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Cameroon apparently under a de facto federalism 
Context of the Cameroon Presidential Election and President-Elect Issa Tchiroma’s Ultimatum
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19, November 2017
Yaounde: Hand-Over to Cameroon of U.S.G. Funded Quality Assurance Center 0
U.S. Government, through CDC/PEPFAR, invests over CFA 2,364,000,000 ($ 4 million) in both the renovation and equipment of a Cameroon state-of-the-art National Public Health Laboratory.
The keys of the Quality Assurance Centre were handed over to Minister of Public Health André Mama Fouda by Chargé d’Affaires Matthew Smith on November 09th, 2017.
Culled from the US embassy in Yaounde