Congo’s humanitarian crisis helped mpox spiral again into a global health emergency

Patients listen to a doctor outside the consultation room of the Mpox treatment centre at Nyiragongo General Referral Hospital, north of Goma on August 17, 2024. (AFP)
Patients listen to a doctor outside the consultation room of the Mpox treatment centre at Nyiragongo General Referral Hospital, north of Goma on August 17, 2024. (AFP)
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Updated 18 August 2024
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Congo’s humanitarian crisis helped mpox spiral again into a global health emergency

Congo’s humanitarian crisis helped mpox spiral again into a global health emergency
  • Millions are thought to be out of reach of medical help or advice in the conflict-torn east, where dozens of rebel groups have been fighting Congolese army forces for years over mineral-rich areas, causing a huge displacement crisis

GOMA, Congo: Sarah Bagheni had a headache, fever, and itchy and unusual skin lesions for days, but she had no inkling that her symptoms might have been caused by mpox and that she might be another case in a growing global health emergency.
She also has no idea where to go to get medical help.
She and her husband live in the Bulengo displacement camp in eastern Congo, a region that is effectively ground zero for a series of mpox outbreaks in Africa.
This year’s alarming rise in cases, including a new form of the virus identified by scientists in eastern Congo, led the World Health Organization to declare it a global health emergency on Wednesday. It said the new variant could spread beyond the five African countries where it had already been detected — a timely warning that came a day before Sweden reported its first case of the new strain.
In the vast central African nation of Congo, which has had more than 96 percent of the world’s roughly 17,000 recorded cases of mpox this year — and some 500 deaths from the disease — many of the most vulnerable seem unaware of its existence or the threat that it poses.
“We know nothing about this,” Bagheni’s husband, Habumuremyiza Hire, said Thursday about mpox. “I watch her condition helplessly because I don’t know what to do. We continue to share the same room.”
Millions are thought to be out of reach of medical help or advice in the conflict-torn east, where dozens of rebel groups have been fighting Congolese army forces for years over mineral-rich areas, causing a huge displacement crisis. Hundreds of thousands of people like Bagheni and her husband have been forced into overcrowded refugee camps around Goma, while more have taken refuge in the city.
Conditions in the camps are dire and medical facilities are almost nonexistent.
Mahoro Faustin, who runs the Bulengo camp, said that about three months ago, administrators first started noticing people in the camp exhibiting fever, body aches and chills — symptoms that could signal malaria, measles or mpox.
There is no way of knowing how many mpox cases there might be in Bulengo because of a lack of testing, he said. There haven’t been any recent health campaigns to educate the tens of thousands of people in the camp about mpox, and Faustin said he’s worried about how many people might be undiagnosed.
“Just look at the overcrowding here,” he said, pointing to a sea of ramshackle tents. “If nothing is done, we will all be infected here, or maybe we are already all infected.”
Around 70 percent of the new mpox cases in the Goma area in the last two months that were registered at a treatment center run by Medair were from displacement camps, said Dr. Pierre Olivier Ngadjole, the international aid group’s health adviser in Congo. The youngest of those cases was a month-old baby and the oldest a 90-year-old, he said.
In severe cases of mpox, people can develop lesions on the face, hands, arms, chest and genitals. While the disease originated in animals, the virus has in recent years been spreading between people via close physical contact, including sex.
Bagheni’s best hope of getting a diagnosis for her lesions is a government hospital that’s a two-hour drive away. That’s likely out of the question, given that she already struggles with mobility having previously had both her legs amputated.
Seven million people are internally displaced in Congo, with more than 5.5 million of them in the country’s east, according the UN refugee agency. Congo has the largest displacement camp population in Africa, and one of the largest in the world.
The humanitarian crisis in eastern Congo has almost every possible complication when it comes to stopping an mpox outbreak, said Dr. Chris Beyrer, director of Duke University’s Global Health Institute.
That includes war, illicit mining industries that attract sex workers, transient populations near border regions, and entrenched poverty. He also said the global community missed multiple warning signs.
“We’re paying attention to it now, but mpox has been spreading since 2017 in Congo and Nigeria,” Beyrer said, adding that experts have long been calling for vaccines to be shared with Africa, but to little effect. He said the WHO’s emergency declaration was “late in coming,” with more than a dozen countries already affected.
Beyrer said that unlike COVID-19 or HIV, there’s a good vaccine and good treatments and diagnostics for mpox, but “the access issues are worse than ever” in places like eastern Congo.
In 2022, there were outbreaks in more than 70 countries around the world, including the United States, which led the WHO to also declare an emergency that lasted until mid-2023. It was largely shut down in wealthy countries within months through the use of vaccines and treatments, but few doses have been made available in Africa.
The new and possibly more infectious strain of mpox was first detected this year in a mining town in eastern Congo, about 450 kilometers (280 miles) south of Goma. It’s unclear how much the new strain is to blame, but Congo is now enduring its worst outbreak yet and at least 13 African countries have recorded cases, four of them for the first time.
The outbreaks in those four countries — Burundi, Kenya, Rwanda and Uganda — have been linked to Congo’s, and Doctors Without Borders said Friday that Congo’s surge “threatens a major spread of the disease” to other countries.
Salim Abdool Karim, an infectious disease expert who chairs the Africa Centers for Disease Control and Prevention’s emergency committee, said the Congo outbreak has a particularly concerning change, in that it’s disproportionately affecting young people. Children under 15 account for 70 percent of cases and 85 percent of all deaths in the country, the Africa CDC reported.
Unlike the 2022 global outbreak, which predominantly affected gay and bisexual men, mpox now appears to be spreading in heterosexual populations.
All of Congo’s 26 provinces have recorded mpox cases, according to the state-run news agency. But Health Minister Samuel-Roger Kamba said Thursday that the country doesn’t have a single vaccine dose yet and he pleaded for “vigilance in all directions from all Congolese.”
Dr. Rachel Maguru, who heads the multi-epidemic center at Goma’s North Kivu provincial hospital, said they also don’t have drugs or any established treatments for mpox and are relying on other experts such as dermatologists to help where they can. A larger outbreak around the city and its numerous displacement camps already overburdened with an influx of people would be “terrible,” she said.
She also noted a pivotal problem: poor and displaced people have other priorities, like earning enough money to eat and survive. Aid agencies and stretched local authorities are already wrestling with providing food, shelter and basic health care to the millions displaced, while also dealing with outbreaks of other diseases like cholera.
 

 


Erdogan ally floats Turkiye constitutional amendment to let him extend his tenure

Erdogan ally floats Turkiye constitutional amendment to let him extend his tenure
Updated 40 sec ago
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Erdogan ally floats Turkiye constitutional amendment to let him extend his tenure

Erdogan ally floats Turkiye constitutional amendment to let him extend his tenure

ANKARA: The main political ally of longstanding Turkish leader Tayyip Erdogan said on Tuesday that a constitutional amendment should be considered to allow the president to run again in elections set for 2028.
After his re-election last year, Erdogan is serving his last term as president unless parliament calls an early election, according to the constitution. He has ruled Turkiye for more than 21 years, first as prime minister and then as president.
“Wouldn’t it be a natural and right choice to have our president elected once again if terror is eradicated, and if a heavy blow is dealt to inflation and Turkiye secures political and economic stability,” said Devlet Bahceli, leader of the Nationalist Movement Party (MHP), which is allied with Erdogan’s ruling AK Party (AKP).
A constitutional amendment to secure Erdogan’s ability to re-run in the presidential elections should be considered, he said in a parliamentary speech to MHP lawmakers.
Bahceli, a staunch nationalist, rattled Turkish politics last month by suggesting that the jailed leader of the outlawed Kurdistan Workers’ Party (PKK) could be allowed to speak in parliament if he announces an end to the group’s insurgency.
Some analysts said the shock suggestion might be motivated by an AKP-MHP desire to win the support of the pro-Kurdish DEM Party, parliament’s third-biggest, for a constitutional change that could boost Erdogan’s prospects in 2028 elections.
A constitutional change can be put to a referendum if 360 lawmakers in the 600-seat parliament back it. An early election also needs the support of 360 MPs.
AKP and its allies have 321 seats while DEM has 57.


A tiny village in India where Kamala Harris has ancestral roots is praying for her victory

A tiny village in India where Kamala Harris has ancestral roots is praying for her victory
Updated 05 November 2024
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A tiny village in India where Kamala Harris has ancestral roots is praying for her victory

A tiny village in India where Kamala Harris has ancestral roots is praying for her victory
THULASENDRAPURAM: The temple reverberated with rhythmic Sanskrit and Tamil hymns, as a Hindu priest held a flame before the god. As this tiny South Indian village gathered to pray for Kamala Harris, a gaggle of reporters jostled for space and camera angles.
There's little to distinguish the village of Thulasendrapuram from any other rural community in Tamil Nadu, except its connection to a woman who could become America's first leader with South Asian roots.
As millions of Americans vote, Harris has people rooting for her from thousands of miles away in a village surrounded by rice paddies and coconut trees, where her mother's family has ancestral ties. They talk about her at the local tea shop. Banners and billboards bearing her face are seen throughout the community.
“Our deity is a very powerful God. If we pray well to him, he will make her victorious,” said M. Natarajan, the temple priest that led the prayers in front of the image of Hindu deity Ayyanar, a form of Lord Shiva.
Harris’ maternal grandfather was born in the village, about 350 kilometers (215 miles) from the southern coastal city of Chennai, more than 100 years ago. As an adult, he moved to Chennai, where he worked as a high-ranking government official until his retirement.
Harris has never visited Thulasendrapuram and she has no living relatives in the village, but people here still venerate the family that made it big in the U.S.
“Our village ancestors' granddaughter is running as a U.S. presidential candidate. Her victory will be happy news for every one of us,” Natarajan said.
The village's sudden fame has helped bring money into the village. Recently, construction began on a water storage tank with funds donated by a local bank. Village residents say it will carry a plaque with Harris’ name.
Harris’ late mother, Shyamala Gopalan, was born in India. After moving to the U.S. to study, she married a Jamaican man, and they named their daughter Kamala, a Sanskrit word for “lotus flower.”
Other than trips during her childhood, Harris hasn’t visited India much — particularly not since becoming vice president — but she has often spoken emotionally about her ties to her late mother’s country of birth. On Tuesday, she released a campaign video highlighting her mother, who arrived in the U.S. at age 19 and became a cancer researcher.
Titled “Mother,” the video ends with a narrator saying: “This daughter of Shyamala, this daughter of the American story, is ready to lead us forward.”
Harris has often talked about how she was guided by the values of her Indian-born grandfather and mother. She has also spoken of her love of south Indian food, especially a type of steamed rice cake called idli.
Harris’ name is engraved in a list of donors — her aunt Sarala Gopalan gave money to the temple in her name — along with that of her grandfather. Outside, a large banner wishes “the daughter of the land” success in the election.
On Tuesday, the village temple also received rare international visitors: two American tourists and one from the U.K., all wearing black t-shirts that said “Kamala Freakin Harris.”
Manikandan Ganesan, a villager who runs a small store near the temple, said Harris’ bid for the presidency has made the village famous. He hopes Harris will eventually visit them.
“Even if she mentioned that she would visit our village, it would make us very happy,” Ganesan said. “Her victory itself will be a big source of happiness for us.”
Village residents also prayed for Harris’ victory in 2020, and set off firecrackers when she became the U.S. Vice President.
For women of the village, the candidate's journey is a source of inspiration.
Local politician Arulmozhi Sudhakar said Harris embodies a significant step toward female empowerment in places like Thulasendrapuram, where a majority of women continue to face discrimination and gender inequality.
“From the time when women were not even allowed to step out of their house, to now a woman from our village contesting in the U.S. presidential election — this brings happiness for us,” Sudhakar said. “The coming generations will see her as a role model to succeed in life.”

Ukraine’s military says it shot down 48 drones and two missiles overnight

Ukraine’s military says it shot down 48 drones and two missiles overnight
Updated 05 November 2024
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Ukraine’s military says it shot down 48 drones and two missiles overnight

Ukraine’s military says it shot down 48 drones and two missiles overnight

KYIV: The Ukrainian military said on Tuesday it shot down 48 out of 79 drones and two missiles launched by Russia overnight.
The air force said the location of 30 other drones had been lost, while another had returned to Russia.


India foreign minister says vandalism of Hindu temples deeply concerning

India foreign minister says vandalism of Hindu temples deeply concerning
Updated 05 November 2024
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India foreign minister says vandalism of Hindu temples deeply concerning

India foreign minister says vandalism of Hindu temples deeply concerning
  • Vandalism incident happened weeks after Ottawa expelled six Indian diplomats, linking them to killing of Sikh separatist leader in 2023 
  • Canada has accused India of conducting a broad campaign against South Asian dissidents in Canada, which New Delhi denies 

SYDNEY: India foreign minister Subrahmanyam Jaishankar said on Tuesday the vandalism of a Hindu temple in Canada on Monday was deeply concerning.
“What happened yesterday at the Hindu temple in Canada was obviously deeply concerning,” he told reporters in the Australian capital Canberra while on an official visit.
The incident happened weeks after Ottawa expelled six Indian diplomats, linking them to the killing of a Sikh separatist leader in 2023 in Canada. Canada has accused the Indian government of conducting a broad campaign against South Asian dissidents in Canada, which New Delhi denies.
The incident has increased tensions between Canada and India, and between Sikh separatists and Indian diplomats.
Two Hindu temples were also vandalized in Canberra last month, which Australian Foreign Minister Penny Wong said was upsetting for members of the Indian community.
“People across Australia have a right to be safe and respected, people also have a right to peaceful protest, people have a right to express their views peacefully,” she told reporters.
“We draw a line between that and violence, incitement of hatred or vandalism,” she added.
Wong said Australia had expressed its views to India about Canada’s allegations over the targeting of Sikh separatists, and Canberra respected Canada’s judicial process. Jaishankar said it was unacceptable that Indian diplomats had been placed under surveillance by Canada.
“Canada has developed a pattern of making allegations without providing specifics,” he said.


India foreign minister says vandalism of Hindu temples deeply concerning

India foreign minister says vandalism of Hindu temples deeply concerning
Updated 05 November 2024
Follow

India foreign minister says vandalism of Hindu temples deeply concerning

India foreign minister says vandalism of Hindu temples deeply concerning
  • Canada has accused the Indian government of conducting a broad campaign against South Asian dissidents in Canada, which New Delhi denies

SYDNEY: India foreign minister Subrahmanyam Jaishankar said on Tuesday the vandalism of a Hindu temple in Canada on Monday was deeply concerning.
“What happened yesterday at the Hindu temple in Canada was obviously deeply concerning,” he told reporters in the Australian capital Canberra while on an official visit.
The incident happened weeks after Ottawa expelled six Indian diplomats, linking them to the killing of a Sikh separatist leader in 2023 in Canada. Canada has accused the Indian government of conducting a broad campaign against South Asian dissidents in Canada, which New Delhi denies.
The incident has increased tensions between Canada and India, and between Sikh separatists and Indian diplomats.
Two Hindu temples were also vandalized in Canberra last month, which Australian Foreign Minister Penny Wong said was upsetting for members of the Indian community.
“People across Australia have a right to be safe and respected, people also have a right to peaceful protest, people have a right to express their views peacefully,” she told reporters.
“We draw a line between that and violence, incitement of hatred or vandalism,” she added.
Wong said Australia had expressed its views to India about Canada’s allegations over the targeting of Sikh separatists, and Canberra respected Canada’s judicial process. Jaishankar said it was unacceptable that Indian diplomats had been placed under surveillance by Canada.
“Canada has developed a pattern of making allegations without providing specifics,” he said.