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AGP Executive Report

Your go-to archive of top headlines, summarized for quick and easy reading.

Note: AI summary from news headlines; neutral sources weighted more to help reduce bias in the result. Feedback is welcome. Please let us know if you have any comments or suggestions about the AGP Executive Report.

NCDs & UHC Reform: African health leaders urged countries to integrate noncommunicable disease services, essential medicines and diagnostics into Universal Health Coverage reforms, warning NCDs now drive over a third of deaths in sub-Saharan Africa. Maternal & Specialist Care Capacity: Rwanda-linked regional push for better specialist training and retention was highlighted as VP Mohadi called for more investment in obstetrics and gynaecology skills through ECSACOG. Health Workforce Shortage: A Lancet Public Health study estimates 34.4 million more doctors, nurses, midwives, dentists and pharmacists are needed globally to reach moderate UHC, with the biggest gaps in South Asia and sub-Saharan Africa. Child Nutrition in Rwanda: World Vision Rwanda launched an anti-child malnutrition drive in Burera, aiming to raise $500,000 for an integrated school feeding model that also boosts food production and household resilience. Rwanda Conservation & Community Action: Rwanda’s grey crowned cranes rebounded from under 300 to 1,438 over a decade, credited to wetland protection and community-led conservation. Ebola Watch (DRC): DRC reported Ebola deaths surpassing 2,300 as the outbreak spreads across provinces, with WHO warning it could become the deadliest on record. Regional Health Service Delivery: Tanzania’s TPDF will host an EAC Civil-Military Cooperation medical week, including specialist maternal and child health and paediatric services across several sites. Water & Sanitation Financing (Kigali): Rwanda hosted an Africa Water and Sanitation symposium calling for sustainable financing and stronger institutions so new infrastructure actually delivers reliable services.

Nutrition & Resilience: World Vision Rwanda is launching a USD 500,000 integrated school feeding push in Burera, pairing school meals with local food production, fruit tree planting, and household resilience, with plans to scale if it works. Health Systems & Access: Masaka Regional Referral Hospital’s only CT scanner has been out for over a month, forcing patients to pay for scans in private facilities while the hospital waits for spare parts. Ebola Watch (DRC): DR Congo’s Ebola outbreak is now the deadliest on record, with authorities reporting 2,325 deaths from 4,945 confirmed cases and continued spread across multiple provinces. Water & Sanitation Financing: Rwanda hosted an Africa Water and Sanitation Systems Leadership Symposium calling for sustainable funding, stronger institutions, and better governance so water projects deliver reliable services. Health Workforce Gap: A Lancet Public Health study estimates 34.4 million more health workers are needed globally for universal health coverage, with the biggest shortages in South Asia and sub-Saharan Africa. Reproductive Health Awareness: A Kenyan influencer is urging endometriosis awareness after a public case highlighted severe gaps in women’s reproductive healthcare capacity.

Ebola Surge in DRC: The Democratic Republic of Congo’s Ebola outbreak has become the deadliest on record, with at least 2,325 deaths and 4,945 confirmed cases as it spreads across 55 health zones in six provinces; authorities reported 101 new cases and 53 deaths in the latest 24-hour period, and the UN says it’s killing about one person every 30 minutes. Rwanda Health System Link: Rwanda is mentioned as part of the wider regional pressure around the outbreak, as cross-border movement and weak security complicate surveillance and response. Health Workforce Gap: A Lancet Public Health study estimates 34.4 million more doctors, nurses, midwives, dentists and pharmacists are needed to reach moderate universal health coverage, with the biggest shortages in South Asia and sub-Saharan Africa. Local Care & Training: A Rwanda-focused education partnership highlights health professions education that builds local teaching capacity, not short-term support, while an outreach leadership appointment underscores expanding access to eye care. Public Health & Safety: Rwanda police say they’re widening monitoring of public and online behavior, including TikTok Live, as authorities tighten rules on indecent conduct.

Ebola in DRC: The Democratic Republic of Congo’s Ebola outbreak has surged to at least 2,325 deaths and 4,945 confirmed cases, surpassing the 2018–2020 record; authorities report 101 new cases and 53 deaths in the latest 24 hours, with the UN warning it’s killing about one person every 30 minutes and spreading across six provinces. Cross-border surveillance pressure: DRC health officials urge Uganda to ease border restrictions, saying closures are pushing people to use illegal routes that are harder to screen and monitor, complicating Ebola control. Rwanda clinical case spotlight: A rare Rwanda case report describes gossypiboma (retained surgical cotton) mimicking an ovarian mass, reminding clinicians to keep retained surgical items in mind during diagnosis. Mental health in palliative care: A study reports prevalence of anxiety and depression among patients in a palliative care setting during the COVID-19 pandemic, adding local relevance for Rwanda’s growing non-communicable and end-of-life care needs. HIV programme sustainability: Kenya’s KDF is moving to protect its HIV health programme as external support declines, focusing on stronger institutional ownership and continued surveillance. Low-resource emergency surgery: Another case report details direct-vision removal of an esophageal padlock in a 7-year-old at a resource-limited facility, highlighting practical options when endoscopy isn’t available. Rwanda public health & safety online: Rwanda Police say they are expanding monitoring of public and online behavior, including TikTok Live, as part of efforts to curb indecent conduct. Cyber risk to health systems: Interpol warns Africa’s critical infrastructure is increasingly targeted by ransomware groups, including a claimed attack on Uganda’s electricity transmission network—an indirect risk to health service continuity.

Ebola Alert (DRC): The Ebola outbreak in eastern Democratic Republic of the Congo is spreading fast and is now the country’s deadliest on record, with 4,945 confirmed cases and 2,325 deaths reported as of Aug. 12; officials say it’s moving faster than past outbreaks and has reached a sixth province, complicating response efforts amid weak infrastructure and armed violence. Cross-Border Surveillance (Uganda–DRC): DRC health officials are urging Uganda to ease border restrictions, warning that closures are pushing people to use illegal crossing routes, making it harder to track and contain Ebola. Rwanda Public Health & Safety (Illicit Alcohol): Rwanda’s alcohol crackdown continues to spark debate after authorities repeatedly parade suspects publicly during investigations tied to dangerous illicit drinks—raising questions about suspect rights and the presumption of innocence. Health Systems & Training (Regional NCD focus): A World Bank-supported regional programme in Dar es Salaam is training frontline health workers to spot non-communicable diseases earlier, strengthening surveillance through mentor support across Eastern and Southern Africa, including Rwanda. Tech for Access (DRC connectivity): Airtel Africa and Starlink launched a satellite-to-phone service in DRC, initially limited to SMS and light data, aiming to extend connectivity where mobile coverage is unavailable.

Ebola Emergency (DRC): The Ebola outbreak in eastern Democratic Republic of Congo has become the country’s deadliest on record, with deaths rising to 2,325 and confirmed cases reaching 4,945; the UN says the virus is spreading faster than response efforts, urging “speed, scale and solidarity.” Cross-Border Surveillance: DRC health officials are urging Uganda to ease border restrictions, warning that closed official crossings are pushing people to use illegal routes that are harder to monitor for Ebola spread. Rwanda Health & Rights (Alcohol Crisis): Rwanda’s alcohol crackdown continues to spark debate over public parading of suspects, with renewed attention on a 2023 Supreme Court ruling about suspect rights and investigation procedures. Rwanda Health & Inclusion (Visual Disability): Rwanda Union of the Blind holds a family and caregiver gathering to reduce stigma and push for community understanding alongside rehabilitation for people with visual disabilities. Gastroenterology Note: A study of patients referred for Helicobacter pylori testing found Blastocystis in about one in three cases, highlighting that stomach complaints may involve more than one gut organism.

HIV Progress in Focus: UNAIDS highlights Cambodia’s achievement of the 95-95-95 targets, stressing that political leadership plus community partnerships can drive viral suppression and cut transmission risk—Rwanda is also named among the countries reaching the goals. Ebola Alarm for the Region: DRC’s Ebola outbreak is accelerating, with WHO and UN officials warning the virus is “ahead” of response efforts; Africa CDC says it has expanded rapidly across health zones and provinces, raising fears of wider spread into neighboring countries. Rwanda Health & Rights: Families of blind and partially sighted people in Rwanda are urged to challenge stigma and support independence, as the Rwanda Union of the Blind convenes caregivers and graduates to share rehabilitation gains and community barriers. Maternal Health Push: Rwanda’s obstetricians and gynecologists conference calls for stronger investment in women’s and girls’ health and improved quality of care to reduce preventable maternal deaths. NCD Surveillance Upgrade: A regional training in Dar es Salaam strengthens frontline mentors to detect chronic diseases earlier by integrating NCD surveillance into field epidemiology work across Eastern and Southern Africa, including Rwanda. Alcohol Crisis Watch: Rwanda’s public debate over illicit alcohol continues, with renewed attention on legal rights and the practice of publicly parading suspects, alongside regional trade tensions over alcohol bans.

HIV Progress in the Region: UNAIDS reports Kenya has cut new HIV infections by nearly 80% since 2010, and highlights the 95-95-95 treatment push—Rwanda is listed among the countries hitting those targets. Ebola Alarm for Central Africa: WHO and UN officials warn DR Congo’s Ebola outbreak is moving faster than past outbreaks, with deaths surpassing 2,000 and response efforts struggling to keep up; UN funding and expanded food support are being scaled up. NCD Surveillance Upgrade: A World Bank-backed regional training in Dar es Salaam is preparing health workers to spot chronic disease risks earlier by weaving NCD surveillance into frontline field epidemiology. Maternal Health Focus: Rwanda’s obstetricians and partners are calling for stronger investment in women’s and girls’ health and better quality of reproductive and maternal care to cut preventable deaths. Rwanda Alcohol Crisis Debate: Rwanda’s alcohol ban and public parading of suspects are reigniting legal and rights concerns, while trade disputes with Kenya and Uganda continue to test EAC standards. Accessibility and Stigma: Rwanda’s Union of the Blind urges families to challenge stigma and support independence beyond rehabilitation. Policy and Systems: Rwanda’s Parliament replaces fragmented fisheries laws with a single, more cohesive framework aimed at public health, sustainability, and better regulation.

Ebola Emergency: UN and Africa CDC warn DR Congo’s fast-moving Bundibugyo Ebola outbreak is killing about one person every 30 minutes, with deaths now above 2,000 and spread accelerating across more provinces; UN OCHA says it’s adding $30.5m and WFP is expanding hot meals to more Ebola treatment centres. Regional Health & Trade: Rwanda’s suspension of alcoholic drinks from Kenya and Uganda is triggering an EAC dispute over product safety and harmonised standards, with Uganda saying Rwanda FDA didn’t formally notify concerns before restrictions. Maternal Health Focus: Rwanda’s obstetricians and partners call for stronger investment in women’s and girls’ health and quality reproductive care to cut preventable maternal deaths. HIV Progress: UNAIDS highlights countries including Rwanda that have reached the 95-95-95 targets, stressing community partnerships as key to sustained results. Disability & Inclusion: Rwanda Union of the Blind urges families to challenge stigma and support independence beyond rehabilitation for people with visual disabilities. Rwanda Health Governance: Rwanda Parliament replaces fragmented fisheries rules with a single law that also targets public health risks and better antimicrobial use. Local Conservation with Health Links: Grey crowned crane numbers in Rwanda rise to 1,438 after a decade of conservation, backed by community monitoring.

Ebola Emergency: The UN warns Ebola is “winning” in eastern DRC, with the outbreak killing about one person every 30 minutes; UN OCHA says 2,184 deaths out of 4,660+ cases and has added $30.5m to the CERF response, while WFP expands hot meals to more Ebola treatment centres. Regional Public Health Alarm: Africa CDC says the DRC outbreak is outpacing conventional response, now spread across more provinces and on track to become the deadliest on record; WHO notes the virus may have started circulating as early as February. Maternal Health Focus in Rwanda: Rwanda’s obstetricians and gynecologists conference calls for stronger investment in women’s and girls’ health, better quality of care, and partnerships to cut preventable maternal deaths. HIV Service Delivery Win: UNAIDS highlights Rwanda among countries achieving 95-95-95 targets, stressing community-government-health system partnerships. Disability & Inclusion: Rwanda Union of the Blind urges families to challenge stigma and support independence after rehabilitation. Health System Infrastructure: Vital Strategies reports Rwanda’s digitized birth registration linked to national ID is improving access to services and data sharing across sectors. Local Health Governance: Rwanda Parliament replaces fragmented fisheries laws with a more cohesive framework that includes public health protections and better antimicrobial use oversight. Rwanda Health Tech & Data: Rwanda and EU partners discuss “return hub” cooperation, including emergency transit mechanisms for vulnerable families.

Ebola Emergency (DR Congo): Africa CDC and WHO warn the Bundibugyo Ebola outbreak is accelerating fast, with deaths now above 2,000 and cases over 4,300; WHO says it could surpass the deadliest outbreak on record, as the virus spreads beyond health workers’ reach and into more provinces. UN Response (Food & Funding): UN OCHA says it has added $30.5m to the CERF response and WFP is expanding hot meals to more Ebola treatment centres, including in Ituri and other affected areas. Rwanda Health Focus (Maternal & Reproductive Care): Rwanda’s obstetricians and partners urged stronger investment in women’s and girls’ health, better quality of care, and resilient health systems to cut preventable maternal deaths. HIV Progress (95-95-95): UNAIDS highlights Rwanda among countries achieving the 95-95-95 targets, stressing community-government-health system partnerships. Regulation & Safety (Toxic Alcohol): Rwanda escalates its crackdown on illicit alcohol, arresting senior regulators and probing licensing/inspection failures tied to methanol-linked poisonings. Public Health Systems (Birth Registration): A report on Rwanda’s digitized birth registration and links to national ID points to faster service access and better data sharing across sectors. Local Infrastructure for Health (Green City Kigali): Procurement signals progress on Ngaruyinka’s climate-resilient roads, stormwater works, and solar street lighting—supporting safer urban services.

Ebola Alert (DRC): WHO says the fast-moving Bundibugyo Ebola outbreak in eastern Democratic Republic of Congo is on track to surpass the deadliest in history, with deaths now above 2,000 and cases above 4,300, and fears it could spill further as health teams struggle amid conflict, weak infrastructure, strikes, and misinformation. Rwanda Health Policy: Rwanda’s Parliament has replaced nearly 20-year-old fisheries rules with a single, more cohesive law aimed at better managing inland fisheries and aquaculture, including public health protections and tighter control of antimicrobial misuse. Regulation & Safety (Rwanda): Rwanda’s toxic alcohol crackdown escalated with arrests reaching regulators and licensing/inspection bodies, after methanol-linked poisonings caused deaths, blindness, and hospitalizations. Digital Health Foundations (Rwanda): A Vital Strategies report highlights how digitizing birth registration and linking it to Rwanda’s national ID system can improve real-time identity checks and service access across sectors. Local Health Story (Rwanda): A snakebite case from Rwamagana shows how treatment delays and unaffordable follow-up care can turn a bite into a long-term health and financial crisis.

Ebola Alert (DR Congo): WHO says the fast-moving Bundibugyo Ebola outbreak in eastern DR Congo is on track to surpass the deadliest in history, with deaths now above 2,000 and cases above 4,300; the virus is spreading across multiple provinces and has “big head start” since it likely began circulating as early as February, while conflict, weak health infrastructure, health worker strikes, and misinformation are slowing containment. Ebola Spread (Regional Risk): Africa CDC reports the outbreak has reached a sixth province, Bas-Uele, raising fears it could spill toward South Sudan. Rwanda Health Policy (Regulation): Rwanda’s toxic alcohol crackdown escalated with arrests tied to licensing and oversight failures behind methanol-linked poisonings and hospitalizations, shifting focus from street sellers to regulators. Public Health Systems (Blood Safety): Nigeria’s NAFDAC says it’s strengthening regulation of blood and blood products to protect patients across the transfusion chain, noting Rwanda already has NRA oversight. Maternal Identity & Care Access (Digital): A case study highlights how Rwanda’s digitized birth registration and integration with national ID systems can improve real-time verification and service delivery. Clinical Care (Urology): Urology Care Foundation named 15 humanitarian grant recipients to expand access to urologic care and training in underserved communities. Community Health (Snakebite): Rwanda’s ongoing snakebite burden is spotlighted through a survivor’s long recovery journey after delayed or unaffordable treatment.

Ebola Alert (DR Congo): WHO chief Tedros Adhanom Ghebreyesus says the eastern Congo Ebola outbreak is on track to surpass the deadliest in history, with over 2,000 deaths from more than 4,300 cases and sequencing showing it began months earlier (February). He warns the outbreak is moving faster than containment efforts in remote, conflict-affected areas, where health workers have faced strikes, weak infrastructure, and misinformation that keeps people away from clinics. Rwanda Care Link: A separate report highlights Rwanda’s surgical capacity in action, with Rwandan cardiac surgeon Dr. Jean de Dieu Nsanzimana involved in an emergency heart operation in Israel through a program expanding advanced cardiac care across Africa. Health Equity Story (Rwamagana): In Rwanda, a snakebite survivor’s long recovery shows how treatment costs and gaps in follow-up support can turn an emergency into years of hardship. Digital Health Funding: A wider Africa startup roundup notes record mid-year investment, with healthcare delivery funding (including Rwanda-linked drone medical supply work) helping keep clinics stocked.

Ebola Alert (DR Congo): WHO says the fast-moving Bundibugyo Ebola outbreak in eastern DR Congo is on track to become the deadliest on record, with 2,000+ deaths and 4,300+ cases; the outbreak was declared in May but sequencing suggests it began in February, and conflict, remote terrain, weak clinics, misinformation, and health-worker strikes are slowing response. Rwanda Care Link: A Rwandan cardiac surgeon (Dr. Jean de Dieu Nsanzimana) is highlighted for emergency work during a complex heart-tumor case in Israel, reflecting Rwanda’s growing access to advanced cardiac training. Rwanda Health Tech: Planet Labs and the Government of Rwanda launched a national satellite data program to support agriculture and food security, forest monitoring, urban planning, and disaster planning—aimed at improving health-related preparedness and response. Rwanda NTD Strategy: Rwanda rolled out a five-year strategy to fight neglected tropical diseases, targeting long-term prevention and control. Public Health Risk (El Niño): Africa braces for a possible super El Niño that could worsen extreme weather, food insecurity, and livelihoods—key drivers of health stress. Digital Safety (Ghana, wider region): Child Online Africa urges stronger online protections for children, including a social-media delay, as risks like grooming and sextortion rise.

Ebola Crisis in DRC: Congo reports 4,381 confirmed Ebola cases and 2,011 deaths, with the outbreak spreading faster than past epidemics; WHO says sequencing suggests it began in February, and response is being hampered by rebel conflict, bad roads, and health worker work stoppages. Maternal Health Fallout: In Ituri, fear of infection and disrupted services are driving fewer facility deliveries (down 13% overall), while maternal deaths nearly double—highlighting how Ebola control is also worsening routine care. Rwanda NTD Push: Rwanda rolls out a five-year strategy to tackle neglected tropical diseases, including podoconiosis, with treatment centres and screening aimed at reducing long-term disability and improving access to care. Digital Health & Supply Chains: Rwanda and Planet Labs launch a national satellite data program to support agriculture and food security, forest monitoring, and disaster planning—tools that can strengthen public health readiness. Child Online Safety: Child Online Africa urges stronger protections for children online, including a social-media delay and age limits, as data shows rapid social media uptake across the region. Funding Surge for Health Tech: A new report says African startups raised $3.3bn in the first half of 2026, with healthcare drone delivery (including Rwanda-linked Zipline rounds) a major driver.

Ebola Crisis in DRC: Congo’s Ebola outbreak has now killed over 2,000 people, with 4,381 confirmed cases and 2,011 deaths reported as the virus spreads faster than responders can track and contain it; WHO says the outbreak likely started in February, and the Bundibugyo strain has no approved vaccines or treatments yet, while conflict, bad roads, and health worker pay stoppages are hampering care. Maternal Health Hit Hard: In Ituri, fear of infection and disrupted services are driving fewer facility deliveries, and maternal deaths are nearly doubling as women avoid clinics. Rwanda Health Link—Podoconiosis: Rwanda’s 2026–2030 neglected tropical diseases plan flags podoconiosis as a key mobility and wellbeing burden in highland districts, with 13 treatment centres supporting screening and care. Tech for Health Systems: Rwanda and Planet Labs launched a national satellite data program to support agriculture, food security, forest monitoring, and disaster planning—aimed at improving how health and emergency responses are prepared. Gorilla Naming & Tourism: Rwanda will name 22 baby mountain gorillas on Sept. 4, highlighting conservation-linked tourism growth that can indirectly support community health and services.

Ebola Update (DR Congo): WHO says the fastest-growing Ebola outbreak in eastern Congo actually began in February, months before the May 15 declaration, with early cases misread as malaria or typhoid; confirmed cases are now about 4,200 with over 1,900 deaths, as conflict, misinformation, health worker strikes, and shortages of protective gear and safe water hamper response. Travel & Entry Measures: The US tightened rules—people who were in DR Congo within 21 days can’t board flights to the US—while travelers from Uganda and South Sudan face screening via designated airports; Rwanda and other countries also introduced entry or visa restrictions. Rwanda Health & Care Access: Rwanda’s new Neglected Tropical Diseases Strategic Plan 2026–2030 flags podoconiosis as a continuing concern in North and West, citing volcanic-soil exposure and misconceptions that delay care; Rwanda has set up 13 podoconiosis treatment centres, including 11 supported through HASA/RBC partnerships. Tech for Public Health & Food Security: Planet and Rwanda launched a national satellite data program via the Rwanda Space Agency to support agriculture and food security monitoring, forest health, and disaster planning—data also reaching public universities and selected startups. Community Nutrition: Permagardens training is helping households grow vegetables at home, improving access to fresh produce and reducing the time and cost of buying food. Tourism & Health Link: Kwita Izina plans for Sept 4 highlight how gorilla conservation and tourism revenue are tied to community development around Volcanoes National Park.

Ebola Update (DR Congo): WHO says the fastest-growing Ebola outbreak in eastern Congo actually began in February—months before the May 15 declaration—after genetic sequencing showed early cases were misread as malaria or typhoid. Confirmed cases have reached about 4,200 with over 1,900 deaths, as conflict, misinformation, health worker strikes, and shortages of protective gear and safe water slow the response. Travel Measures (Public Health): The US tightened Ebola travel rules: people who were in DR Congo in the 21 days before departure can’t board flights to the US, while travelers from Uganda and South Sudan must route through four screened airports. Rwanda Health & Safety (Alcohol Crackdown): Rwanda’s Investigation Bureau reports about 80 detentions in a crackdown on illicit alcoholic beverages after regulators shut down dozens of firms and suspended imports of many brands, citing public health risks; the government says hundreds have been treated for complications linked to illicit brew, including deaths and vision loss. Food & Nutrition (Permagardens): A Rwanda-based household story highlights how Permagardens training helps families grow fresh vegetables at home using compost, natural pest control, and crop rotation—improving nutrition and reducing the cost and time of buying produce. Agri Resilience (Irrigation): Modern irrigation is boosting commercial fruit farming in Gisagara, with support under Rwanda’s small-scale irrigation programme helping institutions and farmers turn underused land into productive enterprises. Youth & Civic Health (Itorero Indangamirwa): Rwanda’s PM urged 769 civic-education graduates to seize opportunities while staying disciplined against distractions, framing it as protecting the gains of national development. Digital Health Adjacent (Satellite Data): Rwanda and Planet launched a national satellite data programme to support agriculture, forest monitoring, and disaster planning—aimed at strengthening decision-making for health-related emergencies like floods.

Alcohol Safety Crackdown: Rwanda Investigation Bureau says 80 people were detained after a nationwide crackdown on illicit alcoholic beverages, following Rwanda FDA shutdowns of dozens of liquor firms and suspensions/recalls tied to unsafe products; officials warn more arrests may follow as investigations continue. Public Health Focus: The crackdown comes amid reports of serious harm linked to illicit brew, including hundreds treated for complications and deaths, with authorities urging consumers to stop consuming affected drinks. Regulatory Enforcement: Rwanda FDA also ordered immediate recall of more than 20 alcohol brands and closure of 12 manufacturing facilities, revoking licences and requiring fast recall reports from manufacturers. Ebola Travel Measures: The US tightened Ebola-related travel rules, including a 21-day restriction for people returning from DR Congo and added screening routes via designated airports for travelers from Uganda and South Sudan. Health & Risk Ahead of El Niño: Kenya’s interior ministry flagged 18 high-risk counties for floods and disease outbreaks, with Nairobi and several coastal and lake-basin areas listed for close watch. Rwanda Policing Online Conduct: Rwanda police said they will step up monitoring of indecent behavior in public and on social media, including TikTok Live, as part of broader public standards enforcement. Local Care & Inclusion: Autism Rwanda-related coverage highlights growing attention to autism and mental health as a public health priority in Rwanda and across Africa.

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