GENEVA — The United Nations Children’s Fund, or UNICEF, warned Friday that children in Burundi are bearing the brunt of the mpox outbreak, with cases of this deadly, infectious disease spreading at an alarming rate among a young population.

“Of the nearly 600 reported cases, two-thirds are in children under 19. The situation has escalated rapidly, with a more-than-40% increase in cases over the past three weeks,” Dr. Paul Ngwakum, UNICEF’s regional health adviser for Eastern and Southern Africa, told journalists in Geneva via video link Friday.

Ngwakum, who currently is on a visit to Burundi, said, “The fear expressed by the parents and the resilience of communities in the face of this public health crisis” and the rapid escalation of the disease “were striking.”

Speaking from the capital, Bujumbura, he said the rise of mpox among children under the age of 5 is of particular concern as they represent 30% of the reported cases. This, he said, underscores the urgent need for targeted interventions to protect children from becoming infected as schools have reopened this week.

“UNICEF is supporting the Ministry of Education to implement health measures in schools, train staff to recognize early symptoms of mpox and reinforce hand hygiene. We aim to ensure that all children can safely return to school and minimize educational disruptions,” he said, noting that this was “a rapidly evolving situation.”

Even amid the grim situation, he observed that Burundi has had no deaths from mpox, formerly known as monkeypox. He said this provides “an opportunity to end this outbreak in a very short time period.”

“The geographical area is still limited, and with concerted effort from all partners, we can limit the spread, contain the virus, and potentially end the outbreak with no lives lost,” said Ngwakum.

He added that “it was difficult to make firm statements regarding when the outbreak could be brought under control,” both in Burundi and the wider African region, a sentiment echoed by the World Health Organization.

WHO spokesperson Dr. Margaret Harris told journalists, “The response to the outbreak is made more difficult by the context, with insecurity in the affected areas, and concurrent outbreaks of other diseases including measles and chickenpox. WHO is on the ground, working to stop these outbreaks.”

So far this year, the WHO reports there have been more than 25,000 suspected mpox cases and 723 deaths among suspected cases in Africa. The most heavily infected country is the Democratic Republic of Congo, with 21,835 suspected cases and 717 deaths, followed by Burundi with 1,489 suspected cases and no deaths and Nigeria with 935 suspected cases and no deaths.

“Vaccination is going to be a very useful tool, particularly for trying to break the chains of transmission,” Harris said. “But the virus primarily spreads through close personal contact within families. And when people are living in difficult conditions, if they do not have access to the materials, to the soap, to the clean bedding, to the clean clothing, it is very, very difficult for them to not transmit.

“Many of the children who we have seen who have sadly died in the Democratic Republic of the Congo were severely malnourished, had suffered the effects of conflict, and perhaps also had other diseases at the same time. … It may indeed be that this population cannot respond immunologically to yet another threat,” she warned.

While affirming the importance of vaccines in the fight against mpox, UNICEF representative Ngwakum observed that “unfortunately,” the vaccines that are available now “cannot be used for children.”

“I do not want to bank all our interventions on vaccines,” he said. “Vaccines are only one tool that can be used to protect children and communities against mpox. And we are, in addition to vaccines, deploying other different tools” to keep children safe, he said.

UNICEF says it is possible to halt the rapid spread of mpox if agencies act swiftly and have the means in which to do it. The U.N. children’s agency is urgently appealing for $58.8 million to scale up its humanitarian response across six African countries, including Burundi.

“These funds are essential to stop the transmission of mpox, protect children and maintain critical services like education and health care,” said Ngwakum.
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LONDON — Scientists searching for the origins of COVID-19 have zeroed in on a short list of animals that possibly helped spread it to people, an effort they hope could allow them to trace the outbreak back to its source.

Researchers analyzed genetic material gathered from the Chinese market where the first outbreak was detected and found that the most likely animals were raccoon dogs, civet cats and bamboo rats. The scientists suspect infected animals were first brought to the Wuhan market in late November 2019, which then triggered the pandemic.

Michael Worobey, one of the new study’s authors, said they found which sub-populations of animals might have transmitted the coronavirus to humans. That may help researchers pinpoint where the virus commonly circulates in animals, known as its natural reservoir.

“For example, with the raccoon dogs, we can show that the raccoon dogs that were [at the market] … were from a sub-species that circulates more in southern parts of China,” said Worobey, an evolutionary biologist at the University of Arizona. Knowing that might help researchers understand where those animals came from and where they were sold. Scientists might then start sampling bats in the area, which are known to be the natural reservoirs of related coronaviruses like SARS.

While the research bolsters the case that COVID-19 emerged from animals, it does not resolve the polarized and political debate over whether the virus instead emerged from a research lab in China.

Mark Woolhouse, a professor of infectious diseases at the University of Edinburgh, said the new genetic analysis suggested that the pandemic “had its evolutionary roots in the market” and that it was very unlikely COVID-19 was infecting people before it was identified at the Huanan market.

“It’s a significant finding and this does shift the dial more in favor of an animal origin,” said Woolhouse, who was not connected to the research. “But it is not conclusive.”

An expert group led by the World Health Organization concluded in 2021 that the virus probably spread to humans from animals and that a lab leak was “extremely unlikely.” WHO chief Tedros Adhanom Ghebreyesus later said it was premature to rule out a lab leak.

An AP investigation in April found the search for the COVID origins in China has gone dark after political infighting and missed opportunities by local and global health officials to narrow the possibilities.

Scientists say they may never know for sure where exactly the virus came from.

In the new study, published Thursday in the journal Cell, scientists from Europe, the U.S. and Australia analyzed data previously released by experts at the Chinese Center for Disease Control and Prevention. It included 800 samples of genetic material Chinese workers collected on Jan. 1, 2020, from the Huanan seafood market, the day after Wuhan municipal authorities first raised the alarm about an unknown respiratory virus.

Chinese scientists published the genetic sequences they found last year, but did not identify any of the animals possibly infected with the coronavirus. In the new analysis, researchers used a technique that can identify specific organisms from any mixture of genetic material collected in the environment.

Worobey said the information provides “a snapshot of what was [at the market] before the pandemic began” and that genetic analyses like theirs “helps to fill in the blanks of how the virus might have first started spreading.”

Woolhouse said the new study, while significant, left some critical issues unanswered.

“There is no question COVID was circulating at that market, which was full of animals,” he said. “The question that still remains is how it got there in the first place.”
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People from across the globe are convening on the sidelines of the U.N. General Assembly in New York City for Climate Week. On the agenda: the environmental impact of seabed mining. The discussion comes as tech companies seek ways to fuel the green revolution while minimizing environmental impacts. VOA’s Jessica Stone has more.]
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CHONBURI, Thailand — Only a month after Thailand’s adorable baby hippo Moo Deng was unveiled on Facebook, her fame became unstoppable both domestically and internationally.

Zookeeper Atthapon Nundee has been posting cute moments of the animals in his care for about five years. He never imagined Khao Kheow Open Zoo’s newborn pygmy hippo would become an internet megastar within weeks.

Cars started lining up outside the zoo well before it opened Thursday. Visitors traveled from near and far for a chance to see the pudgy, expressive 2-month-old in person at the zoo about 100 kilometers southeast of Bangkok. The pit where Moo Deng lives with her mom, Jona, was packed almost immediately, with people cooing and cheering every time the pink-cheeked baby animal made skittish movements.

“It was beyond expectation,” Atthapon told The Associated Press. “I wanted people to know her. I wanted a lot of people to visit her, or watch her online, or leave fun comments. I never would’ve thought (of this).”

Moo Deng, which literally means “bouncy pork” in Thai, is a type of meatball. The name was chosen by fans via a poll on social media, and it matches her other siblings: Moo Toon (stewed pork) and Moo Waan (sweet pork). There is also a common hippo at the zoo named Kha Moo (stewed pork leg).

“She’s such a little lump. I want to ball her up and swallow her whole!” said Moo Deng fan Areeya Sripanya while visiting the zoo Thursday.

Already, Moo Deng has been made into memes. Artists are drawing cartoons based on her. Social media platform X even featured her in its official account’s post.

With all that fame, zoo director Narongwit Chodchoi said they have begun patenting and trademarking “Moo Deng the hippo” to prevent the animal from being commercialized by anyone else. “After we do this, we will have more income to support activities that will make the animals’ lives better,” he said.

“The benefits we get will return to the zoo to improve the life of all animals here.”

The zoo sits on 800 hectares of land and is home to more than 2,000 animals. It runs breeder programs for many endangered species like Moo Deng’s. The pygmy hippopotamus that’s native to West Africa is threatened by poaching and loss of habitat. There are only 2,000-3,000 of them left in the wild.

To help fund the initiative, the zoo is making Moo Deng shirts and pants that will be ready for sale at the end of the month, with more merchandise to come.

Narongwit believes a factor of Moo Deng’s fame is her name, which compliments her energetic and chaotic personality captured in Atthapon’s creative captions and video clips.

Appropriately, Moo Deng likes to “deng,” or bounce, and Atthapon got a lot of cute and funny moments of her giddy bouncing on social media. Even when she’s not bouncing, the hippo is endlessly cute — squirming as Atthapon tries to wash her, biting him while he was trying to play with her, calmly closing her eyes as he rubs her pinkish cheeks or her chubby belly.

Atthapon, who has worked at the zoo for eight years taking care of hippos, sloths, capybaras and binturongs, said baby hippos are usually more playful and energetic, and they become calmer as they get older.

The zoo saw a spike in visitors since Moo Deng’s fame — so much that the zoo now has to limit public access to the baby’s enclosure to five-minute windows throughout the day during weekends.

Narongwit said the zoo has been receiving over 4,000 visitors during a weekday, up from around just 800 people, and more than 10,000 during a weekend, up from around 3,000 people.

But the fame has also brought some hostile visitors to Moo Deng, who only wakes up ready to play about two hours a day. Some videos showed visitors splashing water or throwing things at the sleeping Moo Deng to try to wake her up. The hippo pit now has a warning sign against throwing things at Moo Deng — posted prominently at the front in Thai, English and Chinese.

Narongwit said the zoo would take action under the animal protection law if people mistreat the animal. But clips emerged of people treating Moo Deng poorly, and the backlash was fierce. The zoo director said that since then, they haven’t seen anyone doing it again.

For fans who can’t make the journey or are discouraged after seeing the crowds for Moo Deng, the Khao Kheow Open Zoo set up cameras and plan to start a 24-hour live feed of the baby hippo in the coming week. 
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Addis Ababa, Ethiopia — One of the hurdles to improving health care systems for African countries is the shortage of scientists and lack of meaningful medical research on the continent, experts say.

An organization hopes to change that by enabling researchers and policymakers in three large African countries to develop more extensive and relevant research.

According to a 2017 report by the World Economic Forum, Africa is home to 15% of the world’s population and 25% of the world’s disease burden — but produces just 2% of the world’s medical research.

The report said of the medical research that does occur, much of it fails to prioritize diseases or health problems most pressing for Africans.

A group of African health researchers and institutions are now pushing for the continent’s medical research to be more focused on the continent’s own medical problems.

The African Population and Health Research Center is bringing together scientists, academics, policymakers and government officials from Ethiopia, Kenya and Nigeria.

Their goal is to strengthen African leadership in research and development, ensuring that the findings from these researchers are relevant and accessible to decision-makers, leading to better health care systems across the continent.

Catherine Kyobutungi, head of the organization, said African-led research can help solve health problems on the continent much more easily and quickly.

“If we want the research to be done by Africans in Africa on African issues, that is [how] the priorities for what research should be done are defined, not just by academics, but by the people who are going to use that research for decision-making,” she said.

“What we are trying to achieve is to shift what research is and what it is for and to create an army of African scientists that do research to solve African problems in real time, not after 50 years,” Kyobutungi said.

Dr. Hadiza Galadanci, a professor of obstetrics and gynecology at Bayero University in Nigeria, said her country accounts for about 28% of maternal deaths worldwide each year.

She and researchers from four African countries, Birmingham University in the United Kingdom and the World Health Organization published research on the best way to save women who were dying from postpartum hemorrhage, or excessive bleeding after childbirth. Their innovation — a calibrated obstetric drape, which is placed beneath a birthing mother — allows physicians to collect and precisely measure blood and fluid loss.

“The drape is just put under … the woman when she’s going to deliver. And then, as soon as she delivers, any blood that comes out goes to the drape. So, we have an objective assessment,” Galadanci explained, saying that the process allows for more specific treatment.

“When we did this, we found out that we could reduce the rate of severe [postpartum hemorrhage] leading to maternal death by 60%.”

African researchers face challenges ranging from a lack of reliable data and funding to poor infrastructure to cultural and religious issues.

With the support of the Bill and Melinda Gates Foundation, Africa Research Connect was developed to connect and enhance the visibility of scientists, institutions, policymakers and donors.

Jude Igumbor, an associate professor at Wits School of Public Health in South Africa, wants to improve the visibility of African scientists and their work.

“What we give African scientists is they are able to find each other for collaboration,” he said.

The African Population and Health Research Center is calling on donors to fund African institutions and researchers directly instead of going through other organizations, saying that doing so helps the money create opportunities and hone the skills of researchers on the continent.
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Washington — When activists, policymakers and representatives from across the globe gather next week in New York to participate in climate week, one pressing issue on the agenda that is less frequently discussed and known will be the environmental impact of seabed mining.

As countries look for ways to lower emissions, critical minerals are playing a key role in that transition. Critical minerals are used in all kinds of green technologies, from solar panels and wind turbines to batteries in electric vehicles. And one place where those mineral resources are abundant is deep under the sea.

The debate over accessing seabed resources is heated. Supporters say the technology exists to safely access these critical minerals undersea, but environmentalists and activists say the potential of undiscovered biodiversity on the seafloor is too important to endanger.

During climate week, which will take place on the sidelines of U.N. General Assembly meetings, organizers are expected to host a roundtable on the environmental impact of seabed mining and other discussions about critical minerals.

The World Economic Forum says that if the globe wants to reach net-zero emissions by 2050, two-thirds of vehicles must be powered by electric batteries. And the International Energy Agency says that to reach that goal, the world needs six times more mineral resources by 2040 than it has today.

Some of the largest mineral deposits are found on the ocean floor in the form of polymetallic nodules, or rocks.

Ocean of resources

According to the International Seabed Authority, or ISA, there are 21 billion tons of polymetallic nodules strewn across the seabed of the Clarion-Clipperton Zone, or CCZ. Each nodule contains a combination of electric vehicle battery components such as nickel, manganese, copper and cobalt. The ISA plans to release regulations for mining in the international waters of the CCZ by 2025.

The ISA has already awarded 17 exploration contracts for polymetallic nodules in the Clarion-Clipperton Zone – a large swath of the Pacific Ocean the size of the continental United States which sits between Hawaii and Mexico. Three of those exploration contracts went to The Metals Company, a Canadian deep-sea mining company.

The Pacific Island Nations of Nauru, Kiribati and Tonga have sponsored The Metals Company’s efforts to develop a portion of the seabed. In an interview with VOA, CEO Gerard Barron said the company is ready to begin as soon as the ISA allows mining.

“Our collector methodology is to put a robot on the seafloor which crawls around the ocean floor and fires a jet of water at the nodule and it creates an inverse pressure and lifts the nodule up, and so we don’t go down and scour the seafloor,” said Barron via Zoom, adding that TMC has spent the past decade focused on testing this equipment and collecting data on its environmental impact as part of its permit application to the ISA.

Moratorium needed

Critics worry scooping up these mineral-rich rocks will disrupt important biodiversity – much of it still unnamed and some of it undiscovered. Researchers have found that 90% of the more than 5,000 species in the zone are new to science. Eddie Palu, president of the Tonga Fishery Association, wants a pause for more research.

“We demand a moratorium on the seabed mining until the environmental, economic and social risk are comprehensively understood,” he said during a panel discussion at the recent Pacific Islands Forum in Tonga.

Shiva Gounden from Greenpeace Australia Pacific, who also sat on the panel, agreed.

“We know only very little of the deep sea, and the race for the final frontier could cause irreversible damages to the people and to the communities of our Pacific,” Gounden said.

But scientists say no light and very little oxygen reaches the deep sea – limiting the life there to mostly bacteria and small invertebrates.

The Metals Company’s Barron said combating climate change is a bigger threat to the planet than undersea mining, adding that the company’s environmental impact studies show that “we can safely collect these nodules” and turn them into battery metals without having “a negative impact on the ocean.”

“The notion that we can do any extraction with zero impact is a dream,” added Barron. “The oceans are impacted by every single thing we do today, especially global warming. So, we need to address the main driver for climate change and reduce emissions.”

Fueling innovation

Still, the quest to do just that – access minerals on the seabed with minimal impact to the environment – has created competition between technology companies.

U.S. tech startup Impossible Metals is testing a robot which can avoid nodules where it detects life and harvests those where it does not.

“The vehicle hovers above the seabed, uses the camera and it actually picks up the nodules one by one. So this really minimizes all of the negative concerns around big sediment plumes,” CEO Oliver Gunasekra told VOA in an interview.

Gunaskera’s company spun off Viridian Biometals. Its technology bypasses energy-intensive processes such as smelting with bacteria which can separate metal ore from the rock around it. The process creates no emissions or waste.

“The bacteria need oxygen just like we do to breathe. And when there’s not enough oxygen in the water around them, the bacteria have learned that there’s oxygen in the rocks, and they have adapted to breathe that oxygen,” said Viridian CEO Eric Macris.

Impossible Metals and Viridian Biometals say they are two to three years out from commercializing their technology, depending on funding. TMC says it could be ready to begin its collection operations as soon as international regulations are released next year.
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Tuberculosis remains a critical public health issue in many countries and is a leading cause of death in South Africa. Over the past six years, the BEAT Tuberculosis study, conducted in South Africa and focused on children and pregnant women, has revealed a promising new oral treatment that could mark a significant breakthrough in the fight against drug-resistant TB. Zaheer Cassim reports.
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new york — Get ready for a partial lunar eclipse and supermoon, all rolled into one. 

The spectacle will be visible in clear skies across North America and South America Tuesday night and in Africa and Europe Wednesday morning. 

A partial lunar eclipse happens when the Earth passes between the sun and moon, casting a shadow that darkens a sliver of the moon and appears to take a bite out of it. 

Since the moon will inch closer to Earth than usual, it’ll appear a bit larger in the sky. The supermoon is one of three remaining this year. 

“A little bit of the sun’s light is being blocked so the moon will be slightly dimmer,” said Valerie Rapson, an astronomer at the State University of New York at Oneonta. 

The Earth, moon and sun line up to produce a solar or lunar eclipse anywhere from four to seven times a year, according to NASA. This lunar eclipse is the second and final of the year after a slight darkening in March. 

In April, a total solar eclipse plunged select cities into darkness across North America. 

No special eye protection is needed to view a lunar eclipse. Viewers can stare at the moon with the naked eye or opt for binoculars and telescopes to get a closer look. 

To spot the moon’s subtle shrinkage over time, hang outside for a few hours or take multiple peeks over the course of the evening, said KaChun Yu, curator at the Denver Museum of Nature and Science. 

“From one minute to the next, you might not see much happening,” said Yu. 

For a more striking lunar sight, skywatchers can set their calendars for March 13. The moon will be totally eclipsed by the Earth’s shadow and will be painted red by stray bits of sunlight filtering through Earth’s atmosphere. 
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Chinhoyi, Zimbabwe — Zimbabwe’s government has given in to pressure from rights groups and is now providing free treatment to women with obstetric fistula, a condition that makes it hard for mothers who went through difficult labor to control their bowels. For a closer look, VOA visited Chinhoyi, a farming and mining area about 150 kilometers west of Harare, where early marriages are common, and where the treatment is being offered.

Among the first beneficiaries of the treatment were young women at Chinhoyi Provincial Hospital after government gynecologists had performed surgery to address their cases of obstetric fistula. Twenty-three-year old Chiedza, not her real name as she requested that VOA protect her identity, was visibly happy as she had not been able to control her bowels since giving birth to her son seven years ago.

“When I gave birth I tore my private parts, so I couldn’t hold my feces,” she said. “It would just come out on its own. I would just feel something on my body flowing. I stayed like that because I did not have money to seek services of gynecologists to correct my condition. So, when I heard about this free service on a WhatsApp group for women, I called a toll-free number which was there and I came here. So I am now going to live a comfortable life. I can now perform even house chores comfortably.”

Another woman who asked to be called Tendai ruptured her bladder after protracted labor at home while giving birth at the age of 16.

“I would share nappies with my baby so as to block my smell from others,” she said. “At one time I almost committed suicide because people kept on laughing at my condition. I thought I had been bewitched till I came here and saw that there are some people in my condition. I am grateful for this procedure for it has given me hope.”

The World Health Organization estimates that between 50,000 and 100,000 women experience obstetric fistula every year and that about 2 million women in sub-Saharan Africa are living with the condition.  

Dr. Stanley Ngwaru, a senior gynecologist in Zimbabwe’s ministry of health, says the condition is an abnormal communication between the woman’s genital tract and the urinary tract or the rectum.

“They suffer shame and they suffer social segregation,” he said. “It’s very common in young women, because the genital tract is not well developed and when they go into labor, they are more likely to suffer from obstruction and this can lead to these communications are developing between the genital tract and the unit tract and the rectum.”

Lucia Masuka, head of Amnesty International in Zimbabwe, says she commends the government for offering the free service. However, she believes authorities needs to develop a strategy to help prevent this condition from afflicting young women in the first place.

“If we therefore facilitate access to sexual reproductive health services for this group, it will reduce instances of early pregnancies, and in turn, reduce cases of obstetrics fistula,” she said. “Whilst treatment is a positive development, it’s akin to trying to mop water from an open tap; you will never really be able to mop that water as long as the tap is open.”

Amnesty International in Zimbabwe last year pleaded with parliament to push the government to make obstetric fistula treatment a national issue after its research had revealed that the condition was rampant among young women in Zimbabwe and was not getting enough attention.
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LONDON — Less than two months ahead of the COP29 United Nations Climate Summit, the Azerbaijani leadership laid out its plans on Tuesday for what it hoped to achieve, as countries continue to wrestle with how to raise ambitions for a new financing target.

The main task for the November summit is for countries to agree on a new annual target for funding that wealthy countries will pay to help poorer nations cope with climate change. Many developing countries say they cannot upgrade their targets to cut emissions faster without first receiving more financial support to invest in doing this.

With countries remaining far from agreement on the financing goal, the COP29 presidency this week outlined more than a dozen side initiatives that could raise ambitions, but do not require party negotiation and building consensus which can hamper progress. These take the form of new funds, pledges, and declarations that national governments can adopt.

Notably, this includes a fund with voluntary contributions from fossil fuel producing countries and companies for the public and private sectors working on climate issues, as well as grants that can be doled out to assist with climate-fueled natural disasters in developing countries.

Such side agendas use “the convening power of COP and the hosts’ respective national capabilities to form coalitions and drive progress,” said Mukhtar Babayev, who holds the rotating COP presidency, in a letter to all parties and stakeholders.

Over 120 countries pledged at last year’s COP28 summit in Dubai, for example, to triple renewable energy capacity by 2030.

The COP29 presidency also hopes to build support around a pledge to increase global energy storage capacity six times above 2022 levels, reaching 1,500 gigawatts by 2030. This would include a commitment to scale up investments in energy grids, adding or refurbishing more than 80 million km by 2040.

Babayev, who is Azerbaijan’s minister of ecology and natural resources, said the agenda would “help to enhance ambition by bringing stakeholders together around common principles and goals.”

“We hope to address some of the most pressing issues while also highlighting remaining priorities,” he said.

Another declaration would see countries and companies create a global market for clean hydrogen, addressing regulatory, technological, financing and standardization barriers.

COP29 leaders have also appealed for a “COP Truce” that would highlight the importance of peace and climate action.

Despite countries’ existing climate commitments, carbon dioxide emissions from burning fossil fuels hit a record high last year, and the world just registered its hottest summer on record as temperatures climb.
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LONDON — Malnutrition is the world’s worst child health crisis and climate change will only make things more severe, according to Microsoft-co-founder turned philanthropist Bill Gates.

Between now and 2050, 40 million more children will have stunted growth and 28 million more will suffer from wasting, the most extreme and irreversible forms of malnutrition, as a result of climate change, the Bill & Melinda Gates Foundation said in a report on Tuesday.

“Unless you get the right food, broadly, both in utero and in your early years, you can never catch up,” Gates told Reuters in an online interview last week, referring to a child’s physical and mental capacity, both of which are held back by a lack of good nutrition. Children without enough of the right food are also more vulnerable to diseases like measles and malaria, and early death.

“Around 90% of the negative effect of climate change works through the food system. Where you have years where your crops basically fail because of drought or too much rain,” he said.

Gates was speaking ahead of the publication of the Bill and Melinda Gates Foundation’s annual Goalkeepers report, which tracks progress on the United Nations Sustainable Development Goals (SDGs), around reducing poverty and improving health. The report includes the projections above.

In 2023, the World Health Organization estimated that 148 million children experienced stunting and 45 million experienced wasting.

Gates called for more funding for nutrition, particularly through a new platform led by UNICEF aiming to co-ordinate donor financing, the Child Nutrition Fund, as well as more research. But he said the money should not be taken away from other proven initiatives, like routine childhood vaccinations, for this purpose.

“(Nutrition) was under-researched … it’s eye-opening how important this is,” he added, saying initiatives like food fortification or improving access to prenatal multi-vitamins could be as effective as some vaccines in improving child health in the world’s poorest countries.

The Gates Foundation said in January it plans to spend more on global health this year than ever before – $6.8 billion – as wider funding efforts stall.
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Authorities in Nairobi are trying to tackle the Kenyan capital’s chronic and worsening air pollution. With help from the U.S. Agency for International Development, authorities are placing sensors that can monitor air quality around the densely populated city. Victoria Amunga reports from Nairobi. Camera: Jimmy Makhulo
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CAPE CANAVERAL, Florida — A billionaire spacewalker returned to Earth with his crew on Sunday, ending a five-day trip that lifted them higher than anyone has traveled since NASA’s moonwalkers.

SpaceX’s capsule splashed down in the Gulf of Mexico near Florida’s Dry Tortugas in the predawn darkness, carrying tech entrepreneur Jared Isaacman, two SpaceX engineers and a former Air Force Thunderbird pilot.

They pulled off the first private spacewalk while orbiting nearly 740 kilometers above Earth, higher than the International Space Station and Hubble Space Telescope. Their spacecraft hit a peak altitude of 1,408 kilometers following Tuesday’s liftoff.

Isaacman became only the 264th person to perform a spacewalk since the former Soviet Union scored the first in 1965, and SpaceX’s Sarah Gillis the 265th. Until now, all spacewalks were done by professional astronauts.

“We are mission complete,” Isaacman radioed as the capsule bobbed in the water, awaiting the recovery team. Within an hour, all four were out of their spacecraft, pumping their fists with joy as they emerged onto the ship’s deck.

It was the first time SpaceX aimed for a splashdown near the Dry Tortugas, a cluster of islands 113 kilometers west of Key West. To celebrate the new location, SpaceX employees brought a big, green turtle balloon to Mission Control at company headquarters in Hawthorne, California. The company usually targets closer to the Florida coast, but two weeks of poor weather forecasts prompted SpaceX to look elsewhere.

During Thursday’s commercial spacewalk, the Dragon capsule’s hatch was open barely a half-hour. Isaacman emerged only up to his waist to briefly test SpaceX’s brand-new spacesuit followed by Gillis, who was knee-high as she flexed her arms and legs for several minutes. Gillis, a classically trained violinist, also held a performance in orbit earlier in the week.

The spacewalk lasted less than two hours, considerably shorter than those at the International Space Station. Most of that time was needed to depressurize the entire capsule and then restore the cabin air. Even SpaceX’s Anna Menon and Scott “Kidd” Poteet, who remained strapped in, wore spacesuits.

SpaceX considers the brief exercise a starting point to test spacesuit technology for future, longer missions to Mars.

This was Isaacman’s second chartered flight with SpaceX, with two more still ahead under his personally financed space exploration program named Polaris after the North Star. He paid an undisclosed sum for his first spaceflight in 2021, taking along contest winners and a pediatric cancer survivor while raising more than $250 million for St. Jude Children’s Research Hospital.

For the just completed so-called Polaris Dawn mission, the founder and CEO of the Shift4 credit card-processing company shared the cost with SpaceX. Isaacman won’t divulge how much he spent. 
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JOHANNESBURG — Thethiwe Mahlangu woke early on a chilly morning and walked through her busy South African township, where minibuses hooted to pick up commuters and smoke from sidewalk breakfast stalls hung in the air.

Her eyes had been troubling her. But instead of going to her nearby health clinic, Mahlangu was headed to the train station for an unusual form of care.

A passenger train known as Phelophepa — or “good, clean, health” in the Sesotho language — had been transformed into a mobile health facility. It circulates throughout South Africa for much of the year, providing medical attention to the sick, young and old who often struggle to receive the care they need at crowded local clinics.

For the past 30 years — ever since South Africa’s break with the former racist system of apartheid — the train has carried doctors, nurses and optometrists on an annual journey that touches even the most rural villages, delivering primary health care to about 375,000 people a year.

The free care it delivers is in contrast to South Africa’s overstretched public health care system on which about 84% of people rely.

Health care reflects the deep inequality of the country at large. Just 16% of South Africans are covered by health insurance plans that are beyond the financial reach of many in a nation with unemployment of over 32%.

Earlier this year, the government began to address that gap. President Cyril Ramaphosa in May signed into law the National Health Insurance Act, which aims to provide funding so that millions of South Africans without health insurance can receive care from the better-provisioned private sector.

But the law has been divisive. The government has not said how much it will cost and where the money will come from. Economists say the government will have to raise taxes. Critics say the country can’t afford it and warn that the system — yet to be implemented — will be open to abuse by corrupt officials and businessmen. They say the government should fix the public health care system instead.

For Mahlangu and others who look to the train for a rare source of free treatment, the situation at local health clinics is one of despair.

Long lines, shortages of medicines and rude nurses are some of the challenges at the clinics that cater for thousands of patients a day in Tembisa, east of Johannesburg.

“There we are not treated well,” Mahlangu said. “We are made to sit in the sun for long periods. You can sit there from 7 a.m. until around 4 p.m. when the clinic closes. When you ask, they say we must go ask the president to build us a bigger hospital.”

The health train has grown from a single three-carriage operation over the years to two 16-carriage trains. They are run by the Transnet Foundation, a social responsibility arm of Transnet, the state-owned railway company.

When the train began in 1994, many Black people in South Africa still lived in rural villages with little access to health facilities. It was a period of change in the country. The train began as an eye clinic, but it soon became clear that needs were greater than that.

Now both trains address the booming population of South Africa’s capital of Pretoria and nearby Johannesburg, the country’s economic hub. One would spend two weeks in Tembisa alone.

“The major metros are really struggling,” said Shemona Kendiah, the train’s manager.

But the traveling clinic is far from the solution to South Africa’s health care problems.

Public health expert Alex van den Heever said there have been substantial increases in the health care budget and the public sector employment of nurses and doctors since the country’s first democratic government in 1994. The health department’s budget in Gauteng province, which includes Pretoria and Johannesburg, has grown from 6 billion rand ($336 million) in 2000 to 65 billion ($3.6 billion) rand now.

But van den Heever accused the African National Congress, the ruling party since the end of apartheid, of allowing widespread corruption to undermine the public sector, including the health care system.

“This has led to a rapid deterioration of performance,” he said.

For South Africans who have witnessed the decline firsthand, it can be a relief when the health train pulls into town.

Mahlangu — with her new pair of glasses — was among hundreds who walked away satisfied with its services and already longing for the train’s return next year.

Another patient, Jane Mabuza, got a full health checkup along with dental services. She said she hoped the train would reach many other people.

“Here on the train, you never hear that anything has been finished,” she said.
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Geneva, Switzerland — Limited capacity is keeping mpox testing coverage low in the DR Congo — the epicenter of the international emergency — the World Health Organization said Saturday in its latest situation report. 

“Testing coverage in the Democratic Republic of the Congo remains low, due to limited testing capacity,” the United Nations health agency said in its update. 

It said the mpox case fatality ratio in the DRC in 2024 was 0.5% among confirmed cases — or 25 deaths from 5,160 cases — and 3.3% among suspected cases, both tested and untested — or 717 deaths among 21,835 cases. 

“Due to limited access to laboratory testing in remote areas, only about 40% of all suspected cases have been tested in 2024 (up from 9% in 2023), and among these, around 55% tested positive,” the WHO said. 

It said the three countries reporting the most suspected cases in the year up to September 8 were the DRC, followed by Burundi (1,489 suspected cases, no deaths), and Nigeria (935 suspected cases, no deaths). 

There are two clades of mpox, each with a and b subclades. 

The WHO said the clades and their subclades were circulating in different geographic areas and were affecting different populations — and therefore needed “tailored and locally adapted outbreak responses.” 

The WHO declared an international emergency over mpox on August 14, concerned by the surge in cases of the new Clade 1b strain in the DRC that spread to nearby countries. 

In the DRC, Clade 1b has been detected chiefly in the eastern South Kivu and North Kivu provinces, with additional cases in the Kinshasa capital province. 

Current sequencing capacity in the DRC “is limited, and clade distribution might be broader than what is currently known” the WHO said. 

Clade 1b has also been detected in the DRC’s eastern neighbors Burundi, Rwanda and Uganda, plus Kenya. Additionally, a single case has been detected in Sweden and another in Thailand. 

Looking at global vaccine availability, the WHO said more than 3.6 million doses had been pledged for the global response, including more than 620,000 doses of the MVA-BN vaccine by European countries, the United States and manufacturer Bavarian Nordic. 

Meanwhile Japan has pledged 3 million doses of the LC16 vaccine. 

To date, 265,000 MVA-BN doses have been delivered to Kinshasa, while 10,000 have gone to Nigeria. 
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brasilia — In a visit to see the damage caused by drought and fire in the Amazon, President Luiz Inacio Lula da Silva pledged to pave a road that environmentalists and some in his own government say threatens to vastly increase destruction of the world’s largest tropical forest — and contribute to climate change. 

The BR-319 roadway is a mostly dirt road through the rainforest that connects the states of Amazonas and Roraima to the rest of the country. It ends in Manaus, the Amazon’s largest city with over 2 million people, and runs parallel to the Madeira River, a major tributary of the Amazon River. The Madeira is at its lowest recorded level, disrupting cargo navigation, with most of its riverbed now endless sand dunes under a sky thick with smoke. 

“We are aware that, while the river was navigable and full, the highway didn’t have the importance it has now, while the Madeira River was alive. We can’t leave two capitals isolated. But we will do it with the utmost responsibility,” Lula said Tuesday during a visit to an Indigenous community in Manaquiri, in Amazonas state. He didn’t specify what steps the government would take to try to prevent deforestation from increasing after paving. 

Hours later, he oversaw the signing of a contract to pave 52 kilometers (32 miles) of the road, and promised to begin work before his term ends in 2026 on the most controversial section of the road — a 400-kilometer (249-mile) stretch through old-growth forest. 

A permit for the longer stretch was issued under Lula’s far-right predecessor, Jair Bolsonaro, who favored development in the Amazon and weakened environmental protections. In July, a federal court suspended the permit in a lawsuit brought by the Climate Observatory, a network of 119 environmental, civil society and academic groups. 

Lula’s government had appealed the suspension, but it wasn’t until his visit on Tuesday that Lula made clear his plan to move ahead with paving. The Climate Observatory lamented the move. 

“Without the forest, there is no water, it’s interconnected,” said Suely Araujo, a public policy coordinator with the group. “The paving of the middle section of BR-319, without ensuring environmental governance and the presence of the government in the region, will lead to historic deforestation, as pointed out by many specialists and by Brazil’s federal environmental agency in the licensing process.” 

Lula has sought to portray himself as an environmental protector, and deforestation has slowed significantly since he took over for Bolsonaro. But he has also struck out at times against pressure from richer nations on preserving the Amazon, an invaluable resource for the planet in storing the carbon driving atmospheric warming, and did so again on Tuesday. 

“The world that buys our food is demanding that we preserve the Amazon,” he said. “And why? Because they want us to take care of the air they breathe. They didn’t preserve their own lands in the last century during the Industrial Revolution.” 

Brazil is enduring its worst drought ever recorded, with 59% of the country under stress — an area about half the size of the U.S. In the Amazon, rivers’ low levels have stranded hundreds of riverine communities, with shortage of potable water and food. Lula announced a wide distribution of water filters and other measures during his visit to the region. 

Meanwhile, most of Brazil has been under a thick layer of smoke from wildfires in the Amazon, affecting millions of people in faraway cities such as Sao Paulo, Brasilia and Curitiba and reaching as far south as Argentina and Paraguay. At Lula’s event, Environment Minister Marina Silva blamed the extreme drought brought by climate change for the widespread fires in a rainforest usually resistant to fire, calling it “a phenomenon we don’t even know how to handle.” 

Silva has been more cautious than Lula about paving the roadway. At a congressional hearing earlier, she called the Bolsonaro era’s permit a “sham” and praised the judicial ruling that suspended it. 

Brazil is the world’s fifth-largest emitter of greenhouse gases, contributing nearly 3% of global emissions, according to Climate Watch, an online platform managed by the World Resources Institute. Almost half these emissions stem from destruction of trees in the Amazon rainforest. 
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CAPE CANAVERAL, Florida — A tech billionaire performed the first private spacewalk hundreds of kilometers above Earth on Thursday, a high-risk endeavor reserved for professional astronauts — until now.

Tech entrepreneur Jared Isaacman teamed up with SpaceX to test the company’s brand new spacesuits on his chartered flight. The daring spacewalk also saw SpaceX engineer Sarah Gillis going out once Isaacman was safely back inside.

This spacewalk was simple and quick — less than two hours — compared with the drawn-out affairs conducted by NASA. Astronauts at the International Space Station often need to move across the sprawling complex for repairs, always traveling in pairs and lugging gear. Station spacewalks can last seven to eight hours.

Isaacman emerged first from the hatch, joining a small elite group of spacewalkers who until now had included only professional astronauts from a dozen countries.

“Back at home, we all have a lot of work to do. But from here, it sure looks like a perfect world,” Isaacman said as the capsule soared above the South Pacific. Cameras on board caught his silhouette, waist high at the hatch, with the blue Earth beneath.

The commercial spacewalk was the main focus of the five-day flight financed by Isaacman and Elon Musk’s company, and the culmination of years of development geared toward settling Mars and other planets.

All four on board donned the new spacewalking suits to protect themselves from the harsh vacuum. They launched on Tuesday from Florida, rocketing farther from Earth than anyone since NASA’s moonwalkers. The orbit was reduced by half — 740 kilometers — for the spacewalk.

This first spacewalking test involved more stretching than walking. Isaacman kept a hand or foot attached to it the whole time as he flexed his arms and legs to see how the new spacesuit held up. The hatch sported a walker-like structure for extra support.

After about 15 minutes outside, Isaacman was replaced by SpaceX engineer Sarah Gillis to go through the same motions. Gillis bobbed up and down in weightlessness, no higher than her knees out of the capsule, as she twisted her arms and sent reports back to Mission Control.

Each had 3.6-meter tethers but did not unfurl them or dangle at the end unlike what happens at the space station, where astronauts routinely float out at a much lower orbit.

More and more wealthy passengers are plunking down huge sums for rides aboard private rockets to experience a few minutes of weightlessness. Other have spent tens of millions to stay in space for days or even weeks. Space experts and risk analysts say it’s inevitable that some will seek the thrill of spacewalking, deemed one of the most dangerous parts of spaceflight after launch and reentry but also the most soul-stirring.

This operation was planned down to the minute with little room for error. Trying out new spacesuits from a spacecraft new to spacewalking added to the risk. So did the fact that the entire capsule was exposed to the vacuum of space.

There were a few glitches. Isaacman had to manually pull the hatch open instead of pushing a button on board. Before heading out, Gillis reported seeing bulges in the hatch seal.

Scott “Kidd” Poteet, a former Air Force Thunderbird pilot, and SpaceX engineer Anna Menon stayed strapped to their seats to monitor from inside. All four underwent intensive training before the trip.

Isaacman, 41, CEO and founder of the Shift4 credit card-processing company, has declined to disclose how much he invested in the flight. It was the first of three flights in a program he’s dubbed Polaris; this one was called Polaris Dawn. For SpaceX’s inaugural private flight in 2021, he took up contest winners and a cancer survivor.

Until Thursday, only 263 people had conducted a spacewalk, representing 12 countries. The Soviet Union’s Alexei Leonov kicked it off in 1965, followed a few months later by NASA’s Ed White.
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Islamabad — Authorities in northwestern Pakistan said Monday that a roadside bomb explosion injured at least 10 people, including anti-polio vaccinators and police personnel escorting them.  

The bombing in the South Waziristan district near the border with Afghanistan targeted a convoy carrying polio workers and their guards on the opening day of a nationwide immunization campaign.  

Area security and hospital officials reported that three health workers and six security personnel were among the victims. No group immediately claimed responsibility for the violence in a region where security forces are fighting militants linked to the outlawed Pakistani Taliban.  

Last week, Pakistan reported its 17th wild poliovirus case of the year from Islamabad, saying it paralyzed a child and marked the first infection in 16 years in the national capital.  

Pakistani health officials said in the lead-up to Monday’s polio campaign that it is designed to vaccinate more than 33 million children under five in 115 districts nationwide. 

Muhammad Anwarul Haq, coordinator of the National Emergency Operations Center for Polio Eradication, stated that the immunization drive would primarily focus on districts where “the virus has been detected and the risk of continued transmission and spread is really high.” 

Haq encouraged all parents and caregivers to ensure their children get vaccinated, lamenting that “parents have not always welcomed and opened their doors to the vaccinators when they visit their homes.” 

Pakistan and Afghanistan, which reported nine paralytic polio cases so far in 2024, are the only two remaining polio-endemic countries globally. Polio immunization campaigns have long faced multiple challenges in both countries, such as security and vaccine boycotts, dealing setbacks to the goal of eradicating the virus from the world.
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New Delhi — India reported Sunday that it had put a “suspected mpox case” into isolation, assuring that the world’s most populous nation had “robust measures” in place, the health ministry said in a statement.

There have been no confirmed cases of mpox in India, a country of 1.4 billion people.

“A young male patient, who recently traveled from a country currently experiencing mpox transmission, has been identified as a suspect case of mpox,” the health ministry said in a statement.

“The patient has been isolated in a designated hospital and is currently stable,” it said, adding the samples “are being tested to confirm the presence of mpox.”

It gave no further details of where he may have contracted the disease.

“There is no cause of any undue concern,” the statement added.

“The country is fully prepared to deal with such (an) isolated travel related case and has robust measures in place to manage and mitigate any potential risk.”

Mpox’s resurgence and the detection in the Democratic Republic of Congo of a new strain, dubbed Clade 1b, prompted the World Health Organization to declare its highest international alert level on August 14.  

Mpox has also been detected in Asia and Europe.
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Beijing — China said Sunday it would allow the establishment of wholly foreign-owned hospitals in nine areas of the country including the capital, as Beijing tries to attract more foreign investment to boost its flagging economy.

In a document on the official website of China’s commerce ministry, it said the new policy was a pilot project designed to implement a pledge the ruling Communist Party’s Central Committee led by President Xi Jinping made at its July plenum meeting held roughly every five years.

“In order to … introduce foreign investment to promote the high-quality development of China’s medical-related fields, and better meet the medical and health needs of the people, it is planned to carry out pilot work of expanding opening-up in the medical field,” according to the document.

The project will allow the establishment of such hospitals in Beijing, Tianjin, Shanghai, Nanjing, Suzhou, Fuzhou, Guangzhou, Shenzhen and Hainan — all relatively wealthy cities or provinces in eastern or southern China.

The new policy excludes hospitals practicing traditional Chinese medicine and “mergers and acquisitions of public hospitals,” the document read, adding that the specific conditions, requirements and procedures for setting up such foreign-owned hospitals would be detailed soon.

The policy also allows companies with foreign investors to engage in the development and application of gene and human stem cell technologies for treatment and diagnosis in the pilot free-trade zones of Beijing, Shanghai, Guangdong, and Hainan.

This includes registration, marketing and production of products that can be bought nationwide, according to the document.

The removal of restrictions on foreign investment in these fields comes as the world’s second-largest economy faces growing headwinds with flagging foreign business sentiment, one of the issues threatening growth.
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