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Engage communities in TB planning, Government urged

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BY NOKUTHABA DLAMINI 

The Community Working Group on Health (CWGH) has called on the government to engage communities in planning and implementing  of strong, integrated Tubercolosis (TB) mitigation as part of response measure, amid revelations that over 6 000 Zimbabweans succumb to the pulmonary disease every year. 

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The call was made by CWGH, a health watch organisation executive director Itai Rusike ahead of the World TB Day commemorations.

Rusike said although there has been some efforts made towards ending TB, a killer disease and highlighting further action that is needed to defeat the life-threatening disease, communities should be part of the action. 

“TB remains a major obstacle to attaining the SDG vision of health, development, and prosperity for all in Zimbabwe,”Rusike told VicFallsLive.

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“Our country has an estimated 21 000 new cases of TB each year, and 3.1% of these are drug resistant. 

” 6300 Zimbabweans die of TB each year despite it being preventable and curable.”

According to health activists, most of these are recorded in mining towns and communities where there is no adequate Personal Protective Equipment. 

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Rusike also called for more scientific research and funding towards eradication of pulmonary disease including the Covid-19 pandemic. 

“Funding for research on TB in Zimbabwe is minimal, and new tools to prevent, diagnose, and treat TB are urgently required,” he said.

“There is an opportunity to leverage Covid-19 infrastructure and investments to improve the TB response, integrate TB and Covid-19 testing and tracing, and strengthen efforts to overcome the barriers that people continue to face when accessing TB services.”

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According to studies,  the advent of Covid-19, three years ago eliminated 12 years of progress in the Global Fight against TB as governments, due to its response to the pandemic pushed aside TB outreach and services, resulting in a 20% drop in diagnosis and treatment worldwide.

“This World TB Day 2023 (March 24) we emphasize that “Yes! We can end TB” – aims to inspire hope and encourage high-level leadership, increased investments, faster uptake of new World Health Organisation recommendations, adoption of innovation, accelerated action and multisectoral collaboration to combat the TB epidemic,”Rusike said.

“It is time for the government to fulfill its commitments towards defeating TB. 

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“The government should engage communities in planning and implementing strong, integrated TB and Covid-19 mitigation and response measures.” 

 In addition, he said, there is need to increase financing for TB prevention and care, innovations in care delivery, and research and development, including for new TB vaccines to prevent the development of Drug Resistant TB. 

” The theme brings attention to tuberculosis (TB) and our collective power to end TB by 2030 and therefore reach the SDG goals,” he added.

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“It brings hope and builds on the amazing work done in 2022 by Zimbabwe as one of the TB High Burden Countries to recover from the impact of Covid -19 while ensuring access to TB treatment and prevention.

” It is time to take urgent action to get back on track and accelerate collective efforts to fulfill the 2022 United Nations targets on TB to defeat the disease and save lives.

“The commitments made, and targets set by Heads of State and other leaders to accelerate action to end TB must be kept even in Covid-19 crisis and should be backed by adequate investments (and) this will help to protect the lives of thousands of peoplesuffering from TB and to prevent further loss of gains made in the fight against TB.

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” Not one more person should die from TB because it is a preventable and treatable disease.” 

 

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National

Unregulated mining pushes Zimbabwe toward environmental and public health crisis

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BY STAFF REPORTER

Zimbabwe is facing a deepening environmental and public health emergency driven by unchecked mining activities, with environmental experts warning that the situation has escalated into a national security concern.

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The alarm was raised during discussions aired on recently at CITE, where environmental leaders unpacked the scale of ecological damage unfolding across the country.

Centre for Natural Resource Governance (CNRG) Executive Director Farai Maguwu said Zimbabwe’s mining boom has reached crisis levels, fuelled largely by economic decline and the collapse of formal employment.

“Mining has become the default survival strategy for many Zimbabweans,” Maguwu said, noting that widespread job losses and industrial shutdowns have pushed communities toward extractive activities as a quick source of income.

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He warned that weak governance has allowed mining to spread into protected and ecologically sensitive areas, despite existing policies that prohibit such activities.

“We are seeing mountains disappearing and rivers being destroyed. Even with a ban on riverbed mining, enforcement has collapsed,” Maguwu said.

According to Maguwu, mining has encroached into UNESCO heritage sites and protected zones such as Mavuradona Wilderness, while areas like Shurugwi and Poterekwa Mountain have suffered extensive damage.

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More concerning, he alleged that some law enforcement agents and senior officials are complicit in environmental destruction.

“In places like Penhalonga, elements within the police, military, senior government structures and intelligence services are allegedly part of mining syndicates,” he said, warning that the crisis now threatens national stability.

Maguwu also highlighted the dangers of mining beneath roads and residential areas, which he said could result in catastrophic collapses and flash floods.

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“They are creating underground dams in mountains. When these give way, people will be swept away,” he said.

He criticised what he described as a lack of urgency from authorities in responding to the scale of destruction.

“If government is concerned about the future of this country, the current level of environmental damage should be setting off alarm bells,” Maguwu said.

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He further explained that the shift from underground mining to open-cast methods has accelerated deforestation, land degradation and loss of agricultural land, undermining food security.

The uncontrolled use of toxic substances such as mercury and cyanide, particularly during the rainy season, has also heightened contamination risks.

“These chemicals are being dumped indiscriminately, with no punitive measures in place,” he said, warning that rainfall washes toxins into rivers, dams and streams.

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Maguwu expressed particular concern for rural communities dependent on untreated water from shallow wells, especially in Marange and Matabeleland North.

“People are drinking contaminated water. The long-term health consequences are devastating and still unfolding,” he said, describing the crisis as an “environmental Armageddon.”

Similar concerns were echoed by Nkosikhona Sibanda, Executive Director of the Centre for Environmental and Corporate Accountability Research (CECAR), who said the crisis is nationwide.

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In Matabeleland North, Sibanda said mining activity—particularly by Chinese-owned companies—has intensified in areas such as Hwange, Kamativi in Binga, and surrounding districts.

“When communities hear about foreign investment, they expect development. Instead, they are experiencing severe environmental degradation,” Sibanda said.

Studies conducted between 2024 and 2025, he added, revealed dangerous levels of air pollution in Hwange.

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“The results were shocking. Air quality is far beyond safe limits, and people are breathing toxic substances daily,” Sibanda said.

Health facilities in affected areas have reportedly recorded a rise in respiratory illnesses and chronic diseases, underscoring the growing human cost of environmental neglect.

“This is no longer just an environmental issue—it is a public health emergency,” Sibanda said.

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This report is based on information originally published by the Centre for Innovation and Technology (CITE).

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World AIDS Day: UN Chief says ending AIDS by 2030 “is within grasp”

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BY SONIA HLOPHE

United Nations Secretary-General António Guterres has marked World AIDS Day with a message urging world leaders to scale up investment, confront stigma and ensure that lifesaving HIV services reach everyone who needs them.

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In his statement, Guterres said this year’s commemoration serves as a reminder that the world “has the power to transform lives and futures, and end the AIDS epidemic once and for all.”

He highlighted the major gains achieved over the past decade.

“The progress we have made is undeniable,” he said, noting that “since 2010, new infections have fallen by 40 per cent” while “AIDS-related deaths have declined by more than half.” Access to treatment, he added, “is better than ever before.”

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But despite this global progress, the Secretary-General warned that the crisis is far from over.

“For many people around the world, the crisis continues,” he said. “Millions still lack access to HIV prevention and treatment services because of who they are, where they live or the stigma they endure.”

Guterres also raised concern over shrinking resources:

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“Reduced resources and services are putting lives at risk and threatening hard-won gains.”

He said ending AIDS requires fully supporting communities, scaling up prevention and ensuring treatment for everyone.

“Ending AIDS means empowering communities, investing in prevention and expanding access to treatment for all people.”

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He also called for innovation to be matched by real-world delivery:

“It means uniting innovation with action, and ensuring new tools like injectables reach more people in need.”

Above all, he stressed the need for a human-rights centred response so no one is excluded.

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“At every step, it means grounding our work in human rights to ensure no one is left behind.”

With the 2030 global deadline approaching, the UN chief said success is still possible if momentum is sustained.

“Ending AIDS as a public health threat by 2030 is within grasp. Let’s get the job done.”

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Zimbabwe fast-tracks approval of long-acting HIV prevention drug Lenacapavir

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BY WANDILE TSHUMA

Zimbabwe has taken a major step in the fight against HIV following the rapid approval of Lenacapavir, a groundbreaking long-acting injectable for HIV pre-exposure prophylaxis (PrEP). The Medicines Control Authority of Zimbabwe (MCAZ) authorised the drug in just 23 days, marking one of the fastest regulatory approvals in the country’s history.

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The application, submitted by pharmaceutical company Gilead Sciences in October, underwent an expedited review because of its public health importance. MCAZ says the fast-tracked process did not compromise scientific scrutiny, with the product subjected to a rigorous assessment of its safety, efficacy and quality.

Lenacapavir is designed for adults and adolescents weighing at least 35kg who are HIV-negative but at substantial risk of infection. Unlike traditional daily oral PrEP, the medicine is administered as a six-monthly injection, following an initiation phase that includes one injection and oral tablets on Days 1 and 2. Health authorities say this long-acting formulation could dramatically improve adherence and expand prevention options, particularly for communities where daily pill-taking is difficult.

MCAZ Director-General  Richard T. Rukwata described the approval as a landmark moment in Zimbabwe’s HIV response.

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“The rapid approval of Lenacapavir reflects MCAZ’s dedication to accelerating access to trusted, high-quality health products. This milestone brings new hope for HIV prevention and reinforces our commitment to safeguarding public health,” he said.

To fast-track the process, the Authority applied a regulatory reliance approach, drawing on scientific assessments from the World Health Organization’s Prequalification Programme (WHO PQ). This allowed evaluators to build on internationally recognised review processes while ensuring Zimbabwe’s own standards were met.

The introduction of Lenacapavir comes as Zimbabwe continues efforts to reduce new HIV infections, particularly among young people and key populations who face barriers to consistent PrEP use. Public health experts say the drug’s twice-yearly dosing could be a game changer in improving uptake and protection.

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MCAZ says it remains committed to ensuring Zimbabweans have access to safe, effective and good-quality medical products, in line with its mandate under the Medicines and Allied Substances Control Act.

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