There is an mpox jab. Why is it taking so long to reach Africa?

There is an mpox jab. Why is it taking so long to reach Africa?
Furaha Elisabeth applies medication on the skin of her child Sagesse Hakizimana who is under treatment against Mpox, an infectious disease caused by the Mpox virus that causes a painful rash, enlarged lymph nodes and fever, at a health center in Congo (REUTERS)
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Updated 30 August 2024
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There is an mpox jab. Why is it taking so long to reach Africa?

There is an mpox jab. Why is it taking so long to reach Africa?
  • Nigeria is the only African country with doses
  • New variant fairly lethal, experts say

LAGOS/JOHANNESBURG: Mpox is nothing new to Africa yet there is no vaccine available on the continent, exposing rank inequity in global distribution as tens of richer nations inoculate people facing far less risk.
Experts say that inequality — alongside competing health problems and slow regulation — is putting millions of Africans in jeopardy, after scientists found the virus was now mutating fast, leaping from person to person and stealing over borders.
“The lack in the distribution of mpox vaccines in Africa is due to challenges in supply, funding, and infrastructure, and because the disease is less prevalent compared to other health priorities,” Duduzile Ndwandwe, a scientist at the South African Medical Research Council (SAMARA), said in emailed comments.
Mpox had been circulating in the Democratic Republic of Congo since January last year but only became a grave concern this January when scientists spotted the worrying, new mutation.
Two mpox vaccines made by Denmark’s Bavarian Nordic and Japan’s KM Biologics used to combat a 2022 outbreak have been widely available in at least 70 countries outside Africa — even administered for free in some US and European clinics.
But before Nigeria received 10,000 doses from the United States this week, no mpox vaccine was available — in any country — in Africa, and the variant now circling vulnerable, displaced populations in DRC is even more virulent than previous strains.
’A serious epidemic’
Mpox, formerly known as monkey pox, has been a public health problem in parts of Africa since 1970, but received little global attention until an international outbreak in 2022.
It typically causes flu-like symptoms, pus-filled lesions and can kill. Protection costs about $100 a person.
Jimmy Whitworth, professor of epidemiology at the London School of Hygiene and Tropical Medicine, described the new variant, clade 1b pox, as “fairly lethal.”
“This appears to be from sexual contact that it’s spreading, and this time it is going from person to person,” Whitworth said. “There’s now a need to raise it to the priority list because this is a serious epidemic.”
Since January 2023, there have been more than 27,000 suspected cases and 1,100 deaths in Congo, according to government figures, mainly among children.
The viral infection has spread from DRC to 12 neighboring countries, leading the World Health Organization (WHO) to designate the outbreak a public health emergency.
Many African nations are struggling to meet the challenge.
Whitworth said the $100 needed to distribute a dose of the vaccine is prohibitive for governments who must quash multiple threats — measles, malaria, cholera — with limited budgets.
“It is a huge expense to vaccinate just DRC. If you asked people in DRC last year what the higher priority was, ‘was it the measles or mpox vaccine?’ They would have said ‘measles vaccine’. And so would anybody else in public health because that was a bigger threat then,” the epidemiologist said.
National regulations are also a problem.
Despite the severity of the mpox crisis and the risk of it spreading across DRC’s borders, local regulators only approved a vaccine in June with no date yet set for distribution.
Why the delay?
In 2022, two mpox vaccines, along with public health campaigns against risky behavior, effectively controlled an outbreak that had hit 100 countries globally.
But African countries have so far remained underserved, with efforts only now ramping up to bolster their protection.
Africa Centers for Disease Control and Prevention (Africa CDC) said it had been granted 9.34 million euros ($10.43 million) in emergency funding from the Africa Union for its mpox response and it said it would need 10 million doses of vaccines.
Bavarian Nordic said it can make 10 million doses of its vaccine by end-2025 and offered 2 million doses this year.
The WHO gave its partner agencies, including global vaccine organization Gavi and UNICEF, the go-ahead to buy mpox vaccines pre-approval to speed their delivery to Africa.
DRC had expected to receive its first vaccines in the week of Aug. 26 after the United States and Japan both promised deliveries, but has since said it would take longer.
European Union countries have also pledged donations to help Africa fight the current outbreak.
Whitworth said regulators in Rwanda, Burundi, Uganda and Kenya, all countries where cases have been detected, should approve vaccines urgently without waiting for a full outbreak.
“The vaccine isn’t even licensed in those countries,” said Whitworth. “Those countries … need to speed up the process.”
Weak health system
Even pre-mpox, Congo’s health system was at breaking point — weighed down by epidemics of measles and Ebola and years of conflict — and campaigners say short-term fixes won’t work.
Katharina Schroeder from Save the Children said long-term investment in social welfare and health care infrastructure were vital to prevent future outbreaks, with many remote health centers lacking basic testing kits or trained staff.
“The health centers outside the city need to be equipped to triage patients … because often they’re looking for things like gloves and masks,” Schroeder said.
Save the Children has been training staff on the disease, but even when diagnoses are successfully sped through, few sick patients can then afford to isolate for the mandated four weeks.
“They understand this is mpox, they understand this is dangerous for their family. But they still don’t go into isolation because they live day by day. They don’t have enough to eat,” Schroeder said.


UN says shooting incident at Kabul compound killed one

UN says shooting incident at Kabul compound killed one
Updated 16 sec ago
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UN says shooting incident at Kabul compound killed one

UN says shooting incident at Kabul compound killed one
  • UN says gunshots were fired by member of Taliban’s security forces at multilateral agency’s largest compound 
  • Person killed was member of Taliban-run security forces who was outside the compound, unclear what provoked firing

ISLAMABAD: Gunshots fired by a member of the Taliban’s security forces at the United Nations’ largest compound killed one person and injured another in Kabul, the United Nations Assistance Mission in Afghanistan (UNAMA) said in a statement on Monday.

The incident took place on Sunday, it said.

The person killed was a member of the Taliban-run security forces who was outside the compound, the statement said without adding any details. The person injured was an international security guard contracted by the UN, it said.

“UN-contracted security guards did not return fire during the incident,” it said.

It was unclear what provoked the firing. Both the Taliban and the UN were investigating the incident.

Kabul’s interior ministry spokesman Abdul Mateen Qaniee confirmed that a Taliban guard was killed and one UN contractor suffered injuries.

Taliban authorities halted all movement in and out of the compound following the incident, UNAMA said, but those restrictions have now been lifted.

The compound houses the offices of multiple UN agencies, funds and programs, and accommodation for UN international staff members.


Ukrainian troops lose ground with fewer fighters and exposed supply lines

Ukrainian troops lose ground with fewer fighters and exposed supply lines
Updated 03 February 2025
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Ukrainian troops lose ground with fewer fighters and exposed supply lines

Ukrainian troops lose ground with fewer fighters and exposed supply lines
  • Moscow is set on capturing as much territory as possible as the Trump administration is pushing for negotiations to end the war
  • Ukrainian soldiers in Pokrovsk said that Russian forces switched tactics in recent weeks, attacking their flanks instead of going head-on

POKROVSK REGION, Ukraine: A dire shortage of infantry troops and supply routes coming under Russian drone attacks are conspiring against Ukrainian forces in Pokrovsk, where decisive battles in the nearly three-year war are playing out — and time is running short.
Ukrainian troops are losing ground around the crucial supply hub, which lies at the confluence of multiple highways leading to key cities in the eastern Donetsk region as well as an important railway station.
Moscow is set on capturing as much territory as possible as the Trump administration is pushing for negotiations to end the war and recently froze foreign aid to Ukraine, a move that has shocked Ukrainian officials already apprehensive about the intentions of the new US president, their most important ally. Military aid has not stopped, Ukrainian President Volodymyr Zelensky has said.
Ukrainian soldiers in Pokrovsk said that Russian forces switched tactics in recent weeks, attacking their flanks instead of going head-on to form a pincer movement around the city. With Russians in control of dominant heights, Ukrainian supply routes are now within their range. Heavy fog in recent days prevented Ukrainian soldiers from effectively using surveillance drones, allowing Russians to consolidate and take more territory.
Meanwhile, Ukrainian commanders say they do not have enough reserves to sustain defense lines and that new infantry units are failing to execute operations. Many pin hopes on Mykhailo Drapatyi, a respected commander recently appointed by Ukrainian President Volodymyr Zelensky as ground forces chief, to shift the dynamic and counterattack.
“The war is won by logistics. If there is no logistics, there is no infantry, because there is no way to supply it,” said the deputy commander of the Da Vinci Wolves battalion, known by the call sign Afer.
“(Russians) have learned this and are doing it quite well.”
Poor weather at the worst time
A combination of factors led Kyiv to effectively lose the settlement of Velyka Novosilka this past week, their most significant gain since seizing the city of Kurakhove in the Donetsk region in January.
Scattered groups of Ukrainian soldiers are still present in Velyka Novosilka’s southern sector, Ukrainian commanders said, prompting criticism from some military experts who questioned why the higher command did not order a full withdrawal.
The road-junction village is 15 kilometers (9 miles) from the neighboring Dnipropetrovsk region, where authorities have begun digging fortifications for the first time since Russia’s full-scale invasion in February 2022, anticipating further Russian advances.
Russia amassed a large number of infantry around Velyka Novosilka, soldiers there said. As heavy fog set in in recent days, Ukrainian drones “barely worked” to conduct surveillance, one commander near Pokrovsk told The Associated Press. Long-range and medium-range surveillance was impossible, he said. He spoke on condition of anonymity in order to speak freely about sensitive military matters.
“Because of this, the enemy was amassing forces … taking up positions, digging in. They were very good at it,” he said.
It was at that fateful moment that Russian forces launched a massive attack: Up to 10 columns of armored vehicles, each with up to 10 units, moved out from various directions.
Ukrainian logistics in peril
Key logistics routes along asphalted roads and highways are under direct threat from Russian drones as a result of Moscow’s recent gains, further straining Ukrainian troops.
Russian forces now occupy key dominant heights around the Pokrovsk region, which allows them to use drones up to 30 kilometers (18 miles) deep into Ukrainian front lines.
The Pokrovsk-Pavlohrad-Dnipro highway is “already under the control of Russian drones,” said the commander at Pokrovsk’s flanks. Russian forces are less than 4 kilometers ( 2 1/2 miles) away and are affecting Ukrainian traffic, he said. “Now the road is only 10 percent of its former capacity,” he said.
Another paved highway, the Myrnohrad-Kostyantynivka road, is also under Russian fire, he said.
This also means that in poor weather, military vehicles, including armored personnel carriers, tanks and pickup trucks, have to trudge through the open fields to deliver fuel, food and ammunition, as well as evacuate the wounded.
In a first-aid station near Pokrovsk, a paramedic with the call sign Marik said evacuating wounded soldiers once took hours, now it takes days.
“Everything is visible (by enemy drones) and it is very difficult,” he said.
New recruits are unprepared
Ukrainian soldiers in Pokrovsk said shortages of fighting troops are “catastrophic” and challenges are compounded by newly created infantry units that are poorly trained and inexperienced, putting more pressure on battle-hardened brigades having to step in to stabilize the front line.
Afer, the deputy commander, complained that new recruits are “constantly extending the front line because they leave their positions, they do not hold them, they do not control them, they do not monitor them. We do almost all the work for them.”
“Because of this, having initially a 2-kilometer area of responsibility, you end up with 8-9 kilometers per battalion, which is a lot and we don’t have enough resources,” Afer said. Drones are especially hard to come by for his battalion, he said, adding they only have half of what they need.
“It’s not because they have lower quality infantry, but because they are completely unprepared for modern warfare,” he said of the new recruits.
His battalion has almost no reserves, forcing infantry units to hold front-line positions for weeks at a time. For every one of his soldiers, Russians have 20, he said, emphasizing how outnumbered they are.
Back at the first-aid station, a wounded soldier with the call sign Fish was recovering from a leg wound sustained after he tried to evacuate a fallen comrade. He had moved him from a dugout to load him into a vehicle when the Russian mortar shell exploded nearby.
“We are fighting back as much as we can, as best as we can,” he said.


South Africa’s Ramaphosa to engage Trump over aid suspension

South Africa’s Ramaphosa to engage Trump over aid suspension
Updated 03 February 2025
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South Africa’s Ramaphosa to engage Trump over aid suspension

South Africa’s Ramaphosa to engage Trump over aid suspension

JOHANNESBURG: South African President Cyril Ramaphosa said on Monday that he looked forward to engaging with US President Donald Trump, after Trump said he would cut off funding for South Africa, citing land confiscations.
“We look forward to engaging with the Trump administration over our land reform policy and issues of bilateral interest. We are certain that out of those engagements, we will share a better and common understanding over these matters,” Ramaphosa said in a statement issued by the presidency.
“South Africa is a constitutional democracy that is deeply rooted in the rule of law, justice and equality. The South African government has not confiscated any land.”
Ramaphosa said except for PEPFAR aid, which constitutes 17 percent of South Africa’s HIV/Aids program, there was no other significant funding provided by the United States.


Pakistan police officer killed as polio vaccination drive starts

Pakistan police officer killed as polio vaccination drive starts
Updated 03 February 2025
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Pakistan police officer killed as polio vaccination drive starts

Pakistan police officer killed as polio vaccination drive starts
  • Pakistan and neighboring Afghanistan are the only countries where polio is endemic
  • Militants have for decades targeted vaccination teams and their security escorts

PESHAWAR, Pakistan: A Pakistan police officer traveling to guard polio vaccinators was shot dead Monday, police said, on the first day of a nationwide immunization effort after a year of rising cases.
The officer was traveling to guard polio vaccinators in the area of Jamrud town in northwestern Khyber Pakhtunkhwa province when he was killed, local police official Zarmat Khan said.
“Two motorcycle riders opened fire on him,” he said. “The constable died instantly at the scene.”
Pakistan and neighboring Afghanistan are the only countries where polio is endemic and militants have for decades targeted vaccination teams and their security escorts.
Pakistan reported at least 73 polio infections in 2024, a significant increase compared to just six cases in 2023.
The vaccination campaign which started on Monday is the first of the year and is due to last a week.
“Despite the incident, the polio vaccination drive in the area remains ongoing,” Khan said.
Abdul Hameed Afridi, another senior police official in the area, also confirmed details of the attack and said officers have “launched an investigation.”
No group immediately claimed responsibility, however Khyber Pakhtunkhwa – which neighbors Afghanistan – is a hive of militant activity.
The Pakistani Taliban are the most active group in the area.
Polio can easily be prevented by the oral administration of a few drops of vaccine, but scores of vaccination workers and their escorts have been killed over the years.
In the past, clerics falsely claimed that the vaccine contained pork or alcohol, declaring it forbidden for Muslims.
In more recent years the attacks have focused on vulnerable police escorts accompanying the vaccinators as they go door-to-door.
Last year, dozens of Pakistani policemen who accompany medical teams on campaigns went on strike after a string of militant attacks targeting them.
Pakistan has witnessed rising militant attacks since the Taliban returned to power in neighboring Afghanistan.
More than 1,600 people were killed in attacks in 2024 – the deadliest year in almost a decade – according to the Center for Research and Security Studies, an Islamabad-based analysis group.
Islamabad accuses Kabul’s new rulers of failing to rout militants organizing on Afghan soil, a charge the Taliban government routinely denies.
In November, at least seven people – including five children – were killed in a bombing targeting police gathered to guard vaccinators near a school in southwestern Balochistan province.
Balochistan – which also neighbors Afghanistan – was the area with the largest number of polio cases in 2024, despite being the most sparsely populated.
Pakistan’s Prime Minister Shehbaz Sharif said Sunday last year’s polio eradication efforts faced “a major setback.”
“We must eradicate polio from Pakistan at any cost,” he said as he launched the new vaccination drive.


One killed in blast at Moscow residential building, TASS reports

One killed in blast at Moscow residential building, TASS reports
Updated 03 February 2025
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One killed in blast at Moscow residential building, TASS reports

One killed in blast at Moscow residential building, TASS reports

MOSCOW: One person was killed and four people injured in a blast at a residential building in northwest Moscow, Russian state news agency TASS reported on Monday, citing emergency services
Baza, a Telegram channel with contacts in Russia’s security services, published video showing major damage to what it said was the Alye Parusa residential complex, where the blast took place.
It was not immediately clear what had caused the blast.
In December, Ukraine took credit for the killing of Russian General Igor Kirillov in a bomb blast outside a Moscow apartment building.
There was no immediate comment from Ukraine.