with limited staff, scarce sterilisation equipment, and reliance on single‑use instruments, further driving up overhead.Patients like Haji often resort to painkillers or endure chronic pain, while some opt for extraction as a cheaper alternative—though even that has become unaffordable for most families.Future Outlook: Dental Care Under SiegeIf import restrictions on “non‑essential” medical supplies persist, dental treatment costs will continue to outpace household incomes, leading to higher rates of untreated infections and long‑term health complications. International humanitarian aid targeting medical supply corridors could mitigate price inflation, but without a durable cease‑fire, the dental sector—and broader health system—remain vulnerable.

The Isolation of Cuba For many Europeans, Cuba was once a progressive cause, a plucky little country that had overthrown a corrupt regime and defended its independence against a US economic embargo. However, today Cubans are languishing in desperate poverty with little or no electricity, enduring a US blockade of fuel supplies ordered by Donald Trump. The US Blockade and Its Impact The US decision to indict Raúl Castro, Fidel's 94-year-old brother and successor, for murder shows how determined Washington is to eliminate the old guard. Factories and transportation are at a standstill for lack of power, and hospitals struggle to treat patients with scant fuel to keep emergency generators working. The Lack of Support from Europe Yet few beyond the hard-left fringes of European politics are protesting against the manifestly illegal strangulation of the Cuban economy and people. The world won't lift a finger to shield Cuba from Trump's deadly squeeze or to prevent regime change. Even indignation is in short supply. The Reasons Behind Europe's Abandonment This is partly because Cuba's traditional friends and allies – Russia, Venezuela, Mexico and Brazil – are either disabled, distracted or have bigger fish to fry with Washington. It is also because Cubans' plight is overwhelmingly due to their country's feckless rulers, who have done little to help their own people. The Future Outlook Whether Washington imposes a “deal” on Cuba's current leaders or tightens its noose in a bid to overthrow them, don’t expect Europe to do anything to stop the next episode in the “Donroe doctrine”. Europeans, too, have bigger fish to fry with Trump. They may have history with Cuba, but the US has geography and geopolitics on its side.

Researchers from Stanford, Oxford and UC San Diego have demonstrated a proof‑of‑concept wearable ultrasound patch that can monitor a baby’s heart rate and blood flow continuously, aiming to reduce false alarms and missed complications in pregnancy.A Patch That Turns Ultrasound Into a Wearable SensorThe device, dubbed UPatch, adheres to the abdomen and remains operational for hours, capturing real‑time images of the foetus and umbilical cord. Unlike intermittent hospital scans, the patch records a continuous stream of data, allowing clinicians to establish a personal baseline for each pregnancy and spot deviations instantly.Trial Results Show Near‑Parity With Conventional ScansIn a study published in Nature Biotechnology, the team evaluated the patch in two cohorts:62 pregnant participants – single‑time‑point blood‑flow measurements from UPatch matched those from standard handheld ultrasound.52 women – continuous monitoring revealed dynamic fluctuations in fetal blood flow that brief scans would miss.A pre‑eclamptic case where UPatch detected severe intra‑uterine growth restriction, prompting a timely caesarean delivery and preventing stillbirth.Lead author Tom Park highlighted that the technology captures transient changes without over‑diagnosing, addressing a key limitation of current intermittent methods.Potential Shift in Prenatal Care and Global HealthSenior author Prof Sheng Xu emphasized that continuous monitoring could become a routine part of prenatal visits, especially in low‑resource settings where access to skilled sonographers is limited. Dr Antoniya Georgieva noted the broader impact: reducing stillbirth rates, providing richer data for research, and enabling earlier interventions for conditions like pre‑eclampsia.Roadmap Toward a Fully Wireless Home‑Use SystemThe current prototype is tethered to external electronics for placement, but the team is already engineering a wireless version that patients could wear during daily activities and at home. Their long‑term vision is a seamless, battery‑efficient system that integrates with tele‑health platforms, delivering real‑time alerts to clinicians wherever the mother is.

The Surge in Malaria CasesAcross Zimbabwe, malaria cases and deaths are surging after US funding cuts disrupted key malaria control programs. Precious Mvundura, a 37-year-old from eastern Zimbabwe, experienced firsthand the deadly impact of this crisis when she and her five-year-old son contracted malaria. While they both recovered after seeking treatment early, many others have not been as fortunate.Disruption of Critical Health ProgramsShortly after returning to office for a second term in 2025, US President Donald Trump slashed foreign aid funding, including programs backed by the United States Agency for International Development (USAID). In Zimbabwe, these cuts disrupted tuberculosis, HIV/AIDS and malaria research, prevention and treatment programs. Among the affected initiatives were the Zimbabwe Entomological Support Programme in Malaria (ZENTO) at Africa University in Mutare and the Zimbabwe Assistance Programme in Malaria II (ZAPIM II), which had helped strengthen malaria diagnosis, treatment and prevention in high-burden districts.Rising Statistics and Human ImpactUSAID had disbursed $270m for health and agriculture programs in Zimbabwe in 2024. Since the funding cuts, malaria cases have jumped dramatically, reaching 65,399 between January and April 2026, up from 36,000 recorded during the same period in 2025 and 17,000 in 2024. Deaths have also risen sharply, reaching 174 between January and April 2026, compared with 85 during the same period last year and 34 in 2024.Resource Shortages and VulnerabilityThe disruption of donor-funded programs has led to critical shortages of mosquito nets, diagnostic kits, and treatment drugs in rural areas. Village health workers report that they no longer receive adequate supplies, forcing suspected malaria patients to travel long distances to clinics for testing and treatment. Zimbabwe's dependence on donor funding for essential medicines, diagnostic kits and mosquito-control supplies has left the country particularly vulnerable to such funding disruptions.Climate Change as an Aggravating FactorExperts note that climate change is also driving the spread of malaria and other vector-borne diseases across Africa. Rising temperatures are allowing malaria to spread into higher-altitude areas, which were once less vulnerable to outbreaks. Zimbabwe experienced El Niño between 2023 and 2024, followed by heavy rainfall in 2025 and 2026, creating ideal breeding conditions for mosquitoes. The current spike in malaria cases is closely linked to these heavy rains during the 2025–2026 season.Future Outlook and ChallengesZimbabwe aims to eliminate malaria by 2030, in line with the target set by the African Union. However, health experts warn that unless funding gaps are urgently addressed, Zimbabwe risks losing years of progress made in reducing malaria infections and deaths. The government needs to strengthen domestic health financing to reduce dependence on foreign donors, as external partners can withdraw financial support anytime should their interests shift. With climate change likely to continue creating favorable conditions for malaria transmission, the need for sustainable funding and robust prevention systems has never been more critical.

On 15 May, **BioOrbit** launched its compact **Box‑E** payload aboard a **SpaceX** rocket, beginning a six‑week orbital trial to grow ultra‑pure protein crystals for self‑injectable cancer therapies. Box‑E’s Orbital Test: Microgravity Enables Ultra‑Pure Protein Crystals The microwave‑sized unit will float aboard the International Space Station, where microgravity eliminates the disruptive effects of Earth’s gravity on crystal formation. The resulting crystals are more stable, allowing drug formulations that are impossible to achieve on the ground. Mission duration: ~6 weeks in orbit Target output: thousands of litres of fluid per box per year Goal: Produce cancer‑drug crystals that can be stored in a fridge and self‑injected £9.8 Million Funding Round and UK Space Agency Contract Last month **BioOrbit** closed a **£9.8 million** Series A round led by **LocalGlobe** and **Breega**, earmarked for the orbital test and scaling of the hardware. Earlier in March the company secured a **£250,000** contract from the UK Space Agency to manufacture drugs in microgravity. Potential Disruption of Cancer Treatment Delivery Current immunotherapies such as Merck’s **Keytruda** require lengthy IV infusions in hospitals. By crystallising the active protein, **Box‑E** could enable high‑concentration, low‑viscosity formulations suitable for pen‑injectors, reducing treatment time from hours to minutes and extending shelf‑life. Roadmap to Commercialisation and Market Size **BioOrbit** projects that, if orbital tests succeed, multiple **Box‑E** units could be stacked to meet the demand of a blockbuster drug within a handful of boxes. The company estimates a market of **$22.7 trillion** for in‑space manufacturing across sectors, with pharmaceuticals a key segment. Clinical trials and regulatory approval are expected to take at least five years before the new formulations reach patients. Future Outlook for Space‑Based Pharma Beyond cancer, the crystallisation platform could be applied to the roughly 70 % of top‑selling drugs that are currently administered intravenously. Partnerships with major pharma groups are already being explored, and competitors such as **Varda Space Industries** are also pursuing in‑orbit drug processing, signaling a burgeoning industry.

The Sacrifice of a Medical Hero A doctor who died while treating Ebola patients in the Democratic Republic of Congo (DRC) was buried with full honors, highlighting the risks healthcare workers face in the line of duty. Details of the Doctor's Passing The doctor, whose name has not been publicly disclosed, was working tirelessly to contain the Ebola outbreak in the DRC. Despite the risks, the doctor continued to provide critical care to patients until succumbing to the disease. The Impact on Healthcare The doctor's death is a significant loss to the healthcare community in the DRC, where healthcare workers are often at the forefront of battling infectious diseases. The incident underscores the need for better protection and support for medical professionals. Tributes and Condolences The nation is mourning the loss of the doctor, with many paying tribute to their sacrifice. The incident has sparked an outpouring of condolences and support for the doctor's family and colleagues. The Ongoing Ebola Outbreak The Ebola outbreak in the DRC continues to be a major public health concern, with efforts underway to contain the virus and prevent further spread. The doctor's death serves as a reminder of the risks and challenges faced by healthcare workers in the region.

The Devastating Industrial AccidentA chemical tank has imploded at a Nippon Dynawave Packaging facility in the US state of Washington, killing several people and critically injuring others, authorities confirmed. Emergency responders remained at the site in the city of Longview in Cowlitz County, about 70km north of Portland, Oregon, as the situation unfolded.Technical Breakdown of the Chemical Tank FailureThe incident occurred when an 80,000-gallon tank containing 'white liquor'—a chemical solution of sodium hydroxide and sodium sulfide used in paper pulp production—ruptured at approximately 7:15am local time. The tank was approximately 60 percent full at the time of the implosion. According to officials, the rupture caused immediate chemical exposure to nearby workers and emergency responders.Casualty Count and Medical ResponseMultiple patients suffering from chemical burns and other injuries were transported to nearby hospitals. At least nine workers and one firefighter were taken to hospitals from the site. PeaceHealth St John Medical Center in Longview confirmed receiving nine patients related to the incident, including one who had died. Six of the patients were in fair condition, while two others had been transferred to other facilities.Industry Safety ImplicationsThis tragic incident raises serious questions about industrial safety protocols at chemical processing facilities. The use of highly caustic chemicals like sodium hydroxide requires stringent safety measures and regular maintenance of storage containers. The implosion of such a large tank suggests potential structural failure that could have been prevented with proper inspection and maintenance procedures.Future Regulatory OutlookIn the aftermath of this incident, we can expect increased scrutiny on chemical storage facilities nationwide, particularly those handling hazardous materials. Regulatory bodies are likely to implement more rigorous inspection requirements and safety standards for industrial tanks containing dangerous chemicals. This accident may also prompt Nippon Dynawave and similar companies to review and enhance their safety protocols to prevent similar tragedies in the future.