WHO declares mpox outbreaks in Africa a global health emergency as a new form of the virus spreads

WHO declares mpox outbreaks in Africa a global health emergency as a new form of the virus spreads
Africa’s Centers for Disease Control and Prevention declared what it termed a “public health emergency of continental security” on Tuesday over an outbreak of mpox that spread from the Democratic Republic of Congo to neighboring countries. (Reuters)
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Updated 14 August 2024
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WHO declares mpox outbreaks in Africa a global health emergency as a new form of the virus spreads

WHO declares mpox outbreaks in Africa a global health emergency as a new form of the virus spreads
  • “The potential for further spread within Africa and beyond is very worrying,” said WHO director-general Tedros Adhanom Ghebreyesus
  • “We are now in a situation where (mpox) poses a risk to many more neighbors in and around central Africa,” said Salim Abdool Karim, a South African infectious diseases expert

LONDON: The World Health Organization declared the mpox outbreaks in Congo and elsewhere in Africa a global emergency on Wednesday, with cases confirmed among children and adults in more than a dozen countries and a new form of the virus spreading. Few vaccine doses are available on the continent.
Earlier this week, the Africa Centers for Disease Control and Prevention announced that the mpox outbreaks were a public health emergency, with more than 500 deaths, and called for international help to stop the virus’ spread.
“This is something that should concern us all ... The potential for further spread within Africa and beyond is very worrying,” said WHO director-general Tedros Adhanom Ghebreyesus.
The Africa CDC previously said mpox, also known as monkeypox, has been detected in 13 countries this year, and more than 96 percent of all cases and deaths are in Congo. Cases are up 160 percent and deaths are up 19 percent compared with the same period last year. So far, there have been more than 14,000 cases and 524 people have died.
“We are now in a situation where (mpox) poses a risk to many more neighbors in and around central Africa,” said Salim Abdool Karim, a South African infectious diseases expert who chairs the Africa CDC emergency group. He said the new version of mpox spreading from Congo appears to have a death rate of about 3-4 percent.
In 2022, WHO declared mpox to be a global emergency after it spread to more than 70 countries that had not previously reported mpox, mostly affecting gay and bisexual men. In that outbreak, fewer than 1 percent of people died.
Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine, said declaring these latest mpox outbreaks in Africa an emergency is warranted if that might lead to more support to contain them.
“It’s a failure of the global community that things had to get this bad to release the resources needed,” he said.
Officials at the Africa CDC said nearly 70 percent of cases in Congo are in children younger than 15, who also accounted for 85 percent of deaths.
Jacques Alonda, an epidemiologist working in Congo with international charities, said he and other experts were particularly worried about the spread of mpox in camps for refugees in the country’s conflict-ridden east.
“The worst case I’ve seen is that of a six-week-old baby who was just two weeks old when he contracted mpox,” Alonda said, adding the baby has been in their care for a month. “He got infected because hospital overcrowding meant he and his mother were forced to share a room with someone else who had the virus, which was undiagnosed.”
Save the Children said Congo’s health system already had been “collapsing” under the strain of malnutrition, measles and cholera.
The UN health agency said mpox was recently identified for the first time in four East African countries: Burundi, Kenya, Rwanda and Uganda. All of those outbreaks are linked to the one in Congo. In Ivory Coast and South Africa, health authorities have reported outbreaks of a different and less dangerous version of mpox that spread worldwide in 2022.
Earlier this year, scientists reported the emergence of a new form of the deadlier form of mpox, which can kill up to 10 percent of people, in a Congolese mining town that they feared might spread more easily. Mpox mostly spreads via close contact with infected people, including through sex.
Unlike in previous mpox outbreaks, where lesions were mostly seen on the chest, hands and feet, the new form causes milder symptoms and lesions on the genitals. That makes it harder to spot, meaning people might also sicken others without knowing they’re infected.
Before the 2022 outbreak, the disease had mostly been seen in sporadic outbreaks in central and West Africa when people came into close contact with infected wild animals.
Western countries during the 2022 outbreak mostly shut down the spread of mpox with the help of vaccines and treatments, but very few of those have been available in Africa.
Marks of the London School of Hygiene and Tropical Medicine said that in the absence of mpox vaccines licensed in the West, officials could consider inoculating people against smallpox, a related disease. “We need a large supply of vaccine so that we can vaccinate populations most at risk,” he said, adding that would mean sex workers, children and adults living in outbreak regions.
Congo hasn’t received any of the mpox vaccines it has requested.
Congolese authorities said they have asked for 4 million doses, Cris Kacita Osako, coordinator of Congo’s Monkeypox Response Committee, told The Associated Press. Kacita Osako said those would mostly be used for children under 18.
“The United States and Japan are the two countries that positioned themselves to give vaccines to our country,” Kacita Osako said.
Dr. Dimie Ogoina, a Nigerian mpox expert who chaired WHO’s emergency committee, said there were still significant gaps in understanding how mpox is spreading in Africa. He called for stronger surveillance to track the outbreaks.
“We’re working blindly when we’re not able to test all suspected cases,” Ogoina said.
Although WHO’s emergency declaration is meant to spur donor agencies and countries into action, the global response to previous declarations has been mixed.
Dr. Boghuma Titanji, an infectious diseases expert at Emory University, said the last WHO emergency declaration for mpox “did very little to move the needle” on getting things like diagnostic tests, medicines and vaccines to Africa.
“The world has a real opportunity here to act in a decisive manner and not repeat past mistakes, (but) that will take more than an (emergency) declaration,” Titanji said.


Air monitor records pollution level in Lahore 80 times WHO limit

Air monitor records pollution level in Lahore 80 times WHO limit
Updated 58 min 4 sec ago
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Air monitor records pollution level in Lahore 80 times WHO limit

Air monitor records pollution level in Lahore 80 times WHO limit

LAHORE: Air pollution in Pakistan’s second biggest city Lahore soared on Saturday more than 80 times over the level deemed acceptable by the World Health Organization (WHO), with an official calling it record high.
The level of deadly PM2.5 pollutants — fine particulate matter in the air that causes the most damage to health — peaked at 1,067, before dropping to around 300 in the morning, with anything above 10 considered unhealthy by the WHO.
“We have never reached a level of 1,000,” Jahangir Anwar, a senior environmental protection official in Lahore told AFP.
For days, Lahore has been enveloped by smog, a mix of fog and pollutants caused by low-grade diesel fumes, smoke from seasonal agricultural burning and winter cooling.
“The air quality index will remain high for the next three to four days,” Anwar said.
On Wednesday, the provincial environmental protection agency announced new restrictions in four “hot spots” in the city.
Tuk-tuks equipped with polluting two-stroke engines are banned, as are restaurants that barbecue without filters.
Government offices and private companies will have half their staff work from home from Monday.
Construction work has been halted and street and food vendors, who often cook over open fires, must close at 8 pm.
Smog is particularly pronounced in winter, when cold, denser air traps emissions from poor-quality fuels used to power the city’s vehicles and factories at ground level.


Japan urges 200,000 people to evacuate due to heavy rain

Japan urges 200,000 people to evacuate due to heavy rain
Updated 02 November 2024
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Japan urges 200,000 people to evacuate due to heavy rain

Japan urges 200,000 people to evacuate due to heavy rain
  • Japan’s highest-level warning is typically issued when it is extremely likely that some kind of disaster has already occurred

Tokyo: Nearly 200,000 people in western Japan were urged to evacuate on Saturday as authorities warned of landslides and floods while the remnants of a tropical storm trickle over the country.
The Japan Meteorological Agency said “warm, moist air... was causing heavy rainfall with thunderstorms in western Japan” partly due to Kong-rey, which was downgraded to an extratropical low-pressure system from a typhoon.
The city of Matsuyama “issued the top-level warning, urging 189,552 residents in its 10 districts to evacuate and immediately secure safety,” a city official told AFP.
While the evacuation was not mandatory, Japan’s highest-level warning is typically issued when it is extremely likely that some kind of disaster has already occurred.
Forecasters warned that landslides and floods could affect western Japan on Saturday and eastern Japan on Sunday.
Due to rain, shinkansen bullet trains were briefly suspended between Tokyo and southern Fukuoka region in the morning before resuming on a delayed schedule.
Kong-rey smashed into Taiwan on Thursday as one of the biggest storms to hit the island in decades. It claimed at least two lives and knocked out power to tens of thousands of households.
Scientists say human-driven climate change is intensifying the risk posed by heavy rains because a warmer atmosphere holds more water.


Ukrainians anxious over war aid if Trump wins US election

Ukrainians anxious over war aid if Trump wins US election
Updated 02 November 2024
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Ukrainians anxious over war aid if Trump wins US election

Ukrainians anxious over war aid if Trump wins US election

KYIV: Ukrainians are nervously following the final days of the US presidential election campaign, some fearing a victory for Donald Trump could halt Washington’s vital aid.
Tuesday’s US vote will take place as the war with Russia grinds through its third year, with the outnumbered and outgunned Ukrainian army on the back foot against Russia’s advancing troops.
Moscow’s alliance with Pyongyang appears more solid than ever, with Washington and Seoul saying thousands of North Korean troops have been sent to Russia.
By contrast, Ukraine’s war-fatigued backers could be further disheartened by the potential return to the White House of Trump, who has given no assurance of support to Kyiv.
“A Trump victory would create grave risks. The situation would be alarming,” former Ukrainian ambassador to the US Oleg Shamshur told AFP.
Washington has driven NATO-wide support to Ukraine, with Kyiv receiving billions of dollars in financial and military aid enabling it to keep up the fight against a much more powerful Russia.
That support has however been eroded in Europe and the United States over the past few months.
Trump’s repeated criticism of US support for Ukraine and claims that he would end the fighting within 24 hours, have only raised Ukraine’s fears.
“Neither he nor his team believe in Ukraine’s victory,” Shamshur said.
Trump has refused to say whether he wanted Ukraine to win, and has not published any strategy on how to end the war.
His running mate JD Vance has advocated freezing combat along current lines, around which a demilitarised zone would be set up.
Trump’s plan would also put pressure on Kyiv to give up its aspiration to join NATO, as the Kremlin wishes, which would leave Ukraine vulnerable to further attacks.
“This will be a respite for Putin,” said Shamshur, adding that he believed Russia would use that time to rebuild its army and resume, when ready, its plans “aimed at the complete destruction of Ukraine.”
Ukrainian President Volodymyr Zelensky has already ruled out the territorial concessions demanded by Russia.
“Ukraine will not recognize these territories (as Russian), no matter who wants it to, no matter who wins in the US,” he said in an interview for the South Korean TV channel KBS.
A senior Ukrainian presidency official, however, expressed more conciliatory views in a conversation with AFP.
He said the meeting between Trump and Zelensky, which took place in the United States in September, had gone “very well.”
“Trump will surely not want to be the man that led America to lose face to Putin,” he said, speaking to AFP on condition of anonymity.
Ukraine is preparing for all possible outcomes and fostering relations with teams of both candidates, the official added.
Whoever wins the election will have to tackle the war in Ukraine, where the tide seems to be turning in favor of Moscow.
Russia has advanced 478 square kilometers (185 square miles) into Ukrainian territory in October alone — a record since March 2022 — according to an AFP analysis of data from the American Institute for the Study of War.
In the Donetsk region, where two-thirds of these gains were claimed, 51-year-old Ukrainian sergeant Sergiy said he took a pragmatic view.
He told AFP he did not care who won so long as “the US continues to help us.”
But he predicted that a Trump victory “could be a catastrophe not only for Ukraine, but for the United States.”
Ukrainian troops had a first taste of Republican foot-dragging between late 2023 and early 2024, when Trump’s supporters blocked US military assistance.
That forced Ukrainian forces to ration shells and allowed Russia to build momentum.
“If it is like it was at the beginning of the year, it will be very, very bad,” Sergiy said.
Bogdan, a young soldier fighting in the same region, said he hopes Trump will “just want to show America’s strength, determination and capabilities.”
Rodion, another soldier interviewed in Ukraine’s second-largest city of Kharkiv, was also confident.
“I know they won’t betray us,” he said.
He vowed to fight “until the end, until our victory.”


Despite bans, firecrackers sizzle across India for Diwali

Despite bans, firecrackers sizzle across India for Diwali
Updated 02 November 2024
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Despite bans, firecrackers sizzle across India for Diwali

Despite bans, firecrackers sizzle across India for Diwali
  • Firecracker bans have been difficult to implement, especially during Diwali, despite the threat of jail and fines
  • While the bans didn’t stop people using firecrackers, factories that make the devices say sales have fallen this year

VANCH VILLAGE: Firecrackers are central to Diwali celebrations for millions of Indian Hindus and this year was no different even as some cities, including New Delhi, banned their use to curb some of the worst pollution levels in the world.
Diwali honors the victorious return of Lord Rama, one of Hindiusm’s most revered figures, and was celebrated in India on Thursday. It is also known as the festival of lights to symbolize the triumph of light over darkness, or good over evil, explaining why fireworks are so central to the celebrations.
“Firecrackers damage the environment, but they are a way of bringing good fortune to us,” said Yash Gadani, a local business owner, in Ahmedabad, a city in western Gujarat state.
While the bans didn’t stop people using firecrackers, factories that make the devices say sales have fallen this year as the rising cost of living, including higher prices for firecrackers, dampened demand.
In the village of Vanch, near Ahmedabad, thousands of workers covered in silver gunpowder make firecrackers by hand.
The industry is largely informal with lax safety standards. Nearly all of Vanch’s 10,000 residents are involved and workers are paid 500 rupees ($5.95) a day, often for 16-hour days.
“A couple of fires in factories as well as unseasonal rains have led to an increase in raw material prices,” Dipan Patel, who runs a unit in Vanch, said.
Firecracker bans have been difficult to implement, especially during Diwali, despite the threat of jail and fines.
New Delhi, a city of 20 million people, is the world’s most polluted capital. From October each year, air quality worsens as factors including the burning of farm stubble following the harvest, car fumes, and firecracker smoke get trapped over the city.
“The incidents of stubble burning are decreasing, but ... the smoke created by firecrackers needs to be controlled,” Delhi Environment Minister Gopal Rai told news agency ANI.


UN COP16 nature summit creates permanent body for Indigenous peoples

UN COP16 nature summit creates permanent body for Indigenous peoples
Updated 02 November 2024
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UN COP16 nature summit creates permanent body for Indigenous peoples

UN COP16 nature summit creates permanent body for Indigenous peoples
  • Nearly 200 countries convened in the city of Cali aiming to implement the 2022 Kunming-Montreal Global Biodiversity Framework agreement

CALI: Countries at the UN COP16 summit on nature in Colombia on Friday approved a measure to create a permanent body for Indigenous peoples to consult on United Nations decisions on nature conservation.
The consultative body is considered a breakthrough in recognizing the role that Indigenous peoples play in conserving nature globally, including some of the most biodiverse areas of the planet, according to Indigenous and environmental advocates.
Nearly 200 countries convened in the city of Cali aiming to implement the 2022 Kunming-Montreal Global Biodiversity Framework agreement, which aims to halt the rapid decline of nature by 2030.
The consultative body — which will also extend to local communities — will help to incorporate traditional knowledge and practices into conservation efforts.
Countries also agreed to adopt a measure that recognizes the role of people of African descent in caring for nature, which COP16 host Colombia said would grant such communities easier access to resources to fund their biodiversity projects and participate in global environmental discussions.