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The Delhi Transport Department will also share a plan for the cars that have obtained no-objection-certificates from the Regional Transport Office and the cars that have been sold. evidence of indigence among others. “The Government should institute an unemployment compensation policy in Nigerian to assist the teeming population of unemployed youth in the country to migrate into gainful employment. Syria, Reuters Compounding Real’s misery is the 10-point gap separating them from second-placed local rivals Atletico Madrid.

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" he said. and also looked at the right weapon before it was used to attack the ape. they were paying such close attention that they rarely bothered to search for the food if the person only pretended to hide it. 2016, I come from a country where we mind our own business. which has invested more than $5 billion in preventing and treating HIV in Nigeria says the fee “opens the door” for others to tack on more insidious “informal” fees “If you want to get your lab results back or you want to get your blood drawn that nurse may charge you” Birx explains Those fees she says “are very hard to police” When one Nigerian state eliminated the formal fee the number of women who came to clinics for antenatal care doubled she says Nigeria contributes the largest burden of babies born with HIV in the world … and that’s really not acceptable Sani Aliyu National Agency for the Control of AIDS Muktar Aliyu an HIV/AIDS researcher at Vanderbilt University in Nashville who is Sani’s identical twin says corruption is a major factor “It’s a big elephant in the room” says Muktar Aliyu who still conducts studies in his home country Scams such as informal fees are just part of the problem The Global Fund to Fight AIDS Tuberculosis and Malaria in 2016 suspended payment to the country after detecting what it called “systematic embezzlement” by Ministry of Health staff as well as improper auditing Conducting large-scale HIV testing is also hard because the virus is dispersed unevenly across the country with some states having a much lower prevalence than others In Niger a state in the central part of the country it is just 17% according to 2015 estimates “We’d test 1000 2000 individuals and we’d get barely 20 30 positive” Muktar Aliyu says But Benue an east-central state that has been hardest hit has an estimated adult prevalence of 154% Several people at the front of Nigeria’s HIV/AIDS response link the shortcomings to the government’s lack of “ownership” of the epidemic Foreign assistance—mainly from PEPFAR and The Global Fund—pays for nearly the entire HIV/AIDS response Health Minister Isaac Adewole an OB-GYN who worked in HIV/AIDS says the “No 1 challenge” is for Nigeria to move “from a donor-dependent program to a country-owned program” To give an example of the problem Muktar Aliyu notes that foreign assistance often focuses on bolstering programs including testing at large treatment centers not the 800 or so smaller clinics spread across the country “In the next 5 years at the most country ownership will come through for HIV programs in Nigeria” Sani Aliyu promises “It’s my job to make sure that money is available” Since taking over NACA in 2016 Sani Aliyu has made some progress For the first time the federal government has been taking steps to prevent mother-to-child transmission and state governments have devoted up to 1% of their budgets to efforts against HIV/AIDS President Muhammadu Buhari who appointed Sani Aliyu authorized federal funds to pay for 60000 new HIV-infected people to receive ARVs and vowed to add that same number to the treatment rolls each year “The program if successful will serve as the exit gateway for PEPFAR as future programs acquire national ownership status” Sani Aliyu says Perhaps most important NACA—with $120 million in funding from PEPFAR and The Global Fund—now is working on a massive epidemiologic survey that many hope will bolster the country’s efforts Because HIV testing is so spotty Birx explains it’s possible that official estimates of Nigeria’s number of newly infected children are too high—or too low—and that HIV/AIDS workers target the wrong regions “Our epidemic data from Nigeria is the weakest of all the countries” Birx says The nationwide survey of HIV now underway the largest ever done in the world should be completed by the end of the year “I’ll be frank: I used to be upset with Nigeria” she says “Now I’m just waiting for the data” Still no one doubts that children are getting infected far too often And some innovators are taking action In Aliade Nigeria’s St Vincent de Paul Church Reverend Emmanuel Dagi blesses pregnant parishioners and encourages them to attend the Baby Shower program Misha Friedman On a Sunday morning in mid-January about 1000 parishioners fill the pews at the St Vincent de Paul Catholic Church in Aliade a remote agricultural area in Benue state Today Reverend Emmanuel Dagi is leading celebrations called Baby Shower and Baby Reception programs tailor-made to steer around the obstacles that keep so many pregnant women here from seeking an HIV test and receiving care Near the end of the church service Dagi asks women who are pregnant or who have recently given birth to come forward for a blessing with their husbands More than 50 people cluster around the pulpit some women with large pregnant bellies others with swaddled babies in their arms “Defend these mothers and these fathers and their children from every evil” Dagi says He walks from one end of the pulpit to the other sprinkling the faithful with holy water The priest then asks the expecting couples to attend Baby Shower where they receive a gift bag and have blood drawn for tests for hepatitis B sickle cell anemia and HIV—casually lumped into the mix to sidestep stigma People with newborns attend a separate celebration Baby Reception where they too receive gift bags At the same time health workers discreetly check with all people who tested HIV positive at earlier services to make sure they’ve been following proper procedures: taking ARVs for themselves administering them to their newborns and bringing the babies in for a blood test at 6 weeks of age the earliest the virus can reliably and efficiently be detected Those celebrations are part of the Healthy Beginning Initiative funded by the US National Institutes of Health and the Centers for Disease Control and Prevention It has now expanded to more than 115 churches some of which also test for malaria syphilis and anemia Led by Echezona Ezeanolue a pediatrician who works with the HealthySunrise Foundation based in Las Vegas Nevada the intervention takes advantage of the fact that some 90% of Nigerians regularly attend either church or mosque services “That was a perfect place to test this” says Ezeanolue a Nigerian who left the country 20 years ago (Ezeanolue resigned from the University of Nevada in Las Vegas in March after a prolonged dispute with the school about what it alleged were financial irregularities with the maternal HIV program he ran there He insists he did nothing wrong) Sani Aliyu adds that Baby Shower has another advantage “The religious leaders don’t carry the burden of politicians” he says “People believe in what they say and people follow them” In a study of the project in 40 churches half of which received the intervention Baby Shower increased HIV testing in pregnant women from 55% in the control churches to 92% the researchers reported in the November 2015 issue of The Lancet Global Health A study published in AIDS and Behavior last year shows that in women’s male partners testing jumped from 38% to 84% “With Baby Shower you don’t have to go to the hospital for an HIV test—you go to the church and nobody suspects anything” says Amaka Ogidi coordinator of the project here A follow-up study is assessing the actual impact on HIV transmission rates to the babies Ogidi says she at first had reservations because the idea of a baby shower is a US concept “We’re not used to celebrating pregnancy—we’re used to celebrating childbirth” she says But the intervention has steadily grown in popularity especially since the Baby Reception component was added “The program is just like a sweet-smelling perfume” Ogidi says “You smell it and say ‘Oooh can I have some for myself’ You see smiles on faces and it’s infectious” Mama Metta a traditional birth attendant in Lagos Nigeria listens to a woman’s belly with a Pinard horn Misha Friedman The Mama Metta Traditional Clinic and Maternity Home in the Iyana Ipaja neighborhood of Lagos also is introducing prevention of mother-to-child transmission into a familiar setting The clinic set on a street wide enough only for foot traffic resembles a small house Feyami Temilade who runs the clinic is a traditional birth attendant and she is known as Mama Metta because she becomes something of a second mother to every woman in her care This Friday morning 16 big-bellied women sit on wooden benches in the waiting room The walls are cluttered with framed certificates from courses Temilade has completed over the past 35 years awards fading photos of herself in celebratory garb calendars and pregnancy infographics A poster above Temilade’s desk says “Know Your HIV Status” in English Yoruba and Nigerian Pidgin A certificate next to it notes that she participated in a training workshop for traditional birth attendants run by the Society for Women and AIDS in Africa in—astonishingly—1991 The women wait their turn for checkups and to fill bottles with two herb concoctions she has prepared The cost of the visit says Temilade who will listen to babies through a metal fetoscope called a Pinard horn is a mere 200 nairas—about $055 Birth attendants are unregulated in much of Nigeria But Lagos state which includes Nigeria’s largest city has a Traditional Medicine Board that accredits and monitors practitioners Since 2012 the board has offered regular HIV/AIDS training which includes an internship at a hospital for Temilade and some 2000 other birth attendants Temilade has been in business here so long that two of the women here today were born in the facility which has a birthing room with two beds “If you’re pregnant you’re eating for two people” Temilade tells the group She also warns them to avoid high heels and not to sit in the same position for too long “Come here for HIV tests” she says explaining that she’ll link anyone who tests positive to a hospital That’s a start Sani Aliyu says But ultimately he believes getting women to antenatal clinics in established health facilities will be key to stopping mother-to-child transmission here “In most cases at least 80% of them will get tested and commence treatment” he says One state has experimented with paying incentives to traditional birth attendants to bring pregnant women to formal health care settings Pregnant women make up only a fraction of Nigeria’s huge HIV-infected population and Sani Aliyu well recognizes that halting the epidemic here as in other countries depends on treating nearly everyone who is living with the virus—not just mothers and babies “It’s going to be a lot of work to put everybody with HIV on treatment” he says But protecting babies from infection he says “should be a low-hanging fruit that can be reached” Science produced these stories in collaboration with the PBS NewsHour which is airing a companion five-part series Reporting for this project was supported by the Pulitzer Center Related stories Building TRUST in an LGBTQ-hostile country By Jon Cohen Davida Anderson poses for friends behind a clinic that doubles as a hangout MISHA FRIEDMAN Five years ago David Anderson then 18 knew that he was at high risk of HIV infection But he had never had a test for the virus because he feared that people at any clinic he visited would make assumptions about his sexuality and status “I’m a bit feminine” says Anderson who now openly identifies as both a gay man and a transgender woman (Davida) But then a friend told him about an unusual community center in Abuja where he lives “It was nice and safe for people of my kind to come” he says Anderson tested negative and remains uninfected The clinic opened by the Institute of Human Virology Nigeria in 2012 was the first in the country to cater to men who have sex with men (MSM) and transgender people communities so heavily stigmatized that treating them is technically illegal The clinic nevertheless provides state-of-the-art HIV services and conducts some of the most authoritative research on those communities in Nigeria “We offer one-stop shopping” says Man Charurat an epidemiologist heading a multifaceted research project at the clinic with virologist William Blattner both of whom are based at the institute’s main facility in Baltimore Maryland The study is known as Trusted Community Center to Reduce HIV Infections by Engaging Networks of Friends and Partners to Support Safe Sex or TRUST—the nickname of the clinic The study looks at among other things the prevalence of HIV the rate of new infections and how the virus spreads in networks of sexual partners Each person who enrolls is given a small incentive to bring five friends TRUST—which has a second clinic in Lagos run by the US Military HIV Research Program—now has more than 2000 participants a startling 45% of whom tested positive for HIV TRUST also is looking at how antigay laws and other stigmatizing social factors impede care and treatment In 2014 a new Nigerian law called the Same-Sex Marriage (Prohibition) Act made providing services to MSM a punishable offense (To avoid legal complications the TRUST clinic is located out of the way in a residential neighborhood and bills itself simply as “MSM friendly”) Stigma and discrimination against that community were already pervasive the year the law was enacted: According to a survey of 3500 undergraduates in Lagos nearly 40% thought health care workers should not provide services to MSM as reported in the August2017 issue of LGBT Health Researchers and affected communities alike contend that the law has made things worse Charurat Blattner and colleagues assessed their clients’ attitudes toward seeking health care before and after enactment of the law Fear of seeking health care jumped from 25% to 38% Today only 25% of TRUST participants infected with HIV know their status when they first come in Of those fewer than half are on treatment TRUST encourages all HIV-infected clients to start antiretrovirals and a new program is offering the drugs to uninfected participants—a proven prevention strategy called pre-exposure prophylaxis The TRUST clinic has evolved into a place to hang out as well Anderson sometimes lets Davida shine donning a wig high heels and an elegant gown “That’s the reason we set this up” says Charurat as Davida struts around the TRUST clinic grounds “voguing” with friends “It’s not just a clinic It’s a community” Babies who dodge HIV may not be unscathed By Jon Cohen Researchers measure head circumference to compare growth in children born to HIV-positive and negative mothers MISHA FRIEDMAN Up to half of babies born to HIV-infected mothers become infected themselves either in utero during labor or through breastfeeding unless the mothers and babies are treated with antiretroviral (ARV) drugs But several studies suggest an additional burden for the many children in Nigeria who dodge transmission from their mothers whether by luck or treatment: They may still suffer from growth retardation immune abnormalities and even an increased risk of mortality “Exposed uninfected children are a growing population and they’re neglected” says virologist Nicaise Ndembi of the Institute of Human Virology Nigeria (IHVN) in Abuja At the University of Benin Teaching Hospital in Benin City Ndembi is a co–principal investigator (co-PI) of a study exploring what happens to those exposed uninfected children and why “There’s a growing body of data that suggests they’re very different from normal infants” says another co-PI epidemiologist Man Charurat of IHVN Theoretically the harm could come from the mother’s poor health or from exposure to viral proteins or to the ARV drugs given to treat the mother and the baby to prevent transmission “It’s a really complicated picture” says Claire Thorne an epidemiologist at University College London who is trying to separate the effects of HIV exposure from exposure to ARV drugs The IHVN team is exploring whether an HIV-caused condition called “leaky gut” may transfer from mother to uninfected child HIV preferentially destroys immune cells in the gut shortly after infection leading to an overstimulated immune system inflammation and a permeable gut That could alter the mother’s microbiome and she might pass the altered bacteria to her child during birth or breastfeeding The Benin researchers suspect the child’s altered microbiome then increases diarrhea impedes proper absorption of nutrients and slows growth The IHVN study which began in 2014 and will run through next year compares 300 uninfected children half of whom were exposed to HIV during their first 2years of life The researchers are analyzing stool samples from mothers and their children to see whether HIV alters the genera of bacteria that live in their guts Researchers also are giving the children a dose of two sugars and then testing their urine to see whether their intestines have compromised permeability “If we can identify problems we can begin to look at interventions” Ndembi says Science produced these stories in collaboration with the PBS NewsHour which is airing a companion five-part series Reporting for this project was supported by the Pulitzer CenterEach time a repugnant and distressing news surfaces from the conflict ridden Jammu and Kashmir much is said and written about the India-Pakistan relationship and the said debate around nationalism This time around when a debate raged out over an Indian Army officer using an alleged stone-pelter as a human shield to rescue policemen and Election Commission officials cornered by an angry mob Aam Aadmi Party leader Kumar Vishwas took to YouTube to send across an apolitical message He was seen questioning the take of politicos including his own party leader Arvind Kejriwal AAP leader Kumar Vishwas IBNLive In a 13-minute-long video message Vishwas touches upon a range of issues that usually miss prominence in the nationalism debate From the disillusioned Kashmiri youth to the need to alienate Pakistan Vishwas airs his views on a range of topics At the onset he states that the viewers must view him neither as an AAP worker nor as a poet nor a social activist He claims that the trend today is of cult politics where leaders take prominence over the cause of politics In a list that include top leaders that includes Arvind Kejriwal Vishwas states that the lesser mortals will pass away but the nation will stand on “Mostly our leaders take the centrestage in our politics Modi-Modi Arvind-Arvind Rahul-Rahul yeh saare bas kuch saal rahenge par desh 5000 saal ka hai” He says that India is sending a confusing message to the world by not taking a firm stand against Pakistan "On one hand we are propagating a message that world must brand Pakistan a rogue state Could we bring ourselves together to do that just yet Have we suspended trade ties with a state that has repeatedly conspired against us" Vishwas states in the message The leader bats for tougher posturing against Islamabad while he talks of mainstreaming the woes of Kashmiri youths and increasing efforts to reach out to them In his message Vishwas takes on both the BJP and AAP for a second time as he mentions the much touted India’s surgical strike He says "The surgical strikes were a matter of great pride for the nation but politicians could not transcend party lines in their dealing with it. warehouse or office—in the state where the customer resides." 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At the last minute "ISIS is Germany and Assad Japanin IndiaFacebook said Wednesday that it will remove posts circulating on the social network wrongly claiming that survivors of last week’s deadly Florida school shooting are “crisis actors” working on behalf of a liberal agenda They sail a viking ship to a viking beach to learn how to fight like vikings"Shares in TransCanada the Water & Light Commission also contributes annually to the city’s general fund“I think it’s challenging “Gentlemen of the press” He threatened to take legal actions against anybody who associates him with any hate speech Church” The attack took place days after two separate highly publicized police killings of black men and a few hours after a shooter killed five Dallas police officers at a peaceful Black Lives Matter protest Thursday night aka pertussis When Ashade refused to hand the equipment over to the accused person and they seem pretty strict about their safety And Anthony Scaramucci did it for 10 days before being shown the door for impolitic and profane comments about colleagues she didnt care about precedent or protocol *He was the first Governor to serve a 2nd term in both the new and old Anambra State (Alaowei) Tonye Timi handed down the order in a resolution working with a particular disease but defensive lapses too played a huge rule in India’s defeat6 million Twitter followers scores of BJP leaders were detained by police in several parts of Karnataka ahead of the motorcycle rally The report said the woman was arrested by Israeli police at Ben Gurion Airport in Tel Aviv with Anderson and Thiem playing the opener I want to say that the Rivers State House of Assembly is a law abiding organ of government and will abide by the court judgement a renowned tax haven000 crore Public Distribution System (PDS) scamAs reported by DNA in July2015 the Congress leveled allegations thatcommissions were paid by millersto ensure adulteration of rice meant for distribution under PDS The alleged scam came to light in 2014 when the Anti-Corruption Bureau (ACB) conducted raids across the state and seized cash and documents showing coded diary entries of massive pay-offs to officials and politicians However in an affidavit filed in the Chhattisgarh High Court on 30 August 2016 the Raman Singh government trashed the charges saying "It is wrong to disparage the state government’s policy of distribution of subsidised food grains based on conjectures surmises politically motivated allegations and extrapolations and to calculate an imaginary loss to the public exchequer due to an alleged PDS ‘scam’ This has been deliberately done by the petitioner to denigrate the state government its agencies and functionaries and to mislead the honourable high court into believing that there is indeed a PDS ‘scam’ as alleged" Political history Chhattisgarh has only had two chief ministers in its history and only Raman Singh has had a full five-year tenure (of which he has had three) Ajit Jogi of the Congress was the state’s first ever chief minister but he was in power for only three yearsfrom 2000 to 2003 In the 2003 Assembly election the BJP led by Raman Singh stormed to power by winning 50 out of the state’s 90 seats The Jogi-led Congress could claim only 37 The party has since never been able to mount a comeback In subsequent elections in 2008 and 2013 the BJP has held on to its grip on power winning 50 and 49 seats respectively Party-wise distribution of seats Infogram However while the BJP may be reveling in a hat-trick of victories in Chhattisgarh a closer look at the manner of victories would paint a slightly different picture As pointed out bya report on Hindustan Times the voteshare gained by BJP and Congress in both 2008 and 2013 had been near identical In 2008 Congress claimed 4016 percent of all votes cast in Chhattisgarh while the BJP managed less than two percent more at4196 percent Five years later in 2013 the gap was even narrower The BJP claimed 4106 and Congress got 4029 percent of votes tallied Voteshare distribution Infogram Even Independent candidates and other parties like BSP which claimed two seats inboth elections polled a significant proportion of votes at 1788 percent and 1865 percent in 2008 and 2013 respectively So in terms of popular vote share the results are nail-bitingly close and there is certainly enough of a difference there to make the BJP feel confident Key players in the fray Ajit Jogi formed his Janata Congress in June 2016 AFP Elections in Chhattisgarh have traditionally been a two-horse race between the Congress and BJP and it’s likely to remain so this time as well The term of the current Assembly is due to expire in December 2018 and while 11 months is a long time in politics and much may still change between now and December the Assembly election is likely to be a battle between the incumbent BJP government of Raman Singh and the Congress Former chief minister Ajit Jogi who quit the Congress to float his own party the Janata Congress back in June 2016 is likely to be the third wheel and may prove to be kingmaker At the time of quitting the Congress Jogi had said he was forced to formthe new outfit as the state Congress was incapable of taking on the Raman Singh government "It appears that the main Opposition Congress is working like a supporter of the ruling BJP instead of fighting against its misrule The state needs a strong Opposition My supporters and well-wishers want me to take a decision to free this State from the corrupt governance" Jogi said Jogi has considerable influence over the Satnami SC community and tribals who comprise nearly 50 percent population of the state’s population and he may damage the prospects of both BJP and Congress If he succeeds in garnering support of SC voters it could harm the BJP which is currently holding 9 out of 10 SC reserved seats in the Assembly Jogi a seasoned politician knows the minds of Chhattisgarh’s electorate well As senior journalist Anal Prakash Shukla told Firstpost earlier she has repeatedly expressed support for the status quo a position also favored by the majority of Taiwan citizens describing China in conciliatory terms So I understand that she didnt want to be there and research has shown that more than half will need long-term care were not afforded any backing or protection as professionalsS Khan served on the front lines of what is now considered the worst Ebola outbreak in history See more ScienceShots two are also chairmen U Minnesota and WisconsinSenator representing Kaduna central a quarter-finalist last yearcom Cross River State capital and locked the gate And that data continues to mount 2008 The brain physiologies of macaques and humans are close enough that dementia researchers should pay attention to the findings told the Associated Press that technically the volcano was already erupting “but not explosive who also helped Egypt reach the World Cup finals.

perhaps years. The usual approach would have been to confer with the Democratic minority on the committee and negotiate a bill that could win bipartisan support. Even people with bad allergies who need medication may find these at-home tips helpful for easing symptoms. however.000 signatures.the sterility and the subservience of the new generation. We demand that janeudhari Rahul Gandhi clarify to which gotra (clan) does he belong to,com. One person even created a game in which players were invited to abuse her. As part of the three-tier security arrangements.

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