Study: Kidney function test not suitable for Africans

Researchers have discovered that a widely used blood test to detect kidney function is off the mark among African populations.

The serum creatinine test measures the amount of creatinine in your blood. According to the National Kidney Foundation, creatinine is: “A waste product that comes from the normal wear and tear on muscles of the body. Creatinine levels in the blood can vary depending on age and body size. A creatinine level greater than 1.2 for women and greater than 1.4 for men may indicate that the kidneys are not working properly. As kidney disease progresses, the level of creatinine in the blood rises.”

But a study by the African Research on Kidney (ARK) Disease Consortium, which sought to find the most accurate way to measure kidney function in African populations, compared the creatinine option with another benchmark test called the measured glomerular filtration rate (mGFR). 

Not fit for Africans

ARK researchers found that creatinine-based tests were inaccurate for predicting kidney disease in African populations. They refer to the test’s inability to account for the unique biological characteristics of African populations. The creatinine-based test was shown to be inaccurate for diagnosing kidney disease, and this may be because it does not account for “unique biological characteristics in African populations.”

The ARK Consortium comprises researchers from the:

  • University of the Witwatersrand (Wits) in South Africa
  • The Medical Research Council/Wits-Agincourt Rural Public Health and Health Transitions Research Unit (Agincourt) in SA’s Mpumalanga province;
  • The Malawi Epidemiology and Intervention Research Unit (MEIRU)
  • The Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit 
  • The London School of Hygiene & Tropical Medicine (LSHTM), UK

The scale of the problem in Africa

Kidney disease is silent in the early stages because many people only develop symptoms when their GFR drops below 30 to 45 millilitres (ml). This means that most people won’t know their GFR is lower than usual. This is why screening people with risk factors for kidney disease remains essential.

The study used population data from Burkina Faso, Ghana, Kenya, Malawi, South Africa and Uganda to estimate overall levels of kidney disease. The results suggest that kidney disease prevalence may be substantially higher in Africa than previously thought, increasing from 1 in 30 people to about 1 in 8 people.

Diversity of populations makes it difficult.

Dr June Fabian from Wits noted that the scale of kidney disease in Africa has been challenging to determine.

“The biodiversity of African populations means that what we find that applies in Southern Africa might not apply in West Africa. So, there aren’t a lot of studies that have looked at kidney disease in many African populations. We don’t have a lot of funding to do these studies, so a lot of the studies are often situated in a hospital with many HIV patients. So, they’ll report a high prevalence of chronic kidney disease, but it does not necessarily reflect what’s going on at the community level or in the general population.”

Fabian said population-based studies are required. But these are expensive and need a larger sample group. This is why there isn’t a lot of data from Africa. In addition, different criteria are used to determine the prevalence of kidney disease in other studies, making available data challenging to interpret.

“The point of our study was to try and standardise all of that. Because we did that, I think we can quite reliably say that the prevalence is between six and 12% depending on the country because people have different risk factors in different countries,” she explained.

Kidney function test flaws

Fabian explained how kidney function tests work to diagnose disease. 

“If you’ve got diabetes, and you go and see a primary health care nurse to test your kidneys, she’ll pull a tube of blood, send it to the lab, and the lab will measure the creatinine. And based on that, she’ll work out what we think the kidney function is.” 

This is done by estimating the glomerular filtration rate (GFR). The GFR is how much blood your kidneys are filtering through per minute. A high GFR means that the kidneys are working very well. 

“What we realised when we did this study is that kidney function in African populations is overestimated by using the creatinine test. We are reporting GFRs that are too high because these estimation calculations are based on studies done in high-income settings.” 

Before the ARK study, Fabian said the studies were done in countries like the US, Sweden, and Belgium. Very few studies have covered the African population looking critically at how kidney disease affects people.

“That is what we wanted to check in this study because a handful of really small studies showed that maybe the way it’s done in Europe doesn’t apply in Africa. This is because we are reading the kidney function as too high. If your GFR is less than 60, your kidneys filter less than 60 ml per minute. If the test pushes everyone up, we are not picking up people with those lower GFRs, which means we’re missing kidney disease.

Biological characteristics 

The “gold standard” refers to the method to measure kidney function that is currently working to diagnose kidney disease in Africa. Fabian said the problem is that it is expensive and impractical because a person must be there for six hours. 

“Because African Americans are big and have a lot of muscle, everyone assumes that everyone else in Africa is the same. Everyone thought that African populations have lots of muscle, and the creatinine would be high as they see it in African Americans. We found that people are quite small.”         

Fabian explained that another dependent factor is how much meat a person eats.

“If meat is regularly in your everyday diet, your creatinine will increase. In poorer communities, people often don’t have a lot of money and don’t eat much meat. Even in Bushbuck Ridge, women have very low creatinine, and we’re not sure exactly why. But in Malawi, people might eat meat once every two weeks or once a month. That is not the same as high-income settings where people eat meat almost daily.”

These kinds of factors are not considered during studies in high-income settings. Fabian emphasised the importance of doing this work in African populations. 

Risk factors of kidney disease 

“Your kidney function starts with your mom’s health. For example, if you’ve got a young mum with a pregnancy, who doesn’t get into antenatal care, delivers prematurely and might have diabetes or hypertension herself. All those factors impact your kidneys when you’re in the womb and are developing all the time, up to 36 weeks.” 

This means that if you’re born prematurely, at 33 weeks or so, and your mom never got antenatal care or was malnourished during the pregnancy, your kidney function will be impacted from the day you are born. 

“If you are stunted, your muscles don’t grow well, and you are malnourished. This carries over and impacts your kidney function later on in life. These are the kinds of things that don’t apply in high-income settings. We also see in poor communities that in adolescence, people go from being underweight, especially girls, to being quite overweight. And if that happens, that also puts you at risk of kidney disease because you’re at risk of becoming diabetic or developing high blood pressure later on in life.”

Too expensive 

Tests based on cystatin C worked better than creatinine to indicate poor kidney function. But it is not widely available in Africa.

The cystatin C test, which would be more suitable in Africa, costs around R320. This is three times more expensive than the widely-used but less accurate creatinine, at just R67.

“We know cystatin C is better in Africa, but relatively speaking, it’s a no-go in resource-poor settings,” says Fabian. 

The study’s findings suggest that moving from the creatinine test of kidney function to using cystatin C would be preferable. In addition, researchers said that it would also assist in ensuring accessibility and enabling doctors to use them should be a priority for Africa. – Health-e News

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What Makes a Human Rights Success?

Civil Society, Headlines, Human Rights, Indigenous Rights, Inequality, Multimedia, North America, Podcast, TerraViva United Nations

Indigenous Rights

KATHMANDU, Aug 4 2022 (IPS) – The largest ever settlement in Canadian legal history, 40 billion Canadian dollars, occurred in 2022, but it didn’t come from a court – it followed a decision by the Canadian Human Rights Tribunal. In 2016 the Tribunal affirmed a complaint that the Government of Canada’s child welfare system discriminated against First Nations children. (First Nations are one of three groups of Indigenous people in Canada).


When I heard about that amount and subsequently how the government was negotiating the details of that settlement, I was astounded. Although I’ve had an interest in and reported regularly about human rights in the past three decades, my most intense experience has been here in Nepal, where for a couple of years I worked at the United Nations human rights office.

Nepal’s Human Rights Commission has a long history of having its recommendations virtually ignored by the government of the day. In fact, since 2000, only 12% of the NHRC’s 810 recommendations have been fully implemented. So when I compared the situation in Nepal to the tribunal’s decision and aftermath in Canada, my first question was ‘how’? How could the human rights situation in the two countries be so different that one government was compelled to pay out $40 billion for discrimination while another could virtually ignore recommendations?

First, I have to confess that my understanding of the human rights framework in Canada and Nepal was lacking. As today’s guest, Professor Anne Levesque from the University of Ottawa, explains, Canada, like Nepal, has a federal human rights commission (as well as commissions in its provinces). But Canada also has the tribunal, a quasi-judicial body that hears complaints and can issue orders. Nepal however, lacks a human rights body that has legal teeth.

But is that the whole story, or are there other reasons why the Government of Canada must – and does – pay up when it loses a human rights case while the Government of Nepal basically files away the NHRC’s recommendations for some later date? Nepal, by the way, is not a human rights pariah. It is serving its second consecutive term on the UN Human Rights Council and the NHRC has been given an ‘A’ rating by an independent organization for conforming to international standards.

Resources

As a lawyer who’s helped fight for the rights of First Nations children, here’s what you need to know about the $40 billion child welfare agreements – article by Anne Levesque

Ruling of the Canadian Human Rights Tribunal

Public advocacy for the First Nations Child Welfare complaint

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US Ambassador wows Malawians

United States ambassador to Malawi David Young has wowed Malawians after testing street food at a township in Lilongwe.

Young who has been serving as ambassador in Malawi since March this year, tried a local treat called on Mandasi (doughnut) at Area 18 in the Capital City.

A video shared by the United States Embassy Facebook page show Young helping make a few snacks before trying them.

“Based on your feedback and suggestions on what street food I should try, this week I visited Mrs. Margaret Makhuza in Area 18 A to try her delicious mandasi. People in Lilongwe have enjoyed her treats for years – and I can see why. She even let me try my hand at making a few. They are my new favorite treat! Thank you Mai Makhuza,” young was quoted as saying by the US Embassy.

Malawians on social media have since hailed Young for his initiative to connect with Malawians at all levels.

“He’s an African American Ambassador for us. Very interactive and socialite at heart. Thanks for trying our locals,” said one person on the US Embassy Facebook Page.

Another person: “Honestly I love this Ambassador David, the way he associate with the locals is just amazing, he loves Malawi. He is a humble man full of fun. Hope I will meet him one day,” he said.

One person Twitter said: “Koma Ada awa alibho. He has embraced Malawian culture.”

Others, however, were not happy with the ambassador’s act.

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The Politics of the Hangman’s Noose: Judge, Jury & Executioner

Civil Society, Crime & Justice, Featured, Global, Global Governance, Headlines, Human Rights, IPS UN: Inside the Glasshouse, TerraViva United Nations

Young people take part in a pro-democracy demonstration in Myanmar. Credit: Unsplash/Pyae Sone Htun

UNITED NATIONS, Aug 3 2022 (IPS) – A spike in state-sanctioned executions worldwide – including in Iran, Singapore, Saudi Arabia, and more recently Myanmar – has triggered strong condemnations from the United Nations and several civil rights and human rights organizations.


As Covid-19 restrictions that had previously delayed judicial processes were steadily lifted in many parts of the world, says Amnesty International (AI), judges last year handed down at least 2,052 death sentences in 56 countries—a close to 40% increase over 2020—with big spikes seen in several countries including Bangladesh (at least 181, from at least 113), India (144, from 77) and Pakistan (at least 129, from at least 49).

Other countries enforcing the death penalty, according to AI, include Egypt, Iraq, Somalia, South Sudan, Belarus, Japan, the United Arab Emirates, the Democratic Republic of Congo (DRC), China, North Korea, Viet Nam and Yemen.

In military regimes, such as Myanmar, the armed forces play a triple role: judge, jury and hangman.

Dr Simon Adams, President of the Center for Victims of Torture, the world’s biggest organization that works with torture survivors and advocates for an end to torture worldwide, told IPS the recent execution of four pro-democracy activists by Myanmar’s military junta represents a sickening return to the “politics of the hangman’s noose”.

Arbitrary detention and torture have also been committed on an industrial scale, he said.

The military regime has detained over 14,000 people and sentenced more than 100 to death since the (February 2021) coup. While many governments around the world have condemned the recent hangings, it is going to take more than words to end atrocities in Myanmar, he pointed out.

“People are crying out for targeted sanctions on the Generals, for an arms embargo, and for Myanmar’s torturers and executioners to be held accountable under international law”, said Dr Adams, who also helped initiate the case at the International Court of Justice (ICJ) in The Hague, where The Gambia is trying to hold Myanmar accountable for the genocide against the Rohingya.

The London-based Amnesty International (AI) said last May that 2021 “saw a worrying rise in executions and death sentences as some of the world’s most prolific executioners returned to business as usual and courts were unshackled from Covid-19 restrictions.”

Iran accounted for the biggest portion of this rise, executing at least 314 people (up from at least 246 in 2020), its highest execution total since 2017.

This was due in part to a marked increase in drug-related executions—a flagrant violation of international law which prohibits use of the death penalty for crimes other than those involving intentional killing, said AI.

Antony J. Blinken, US Secretary of State, said last week the United States condemns in the strongest terms the Burma military regime’s executions of pro-democracy activists and elected leaders Ko Jimmy, Phyo Zeya Thaw, Hla Myo Aung, and Aung Thura Zaw for the exercise of their fundamental freedoms.

“These reprehensible acts of violence further exemplify the regime’s complete disregard for human rights and the rule of law.’

Since the February 2021 coup, he pointed out, the regime has perpetuated violence against its own people, killing more than 2,100, displacing more than 700,000, and detaining thousands of innocent people, including members of civil society and journalists.

The regime’s sham trials and these executions are blatant attempts to extinguish democracy; these actions will never suppress the spirit of the brave people of Burma, (Myanmar), he added.

“The United States joins the people of Burma in their pursuit of freedom and democracy and calls on the regime to respect the democratic aspirations of the people who have shown they do not want to live one more day under the tyranny of military rule,” Blinken declared.

Condemning the execution of the four democracy activists by the military regime in Myanmar, UN High Commissioner for Human Rights Michelle Bachelet said last week: “I am dismayed that despite appeals from across the world, the military conducted these executions with no regard for human rights. This cruel and regressive step is an extension of the military’s ongoing repressive campaign against its own people.”

“These executions – the first in Myanmar in decades – are cruel violations of the rights to life, liberty and security of a person, and fair trial guarantees. For the military to widen its killing will only deepen its entanglement in the crisis it has itself created,” she warned.

The High Commissioner also called for the immediate release of all political prisoners and others arbitrarily detained, and urged the country to reinstate its de-facto moratorium on the use of the death penalty, as a step towards eventual abolition.

Meanwhile, in a statement released August 2, Liz Throssell, a Spokesperson for the UN Human Rights Office in Geneva said : “We deplore the hanging today of two men in Singapore and are deeply troubled by the planned execution of two others on 5 August.

The two, a Malaysian and a Singaporean, were hanged at Changi Prison this morning after they were convicted in May 2015 of drug trafficking and their appeals subsequently rejected.

Two other men, Abdul Rahim bin Shapiee and his co-accused Ong Seow Ping, are currently expected to be executed on Friday after Bin Shapiee’s family was notified of his fate on 29 July.

They were both convicted in 2018 of possession of drugs for the purpose of trafficking and their sentences upheld on appeal. In the past, co-accused persons have almost always been executed on the same day.

“We urge the Singapore authorities to halt all scheduled executions, including those of Abdul Rahim bin Shapiee and Ong Seow Ping. We also call on the Government of Singapore to end the use of mandatory death sentences for drug offences, commute all death sentences to a sentence of imprisonment and immediately put in place a moratorium on all executions, with a view to abolishing the death penalty”, the statement said.

“The death penalty is inconsistent with the right to life and the right to be free from torture or cruel, inhuman or degrading treatment or punishment and there is growing consensus for its universal abolition. More than 170 States have so far abolished or introduced a moratorium on the death penalty either in law or in practice,” she noted.

Agnes Callamard, AI Secretary-General, said that “China, North Korea and Viet Nam continued to shroud their use of the death penalty behind layers of secrecy, but, as ever, the little we saw is cause for great alarm.”

The known number of women executed also rose from nine to 14, while the Iranian authorities continued their abhorrent assault on children’s rights by executing three people who were under the age of 18 at the time of the crime, contrary to their obligations under international law.

Meanwhile, Saudi Arabia more than doubled its number of executions, a grim trend that continued in 2022 with the execution of 81 people in a single day in March, according to AI

As well as the rise in executions seen in Saudi Arabia (65, from 27 in 2020), significant increases on 2020 were seen in Somalia (at least 21, from at least 11) South Sudan (at least 9, from at least 2) and Yemen (at least 14, from at least 5). Belarus (at least 1), Japan (3) and UAE (at least 1) also carried out executions, having not done so in 2020.

Significant increases in death sentences compared to 2020 were recorded in the Democratic Republic of the Congo (at least 81, from at least 20), Egypt (at least 356, from at least 264), Iraq (at least 91, from at least 27), Myanmar (at least 86, from at least 1), Viet Nam (at least 119 from at least 54), and Yemen (at least 298, from at least 269), AI said.

In several countries in 2021, AI said, the death penalty was deployed as an instrument of state repression against minorities and protestors, with governments showing an utter disregard for safeguards and restrictions on the death penalty established under international human rights law and standards.

IPS UN Bureau Report

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12 Must See Movies on Love, Equality, and Emancipation featuring leading Black Actors


By Kiana Wilburg

Kaieteur News – On August 1, Guyanese will officially commemorate one of the most important days in our nation’s history—Emancipation Day. It is of particular importance as it allows for reflection on the triumph of the African spirit over decades of atrocities, dehumanisation, and cultural erosion.

In observance of the significance of this day, The Waterfalls thought it prudent to share a list of movies that incorporate the rich talents of black actors and actresses to explore themes of love, equality, liberation, brilliance, and resilience.

Do enjoy this list of timeless black features.

1.     Cry Freedom:  This is a 1987 epic apartheid drama film directed and produced by Richard Attenborough. It is set in late-1970s apartheid-era South Africa. The film centres on the real-life events involving South African activist Steve Biko and his friend Donald Woods, who initially finds him destructive, and attempts to understand his way of life. Denzel Washington stars as Biko, while Kevin Kline portrays Woods. Cry Freedom delves into the ideas of discrimination, political corruption, and the repercussions of violence. It is without question, a phenomenal documentary and a must-watch for all to understand the plight of Africans in modern South African history and the oppressive nature of the apartheid system.

2.     Black Panther: This is a 2018 American superhero film based on the Marvel Comics character of the same name.  It stars Chadwick Boseman as T’Challa/Black Panther alongside Michael B. Jordan, Lupita Nyong’o, Danai Gurira, Martin Freeman, Daniel Kaluuya, Letitia Wright, Winston Duke, Angela Bassett, Forest Whitaker, and Andy Serkis. In Black Panther, T’Challa is crowned king of Wakanda following his father’s death, but he is challenged by Killmonger (Jordan), who plans to abandon the country’s isolationist policies and begin a global revolution. In the end, only one can win.

3.     Sarafina: This movie is all about strength, about people lacking it and people overflowing with it. Sarafina herself is a Soweto girl with great hopes for the future, despite her family’s poverty and her mother’s (Miriam Makeba) work away from home, forcing Sarafina to take care of her younger siblings. The movie is set in Johannesburg, during the Apartheid regime, and black children are forbidden to speak their own language. In spite of this, Sarafina dreams big and her world brightens up when her class gets a new teacher (played by Whoopi Goldberg), who teaches them about their worth and to be proud of their heritage.

4.     The Colour Purple: This is a 1985 American film directed by Steven Spielberg and written by Menno Meyjes, based on the Pulitzer Prize-winning 1982 novel of the same name by Alice Walker. The cast stars Whoopi Goldberg in her breakthrough role, with Danny Glover, Oprah Winfrey, Margaret Avery, Rae Dawn Chong, Willard Pugh, and Adolph Caesar.

Filmed in Anson and Union counties in North Carolina, the film tells the story of a young African-American girl named Celie Harris and shows the problems African-American women experienced during the early 20th century, including domestic violence, incest, pedophilia, poverty, racism, and sexism. Celie is transformed as she finds her self-worth through the help of two strong female companions.

5.     The Hate U Give: This is a 2018 American drama film that follows the fallout after a high school student witnesses a police shooting.

6.     John Q: This is a 2002 American thriller drama film starring Denzel Washington and directed by Nick Cassavetes. The film tells the story of John Quincy Archibald (Denzel Washington), a father and husband whose son is diagnosed with an enlarged heart and who finds out he is unable to receive a transplant because HMO insurance will not cover it. He then decides to hold hostages at the hospital and force them to do it.  It is a story that shows a father’s resolve to save his son no matter the cost or consequence.

7.     Hidden Figures: In heartwarming, crowd-pleasing fashion, this movie celebrates the contributions of women to history. Specifically, it tells the inspiring true story of three African American female mathematicians who worked at the National Aeronautics and Space Administration (NASA) during the Space Race. The film stars Taraji P. Henson as Katherine Johnson, Octavia Spencer as Dorothy Vaughan, and Janelle Monáe as Mary Jackson. Kevin Costner, Kirsten Dunst, Jim Parsons, Mahershala Ali, Aldis Hodge, and Glen Powell are featured in supporting roles.

8.     The Great Debaters: This is a 2007 American biographical drama film directed by and starring Denzel Washington. It is based on an article written about the Wiley College debate team by Tony Scherman for the spring 1997 issue of American Legacy. The film co-stars Forest Whitaker, Denzel Whitaker, Kimberly Elise, Nate Parker, Gina Ravera, Jermaine Williams and Jurnee Smollett. The screenplay is written by Robert Eisele, with story by Robert Eisele and Jeffrey Porro.
Based on a true story, the plot revolves around the efforts of debate coach Melvin B. Tolson (Denzel Washington) at Wiley College, a historically black college related to the Methodist Episcopal Church, South (now The United Methodist Church), to place his team on equal footing with whites in the American South during the 1930s, when Jim Crow laws were common and lynch mobs were a fear for blacks. The Wiley team eventually succeeds to the point where they are able to debate Harvard University and win.

9.     Django Unchained: Two years before the Civil War, Django (Jamie Foxx), a slave, finds himself accompanying an unorthodox German bounty hunter named Dr. King Schultz (Christoph Waltz) on a mission to capture the vicious Brittle brothers. Their travels take them to the infamous plantation of shady Calvin Candie (Leonardo DiCaprio), where Django’s long-lost wife (Kerry Washington) is still a slave. They worked together to free her but it was not without its fair share of riveting challenges.

10.      Queen of Katwe: Starring David Oyelowo, Lupita Nyong’o, and Madina Nalwanga, this film depicts the inspiring true story of a girl from the slums of Uganda who becomes an international chess champion. It has strong themes of empathy, humility, integrity, perseverance, and teamwork.

11.      Mandela: Long Walk to Freedom: Mandela: Long Walk to Freedom is a 2013 British-South African biographical film directed by Justin Chadwick from a script written by William Nicholson and starring Idris Elba and Naomie Harris. The film is based on the 1995 autobiographical book Long Walk to Freedom by anti-apartheid revolutionary and former South African President Nelson Mandela.

12.      The Boy who harnessed the wind: This film is based on the true story of a Malawian boy named William Kamkwamba from the Kasungu region who witnesses a terrible drought in 2001. Driven by desperation William starts searching in books for a solution until he comes across the picture of a windmill. Since he lacks resources, he goes to the nearby garbage dump and uses what he could find to build s windmill. In successfully doing so, he is able to pump water from the ground for his family’s cornfields which leads to a successful crop being sown. Word of William’s windmill spreads and he is awarded a scholarship to attend school, ultimately receiving a degree from Dartmouth College.


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U.S. National Bar Association honors Akinwumi Adesina with distinguished Ronald Harmon Brown Award of International Distinction

African Development Bank Group President Dr. Akinwumi Adesina, was honored with the distinguished Ronald Harmon Brown Award of International Distinction, by the National Bar Association, in the United States.

The award is named in honor of Ron Brown, the first African American to Chair a major U.S. political party, and the first African American to be appointed Commerce Secretary.

Other award recipients include the NBA’s chief policy officer, Alicia Hughes, who received the organization’s highest award; Hajia Alima Mahama, Ambassador of the Republic of Ghana to the United States; and Kamil Olufowobi, CEO, Most Influential People of African Descent (MIPAD).

The black-tie gala was attended by over 800 black lawyers, including 20 past National Bar Association Presidents, and several elected officials. A lively fire side chat between National Bar Association President Carlos Moore and the 91-year-old Fred Gray, legendary chief counsel for the civil rights protest movement, set the stage for the night.

Moore cited Adesina’s transformative role as head of the African Development Bank, and as a former Nigerian Minister of Agriculture.

Receiving the award, Adesina lauded the late Ron Brown as an inspirational figure who believed that “every idea was an impossibility, until it is born.”

As President of the African Development Bank Group, Adesina said he and his team set out to accomplish the seemingly impossible. This included the largest ever general capital increase in the bank’s history, from $93 billion to $208 billion; a transformative High5 development strategy that has impacted 335 million Africans in six years; and the creation of the Africa Investment Forum, the continent’s premier investment marketplace, which has attracted $110 billion in investment interests in Africa, over three years.

In 2021, the African Development Bank was ranked the best multilateral financial institution in the world. In 2022, the African Development Bank was ranked the most transparent institution in the world, by Publish What You Fund, in terms of its sovereign operations.

Adesina, who dedicated the award to his wife Grace—”his inspiration and greatest supporter,” —said: “I thank all my staff and the management of the Bank for their exceptional work, and our Board of Directors for their incredible support. They make our ideas come to life. They turn impossibilities into possibilities.”

The National Bar Association was founded in 1925 and is the oldest and largest national network of predominantly African-American attorneys and judges. It represents the interests of approximately 65,000 lawyers, judges, law professors and law students. The NBA is organized around 23 substantive law sections, 10 divisions, 12 regions and 80 affiliate chapters throughout the United States and around the world.
Source African Development Bank Group

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