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Mali launches first-ever Malaria vaccine campaign

Mali launches first-ever Malaria vaccine campaign

On World Malaria Day, Mali's Ministry of Health, in collaboration with Gavi, the Vaccine Alliance, UNICEF, and the World Health Organization (WHO), launched a historic initiative to protect young children from malaria.
Mali launches historic initiative to protect young children from malaria on World Malaria Day
Mali becomes the 20th African country to introduce the malaria vaccine into its routine vaccination program with Gavi funding
The government used a first-of-its-kind malaria vaccine distribution strategy, targeting children aged 5 to 36 months, marking a significant advancement in the fight against the fatal illness.
With this decision, Mali becomes the 20th African country to introduce the malaria vaccine into its routine vaccination program, with Gavi funding.
The implementation is vital not only for Mali but also for the continent's overall efforts to eradicate malaria.
Initial distribution of the R21/Matrix-M vaccine, which will be utilized in Mali's rollout, is taking place in 19 priority districts spread across five regions: Kayes, Koulikoro, Mopti, Ségou, and Sikasso, as reported by the WHO.
Mali has received 927,800 vaccine doses in preparation for the launch, laying the groundwork for a comprehensive and effective vaccination campaign.
Concerning data highlights how urgent Mali's immunization efforts are. The WHO World Malaria Report for 2024 states that in 2023, Mali was responsible for 2.4% of all malaria fatalities (14,328) and 3.1% of all malaria cases (8.15 million) worldwide.
It is one of the 11 nations with the highest rates of malaria in the world. These numbers demonstrate the urgent need for successful interventions, such as the recently implemented vaccination program.
Mali's debut comes after Uganda's recent large-scale deployment, which was the most widespread to date in terms of district and population coverage.
The malaria vaccine is increasingly gaining popularity across Africa. Since 2023, approximately 24 million malaria vaccine doses have been supplied across the continent, as governments continue to expand their vaccination programs.
Gavi is a key player in this historic initiative, overseeing the worldwide malaria immunization campaign.
The organization collaborates closely with governments and partners to guarantee the success of these efforts.
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Booking Health Unveils New Study: Role of Immunotherapy in Extending Life Expectancy for Stage4 Cervical Cancer Patients
Booking Health Unveils New Study: Role of Immunotherapy in Extending Life Expectancy for Stage4 Cervical Cancer Patients

Yahoo

time2 hours ago

  • Yahoo

Booking Health Unveils New Study: Role of Immunotherapy in Extending Life Expectancy for Stage4 Cervical Cancer Patients

Langenfeld, Germany, Aug. 11, 2025 (GLOBE NEWSWIRE) -- Booking Health, a global leader in medical treatment coordination, today unveiled a new study titled Role of Immunotherapy in Extending Life Expectancy for Stage 4 Cervical Cancer Patients. The report outlines how cutting-edge immunotherapy is reshaping care for women with advanced cervical cancer, offering new pathways to longer survival and improved quality of life, particularly in cases resistant to standard Cancer Immunotherapy is redefining how doctors treat women diagnosed with stage 4 cervical cancer – offering hope where traditional treatments often fall short. According to global cancer statistics provided by the World Health Organization, cervical cancer is still ranking as the fourth most frequently diagnosed cancer among women worldwide, with over 350,000 deaths reported in 2022 alone. Therefore, the need for more effective therapies is urgent. Chemotherapy and radiation therapy remain standard for locally advanced and metastatic cervical cancer. However, they often come with harsh side effects and limited long-term benefit – especially in recurrent or PD-L1-positive cases. This is where immunotherapy is beginning to transform the way we treat cervical cancer. By training the immune system to recognize and destroy cancer cells, this innovative approach is extending survival, improving quality of life, and reshaping the future of gynecologic oncology, according to the American Cancer Society. Leading the way in connecting patients with advanced treatment abroad is Booking Health, a global medical coordination platform that offers access to advanced cervical cancer treatment in the best European clinics. Why Is Stage 4 Cervical Cancer So Hard to Treat? Stage 4 cervical cancer is difficult to treat because it involves metastatic disease, where cancer has spread beyond the pelvis to distant organs, making it less responsive to traditional therapies such as chemotherapy and radiation. In many cases, the disease becomes persistent or recurrent, with fewer effective treatment options available, as reported by the National Cancer Institute. Types of Advanced Cervical Cancer Understanding the different stages helps clarify why some cases are more complex than others: Term Definition Treatment Challenge Locally advanced cervical cancer Cancer has spread beyond the cervix to nearby tissues (e.g., vagina, parametria) but not to distant organs Often treated with chemoradiation, but recurrence risk remains Recurrent cervical cancer Cancer returns after a period of remission May resist previously used therapies and require new approaches Metastatic cervical cancer Cancer spreads to distant organs like lungs, liver, or bones Hard to target; systemic therapies often have limited success Most Common Cervical Cancer Types Squamous cell carcinoma – accounts for 80-90% of cases; originates in the ectocervix Adenocarcinoma – about 10-20% of cases; arises from glandular cells in the endocervix Adenosquamous carcinoma – a rarer subtype with mixed features As reported by Cancer Research UK, each type may behave differently in terms of spread, immune response, and treatment sensitivity. Limitations of Traditional Treatments Standard treatments for advanced cervical cancer include: Chemotherapy: Often platinum-based; effectiveness diminishes over time; Radiation therapy: Can control local disease but may not impact distant metastases; Systemic therapies: Cause significant side effects, with limited survival benefit in persistent cervical cancer. Moreover, the American Cancer Society reports that patients with persistent or metastatic disease often experience poor outcomes, with 5-year survival rates below 20% in stage 4 cases. As such, gynecologic oncology experts have increasingly turned to immunotherapy to improve response rates and extend survival. What Is Immunotherapy and How Does It Work for Cervical Cancer? Immunotherapy for cervical cancer stimulates the body's own immune system to recognize and destroy cancer cells by targeting specific immune pathways. This approach is especially useful for patients with PD-L1–positive, recurrent, or metastatic cervical cancer who may not respond well to conventional treatments. Approach Description Relevance to Cervical Cancer Immune checkpoint inhibitors Block proteins (PD-1, PD-L1) that prevent immune cells from attacking cancer Reactivates exhausted T cells to fight cervical cancer cells Monoclonal antibodies Lab-made antibodies designed to target specific tumor markers Some bind PD-L1 or deliver cytotoxic agents directly to tumor cells Cancer vaccines Stimulate immune response to HPV or tumor-associated antigens Promote lasting T cell activation and memory Adoptive T cell therapy Infuse engineered T cells that can attack tumor cells Under investigation for recurrent cervical cancer The PD-1/PD-L1 Pathway PD-1 is a receptor on T cells that regulates immune response PD-L1 is often overexpressed on cervical cancer cells When PD-L1 binds to PD-1, it "switches off" the immune attack Checkpoint inhibitors block this interaction – reactivating T cells to destroy cancer cells Why It Matters Many cervical tumors exhibit high PD-L1 expression, making them ideal candidates for immunotherapy. Successful treatment leads to greater T cell infiltration into tumors, enhancing immune surveillance. Patients often experience improved immune response and more durable control of the disease than with chemotherapy alone. This therapeutic shift reflects a broader move toward personalized medicine in gynecologic oncology, targeting tumor-infiltrating lymphocytes and immune checkpoints rather than relying solely on cytotoxic drugs. Findings from the Latest Clinical Trials Recent phase III clinical trials have shown that combining immunotherapy with standard chemotherapy – or using it as a second-line option – can significantly extend survival and delay disease progression in patients with recurrent or metastatic cervical cancer. These studies demonstrate that there has occurred a major shift in how advanced cervical cancer is treated, providing hope to patients who previously had limited options after conventional therapies failed. Highlights from the Trials Patients receiving immunotherapy lived significantly longer than those on chemotherapy alone. Survival benefit was observed regardless of PD-L1 status, especially in recurrent cases after platinum-based treatment. Delays in disease progression gave patients more time with better quality of life. Immune checkpoint inhibitors helped reactivate the immune system's ability to target and destroy cervical cancer cells. Clinical Trial Treatment Type Median Overall Survival (OS) Disease Control Outcome Notes Phase III Study Immunotherapy + Chemo Up to 28.6 months vs 16.5 months Longer survival in all groups Strongest benefit in PD-L1+ patients Randomized Phase III Trial Immunotherapy (2nd-line) 11.7 months vs 8.5 months Benefit seen in all PD-L1 levels Works even after chemo failure * Both studies confirmed survival advantages without significantly higher severe side effects compared to chemotherapy alone. What This Means for Patients For women with recurrent, persistent, or metastatic cervical cancer, these results signal a new standard of care. Immunotherapy is not only more targeted than traditional therapies but also better tolerated, offering: A longer window of disease control (median progression-free survival extended); Improved quality of life with fewer systemic side effects; Hope for those who did not respond to chemotherapy or radiation. This also opens the door for future therapies involving antibody drug conjugates, personalized immune profiling, and combination treatments that utilize both the immune system and conventional medicine. Today, cervical cancer cohorts worldwide are benefiting from a more individualized, immune-driven approach that redefines what is possible after recurrence or metastasis. Who Benefits Most from Immunotherapy in Cervical Cancer? Immunotherapy is most effective for patients with PD-L1-positive, recurrent, or metastatic cervical cancer, particularly when standard treatments like chemotherapy or radiation therapy have failed, as previously mentioned. These patients often have limited options, and immunotherapy provides a targeted approach that can activate the immune system to attack tumor cells more effectively. Common Eligibility Criteria for Immunotherapy Patients who may benefit from immunotherapy typically meet one or more of the following criteria: PD-L1 expression ≥1% (as determined by tumor biopsy); Recurrent or metastatic cervical cancer following standard treatment; Persistent squamous cell carcinoma that does not respond to initial therapies; Evidence of T cell infiltration or active immune cell presence within the tumor; No contraindications for immune checkpoint blockade (e.g., autoimmune diseases). Histology Type Prevalence Response to Immunotherapy Squamous Cell Carcinoma ~80-90% Better overall immune response; more PD-L1 expression; strong T cell infiltration Adenocarcinoma ~10-20% Slightly lower PD-L1 expression; emerging data still promising Adenosquamous/Mixed <5% Limited clinical data; under investigation While both subtypes may benefit, squamous cell carcinoma tends to respond more favorably due to its immunogenicity and higher prevalence of immune markers like PD-L1. Why This Is Important Understanding which patients are most likely to respond helps oncologists personalize therapy, avoid unnecessary toxicity, and improve overall outcomes in metastatic cervical cancer patients. As clinical trials continue to evolve, biomarkers like PD-L1, tumor-infiltrating lymphocytes, and even genomic profiling are playing a larger role in guiding treatment selection. What Are the Current Limitations and Side Effects of Immunotherapy? While immunotherapy is an innovative option in cervical cancer treatment, it is not without limitations. Not all patients experience a positive immune response, and treatment can lead to side effects caused by overstimulation of the immune system. Main Limitations of Immunotherapy for Cervical Cancer Variable response rates: Only patients with specific tumor profiles (e.g., PD-L1-positive tumors or high T cell infiltration) tend to respond. Delayed response: Unlike chemotherapy, benefits may take weeks or months to appear. Immune hyperactivation: Some patients may develop autoimmune-like reactions when the immune system attacks healthy tissue. High costs: Immunotherapy is expensive, and coverage varies widely by country and provider. Limited access: Not all regions offer advanced immune-based therapies or diagnostic testing. Side Effect Type Description Frequency Colitis Inflammation of the colon causing diarrhea Moderate Thyroiditis/Hypothyroidism Immune attack on the thyroid Common Dermatitis or skin rash Immune-related skin inflammation Common Fatigue and joint pain General inflammatory response Mild to moderate Pneumonitis Lung inflammation (rare but serious) Rare Cleveland Clinic highlights that these side effects are often immune-related and differ from those of chemotherapy, which typically causes nausea, hair loss, and bone marrow suppression. Most immune-related reactions are manageable with corticosteroids or immunosuppressive agents when diagnosed early. Importance of Tumor Profiling and Biomarker Testing Before initiating immunotherapy, tumor profiling is crucial. Tests that assess PD-L1 expression, tumor mutational burden, and immune cell markers help determine whether a patient is a good candidate. This ensures that patients treated are those most likely to benefit from therapy while minimizing unnecessary risks. Why Are More Patients Going Abroad for Cervical Cancer Immunotherapy? Many cervical cancer patients choose to go abroad for immunotherapy because of faster access, broader treatment options, and advanced clinical expertise – especially in countries known for innovation in gynecologic oncology. In many parts of the world, patients face long wait times, outdated systemic therapies, or limited access to next-generation immune system-based treatments. This is especially critical for women with advanced or recurrent cervical cancer, where timely intervention can directly affect survival and quality of life. In contrast, specialized cancer centers in countries like Germany offer accelerated treatment pathways, advanced diagnostics, and access to experimental options not yet widely available elsewhere. Primary Reasons Patients Travel Abroad for Treatment Limited access at home: In some countries, immune checkpoint inhibitors and personalized immunotherapy are not yet standard care – or are cost-prohibitive without insurance support. Delays in diagnosis or therapy: Long waitlists for oncology consultations or biopsy testing can result in treatment delays that worsen outcomes. Patients who choose to treat cervical cancer abroad often report improved outcomes, better coordination, and more comprehensive care – especially when guided by experienced facilitators like Booking Health. From Research to Results: How Immunotherapy Extends Life Expectancy Recent clinical advances highlight the growing role of immunotherapy in improving life expectancy for patients with stage 4 cervical cancer. Immune checkpoint inhibitors and other immune-based treatments are showing encouraging results, particularly for recurrent, metastatic, and PD‑L1‑positive cervical cancers, where traditional chemotherapy offers limited benefit. By stimulating the body's own immune system to recognize and attack tumor cells, these therapies have been linked to longer survival and improved progression-free outcomes in international studies. Access to such innovative care remains uneven, prompting patients to seek specialized oncology centers abroad. Through coordination platforms such as Booking Health, individuals are able to connect with leading hospitals in Germany and other countries that offer advanced cervical cancer immunotherapy programs. These multidisciplinary approaches combine personalized treatment planning, modern diagnostics, and targeted immune modulation to address late‑stage disease. As immunotherapy research continues to expand, it represents a significant shift in the management of advanced cervical cancer, giving more women a realistic chance at extended survival and an improved quality of life. Key Takeaways: Immunotherapy's Impact on Advanced Cervical Cancer Immunotherapy offers hope for women with stage 4 cervical cancer, especially when other treatments have failed. It works by strengthening the immune system to recognize and eliminate cancer cells more effectively. Most effective in patients with PD-L1-positive, recurrent, metastatic, or invasive cervical cancer. Recent phase III clinical trials show longer survival and improved median progression-free survival compared to chemotherapy alone. Booking Health connects international patients with leading European hospitals that specialize in cervical cancer immunotherapy and personalized care. These breakthroughs represent a major advancement in the treatment of metastatic cervical cancer – delivering not only longer survival, but also a significantly improved quality of life. To explore your personalized treatment options, contact Booking Health today and take the next step toward advanced cervical cancer care. Side_Effects About Booking Health Booking Health™ is the international platform for rapid access to innovative treatments in the world's leading certified clinics. Our network features over 250 top-tier hospitals across the globe, all distinguished by the exceptional levels of medical accreditation and expertise. By arranging care with the help of Booking Health company, you benefit from comprehensive medical support based on the latest innovations and personalized coordination. We offer cost saving up to 70% compared to direct booking via clinics — all without compromising on quality. Choosing Booking Health means more than just acquiring access to innovative world-class therapy - it means saving valuable time knowing that every detail is handled by professionals. Headquartered in Bad Hönningen, Germany and officially registered in Düsseldorf under HRB 106466, Booking Health proudly consults patients from over 75 countries for over a decade, offering services in 11 languages. Press inquiries Booking Health Lena Hanten marketing@ Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

Cervical Cancer: 5 Things to Know
Cervical Cancer: 5 Things to Know

Medscape

time3 hours ago

  • Medscape

Cervical Cancer: 5 Things to Know

Cervical cancer remains a significant global health concern, ranking as the fourth most common cancer in women worldwide, with an estimated 660,000 new cases and 350,000 deaths in 2022. The burden is unevenly distributed, with over 85% of cases occurring in low- and middle-income countries, where access to preventive care and treatment is limited. In contrast, the incidence and mortality rates in the United States have declined substantially due to widespread implementation of cervical cancer screening programs and human papillomavirus (HPV) vaccination, with an estimated 13,820 new cases and 4,360 deaths expected in the US in 2024. Cervical cancer develops from a multistep transformation process triggered by persistent infection with high-risk types of HPV, most notably HPV 16 and 18. These oncogenic strains integrate into host DNA, expressing viral proteins E6 and E7, which inactivate the tumor suppressors p53 and retinoblastoma protein (Rb), respectively, and promote genomic instability. The progression from infection to cervical intraepithelial neoplasia and eventually invasive carcinoma may take 15-20 years after initial HPV infection, providing a window for early detection and prevention. Histologically, the majority of cervical cancers are squamous cell carcinomas (~80%), followed by adenocarcinomas and adenosquamous carcinomas. The World Health Organization now distinguishes between HPV-associated and HPV-independent tumors, with the latter comprising roughly 5% of cases — often displaying worse outcomes and distinct molecular profiles — although current treatment strategies do not yet differ based on HPV status. Here are five things to know about Cervical Cancer. 1. HPV vaccination and screening remain the most powerful tools for prevention. Persistent infection with oncogenic HPV types, particularly HPV 16 and 18, is responsible for over 95% of cervical cancers. Screening and vaccination efforts have significantly reduced cervical cancer incidence in countries with established programs. According to 2018 recommendations from the United States Preventive Services Task Force, women aged 21-29 should undergo cervical cytology (Pap smear) every 3 years, while those aged 30-65 may choose between cytology every 3 years, high-risk HPV testing every 5 years, or cotesting every 5 years. In contrast, the American Cancer Society's 2020 guidelines recommend beginning screening at age 25 with HPV testing as the preferred method. No routine screening is recommended for women younger than 21, older than 65, or those who have undergone a hysterectomy for benign reasons. HPV vaccination has transformed cervical cancer prevention. Vaccination before the age of 17 has been shown to reduce cervical cancer incidence by nearly 90%, and growing evidence supports that a single dose may be as effective as a full series, which could simplify implementation in low-resource settings. 2. At-home HPV testing is a breakthrough in improving access. To expand screening to underserved populations, the FDA approved clinician-supervised self-collected HPV testing in 2024 and fully at-home HPV testing in 2025. These regulatory changes represent a major shift in cervical cancer screening accessibility. Clinical trials have demonstrated that the sensitivity of at-home HPV testing of ~95% is equivalent to that of clinician-collected samples. This development is especially important for increasing screening rates in medically underserved communities, including individuals with limited access to healthcare, cultural stigma surrounding pelvic exams, or logistical barriers to in-person visits. By reducing these obstacles, at-home HPV testing has the potential to improve early detection, narrow disparities, and prevent progression to advanced cervical cancer among those most at risk. 3. HPV is the primary risk factor, but others contribute to disease development. While infection with high-risk HPV is a necessary precursor to most cervical cancers, not all women with HPV will develop cancer. Additional factors can influence progression from transient infection to persistent infection, dysplasia, and ultimately malignancy. Tobacco use is among the most well-established risk factors, doubling the risk of squamous cell carcinoma by impairing local immune defenses in the cervix. Immunosuppression, especially in individuals with the human immunodeficiency virus, markedly increases the risk of persistent HPV infection and cervical dysplasia. Other contributing factors include chronic chlamydia infection, long-term use of oral contraceptives, having three or more full-term pregnancies, early age at first childbirth, poor diet lacking in fruits and vegetables, and exposure to diethylstilbestrol in utero. Lower socioeconomic status is consistently associated with higher cervical cancer incidence and worse outcomes, largely due to reduced access to screening and timely care. Though uncommon, a subset of cervical cancers (3%-8%) are not associated with HPV and tend to present at older ages, potentially with more aggressive biology. 4. Symptoms often appear late, making screening critical. Most early cervical cancers and pre-cancerous lesions are asymptomatic, which is why regular screening is vital for early detection. When symptoms do occur, they often include abnormal vaginal bleeding, such as post-coital or intermenstrual bleeding, watery or malodorous vaginal discharge, pelvic pain, and dyspareunia. As the disease advances, more severe symptoms may develop, including urinary symptoms, lower abdominal pressure, hematuria, and hematochezia depending on the site of metastasis. Diagnosis is initiated with colposcopy and biopsy following abnormal screening results. Biopsies may include punch biopsy, endocervical curettage, or cone biopsy depending on lesion size and location. Once cancer is confirmed, staging typically involves pelvic examination, imaging such as MRI or PET-CT, and sometimes examination under anesthesia. Cervical cancer is staged using the International Federation of Gynecology and Obstetrics system, which incorporates clinical and radiologic findings to guide treatment decisions. Lack of participation in cervical cancer screening is a key reason for late-stage diagnosis, highlighting the critical need to improve screening uptake and address missed opportunities for early detection. 5. Treatment is stage-specific and increasingly personalized. Treatment of cervical cancer depends on disease stage, type of cervical cancer, patient comorbidities and age, desire for fertility preservation, and whether the cancer has just been diagnosed or has recurred. For patients with microinvasive disease (stage IA1), options include cold knife conization if the depth of invasion is < 3 mm or total hysterectomy. Stages IA2-IB2 are typically managed with radical hysterectomy and pelvic lymphadenectomy, although fertility-sparing surgery such as radical trachelectomy may be considered in select patients; intracavitary radiation therapy may be considered as a palliative option for women who are not eligible for surgery or have medical contraindications to other treatments. Locally advanced disease (stages IB3-IVA) is treated with definitive chemoradiation, usually consisting of external beam radiation therapy combined with weekly cisplatin. Brachytherapy is an essential component of treatment for curative intent. Recent data suggest that induction chemotherapy before chemoradiation may improve survival outcomes in some patients, although this approach is still under investigation. For recurrent or metastatic disease, systemic therapy with or without palliative radiation is the mainstay. First-line therapy often includes a combination of platinum-based chemotherapy, paclitaxel, and the antiangiogenic agent bevacizumab. For patients with PD-L1-positive tumors, the addition of pembrolizumab, with or without bevacizumab, to chemotherapy has become standard of care based on the KEYNOTE-826 trial. In the second-line setting, options expand to include other cytotoxic agents such as topotecan, gemcitabine, or vinorelbine, as well as immunotherapy and targeted agents. In pregnancy, treatment strategies depend on cancer stage and gestational age, often balancing maternal prognosis with fetal viability.

Outrage as baby dies after genital mutilation in The Gambia
Outrage as baby dies after genital mutilation in The Gambia

Yahoo

time7 hours ago

  • Yahoo

Outrage as baby dies after genital mutilation in The Gambia

The death of a one-month-old baby girl who was the victim of female genital mutilation (FGM) in The Gambia has sparked widespread outrage. The baby was rushed to a hospital in the capital, Banjiul, after she developed severe bleeding, but was pronounced dead on arrival, police said. Although an autopsy is still being conducted to establish the cause of her death, many people have linked it to FGM, or female circumcision, a cultural practice outlawed in the West African state. "Culture is no excuse, tradition is no shield, this is violence, pure and simple," a leading non-governmental organisation, Women In Leadership and Liberation (WILL), said in a statement. Two women had been arrested for their alleged involvement in the baby's death, police said. The MP for the Kombo North District where the incident happened emphasised the need to protect children from harmful practices that rob them of their health, dignity, and life. "The loss of this innocent child must not be forgotten. Let it mark a turning-point and a moment for our nation to renew its unwavering commitment to protecting every child's right to life, safety, and dignity," Abdoulie Ceesay said. FGM is the deliberate cutting or removal of a female's external genitalia. The most frequently cited reasons for carrying it out are social acceptance, religious beliefs, misconceptions about hygiene, a means of preserving a girl or woman's virginity, making her "marriageable", and enhancing male sexual pleasure. The Gambia is among the 10 countries with the highest rates of FGM, with 73% of women and girls aged 15 to 49 having undergone the procedure, with many doing so before the age of six years. 'I wanted my clitoris back' - FGM survivor WILL founder Fatou Baldeh told the BBC that there was an increase in FGM procedures being performed on babies in The Gambia. "Parents feel that if they cut their girls when they're babies, they heal quicker, but also, because of the law, they feel that if they perform it at such a young age, it's much easier to disguise, so that people don't know," she said. FGM has been outlawed in The Gambia since 2015, with fines and jail terms of up to three years for perpetrators, and life sentences if a girl dies as a result. However, there have only been two prosecutions and one conviction, in 2023. A strong lobby group has emerged to demand the decriminalisation of FGM, but legislation aimed at repealing the ban was voted down in parliament last year. FGM is banned in more than 70 countries globally but continues to be practised particularly in Africa's Muslim-majority countries, such as The Gambia. You may also be interested in: What is FGM, where does it happen and why? FGM survivor refuses to let mutilation define her life 'Why I broke the law to be circumcised aged 26' Go to for more news from the African continent. Follow us on Twitter @BBCAfrica, on Facebook at BBC Africa or on Instagram at bbcafrica BBC Africa podcasts Focus on Africa This Is Africa

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