The Lagos State government says it is committed to protecting the health and well-being of residents by ensuring access to quality human immunodeficiency virus (HIV) prevention, testing, treatment, and care services.
On Tuesday, the federal ministry of health and social welfare’s state of the health of the nation report 2025 showed that Nigeria recorded 102,025 new HIV infections across the 36 states and the Federal Capital Territory (FCT).
According to Punch, the report ranked Lagos as the state with the highest number of new infections, recording 10,430 cases, followed by Rivers with 6,287 and Kano with 6,106.
The report provides a state-by-state breakdown of new HIV infections, highlighting the geographical distribution of the disease despite years of intensified prevention efforts by the federal government and its partners.
LAGOS NOT HOTSPOT OF HIV, WIDER HEALTH ACCESS INCREASES DIAGNOSES
Responding to the publication at a press conference on Thursday, Folakemi Animashaun, chief executive officer (CEO) of the Lagos State AIDS Control Agency (LSACA), said the state’s HIV response remains strong, proactive, evidence-based, and firmly on course.
Animashaun said the recent media report portraying Lagos as the state with the highest number of new HIV infections in 2025 was based on a survey conducted in 2018.
She said the survey does not mean Lagos recorded 10,430 new HIV infections in 2025.
The LSACA CEO said the number widely circulated refers to newly diagnosed HIV-positive cases, not new infections that occurred within the year.
She added that the available programme data does not support panic but instead reflects the strength of Lagos State’s HIV surveillance system.
“A newly diagnosed HIV-positive case simply means an individual was confirmed HIV-positive during the reporting period,” Animashaun said.
“These include persons who may have acquired HIV several years earlier but were only recently tested.
“The figure may also include people who travelled to Lagos for testing or treatment, referrals from other states, and individuals identified because the state expanded access to HIV testing services.”
“On the other hand, new HIV infections refer to individuals who acquired HIV within a defined period. and are estimated using established epidemiological surveillance methods and scientific modelling. These are two different indicators and should not be interpreted interchangeably.”
According to Animashaun, it is important to place Lagos within its proper context as Nigeria’s most populous state, commercial centre, and one of the country’s largest healthcare referral hubs.
She said Lagos naturally records some of the highest volumes of HIV testing, diagnosis, treatment, and patient referrals.
She said the state’s surveillance systems and wider access to healthcare services should not be misconstrued as evidence of a worsening epidemic.
She added that Lagos recorded 11,940 HIV-positive cases out of 504,800 HIV tests conducted in 2025.
“In 2025, Lagos State conducted 504,800 HIV tests, through which 11,940 HIV-positive cases were identified, representing a positivity yield of 2.4 percent,” she said.
“In the first quarter of 2026, the state conducted 179,229 HIV tests, identifying 3,390 HIV-positive cases, while the positivity yield further declined to 1.9 percent.”
She noted that the declining positivity rate, despite expanded testing, is a significant epidemiological indicator of improving epidemic control.
“As of 2025, 147,904 persons were receiving antiretroviral therapy across Lagos State, with 97 percent achieving viral suppression,” Animashaun said.
“This represents a major public health milestone and demonstrates the effectiveness of the state’s HIV treatment programme.
“Similarly, Lagos State continues to record significant progress in the prevention of mother-to-child transmission of HIV.
“The early infant diagnosis positivity rate has declined remarkably from 5.1 percent in 2020 to 1.5 percent in 2025, reflecting sustained improvements in maternal and child HIV services.”
“These indicators collectively demonstrate that Lagos has built one of Nigeria’s strongest HIV surveillance, prevention, treatment, and response systems.”
Animashaun said the state government has commenced implementation of a comprehensive HIV response acceleration plan for the period July to September 2026, to expand HIV testing, strengthen treatment linkage and improve service quality across all 20 LGAs and 37 local council development areas (LCDAs).
She added that the state is pursuing a long-term strategy and reform to strengthen HIV sustainability and health commodity security.
“The state is currently implementing HIV prevention interventions, that is, HIV pre-exposure prophylaxis (PrEP) interventions, that is, oral and long-acting injectable PrEP (two-monthly injectable),” Animashaun said.
“As part of its long-term strategy to strengthen HIV sustainability and health commodity security, the Lagos State government has taken a bold and unprecedented step by directly procuring antiretrovirals (ARVs) to support uninterrupted HIV treatment services across the state.
“With early diagnosis and sustained treatment, people living with HIV can live long, healthy, productive, and fulfilling lives.”
Gboyega Akosile, special adviser on media and publicity to Babajide Sanwo-Olu, governor of Lagos, said the government had invested heavily in healthcare infrastructure and public health programmes, including HIV prevention, treatment, and care.
“Babajide Sanwo-Olu has invested greatly in the health sector of the state, and the report going round lately is not favorable and incorrect, hence the need to correct the negative impressions circulating in the public,” Akosile added.