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Africa: Harm Reduction in Smoking – Prof. David Khayat Advocates for a Pragmatic Approach

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World Cancer Day was celebrated on February 4, providing an opportunity for oncologists and scientists to discuss new ways to combat this devastating disease. During his visit to Dakar in Senegal, Professor David Khayat, a medical oncologist at the Bizet Clinic in Paris and former president of the French National Cancer Institute, gave an exclusive interview to allAfrica. In the interview, he advocates for a pragmatic approach to smoking control, emphasizing harm reduction strategies.
Failure of Traditional Anti-Smoking Policies?
“Few people know why February 4 is World Cancer Day,” Prof. Khayat explains. “The reason dates back to February 4, 2000, when I co-authored and signed the UNESCO Charter Against Cancer with several oncologists, alongside the Director-General of UNESCO and former French President Jacques Chirac. That charter strongly emphasized prevention.”
He highlights that harm reduction in smoking is crucial in public health because total smoking cessation is often unrealistic for many smokers. While 95% of cancers are linked to environmental and behavioral factors—including smoking, alcohol consumption, poor diet, sun exposure, and pollution—anti-smoking policies have largely failed to significantly reduce the number of smokers.
According to Prof. Khayat, traditional anti-smoking measures, such as price increases and awareness campaigns, have not had the desired impact. “Twenty-five years ago, in 1990, smoking was the leading cause of cancer worldwide. In 2021, it was still the leading cause. We raised cigarette prices, placed shocking images on packs, but it didn’t work,” he observes.
Nicotine addiction makes quitting extremely difficult. He cites a U.S. study showing that 64% of lung cancer patients continue smoking, even after diagnosis and despite knowing the risks. “You can tell someone to quit, but they won’t, even if they know it could kill them. Instead of demanding total cessation, we should focus on reducing their exposure to risk,” he explains.
Prof. Khayat stresses the widespread misconception that nicotine is the main cause of smoking-related cancers. “Nicotine does not cause cancer. This has been confirmed by every major global health agency. Yet the myth persists,” he states.
He clarifies that it is the combustion of tobacco, not nicotine, that produces toxic, carcinogenic substances. That is why he supports transitioning smokers to smoke-free alternatives, such as e-cigarettes and heated tobacco products, which deliver nicotine without exposing users to harmful combustion byproducts. “These alternatives are not risk-free, but they significantly reduce exposure to carcinogens—by up to 98%,” he explains.
Harm Reduction: An Ethical and Political Debate
For some public health experts, the only acceptable solution is total smoking cessation. However, Prof. Khayat argues that this stance is unrealistic and dogmatic. “I’ve seen too many lung cancer patients die to simply tell them, ‘Too bad for you, you shouldn’t have smoked,’” he declares.
He also criticizes the World Health Organization (WHO) for its rigid opposition to harm reduction alternatives.
“The WHO takes an extreme position, as if banning smoking is enough to solve the problem. But prohibition has never worked—whether it was alcohol in the 1920s in the U.S. or tobacco today,” he argues.
In January 2020, U.S. President Donald Trump announced the withdrawal of the United States from the WHO, citing lack of transparency, poor handling of COVID-19, and excessive political influence. Similarly, the WHO’s management of the Framework Convention on Tobacco Control (FCTC) and its Conference of the Parties (COP) has faced growing criticism.
On this issue, Prof. Khayat shares his perspective: “I think the reasons given are not false. The WHO lacked transparency with the Covid crisis. They took months before saying that it was an epidemic and the investigations went to China, they came back with analyzes revealing that it was not China. This lack of transparency and objectivity is concerning. As a practitioner, I see it now. Whether the sanction is to stop financing or not, I cannot say.”, he said.
“During the pandemic, people who were inactive at home, anxious, smoked a lot,” he adds. “Unfounded studies have said that those who smoked have a lower risk of catching Covid. The problem today is that social networks amplify anything, which increases misinformation. It should be noted that smoking is always harmful. The lack of transparency, the much too strong political influence on the WHO are things that pose a problem.”
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What Lies Ahead?
Prof. Khayat calls for a policy shift based on technological innovation and appropriate regulation. He cites Sweden as an example, where the use of snus (a smokeless tobacco product) has helped achieve one of the lowest lung cancer rates in Europe. “We need strict regulations to prevent misuse—especially among young people—but we must also accept that harm reduction is a pragmatic solution,” he insists.
He also warns that other factors could soon surpass smoking as the leading cause of cancer. “Obesity is set to overtake smoking as the number one risk factor for cancer by 2030. Air pollution, particularly fine particulate matter, is also becoming a major contributor,” he cautions.
In conclusion, Prof. Khayat delivers a clear message to smokers: “If you can quit, do it. But if you can’t, at least reduce your exposure to carcinogens by switching to safer nicotine alternatives. That’s your best chance to lower your cancer risk.”
With traditional anti-smoking efforts stagnating for decades, his call for a science-based, harm-reduction approach could be the key to finally decreasing lung cancer rates worldwide.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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Africa: Expanding Market Access – Unlocking New Opportunities for Entrepreneurs

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Sometimes, one opportunity is all it takes to change the trajectory of a business. For many women in the WCW Programme, 2024 has been a year of breakthroughs – where barriers gave way to bridges, and small businesses found space to grow.
Thanks to focused coaching and training, WCW entrepreneurs opened the door to over 10 new markets, generating opportunities valued at more than US$200,000. With tailored procurement support, they went even further – securing five supplier partnerships in Tanzania and seven in Zambia. These aren’t just numbers. They’re new deals signed, new shelves stocked, and new markets won.
Behind this progress is WCW’s strong belief in insight before action. Partnering with a leading service provider, the programme is helping entrepreneurs decode market trends, customer behaviours, and competitor landscapes. Through boot camps in six countries, women are now equipped with sharper strategies to position and promote their businesses like pros.
In the agriculture and agro-processing sectors, WCW is collecting critical data to pinpoint entry barriers, market concentrations, and competitive pressures. These insights are more than academic – they’re fuelling policy advocacy aimed at making it easier for small businesses to enter and thrive in high-potential sectors.
Support is also happening behind the scenes. WCW has brought in seasoned service providers to guide entrepreneurs in securing offtake agreements – particularly in agribusiness, where the potential to scale is massive. Plans to roll out a collective/aggregation model are also underway, giving smaller businesses the power to move together and tap into bigger supply chains.
Key Voices:
“The programme helped me focus on customer needs, allowing me to improve service delivery and expand my product range.”
— Participant from Tanzania
“The WCW-I programme has been helping me develop confidence, refine operations, and expand my market reach.”
— Participant from Zambia
With clearer pathways and stronger partnerships, WCW is showing what’s possible when entrepreneurs are given the tools – and the trust – to lead their own growth.
Read the original article on Graça Machel Trust.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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US to ban artificial food dyes in cereals, snacks and beverages

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(BBC) US Health Secretary Robert F Kennedy Jr is set to announce a ban on certain artificial food dyes, according to a statement from the health agency.

Kennedy plans to announce the phasing out of petroleum-based synthetic dyes as a “major step forward in the Administration’s efforts to Make America Healthy Again” the US Department of Health and Human Services (HHS) said on Monday.

No exact dates for the changes were provided, but HHS said Kennedy would announce more details at a news conference on Tuesday.

The dyes – which are found in dozens of foods, including breakfast cereals, candy, snacks and beverages – have been linked to neurological problems in some children.

On the campaign trail alongside Donald Trump, Kennedy last year pledged to take on artificial food dyes as well as ultra-processed foods as a whole once confirmed to lead to top US health agency.

The move comes after the Food and Drug Administration (FDA) earlier this year banned one dye, Red Dye 3, from US food and pharmaceuticals starting in 2027, citing its link to cancer in animal studies. California banned the dye in 2023.

Most artificially coloured foods are made with synthetic petroleum-based chemicals, according to nutrition nonprofit Center for Science in the Public Interest (CSPI).

Some of the petroleum-based food dyes include Blue 1, used in candy and baked goods; Red 40, used in soda, candy, pastries and pet food; and Yellow 6, also used in baked goods and drinks. Synthetic food dyes are found in dozens of popular foods including M&M’s, Gatorade, Kool-Aid and Skittles.

The only purpose of the artificial food dyes is to “make food companies money”, said Dr Peter Lurie, a former FDA official and the president of CSPI.

“Food dyes help make ultra-processed foods more attractive, especially to children, often by masking the absence of a colorful ingredient, like fruit,” he said. “We don’t need synthetic dyes in the food supply, and no one will be harmed by their absence.”

Companies have found ways to eliminate many of the dyes in other countries, including Britain and New Zealand, said former New York University nutrition professor Marion Nestle.

For example, in Canada, Kellogg uses natural food dyes like carrot and watermelon juice to colour Froot Loops cereal, despite using artificial dyes in the US.

How harmful the synthetic dyes are is debatable, said Ms Nestle.

“They clearly cause behavioural problems for some – but by no means all – children, and are associated with cancer and other diseases in animal studies,” she said.

“Enough questions have been raised about their safety to justify getting rid of them, especially because it’s no big deal to do so,” she added. “Plenty of non-petroleum alternative dyes exist and are in use.”

In 2008, British health ministers agreed to phase out six artificial food colourings by 2009, while the European Union bans some colourings and requires warning labels on others.

In recent months, Kennedy’s food-dye ban has found momentum in several state legislatures. West Virginia banned synthetic dyes and preservatives in food last month, while similar bills have been introduced in other states.

The post US to ban artificial food dyes in cereals, snacks and beverages appeared first on ZNBC-Just for you.

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Africa: Captain Ibrahim Traoré – the Soldier Selling Africa False Hope

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Traoré’s anti-democratic posture is not a blueprint for development — it is a calculated strategy to entrench military rule under the guise of a populist revolution.
What Traoré is selling is not a radical reimagining of governance. It is an age-old authoritarian tactic: discredit democracy, invoke national pride, and suppress dissent — all while consolidating power… Since assuming power through a 2022 coup, Traoré has suspended political parties, cracked down on the press, and muzzled civil society organisations. He claims these actions defend national sovereignty and promote a “popular, progressive revolution.”
Clad in fatigues and fluent in fiery rhetoric, Captain Ibrahim Traoré of Burkina Faso has emerged as a poster child of a new wave of African populism. To his supporters, he is a revolutionary — bold, youthful, and principled.
To the disillusioned youth across the continent, he offers a seductive promise: progress without the inconveniences of democracy. But behind the revolutionary slogans and Sankara-inspired aesthetics lies a far less romantic reality.
Traoré’s anti-democratic posture is not a blueprint for development — it is a calculated strategy to entrench military rule under the guise of a populist revolution. Let us be clear, Africa has every right to interrogate the forms and functions of democracy on the continent.
For decades, many African states have endured dysfunctional governance, hollow elections, and endemic corruption — even under democratically elected leaders. But that frustration must not be manipulated into legitimising authoritarianism.
What Traoré is selling is not a radical reimagining of governance. It is an age-old authoritarian tactic: discredit democracy, invoke national pride, and suppress dissent — all while consolidating power.
Since assuming power through a 2022 coup, Traoré has suspended political parties, cracked down on the press, and muzzled civil society organisations. He claims these actions defend national sovereignty and promote a “popular, progressive revolution.”
But there is little “popular” about a regime that stifles dissent and sidelines citizen participation. Beneath the rhetoric, his governance follows a familiar authoritarian script: glorify the military, delegitimise the opposition, and centralise authority.
His framing of democracy as a Western construct is both lazy and intellectually dishonest. Democracy is not a Western invention — it is a universal aspiration. It is not perfect — no system is — but it provides tools for accountability, the protection of rights, and peaceful transitions of power.
Traoré’s assertion that no country has developed under democracy ignores glaring counterexamples: India, Indonesia, Botswana, Mauritius, and even South Africa — imperfect democracies that have made tangible developmental progress.
Democracy is not the enemy of progress; bad leadership is. Traoré frequently cites China and Rwanda as models of authoritarian success. But cherry-picking these exceptions while ignoring the graveyard of failed autocracies is deeply misleading.
For every China, there are countless Zimbabwes, Sudans, and Libyas — nations brought to their knees by unchecked power. Even China’s economic gains have come at great human cost: widespread censorship, suppression of dissent, and the erosion of personal freedoms — trade-offs many Africans are neither willing nor ready to accept.
In truth, Traoré’s appeal is more symbolic than substantive. His military garb, rejection of Western aid, and Pan-Africanist slogans serve a performative function — designed to project the image of a revolutionary, while masking the repressive nature of his regime.
It is political theatre, expertly staged for a generation hungry for change but jaded by the failures of democracy. And let us not be fooled by his youth or populist flair. Africa has seen this movie before.
From Mobutu in Zaire to Mengistu in Ethiopia, the continent’s post-independence history is littered with military strongmen who promised renewal but delivered repression. They all began with charismatic appeals and revolutionary fervour.
They all ended with censorship, violence, and economic ruin. Traoré’s growing popularity among young Africans — many of whom have no memory of the brutality of past military regimes — is understandable, but dangerous.
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Disillusionment with democracy should fuel reform, not nostalgia for dictatorship. Africa does not need another soldier-saviour. It needs strong institutions, functional systems, and an empowered citizenry — not one infantilised by authoritarian paternalism.
If Captain Traoré is genuinely committed to African sovereignty and development, let him invest in institution-building. Let him empower an independent judiciary, uphold press freedom, invest in civic education, and be accountable to the people — not just through speeches, but through action.
Anything less is not leadership — it is manipulation. The truth is, democracy does not fail because it is un-African. It fails when it is hijacked by corrupt elites, undermined by weak institutions, and eroded by poverty and exclusion.
The solution is not to discard democracy — but to fix it, to deepen it, to make it real. That is the only sustainable path to development, dignity, and self-determination.
Umar Farouk Bala writes from Abuja. He can be reached via: umarfaroukofficial@gmail.com.
Read the original article on Premium Times.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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