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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 Lead The New York Knicks have finally made it to the NBA Finals, ending a 27-year drought. However, the team's success has been overshadowed by the controversy surrounding owner James Dolan. Dolan's Checkered Past Dolan has a long history of poor management and controversy. He has been described as 'masterful at destroying two beloved franchises' - the Knicks and the NHL's New York Rangers. Dolan has been criticized for his treatment of fans, players, and employees, including denying Spike Lee entry to Madison Square Garden and banning former player Charles Oakley from the arena. The Data Analysis Dolan's tenure as owner has seen numerous failed experiments, including hiring Phil Jackson and trading for Eddy Curry. The Knicks have struggled with salary-cap issues and have been unable to attract top free agents. Dolan has been accused of using biometric surveillance technology to track perceived enemies, including fans and former players. The Impact Analysis Dolan's leadership has had a lasting impact on the Knicks and the NBA. His management style has been criticized by former players, coaches, and commissioners. The team's success has raised questions about whether Dolan's approach has finally paid off or if it's just a coincidence. The Prediction As the Knicks prepare to face off in the NBA Finals, it's unclear how Dolan's ownership will be perceived. Will the team's success redeem Dolan's reputation, or will his past controversies continue to overshadow the team's achievements? One thing is certain - Dolan's role in the team's success will be closely scrutinized.

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.

The Lead The recent visit by the World Health Organization (WHO) Director-General to Bunia represents a pivotal moment in the ongoing battle against the Ebola virus in the Democratic Republic of Congo. This high-level intervention signals a shift from standard containment protocols to an urgent, hands-on crisis management strategy aimed at halting the virus's spread in a volatile region. High-Level Engagement in the Epicentre The WHO chief's presence in Bunia is not merely symbolic; it is a tactical move to bolster morale among local health workers and to directly address the logistical bottlenecks hindering the response. By engaging with community leaders and medical staff on the ground, the WHO aims to bridge the gap between international policy and local implementation. Direct Oversight: The visit ensures that international resources are being deployed exactly where they are needed most. Community Mobilization: Strengthening trust is essential for encouraging safe burials and contact tracing. Security Coordination: Bunia's complex security environment requires high-level diplomatic intervention to protect health workers. Operational Challenges in Bunia Bunia, as the epicentre, faces unique hurdles that standard protocols often fail to address. The region's instability and the stigma surrounding Ebola make containment difficult. The WHO's intervention highlights the need for a multi-faceted approach that combines medical treatment with social support systems. Global Health Security Implications This outbreak serves as a stark reminder of the fragility of global health security. The WHO's proactive stance in Bunia sets a precedent for how international organizations must respond to emerging infectious diseases in conflict zones. It emphasizes that effective health responses cannot be separated from political and social stability. Future Outlook The coming weeks will be critical. The WHO's increased visibility in Bunia is expected to accelerate the rollout of vaccines and therapeutics. However, long-term containment will depend on sustained funding and the ability of local health systems to absorb international support without collapsing under the weight of the crisis.

The Incident A disturbing incident has come to light where a police officer accused a disabled driver of holding a phone with a hand that was actually missing. Details of the Case The incident has raised serious questions about police conduct and the treatment of individuals with disabilities. The officer's accusation has been widely criticized as insensitive and inappropriate. Concerns About Police Training This incident highlights the need for better training for law enforcement officers on interacting with people with disabilities. The lack of understanding and empathy displayed by the officer in this case is concerning and warrants further investigation. Impact on Disability Rights The incident has sparked outrage among disability rights advocates, who argue that it is a clear example of systemic ableism and discrimination. The case is likely to have significant implications for police-community relations and the way officers interact with people with disabilities in the future. Calls for Accountability There are growing calls for the officer involved to be held accountable for their actions. The incident is currently under investigation, and it remains to be seen what consequences the officer will face.

The Resilience of Health Infrastructure in Conflict ZonesThe reconstruction of the Ebola treatment centre in the Democratic Republic of the Congo (DRC) marks a significant step in restoring public health services following the facility's intentional destruction during recent civil unrest. This event highlights the vulnerability of medical infrastructure to political volatility and the urgent need for protective measures for healthcare workers.Reconstruction of the Torched Treatment FacilityThe treatment centre, a critical asset in the fight against Ebola, was set ablaze by protesters, representing a direct assault on the nation's healthcare system. The rebuilding process indicates a rapid recovery effort by health authorities to ensure that medical care remains accessible to the affected population despite the disruption caused by the violence.Event: Deliberate arson of a medical facility.Location: Democratic Republic of the Congo.Status: Facility rebuilt and operational.Undermining Containment Efforts in the DRCThe destruction of the treatment centre poses a severe threat to the containment of infectious diseases. In regions already grappling with outbreaks, the loss of specialized medical facilities can lead to a rapid spread of infection, overwhelming local health systems and endangering the broader community.Future Risks to Global Health SecurityAs the centre reopens, the DRC faces a precarious future where political instability directly impacts public health outcomes. Analysts predict that without robust security guarantees and international support, similar attacks on health infrastructure will continue, posing a persistent challenge to global health security and the fight against Ebola.

French Prosecutors Launch Investigation into Flotilla Abuse AllegationsFrench public prosecutors have been instructed by Foreign Minister Jean‑Noël Barrot to examine claims that Israeli forces committed sexual violence, beatings and humiliation against French nationals during the May 19 raid on the Global Sumud Flotilla bound for Gaza.Details of the May 19 Interception and Alleged ViolationsThe Israeli navy intercepted more than 50 boats carrying activists from about 40 countries in international waters off Cyprus. Thirty‑seven French citizens reported “extremely violent”, “humiliating” and “dehumanising” treatment, including alleged groping, stun‑weapon torture and forced exposure to cold.Numbers Highlight Scope of the IncidentOver 400 people arrested in the raid.37 French nationals among the detainees.At least 15 documented cases of sexual abuse reported by the Global Sumud Flotilla.More than 50 boats from 40 countries set sail.Political Repercussions for France, Israel and International RelationsThe probe adds to mounting criticism from Western allies, with France summoning the Israeli ambassador and banning National Security Minister Itamar Ben‑Gvir from entering the country. Israeli officials deny any misconduct, but the allegations could strain diplomatic ties and fuel calls for broader accountability mechanisms.Potential Legal Outcomes and Future Diplomatic TensionsIf the investigation finds evidence of criminal offences, French prosecutors could pursue charges for torture or sexual violence, potentially leading to international legal actions or sanctions. The case may also prompt other nations to reassess their diplomatic posture toward Israel’s enforcement of the Gaza blockade.

The Controversial Comments That Sparked DebateParaguay's Adolfo Daniel Vallejo has ignited a firestorm of criticism after stating that his French Open second-round match should not have been umpired by a woman, claiming Brazilian official Ana Carvalho was unable to control the home supporters. The comments came after Vallejo's five-hour loss to French teenager Moïse Kouamé on Court Suzanne Lenglen, where the local crowd created an intense atmosphere throughout the match.The Match Details and Vallejo's ComplaintsThe match between Vallejo and 17-year-old Kouamé turned out to be one of the most compelling of the tournament so far, with the French player eventually winning 6-3, 7-5, 3-6, 2-6, 7-6 (8) after four hours and 56 minutes of play. Vallejo expressed dissatisfaction with the time Kouamé was allowed between points, arguing that Carvalho was not strong enough to manage the crowd effectively.Speaking to Clay magazine, Vallejo made his position clear: "This sort of match needs to be umpired by a man, it's very difficult for a woman to do it. It has to be refereed by a man, because it's a very demanding crowd and you need a lot of strength to go against the crowd."Umpiring Standards and Time RegulationsAccording to tennis regulations, players are permitted 25 seconds between points, with a visible countdown clock on the scoreboard. However, umpires have discretion to delay the countdown when crowd noise interferes with play. Vallejo claimed that Kouamé took advantage of this by lying on the floor or stalling, while the crowd shouted for extended periods without intervention."The crowd was very out of line, but I understand they are supporting their compatriot," Vallejo acknowledged. "It's quite an intense crowd and that's why I was prepared. I already knew it would be like that and, to be honest, it didn't harm me, but rather strengthened him."The Backlash and Broader ImplicationsVallejo's comments have drawn immediate criticism for their sexist undertones, coming at a time when tennis has made significant strides in gender equality. The remark undermines the professionalism of female umpires who officiate at the highest levels of the sport, including Grand Slam tournaments like the French Open.The controversy highlights ongoing challenges in maintaining fair competition conditions when crowd dynamics heavily favor one player. Tournament organizers have been contacted for comment, but no official response has been released as of yet.Future Outlook for Gender Equality in TennisThis incident may prompt renewed discussions about gender equality in officiating and the treatment of female officials in professional sports. Tennis has historically been at the forefront of gender equality in sports, with equal prize money at all Grand Slam tournaments since 2007.As the sport continues to evolve, incidents like this one serve as reminders that despite progress, challenges remain in ensuring equal respect and opportunities for women in all aspects of tennis, from players to officials to administrators.