A gold mining town in Congo has become an mpox hot spot as a new strain spreads

A gold mining town in Congo has become an mpox hot spot as a new strain spreads
Emile Miango, 2, who has mpox, lies in the hospital, on Wednesday, Sept. 4, 2024, in Kamituga, South Kivu province, which is the epicenter of the worlds latest outbreak of the disease in eastern Congo. (AP)
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Updated 19 September 2024
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A gold mining town in Congo has become an mpox hot spot as a new strain spreads

A gold mining town in Congo has become an mpox hot spot as a new strain spreads
  • Mpox causes mostly mild symptoms like fever and body aches, but can trigger serious cases
  • Lack of funds, vaccines and information is making it difficult to stem the spread

KAMITUGA: Slumped on the ground over a mound of dirt, Divine Wisoba pulled weeds from her daughter’s grave. The 1-month-old died from mpox in eastern Congo in August, but Wisoba, 21, was too traumatized to attend the funeral.
In her first visit to the cemetery, she wept into her shirt for the child she lost and worried about the rest of her family. “When she was born, it was as if God had answered our prayers — we wanted a girl,” Wisoba said of little Maombi Katengey. “But our biggest joy was transformed into devastation.”
Her daughter is one of more than 6,000 people officials suspect have contracted the disease in South Kivu province, the epicenter of the world’s latest mpox outbreak, in what the World Health Organization has labeled a global health emergency. A new strain of the virus is spreading, largely through skin-to-skin contact, including but not limited to sex. A lack of funds, vaccines and information is making it difficult to stem the spread, according to alarmed disease experts.
Mpox — which causes mostly mild symptoms like fever and body aches, but can trigger serious cases with prominent blisters on the face, hands, chest and genitals — had been spreading mostly undetected for years in Africa, until a 2022 outbreak reached more than 70 countries. Globally, gay and bisexual men made up the vast majority of cases in that outbreak. But officials note mpox has long disproportionately affected children in Africa, and they say cases are now rising sharply among kids, pregnant women and other vulnerable groups, with many types of close contact responsible for the spread.
Health officials have zeroed in on Kamituga, a remote yet bustling gold mining town of some 300,000 people that attracts miners, sex workers and traders who are constantly on the move. Cases from other parts of eastern Congo can be traced back here, officials say, with the first originating in the nightclub scene.
Since this outbreak began, one year ago, nearly 1,000 people in Kamituga have been infected. Eight have died, half of them children.
Challenges on the ground
Last month, the World Health Organization said mpox outbreaks might be stopped in the next six months, with governments’ leadership and cooperation.
But in Kamituga, people say they face a starkly different reality.
There’s a daily average of five new cases at the general hospital, which is regularly near capacity. Overall in South Kivu, weekly new suspected cases have skyrocketed from about 12 in January to 600 in August, according to province health officials.
Even that’s likely an underestimate, they say, because of a lack of access to rural areas, the inability of many residents to seek care, and Kamituga’s transient nature.
Locals say they simply don’t have enough information about mpox.
Before her daughter got sick, Wisoba said, she was infected herself but didn’t know it.
Painful lesions emerged around her genitals, making walking difficult. She thought she had a common sexually transmitted infection and sought medicine at a pharmacy. Days later, she went to the hospital with her newborn and was diagnosed with mpox. She recovered, but her daughter developed lesions on her foot.
Nearly a week later, Maombi died at the same hospital that treated her mother.
Wisoba said she didn’t know about mpox until she got it. She wants the government to invest more in teaching people protective measures.
Local officials can’t reach areas more than a few miles outside Kamituga to track suspected cases or inform residents. They broadcast radio messages but say that doesn’t reach far enough.
Kasindi Mwenyelwata goes door to door describing how to detect mpox — looking for fevers, aches or lesions. But the 42-year-old community leader said a lack of money means he doesn’t have the right materials, such as posters showing images of patients, which he finds more powerful than words.
ALIMA, one of the few aid groups working on mpox in Kamituga, lacks funds to set up programs or clinics that would reach some 150,000 people, with its budget set to run out at year’s end, according to program coordinator Dr. Dally Muamba.
If support keeps waning and mpox spreads, he said, “there will be an impact on the economy, people will stop coming to the area as the epidemic takes its toll. ... And as the disease grows, will resources follow?”
The vaccine vacuum
Health experts agree: What’s needed most are vaccines — even if they go only to adults, under emergency approval in Congo.
None has arrived in Kamituga, though it’s a priority city in South Kivu, officials said. It’s unclear when or how they will. The main road into town is unpaved — barely passable by car during the ongoing rainy season.
Once they make it here, it’s unclear whether supply will meet demand for those who are at greatest risk and first in line: health staff, sex workers, miners and motorcycle taxi drivers.
Congo’s government has budgeted more than $190 million for its initial mpox response, which includes the purchase of 3 million vaccine doses, according to a draft national mpox plan, widely circulating among health experts and aid groups this month and seen by The Associated Press. But so far, just 250,000 doses have arrived in Congo and the government’s given only $10 million, according to the finance ministry.
Most people with mild cases recover in less than two weeks. But lesions can get infected, and children or immunocompromised people are more prone to severe cases.
Doctors can ensure lesions are clean and give pain medication or antibiotics for secondary infections such as sepsis.
But those who recover can get the virus again.
A new variant, a lack of understanding
Experts say a lack of resources and knowledge about the new strain makes it difficult to advise people on protecting themselves. An internal report circulated among aid groups and agencies and seen by AP labeled confidence in the available information about mpox in eastern Congo and neighboring countries low.
While the variant is known to be more easily transmissible through sex, it’s unclear how long the virus remains in the system. Doctors tell recovered patients to abstain from sex for three months, but acknowledge the number’s largely arbitrary.
“Studies haven’t clarified if you’re still contagious or not ... if you can or can’t have sex with your wife,” said Dr. Steven Bilembo, of Kamituga’s general hospital.
Doctors say they’re seeing cases they simply don’t understand, such as pregnant women losing babies. Of 32 pregnant women infected since January, nearly half lost the baby through miscarriage or stillbirth, hospital statistics show.
Alice Neema was among them. From the hospital’s isolation ward, she told AP she’d noticed lesions around her genitals and a fever — but didn’t have enough money to travel the 30 miles (50 kilometers) on motorbike for help in time. She miscarried after her diagnosis.
As information trickles in, locals say fear spreads alongside the new strain.
Diego Nyago said he’d brought his 2-year-old son, Emile, to the hospital for circumcision when he developed a fever and lepasions.
It was mpox — and today, Nyago is grateful he was already at the hospital.
“I didn’t believe that children could catch this disease,” he said as doctors gently poured water over the boy to bring his temperature down. “Some children die quickly, because their families aren’t informed.
“Those who die are the ones who stay at home.”


Governor Koike discusses areas of cooperation with Egyptian Prime Minister Madbouly

Governor Koike discusses areas of cooperation with Egyptian Prime Minister Madbouly
Updated 6 sec ago
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Governor Koike discusses areas of cooperation with Egyptian Prime Minister Madbouly

Governor Koike discusses areas of cooperation with Egyptian Prime Minister Madbouly
  • Dr. Mostafa Madbouly congratulated Koike on her re-election as Governor of Tokyo
  • The Prime Minister also lauded Japan’s contribution to implementing the Japanese Tokkatsu educational system

TOKYO: Governor of Tokyo, Koike Yuriko, who is visiting Cairo, met Egyptian Prime Minister Dr. Mostafa Madbouly on Friday at the government headquarters in the New Administrative Capital and discussed several cooperation initiatives, Tokyo Metropolitan Government (TMG) officials told Arab News Japan.
The officials said Dr. Amr Talaat, Egypt’s Minister of Communications, and Information Technology; Ambassador Ahmed Shahin, Assistant Minister of Foreign Affairs for Asian Affairs; Mr. Katsunobu Takada, Chargé d’Affaires at the Japanese Embassy in Cairo, and Governor Koike’s accompanying delegation attended the meeting.
At the beginning of the meeting, the Prime Minister warmly welcomed Governor Koike and her delegation. He underscored the strategic and historical relations between Egypt and Japan, a testament to the enduring bond that continues to flourish in various fields.
Dr. Mostafa Madbouly congratulated Koike on her re-election as Governor of Tokyo in July for the third consecutive term and expressed his hopes for continued close coordination on various areas of bilateral cooperation.
The Prime Minister also expressed his fervent hope that Japan’s Prime Minister, alongside Governor Koike, will grace the official opening ceremony of the Grand Egyptian Museum once the project is finalized. He also extended his gratitude for Japan’s substantial contributions to major development projects in Egypt, including the museum.
Dr. Madbouly highlighted the Grand Egyptian Museum project as one of the foremost examples of cooperation between Cairo and Tokyo, along with the Egyptian Japanese educational partnership, exemplified by the Egypt-Japan University of Science and Technology and Japanese Egyptian schools.
The Prime Minister also lauded Japan’s contribution to implementing the Japanese Tokkatsu educational system, affirming that Egypt is planning to expand this system. He attributed this decision to President Abdel Fattah El-Sisi’s directive, acknowledging the system’s remarkable success and high quality.
Dr. Madbouly also highlighted the ongoing cooperation between the Ministry of Communications and Information Technology and TMG through the “SUSHI Tech Tokyo” initiative, a platform for promoting technological innovation, and the “Tokyo Innovation Base” platform, a hub for fostering entrepreneurial activities and technological advancements.
In turn, Governor Koike praised the bilateral cooperation between Egypt and Japan, expressing her happiness to visit Egypt, where she has unforgettable memories, having studied at Cairo University.
Koike also commended the well-organized 12th World Urban Forum, a global platform for discussing urban issues and solutions, which attracted a wide global audience.
In the meeting, Tokyo Governor Koike invited the Prime Minister, the Minister of Communications, and other Egyptian entities to participate in the upcoming “SUSHI Tech Tokyo” forum, scheduled for the first half of 2025. She noted that Japan has worked over the years to establish itself as a hub for startups and a welcoming environment for entrepreneurs.
Dr. Amr Talaat discussed several collaborative programs with Koike in information and communication technology, artificial intelligence, cybersecurity, and entrepreneurship. They explored the potential for experience exchange in business incubators for small projects across various sectors, including financial services, health care, and education.
Talaat highlighted that one of the main areas of cooperation with Tokyo’s government is in the startup and entrepreneurship sectors.
Governor Koike is in Egypt on the first leg of a tour of the region that includes Abu Dhabi of the UAE.


Germany brushes off Musk calling Scholz a ‘fool’

Germany brushes off Musk calling Scholz a ‘fool’
Updated 49 min 45 sec ago
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Germany brushes off Musk calling Scholz a ‘fool’

Germany brushes off Musk calling Scholz a ‘fool’
  • Government spokeswoman Christiane Hoffmann took a playful dig at the US tycoon, saying that “on X, you have Narrenfreiheit,” which translates to the freedom to act like a fool
  • A tight-lipped Scholz simply called it “not very friendly“

BERLIN: German officials on Friday brushed off tech billionaire Elon Musk labelling Olaf Scholz a “fool” on his social media platform X after the dramatic collapse of the chancellor’s coalition government.
In a comment Thursday above a post about the implosion of Scholz’s long-troubled coalition, the world’s richest man tweeted in German: “Olaf ist ein Narr” — “Olaf is a fool.”
Asked about Musk’s comment, government spokeswoman Christiane Hoffmann took a playful dig at the US tycoon, saying that “on X, you have Narrenfreiheit,” which translates to the freedom to act like a fool.
The word refers to revellers during Germany’s traditional carnival season, which starts next week, having the freedom to act without inhibitions.
Historically, the term echoes the notion of the “jester’s privilege” — the right of a court jester to mock those in power without being punished by the king.
Asked later about the comment, a tight-lipped Scholz simply called it “not very friendly,” adding that Internet companies are “not organs of state so I did not even pay it any attention.”
Musk strongly supported US election winner Donald Trump, and is now positioned to take up a role in his administration as a deputy tasked with restructuring government operations.
It is not the first time the Tesla boss has had run-ins with German officials online.
Last year he said Berlin-funded migrant rescue operations in the Mediterranean could be seen as an “invasion” of Italy, sparking a terse response from the German foreign ministry.
He has also expressed sympathy for some of the positions of Germany’s far-right AfD party, which has notched up a string of recent electoral successes and is riding high in the opinion polls.


First flight with Israelis evacuated from Amsterdam lands in Tel Aviv

First flight with Israelis evacuated from Amsterdam lands in Tel Aviv
Updated 08 November 2024
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First flight with Israelis evacuated from Amsterdam lands in Tel Aviv

First flight with Israelis evacuated from Amsterdam lands in Tel Aviv
  • The plane that arrived in Tel Aviv had passengers evacuated from Amsterdam

TEL AVIV: The first flight carrying Israelis evacuated from Amsterdam after violent clashes following a football match there landed on Friday at Ben Gurion International Airport, the Israel Airports Authority said.
“The plane that arrived in Tel Aviv now has passengers evacuated from Amsterdam,” Liza Dvir, spokeswoman for the airport authority told AFP.


India’s Modi rejects calls to restore Kashmir’s partial autonomy

India’s Modi rejects calls to restore Kashmir’s partial autonomy
Updated 08 November 2024
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India’s Modi rejects calls to restore Kashmir’s partial autonomy

India’s Modi rejects calls to restore Kashmir’s partial autonomy
  • Modi revoked partial autonomy in 2019 and split the state into the two federally administered territories of Jammu and Kashmir and Ladakh 
  • Jammu and Kashmir held its first local election in a decade this year, newly-elected lawmakers passed resolution this week seeking restoration

NEW DELHI: Indian Prime Minister Narendra Modi strongly backed his government’s contentious 2019 decision to revoke the partial autonomy of Jammu and Kashmir, days after the territory’s newly elected lawmakers sought its restoration.
“Only the constitution of Babasaheb Ambedkar will operate in Kashmir... No power in the world can restore Article 370 (partial autonomy) in Kashmir,” Modi said, referring to one of the founding fathers of the Indian constitution.
Modi was speaking at a state election rally in the western state of Maharashtra, where Ambedkar was from.
Modi’s Bharatiya Janata Party (BJP) government revoked partial autonomy in 2019 and split the state into the two federally administered territories of Jammu and Kashmir and Ladakh — a move that was opposed by many political groups in the Himalayan region.
Jammu and Kashmir held its first local election in a decade in September and October and the newly-elected lawmakers passed a resolution this week seeking the restoration.
Jammu and Kashmir’s ruling National Conference party had promised in its election manifesto that it would restore the partial autonomy, although the power to do so lies with Modi’s federal government.
Jammu and Kashmir’s new lawmakers can legislate on local issues like other Indian states, except matters regarding public order and policing. They will also need the approval of the federally-appointed administrator on all policy decisions that have financial implications.
Under the system of partial autonomy, Kashmir had its own constitution and the freedom to make laws on all issues except foreign affairs, defense and communications.
The troubled region, where separatist militants have fought security forces since 1989, is India’s only Muslim-majority territory.
It has been at the center of a territorial dispute with Pakistan since the neighbors gained independence from British colonial rule in 1947.
Kashmir is claimed in full but ruled in part by both India and Pakistan, which have fought two of their three wars over the region.


Kyiv says Russia has returned bodies of 563 soldiers

Kyiv says Russia has returned bodies of 563 soldiers
Updated 08 November 2024
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Kyiv says Russia has returned bodies of 563 soldiers

Kyiv says Russia has returned bodies of 563 soldiers
  • The exchange of prisoners and bodies of killed military personnel remains one of the few areas of cooperation
  • The announcement represents one of the largest repatriations of killed Ukrainian servicemen

KYIV: Ukraine said on Friday it had received the bodies of 563 soldiers from Russian authorities, mainly troops that had died in combat in the eastern Donetsk region.
The exchange of prisoners and bodies of killed military personnel remains one of the few areas of cooperation between Moscow and Kyiv since Russia invaded in 2022.
“The bodies of 563 fallen Ukrainian defenders were returned to Ukraine,” the Coordination Headquarters for the Treatment of Prisoners of War said in a statement on social media.
The announcement represents one of the largest repatriations of killed Ukrainian servicemen since the beginning of the war.
The statement said that 320 of the remains were returned from the Donetsk region and that 89 of the soldiers had been killed near Bakhmut, a town captured by Russia in May last year after a costly battle.
Another 154 of the bodies were returned from morgues inside Russia, the statement added.
Neither Russia nor Ukraine publicly disclose how many military personnel have been killed fighting.