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.”


UN chief says any attacks on Lebanon peacekeepers could be a war crime

UN chief says any attacks on Lebanon peacekeepers could be a war crime
Updated 14 October 2024
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UN chief says any attacks on Lebanon peacekeepers could be a war crime

UN chief says any attacks on Lebanon peacekeepers could be a war crime
  • “UNIFIL peacekeepers remain in all positions and the UN flag continues to fly,” UN spokesperson Stephane Dujarric said in a statement

NEW YORK: United Nations Secretary-General Antonio Guterres warned on Sunday that any attacks against peacekeepers “may constitute a war crime,” his spokesperson said after Israeli tanks burst through the gates of a peacekeeping base in southern Lebanon.
It was the latest accusation of Israeli violations and attacks against the UN peacekeeping mission, known as UNIFIL, in recent days.
“UNIFIL peacekeepers remain in all positions and the UN flag continues to fly,” UN spokesperson Stephane Dujarric said in a statement.
“The Secretary-General reiterates that UNIFIL personnel and its premises must never be targeted. Attacks against peacekeepers are in breach of international law, including international humanitarian law. They may constitute a war crime,” he said.


World Bank says 26 poorest countries in worst financial shape since 2006

World Bank says 26 poorest countries in worst financial shape since 2006
Updated 13 October 2024
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World Bank says 26 poorest countries in worst financial shape since 2006

World Bank says 26 poorest countries in worst financial shape since 2006
  • IDA normally is replenished every three years with contributions from World Bank shareholding countries

WASHINGTON: The world’s 26 poorest countries, home to 40 percent of the most poverty-stricken people, are more in debt than at any time since 2006 and increasingly vulnerable to natural disasters and other shocks, a new World Bank report showed on Sunday.
The report finds that these economies are poorer today on average than they were on the eve of the COVID-19 pandemic, even as the rest of the world has largely recovered from COVID and resumed its growth trajectory.
Released a week before World Bank and International Monetary Fund annual meetings get underway in Washington, the report confirms a major setback to efforts to eradicate extreme poverty and underscores the World Bank’s efforts this year to raise $100 billion to replenish its financing fund for the world’s poorest countries, the International Development Association (IDA).
The 26 poorest economies studied, which have annual per-capita incomes of less than $1,145, are increasingly reliant on IDA grants and near-zero interest rate loans as market financing has largely dried up, the World Bank said. Their average debt-to-GDP ratio of 72 percent is at an 18-year high and half of the group are either in debt distress or at high risk of it.
Two thirds of the 26 poorest countries are either in armed conflicts or have difficulty maintaining order because of institutional and social fragility, which inhibit foreign investment, and nearly all export commodities, exposing them to frequent boom-and-bust cycles, the report said.
“At a time when much of the world simply backed away from the poorest countries, IDA has been their lifeline,” World Bank chief economist Indermit Gill said in a statement. “Over the past five years, it has poured most of its financial resources into the 26 low-income economies, keeping them afloat through the historic setbacks they suffered.”
IDA normally is replenished every three years with contributions from World Bank shareholding countries. It raised a record $93 billion in 2021 and World Bank President Ajay Banga is aiming to exceed that with over $100 billion in pledges by Dec. 6.
Natural disasters also have taken a greater toll on these countries over the past decade. Between 2011 and 2023, natural disasters were associated with average annual losses of 2 percent of GDP, five times the average among lower-middle-income countries, pointing up the need for much higher investment, the World Bank said.
The report also recommended that these economies, which have large informal sectors operating outside their tax systems, do more to help themselves. This includes improving tax collections by simplifying taxpayer registration and tax administration and improving the efficiency of public spending.


Sweden wants EU to brand Iran’s Revolutionary Guards ‘terror’ group: PM

Sweden wants EU to brand Iran’s Revolutionary Guards ‘terror’ group: PM
Updated 13 October 2024
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Sweden wants EU to brand Iran’s Revolutionary Guards ‘terror’ group: PM

Sweden wants EU to brand Iran’s Revolutionary Guards ‘terror’ group: PM
  • Sweden’s Sapo intelligence agency has accused Iran of recruiting members of Swedish criminal gangs to commit “acts of violence” against Israeli and other interests in Sweden, a claim Iran has denied

STOCKHOLM: Sweden wants the European Union to officially deem Iran’s Revolutionary Guards a terrorist organization after several attacks on Israeli targets in Sweden, Prime Minister Ulf Kristersson said Sunday.
Sweden’s Sapo intelligence agency has accused Iran of recruiting members of Swedish criminal gangs to commit “acts of violence” against Israeli and other interests in Sweden, a claim Iran has denied.
Three attacks have been carried out against the Israeli embassy in Stockholm in the past year, and two attacks have targeted an Israeli military technology firm in the past six months.
“We want Sweden to seriously address, with other EU countries, the incredibly problematic connection between the Islamic Revolutionary Guard Corps and their destructive role in the (Middle East) region, but also their escalating actions around various European countries, including Sweden,” Kristersson told the Expressen newspaper.
“The only reasonable consequence ... is that we get a joint terror classification, so that we can act more broadly than (we can with) the sanctions that already exist,” he said.
The Islamic Revolutionary Guards Corps is a special branch of the Iranian armed forces whose officers hold key positions in Iran’s establishment
In May, Swedish newspaper Dagens Nyheter cited documents from Israel’s intelligence agency Mossad as saying that the head of the Swedish criminal network Foxtrot, Rawa Majid, and his archrival Ismail Abdo, head of the Rumba gang, had both been recruited by Iran.
Swedish public broadcaster SVT reported in early October that two recent attacks on the Israeli embassies in Stockholm and Copenhagen had been ordered by Foxtrot at the behest of Iran.
 

 


France’s ‘unhappy’ Macron seeks new role after government shakeup

France’s ‘unhappy’ Macron seeks new role after government shakeup
Updated 13 October 2024
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France’s ‘unhappy’ Macron seeks new role after government shakeup

France’s ‘unhappy’ Macron seeks new role after government shakeup
  • In public, the 46-year-old Macron is still all smiles, but in private, he has been seething

PARIS: President Emmanuel Macron weathered a turbulent political summer, but he feels isolated and is frustrated with his new right-wing government, according to people close to him.

Macron’s appointment of 73-year-old conservative Michel Barnier as prime minister ended two months of political chaos after snap legislative elections in July.

In line with his new role under the power-sharing arrangement, the center-rightpresident has taken a back seat on the domestic front, letting Barnier name a Cabinet and concentrating on foreign policy.

In public, the 46-year-old Macron is still all smiles, but in private, he has been seething.

“I did not choose this government,” Macron recently told a trusted confidante, who spoke to AFP on condition of anonymity.

“They make me feel ashamed,” the president said of some of the most conservative ministers.

The most hard-line member of the new government, Interior Minister Bruno Retailleau, stirred controversy just days into the job, vowing to crack down on immigration and saying that “the rule of law is neither intangible nor sacred.”

After performing strongly in the snap election but failing to secure an outright victory, Marine Le Pen’s far-right National Rally party is a potential kingmaker that could decide the fate of Barnier’s fragile minority government.


Comoros to hold parliamentary elections on Jan. 12

Comoros to hold parliamentary elections on Jan. 12
Updated 13 October 2024
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Comoros to hold parliamentary elections on Jan. 12

Comoros to hold parliamentary elections on Jan. 12
  • “We are not ready to take part in legislative elections until we know what is going to happen,” Salim Issa Abdillah, leader of the opposition JUWA party, who stood against Assoumani in the last election, said

MORONI: Comoros will hold elections to its 33-seat parliament on Jan. 12, according to a decree published on Saturday.
Opposition parties have said they will boycott the poll. The Indian Ocean archipelago, with a population of about 800,000, last had parliamentary polls in January 2020.
In January, incumbent President Azali Assoumani was reelected for another five-year term, but the opposition rejected the results, alleging instances of ballot stuffing and of voting being ended before the official closing time.
The government denied the claims.
“We are not ready to take part in legislative elections until we know what is going to happen,” Salim Issa Abdillah, leader of the opposition JUWA party, who stood against Assoumani in the last election, said.
“We do not trust Azali Assoumani because no matter what commitments he makes, he will not respect them.”
Orange, another opposition party, has also said it will not participate in the poll because the president had re-appointed the current head of the electoral body, Idrissa Said, whom they accuse of favoring the ruling Convention for the Renewal of the Comoros party.
Said denies the allegations.
Assoumani’s opponents suspect him of wanting to prepare his eldest son, Nour El-Fath, to replace him in 2029 when his current term ends.
Assoumani has been ruling Comoros since 1999 when he came to power through a coup. He has since won three elections.