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MSF’s New Report Examines Surging Malnutrition Crisis in Northern Nigeria

Médecins Sans Frontières (MSF), an international humanitarian organisation, has released its 2025 activity report for Nigeria, and the findings are sobering. The medical emergency organisation, also known as Doctors Without Borders, unveiled the report during an event in Abuja, North Central Nigeria, on Wednesday, May 13, documenting the disturbing rise in malnutrition cases in the country’s northern region.

With more than 3,500 workers delivering essential healthcare services across ten states, MSF reported treating over 440,000 children for malnutrition, more than 300,000 individuals for malaria, and assisting with over 33,500 deliveries in 2025.

This surge, according to the humanitarian organisation, underscores the fragility of Nigeria’s health system and the growing vulnerability of women and children in conflict-affected regions.

The 2025 report shows that MSF recorded more than 600,000 outpatient consultations, 48,000 inpatient admissions, and treated 341,239 patients for malaria, 38,753 children for measles, 6,123 patients for diphtheria, and 985 others for meningitis across its facilities in the region.

These findings are specific to the ten Nigerian states where MSF has been operating since 1996, including Jigawa, Kano, Katsina, Kebbi, Sokoto, Zamfara, and Cross River. The organisation says it has provided a wide range of essential medical services, including paediatric and maternal health care, treating children with malnutrition, responding to disease outbreaks, caring for survivors of sexual violence, offering mental health support, and performing life‑saving surgical interventions. 

The MSF country representative, Ahmed Aldikhari, revealed that in 2025, the organisation observed a pattern consistent with that of previous years, starting in 2022. Aldikhari stated that malnutrition is one of the year’s greatest challenges, linking it to the region’s fragile conditions, which are severely affected by insecurity that has worsened food security.

Four people in a room during the MSF Nigeria Activity Report Presentation. A banner and posters are visible in the background.
Representatives of MSF unveiling the 2025 report, which revealed the rise in cases of malnutrition in Nigeria. Photo: Isah Ismaila/HumAngle.

“We are seeing a vicious cycle where malnutrition is both a cause and a consequence of diseases such as measles, malaria, and diphtheria, among others, which continue to affect vulnerable communities, especially when healthcare is delayed or inaccessible,” he said, suggesting that Nigeria might soon experience the peak of the malnutrition crisis. 

“That is why we are consistently working side-by-side with the ministries of health, humanitarian affairs, budget and planning at the state and federal levels, and also, with our Nigerian colleagues to ensure that efficient services are provided, but they are not enough.”

HumAngle has previously reported on the broader impact of the crisis, stressing how displacements, insecurity, and climate change, among other natural and human-induced disasters, have compounded the problem. In July 2025, MSF, in collaboration with the Katsina State government, mobilised state and non-state actors to address the escalating malnutrition crisis in the northwestern region. 

During the 2024 MSF conference in Abuja, organised in collaboration with the North West Governors’ Forum and the Katsina State Government, stakeholders emphasised that malnutrition in the northwestern region is no longer a seasonal emergency but rather a structural crisis that requires urgent mobilisation. The governors acknowledged that insecurity and climate pressures were eroding food systems, but MSF urged greater investment in therapeutic feeding centres and preventive programmes.

Four people are seated in front of a Médecins Sans Frontières banner at a presentation event.
Representatives of the humanitarian organisation address journalists on malnutrition, disease outbreaks, and maternal health in Nigeria. Photo: Isah Ismaila/HumAngle.

Northern Nigeria continues to face a critical malnutrition crisis, with Katsina particularly affected, according to MSF’s 2025 activity report. Findings reveal that since 2021, MSF has been present in the state, with the organisation’s leadership revealing that they have witnessed a sharp rise in the number of malnourished children since responding to the growing crisis in recent years.

In 2025, MSF reported treating the highest number of malnourished children in Katsina. With the support of the state Ministry of Health, the organisation focused on preventing illness and malnutrition to reduce mortality and morbidity among children suffering from acute malnutrition.

“Katsina State has faced a chronic malnutrition crisis for over a decade, driven by insecurity, climate shocks, limited primary healthcare services, and high birth rates,” the report revealed. “Throughout 2025, MSF admitted 26,445 patients for inpatient care, provided treatment to 146,301 children through its outpatient centres, and conducted 15,387 outpatient consultations for malaria.”

In response to this, MSF established a new Ambulatory Therapeutic Feeding Centre (ATFC) in Mashi and a second inpatient therapeutic feeding centre at the Turai Yar’aduwa Hospital to handle the increased patient load during peak seasons.

Beyond nutrition in Kebbi, the report states that MSF responded to multiple infectious disease surges and outbreaks by tackling the increase in meningitis cases from February to May, while supporting the Ministry of Health facilities in Jega, Gwandu, and Aliero with logistics, medical supplies, staff training, and facility rehabilitation.

Following the escalating insecurity in neighbouring Zamfara and Niger that led to mass displacement to the Danko-Wasugu areas of Kebbi State as of June, the humanitarian organisation provided basic healthcare and distributed non-food relief kits to vulnerable households.

In Zamfara alone, MSF admitted 47,164 children to inpatient therapeutic feeding centres and provided 14,167 outpatient consultations in 2024, with numbers continuing to rise in 2025. According to Aldikhari, this increase in admissions is due to multiple overlapping crises, including conflict and insecurity in the northwestern and northeastern regions, which have displaced thousands of families, cutting them off from farmlands. 

While the 2025 activity report warns that malnutrition is no longer a seasonal emergency but a permanent feature of Nigeria’s humanitarian landscape, it also highlights the fact that the sheer scale of admissions suggests the crisis is outpacing the humanitarian response. 

Médecins Sans Frontières (MSF) released its 2025 activity report for Nigeria, highlighting a troubling surge in malnutrition, especially in the northern region.

MSF treated over 440,000 malnourished children, more than 300,000 malaria patients, and assisted with 33,500 deliveries, illustrating the fragility of Nigeria’s health system amid growing challenges in conflict-affected areas. The report details their operations across ten states since 1996, offering a range of essential medical services and responding to disease outbreaks and the chronic malnutrition crisis, particularly in conflict-driven regions like Katsina and Zamfara.

The report emphasizes the cyclical nature of malnutrition being both a cause and consequence of diseases, exacerbated by insecurity and climate pressures. Collaboration with local government and NGOs is ongoing, yet MSF warns that the crisis has transformed into a structural issue requiring significant investments in therapeutic feeding centers and preventive programs. Despite increased efforts, the scale of malnutrition and related health crises like measles, diphtheria, and meningitis, is outpacing humanitarian response, marking malnutrition as an enduring element of Nigeria’s humanitarian landscape.

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Duststorms and lightning kill at least 96 people in northern India | Weather News

Storms are common in northern India from March to June, before the annual monsoon rains arrive.

Duststorms, heavy rain and lightning have killed at least 96 people in the northern Indian state of Uttar Pradesh and damaged homes and other structures, officials said.

According to them, more than 50 people were injured in these weather-related incidents across several districts of Uttar Pradesh, India’s most populous state, on Wednesday.

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Storms are common in northern India from March to June, before the annual monsoon rains arrive.

Officials said many deaths were caused by falling trees, collapsing structures and lightning. Police and disaster response teams used chainsaws and cranes to clear fallen trees from roads and railway tracks in several districts.

Narendra Srivastava, an administrative official, said emergency teams were deployed across the affected areas and that homes, crops and power infrastructure were widely damaged, particularly in rural parts.

In Prayagraj district, residents were in panic as strong winds tore through neighbourhoods.

“The storm came suddenly, and the sky turned completely dark within minutes,” Ram Kishore said. “Tin roofs were flying, and people ran indoors. We could hear trees falling throughout the evening.”

In neighbouring Bhadohi district, Savitri Devi said her family narrowly escaped after strong winds damaged their mud house. “We rushed outside when the walls started shaking because of the wind,” she said. “Our roof collapsed moments later. We spent the night at a relative’s house.”

Uttar Pradesh Chief Minister Yogi Adityanath ordered officials to complete relief operations within 24 hours and for authorities to provide emergency aid and compensation to affected families.

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Michael O’Neill: Northern Ireland manager not taking Blackburn job on permanent basis

Northern Ireland fans will be delighted that O’Neill has agreed to continue in his role as manager, especially given the foundation he has laid for possible future success.

He had said that he would “return to the status quo” for Northern Ireland’s June fixtures when asked about his future in March, but then said in April that a decision was still to made, which would have set alarm bells ringing.

Thankfully, for all parties, a decision has been made swiftly, allowing O’Neill to work towards preparing his NI squad for June’s friendlies and the upcoming Nations League campaign, while Blackburn now have plenty of time to appoint a permanent boss ahead of the 2026-27 campaign.

O’Neill, like in his first spell, inherited a struggling Northern Ireland side from predecessor Ian Baraclough and while they missed out on qualifying for Euro 2024 and this year’s World Cup, he has certainly shaped them into a more competitive and attractive side.

The average age of O’Neill’s starting team for the defeat against Italy in their World Cup play-off in March was just 22.5 years – the country’s second youngest on record since World War Two.

Add in three key players in Conor Bradley, Dan Ballard and Ali McCann, who were missing for the game and the age profile remains the same, demonstrating the high ceiling this youthful but talented team has to grow.

With O’Neill remaining in the role, belief will really start to grow that he can guide the team to another European Championships as he did after a period of building with his squad in 2016.

The Irish FA would have known that the job would have been much more attractive now to potential candidates than before O’Neill returned in 2022, but will be pleased that he has decided to stay on for the next qualifying campaign and there won’t be any upheaval before the Nations League starts in September.

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A remote Northern California waterfall has gotten so popular that reservations are required

Sometimes, beauty is a burden.

Such is the case with Burney Falls, a Northern California waterfall whose loveliness became such a siren song to costume-wearing Instagram mermaids, selfie-taking TikTok tour guides and off-the-beaten-track road trippers that crowds grew and grew, until the natural wonder just couldn’t handle it any more.

Crowds in recent years have damaged trails, trampled plants and clogged rural roads.

Now, as part of a pilot program to reduce overcrowding, the California Department of Parks and Recreation will require advance reservations to visit the Shasta County waterfall on many days this summer.

“Burney Falls is a crown jewel of the California State Park System, and we want all visitors to have an enjoyable and memorable experience when visiting this one-of-a-kind destination,” State Parks Director Armando Quintero said in a statement. “By allowing visitors to make a reservation in advance, we can help keep crowds manageable and not push the park’s resources past the breaking point.”

The reservations, which can be purchased online, will be required to visit the falls Fridays through Sundays and on holidays during peak visitation season, from May 15 through Sept. 27.

On those days, McArthur-Burney Falls Memorial State Park will offer 103 parking passes for 8 a.m. to noon, an additional 103 passes for 1 p.m. to 5 p.m., and 35 passes for the entire day.

The day use passes will cost $11 per vehicle, according to State Parks, with discounts for seniors and people with disabilities.

California State Parks annual pass holders will pay no additional charge but must make reservations. Visitors with overnight campground or cabin reservations will not need additional passes for day use.

The 129-foot waterfall — a wide curtain of white water cascading from a basalt cliff face — generates its own rainbow and once was dubbed the “Eighth Wonder of the World” by President Theodore Roosevelt.

Visitors to Burney Falls pose for a selfie.

Visitors often endure long lines to get a selfie at Burney Falls. Here, Rachel Brussbau poses with her 1-year-old daughter, Sage, and Crysten Michol in July 2023.

(Paul Kuroda / For The Times)

But for much of its history, it “experienced limited visitation due to its rural location … and lack of publicity,” the State Parks department said in a statement.

“For generations of visitors, it had the reputation of a small, family-oriented park and one of California’s best-kept secrets,” the department said. “However, over the past decade, and especially with the growth of social media, that secret is now world-famous.”

Crowds swelled during the COVID-19 pandemic, when indoor public spaces closed.

A State Parks spokesperson told The Times in an email Monday that in 2015, Burney Falls had 121,495 visitors. Numbers “have steadily risen since that time, peaking at 322,192 visitors in 2020 during the pandemic,” the spokesperson said.

Since then, about 220,000 people have visited the park each year.

The spokesperson said the numbers account only for people who come in through the official entrance and not those who park illegally on the side of the road and enter off-trail.

Because so many people have veered off established trails, the park in recent years has experienced increased erosion and damage to sensitive vegetation and sacred tribal land, according to the State Parks department. Heavy traffic and illegal parking also have created unsafe conditions along State Highway 89, one of the heavily forested county’s main thoroughfares and a critical fire evacuation route.

“Campers with reservations are hesitant to leave the park, knowing that it may take up to two hours to re-enter on busy days,” the department statement read.

Because of limited parking, the gates often close for several hours each day.

“If lucky enough to gain entry, visitors inside the park are met with extreme overcrowding, long restroom lines, and overflowing trash cans instead of a peaceful, rejuvenating experience at one of the nation’s most awe-inspiring natural landmarks,” State Parks said.

In the summer of 2024, State Parks closed all access to the waterfall for the season to repair trails and slopes damaged by heavy crowds and storm erosion.

The department said it will evaluate the day use reservation system at the end of the summer and make adjustments if necessary for future peak visitation periods.

State Sen. Megan Dahle (R-Bieber), whose district includes Shasta County, said the pilot program “is likely to disrupt some trips” until word spreads.

“Unfortunately, for several years it has been clear something needs to change at Burney Falls,” Dahle said. “I hope this is an interim measure on the way to longer-term fixes to accommodate visitors.”



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Rebel checkpoints reported around Mali’s capital, northern town seized | Conflict News

Jamaat Nusrat al-Islam wal-Muslimin (JNIM) and Tuareg separatists continue their attacks against Mali’s military government.

Al-Qaeda-linked rebel fighters have reportedly set up checkpoints around Mali’s capital, Bamako, and seized the town of Tessalit in the north.

Reuters reported on Friday that Jamaat Nusrat al-Islam wal-Muslimin (JNIM) has called on Malians to rise up to “bring down the junta”, and adopt Islamic law.

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The latest developments come days after a series of attacks by JNIM and Tuareg separatists from the Azawad Liberation Front (FLA) resulted in the killing of the country’s defence minister, Sadio Camara.

Videos shared on social media by local accounts on Friday show armed fighters inside the Amachach base in Tessalit, with several military vehicles seen driving around.

Video verified by Reuters shows fighters driving through the town and raising the FLA flag.

Media outlets close to the Azawad armed movement, which seeks the independence of northern Mali, said the scenes show fighters in control of the base following the withdrawal of elements of the army and Russia’s African Corps, according to their description.

Russia is the principal foreign backer of Mali’s military-run government.

JNIM said on Thursday that it had captured the base of Hombori in central Mali and taken over two checkpoints near Bamako, after earlier threatening to completely besiege the city.

Russia’s African Corps said in a statement that the JNIM statement about the abandonment of the Hombori base was “not true”.

It said that its helicopters delivered ammunition and other items to Malian military personnel at a base in Hombori on Thursday, “after which soldiers of the Malian Armed Forces injured in battles with terrorists were evacuated”.

It noted that JNIM and AFL “continue to regroup, conduct reconnaissance of the bases of the units of the African Corps of the Russian Armed Forces and the Malian Army, and propaganda work is actively underway aimed at reducing the morale of the Malian Army”.

Al Jazeera’s Nicolas Haque, reporting from Dakar in Senegal, reports that the absence of a response from the Malian military to the rebel advances is surprising, and that four major military camps in the north of the country are now in the hands of armed groups.

“That’s a big development,” Haque said. “It seems that Malian forces are not even putting up a fight up north.”

Mali’s military leaders seized power in coups in 2020 and 2021, with a brief period of civilian rule in between. Official authorities are yet to issue a statement on the latest reports at the time of writing.

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New IRA linked to car bomb outside police station in Northern Ireland

Deputy Chief Constable Bobby Singleton, pictured Sunday morning visiting officers and staff at the Dunmurry police station in west Belfast after a car bombing nearby last night, said the attack is thought to have involved the New IRA. Photo by Police Service of Northern Ireland/Facebook

April 26 (UPI) — Police in Northern Ireland said Sunday morning that the New IRA is believed to have been involved in a car bombing near a police station in Belfast.

Detectives are treating a car bombing outside a police station in the Dunmurry area of outer Belfast as an attempted murder, and said called it a miracle that nobody was injured, The Guardian and the Belfast Telegraph reported.

A delivery car was hijacked late Saturday night in West Belfast, an explosive device was placed in the car’s boot and the delivery driver was told to drive to the police station and abandon it there, police said.

Bobby Singleton, deputy chief constable of the Police Service of Northern Ireland, told reporters that the attack was nearly identical to an attack earlier this year.

“As a consequence of that, our early working hypothesis is that this may well be the work of the New IRA, who claimed responsibility for the attack in Lurgen,” Singleton said.

“Thanks to the swift actions of police, no one has been injured, which is nothing short of miraculous,” he said.

The attempt on a Lurgen police station in March was unsuccessful because the device did not detonate, but the method — hijacking a car and forcing the driver to abandon the bomb on wheels somewhere — was nearly the same, Singleton said.

President Donald Trump and first lady Melania Trump participate in the 2026 White House Correspondents’ Association Dinner in Washington on April 25, 2026. Photo by Yuri Gripas/UPI | License Photo

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What is really happening in northern Nigeria | Armed Groups

In recent months, the frequency and intensity of attacks in northern Nigeria have shattered the comforting illusion that the region’s long insurgency has receded into the background of national life. As violent incidents have proliferated, many Nigerians have refused to confront this uncomfortable reality and have opted instead to embrace conspiracy theories suggesting that the resurgence is somehow tied to renewed American involvement in Nigeria’s  counterterrorism efforts.

It is not difficult to see why the theory of foreign collusion with terrorist groups resonates in Nigeria. In February 2025, United States Congressman Scott Perry claimed that the US Agency for International Development (USAID) had funded Boko Haram, but offered no evidence for the allegation. Richard Mills, then the US ambassador to Nigeria, rejected Perry’s statement, but by then the claim had already acquired a life of its own in the public space and on social media.

Then, American officials like Congressmen Ted Cruz and Chris Smith made statements that fuelled the “Christian genocide” narrative, which falsely claims that the killings in Nigeria exclusively target Christians.

Attacks on Christians have happened, including most recently on a church in Kaduna state on Easter Sunday, but Muslim communities have also been regularly targeted. The truth is that terrorist groups have long operated indiscriminately.

What this moment demands, therefore, is to go beyond the seduction of easy explanation, and embark on serious analysis of what is really happening in northern Nigeria.

That diagnosis must begin with clarity about what the attacks reveal. First, they reveal that the insurgency has adapted in both form and method. Second, northern Nigeria’s insecurity can no longer be understood in isolation from the rest of the region; it is part of the wider regional disorder across the Lake Chad basin and the Sahel. And third, the violence continues to feed on deeper domestic vulnerabilities that extend far beyond the battlefield: chronic poverty, educational exclusion, weak local governance, and the long erosion of the social contract in parts of the North.

Let us begin with the first point. Recent attacks demonstrate that the insurgent ecosystem has learned, adapted, and expanded beyond the old image of a crudely armed rebellion fighting in predictable ways. The ISIL affiliate in West Africa Province (ISWAP), in particular, has become more adaptive in structure and tactics, while its conflict with Boko Haram has weakened the latter and left ISWAP as the more organised and deeply entrenched threat in the Lake Chad region. It has consolidated its presence in parts of the Lake Chad basin and expanded into Sambisa Forest, widening the space from which it can threaten civilians and military formations alike.

This matters because insurgencies are sustained not by ideology alone, but by terrain, supply routes, local economies, and the ability to move men and materiel through spaces where the state is weak or absent. In that sense, the insurgency is no longer merely surviving in familiar hideouts; it is entrenching itself in a broader and more fluid battlespace, with ISWAP’s control of trade in and around Lake Chad now a major pillar of its resilience.

ISWAP has also refined the way it fights, demonstrating a growing capacity for coordinated assaults, night raids, ambushes, and operations designed not merely to inflict casualties, but to isolate military positions and slow the movement of reinforcements. This challenge is magnified by the sheer scale of the theatre itself.

Borno, Yobe, and Adamawa states are each comparable in size to entire European countries: Borno is slightly larger than the Republic of Ireland; Yobe is roughly the size of Switzerland; and Adamawa is slightly larger than Belgium. Policing territories of that scale would test any state, all the more so when they border a fragile regional neighbourhood.

The terrain has also shaped the rhythm of the conflict, with the dry season, particularly the first quarter of the year, ushering in an intensification of attacks.

At the heart of this adaptation is the evolution of technology. What once seemed unthinkable in this theatre has now entered the insurgent repertoire. Drones, including commercially available models modified for combat, are now part of the operational environment. The significance of this shift is not merely technical; it is also psychological and strategic.

Beyond technology, the insurgency’s growing mobility has sharpened the threat further. Rapid assaults by motorcycle-mounted units demonstrate the extent to which insurgent violence now depends on speed, concentration, and dispersal. Fighters can assemble quickly, strike vulnerable locations, and disappear into difficult terrain before an effective response can take shape.

The advantage here lies not in holding territory in the conventional sense, but in imposing uncertainty, stretching the state’s defensive attentions, and proving that the insurgents can still choose where and when to shock the system.

Perhaps the most dangerous dimension of this adaptation is the infiltration of foreign fighters. Their significance lies not only in their numbers, but in what they bring with them: technical knowledge, battlefield experience, tactical imagination, and links to wider militant networks.

Their presence points to a deeper cross-fertilisation between local insurgency and global terrorist currents. More troubling still, they are now playing a more active role in the conflict, not only refining tactics and skills but also participating directly in combat.

That is why the regional dimension must be central to any serious analysis. The weakening of regional cooperation has come at the worst time, creating openings that insurgents are only too ready to exploit. A threat that has always been transnational becomes harder to confront when neighbouring states no longer act with sufficient cohesion.

Niger’s withdrawal from the Multinational Joint Task Force after the reaction of the Economic Community of West African States (ECOWAS) to the military coup there has sharpened that challenge and weakened the perimeter defences of the north-east theatre. The force, comprising troops from Nigeria, Niger, Cameroon, and Chad, with a smaller Beninese contingent at its headquarters in N’Djamena, was instrumental in earlier gains and remains vital for reinforcing positions, conducting operations in difficult terrain, denying insurgents safe havens, and intercepting the movement of foreign fighters.

Yet even regional analysis, necessary as it is, does not fully explain the problem. Insurgencies endure not only because they move across borders, but because they can recruit, regroup, and exploit social weakness at home.

Violence in northern Nigeria is sustained by a combination of doctrinal extremism, chronic poverty, educational exclusion, and a state whose presence is often too limited to command confidence in the communities where armed groups seek recruits. The argument, therefore, cannot remain confined to the military sphere.

Poverty and lack of education do not directly produce terrorism, but they increase vulnerability, especially where alienation, weak institutions, and manipulative ideological narratives are already present. This is why the educational crisis in northern Nigeria should be seen not only as a developmental challenge, but as part of the wider security landscape. Education does more than impart literacy and numeracy; it provides structure, routine, and pathways to self-actualisation and social belonging.

It is important to note that the government is not without a response. In 2024, President Bola Ahmed Tinubu signed the Student Loans (Access to Higher Education) Act into law, and the rollout of the Nigerian Education Loan Fund has since opened a wider path to post-secondary education and skills development. But the more decisive educational challenge lies earlier, at the basic level, where literacy begins, habits are formed, and attachment to institutions is either built or lost. By the time a young person reaches the threshold of higher education, the foundational work has already been done or neglected.

This is why local governance matters more to security than is often recognised. In Nigeria’s federal structure, primary education sits closest to the weakest and most politically distorted tier of government. If local government remains fiscally weak, administratively paralysed, or politically captured, one of the country’s most important long-term defences against radicalisation will remain fragile.

That is why local government autonomy, though often framed in dry constitutional terms, has direct implications for security. President Tinubu, an ardent champion of local autonomy, welcomed the Supreme Court’s July 2024 judgement affirming the constitutional and financial rights of local governments and has pressed governors to respect it. Resistance, however, is unsurprising: many governors have long treated local governments as subordinate extensions of their authority.

So what does the present moment demand from Nigeria? It demands, certainly, continued military pressure on insurgent sanctuaries. It demands stronger force protection, sharper intelligence, surveillance and reconnaissance, improved rural and urban security, and a more serious approach to trans-border diplomacy. It demands that regional diplomacy be treated not as a luxury of peacetime statecraft, but as part of the operational infrastructure of security.

But the crisis cannot be addressed by military action alone. It also calls for social, institutional, and educational measures across all tiers of government. The state must confront extremism not only through force, but through education and functioning local institutions. It must rebuild governance, restore trust, and close the social and institutional fractures through which violence renews itself.

The views expressed in this article are the author’s own and do not necessarily reflect Al Jazeera’s editorial stance.

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