YCLOAK

ABUJA, NIGERIA — Barely 48 hours after the World Health Organization declared mpox a global health emergency, Nigeria went on high alert Friday, announcing new mpox cases and raising concerns about the country’s ability to contain the outbreak.

The Nigeria Center for Disease Control and Prevention, or NCDC, said it has recorded 39 cases of mpox so far this year amid a surge in infections across Africa. No deaths have been recorded in Nigeria.

Bayelsa, Cross River, Ogun and Lagos states are the most affected by the outbreak.

Speaking at a news conference, NCDC lead Dr. Olajide Idris said that the nation is ramping up its response to manage the spread of the virus and prevent the disease from being imported.

Mpox is a rare viral zoonotic disease, meaning it is primarily an animal disease that can be transmitted to humans. It is endemic in several African countries, with over 2,800 cases reported across 13 countries this year, claiming more than 500 lives.

Symptoms include fever, body aches, weakness, headaches and rashes.

With a more lethal strain emerging, Idris said that vaccination plans are being considered for high-risk populations.

“The Nigerian government is making effort to make vaccines available to the public, especially for the hotspot areas,” he said. “These vaccines have been shown to have a favorable safety profile. They are not yet in the country, but they are on their way.”

Olayinka Badmus, deputy project director for Global Health Security, Breakthrough Action Nigeria, said the new strain poses a higher risk.

“This particular strain is new, and anything new requires new learning. The things that we have seen related to this particular strain is the fact that it is spreading quite fast, the presenting symptoms — especially the rash — are widespread,” she said, meaning that the rash is all over the body.

“We are also seeing more children affected with mpox compared to the other strains,” Badmus said.

Another cause for concern, she said, is that this strain has “a higher human-to-human transmission at an accelerated rate.”

Idris stressed the need for public awareness in containing the spread and urged people to seek medical attention if they experience symptoms.

“We encourage everybody feeling feverish, muscle pain, sore throat to please visit the nearest health care facility,” he said.

Public health experts are also urging people to adhere to preventive measures such as avoiding contact with potentially infected animals and practicing good hygiene.
…

GOMA, Democratic Republic of Congo — Sarah Bagheni had a headache, fever, and itchy and unusual skin lesions for days, but she had no inkling that her symptoms might have been caused by mpox and that she might be another case in a growing global health emergency. 

She also has no idea where to go to get medical help. 

She and her husband live in the Bulengo displacement camp in eastern Congo, a region that is effectively ground zero for a series of mpox outbreaks in Africa.

This year’s alarming rise in cases, including a new form of the virus identified by scientists in eastern Congo, led the World Health Organization to declare it a global health emergency on Wednesday. It said the new variant could spread beyond the five African countries where it had already been detected — a timely warning that came a day before Sweden reported its first case of the new strain.

In the vast central African nation of Congo, which has had more than 96% of the world’s roughly 17,000 recorded cases of mpox this year — and some 500 deaths from the disease — many of the most vulnerable seem unaware of its existence or the threat that it poses.

“We know nothing about this,” Bagheni’s husband, Habumuremyiza Hire, said Thursday about mpox. “I watch her condition helplessly because I don’t know what to do. We continue to share the same room.”

Millions are thought to be out of reach of medical help or advice in the conflict-torn east, where dozens of rebel groups have been fighting Congolese army forces for years over mineral-rich areas, causing a huge displacement crisis. Hundreds of thousands of people like Bagheni and her husband have been forced into overcrowded refugee camps around Goma, while more have taken refuge in the city.

Conditions in the camps are dire and medical facilities are almost nonexistent.

Mahoro Faustin, who runs the Bulengo camp, said that about three months ago, administrators first started noticing people in the camp exhibiting fever, body aches and chills — symptoms that could signal malaria, measles or mpox.

There is no way of knowing how many mpox cases there might be in Bulengo because of a lack of testing, he said. There haven’t been any recent health campaigns to educate the tens of thousands of people in the camp about mpox, and Faustin said he’s worried about how many people might be undiagnosed.

“Just look at the overcrowding here,” he said, pointing to a sea of ramshackle tents. “If nothing is done, we will all be infected here, or maybe we are already all infected.”

Around 70% of the new mpox cases in the Goma area in the last two months that were registered at a treatment center run by Medair were from displacement camps, said Dr. Pierre Olivier Ngadjole, the international aid group’s health advisor in Congo. The youngest of those cases was a month-old baby and the oldest a 90-year-old, he said.

In severe cases of mpox, people can develop lesions on the face, hands, arms, chest and genitals. While the disease originated in animals, the virus has in recent years been spreading between people via close physical contact, including sex.

Bagheni’s best hope of getting a diagnosis for her lesions is a government hospital that’s a two-hour drive away. That’s likely out of the question, given that she already struggles with mobility having previously had both her legs amputated.

Seven million people are internally displaced in Congo, with more than 5.5 million of them in the country’s east, according to the U.N. refugee agency. Congo has the largest displacement camp population in Africa, and one of the largest in the world.

The humanitarian crisis in eastern Congo has almost every possible complication when it comes to stopping an mpox outbreak, said Dr. Chris Beyrer, director of Duke University’s Global Health Institute.

That includes war, illicit mining industries that attract sex workers, transient populations near border regions, and entrenched poverty. He also said the global community missed multiple warning signs.

“We’re paying attention to it now, but mpox has been spreading since 2017 in Congo and Nigeria,” Beyrer said, adding that experts have long been calling for vaccines to be shared with Africa, but to little effect. He said the WHO’s emergency declaration was “late in coming,” with more than a dozen countries already affected.

Beyrer said that unlike COVID-19 or HIV, there’s a good vaccine and good treatments and diagnostics for mpox, but “the access issues are worse than ever” in places like eastern Congo.

In 2022, there were outbreaks in more than 70 countries around the world, including the United States, which led the WHO to also declare an emergency that lasted until mid-2023. It was largely shut down in wealthy countries within months through the use of vaccines and treatments, but few doses have been made available in Africa.

The new and possibly more infectious strain of mpox was first detected this year in a mining town in eastern Congo, about 450 kilometers south of Goma. It’s unclear how much the new strain is to blame, but Congo is now enduring its worst outbreak yet and at least 13 African countries have recorded cases, four of them for the first time.

The outbreaks in those four countries — Burundi, Kenya, Rwanda and Uganda — have been linked to Congo’s, and Doctors Without Borders said Friday that Congo’s surge “threatens a major spread of the disease” to other countries.

Salim Abdool Karim, an infectious disease expert who chairs the Africa Centers for Disease Control and Prevention’s emergency committee, said the Congo outbreak has a particularly concerning change, in that it’s disproportionately affecting young people. Children under 15 account for 70% of cases and 85% of all deaths in the country, the Africa CDC reported.

Unlike the 2022 global outbreak, which predominantly affected gay and bisexual men, mpox now appears to be spreading in heterosexual populations.

All of Congo’s 26 provinces have recorded mpox cases, according to the state-run news agency. But Health Minister Samuel-Roger Kamba said Thursday that the country doesn’t have a single vaccine dose yet and he pleaded for “vigilance in all directions from all Congolese.”

Dr. Rachel Maguru, who heads the multi-epidemic center at Goma’s North Kivu provincial hospital, said they also don’t have drugs or any established treatments for mpox and are relying on other experts such as dermatologists to help where they can. A larger outbreak around the city and its numerous displacement camps already overburdened with an influx of people would be “terrible,” she said.

She also noted a pivotal problem: poor and displaced people have other priorities, like earning enough money to eat and survive. Aid agencies and stretched local authorities are already wrestling with providing food, shelter and basic health care to the millions displaced, while also dealing with outbreaks of other diseases like cholera.
…

Stockholm — Health authorities warned Friday that Europe must be ready for more cases of a deadly strain of mpox that has killed hundreds of people in the Democratic Republic of Congo.

The World Health Organization urged pharmaceutical firms to ramp up vaccine production and China said it would screen travelers for the disease after the first cases of the more deadly strain to be recorded outside Africa were announced in Sweden and Pakistan.

France’s Prime Minister Gabriel Attal said his country was on the “highest alert” and would implement “new recommendations” for travelers to risk areas.

Mpox is caused by a virus transmitted to humans by animals but can also spread human-to-human through close physical contact.

It causes fever, muscular aches and large boil-like skin lesions.

The WHO on Wednesday declared the rapid spread of the new Clade 1b strain an international public health emergency — the agency’s highest alert.

This follows the spread of the more deadly mpox from Democratic Republic of Congo (DRC) to other African countries.

“We do need the manufacturers to really scale up so that we’ve got access to many, many more vaccines,” WHO spokesperson Margaret Harris told reporters.

The WHO is asking countries with vaccine stockpiles to donate them to countries with outbreaks.

Harris said mpox was “particularly dangerous for those with a weak immune system, so people who maybe have HIV or are malnourished,” and was also dangerous for small children.

The United States has said it will donate 50,000 doses of an mpox vaccine to DRC and Attal said France would also send vaccines to risk countries.

Danish drugmaker Bavarian Nordic said Thursday it would be ready to make up to 10 million doses of its mpox vaccine by 2025 but that it needed contracts to start production.

The Stockholm-based European Center for Disease Prevention and Control (ECDC) said the overall risk in Europe was “low.” But it warned that “effective surveillance, laboratory testing, epidemiological investigation and contact tracing capacities will be vital to detecting cases.”

“Due to the close links between Europe and Africa, we must be prepared for more imported clade I cases,” ECDC director Pamela Rendi-Wagner said in a statement.

Hundreds killed in DRC

The virus has swept across DRC, killing 548 people so far this year, the government said Thursday.

Nigeria has recorded 39 mpox cases this year, but no deaths, according to its health authorities. Previously unaffected countries such as Burundi, Kenya, Rwanda and Uganda have reported outbreaks, according to the Africa Centers for Disease Control and Prevention.

Sweden’s Public Health Agency announced Thursday it had registered a case of Clade 1b.

The patient was infected during a visit to “the part of Africa where there is a major outbreak of mpox Clade 1,” epidemiologist Magnus Gisslen said in a statement.

The mpox strain in the Pakistan case was not immediately known, the country’s health ministry said in a statement.

It said the patient, a 34-year-old man, had “come from a Gulf country.”

China announced it would begin screening people and goods entering the country for mpox over the next six months.

People arriving from countries where outbreaks have occurred, who have been in contact with mpox cases or display symptoms should “declare to customs when entering the country,” China’s customs administration said.

Vehicles, containers and items from areas with mpox cases should be sanitized, it added in a statement.

Vaccination drive

Mpox has two subtypes: the more virulent and deadlier Clade 1, endemic in the Congo Basin in central Africa; and Clade 2, endemic in West Africa.

A worldwide outbreak beginning in 2022 involving the Clade 2b subclade caused some 140 deaths out of about 90,000 cases, mostly affecting gay and bisexual men.

France reported 107 cases of the milder mpox variant between January 1 and June 30 this year.

The WHO’s European regional office in Copenhagen said the Sweden case was “a clear reflection of the interconnectedness of our world.”

But it added: “Travel restrictions and border closures don’t work and should be avoided.”
…

BANGKOK — Southeast Asia is among the regions most prone to natural disasters, but a new analysis released Thursday shows its people also feel the best equipped to deal with them.

It seems logical that the countries in and around the Pacific Ring of Fire, vulnerable to earthquakes, typhoons, storm surges and other dangers, are also the best prepared, but the survey by Gallup for the Lloyd’s Register Foundation shows that’s not always the case in other regions.

“Frequent exposure to hazard isn’t the only factor that determines how prepared people feel,” Benedict Vigers, a research consultant with Gallup, told The Associated Press.

The report found the Association of Southeast Asian Nations has played a key role in disaster risk reduction, and Vigers said the region’s wider approach includes widespread and effective early warning systems, scaled-up community approaches and regional cooperation, and good access to disaster finance.

“Southeast Asia’s success in feelings of disaster preparedness can be linked to its high exposure to disasters, its relatively high levels of resilience – from individual people to overall society, and the region’s approach to — and investment into — disaster risk management more broadly,” he said.

Forty percent of people surveyed in Southeast Asia said they had experienced a natural disaster in the past five years, while a similar number — 36% — in Southern Asia said the same. But 67% of Southeast Asians felt among the best prepared to protect their families and 62% had emergency plans, while Southern Asians felt less ready, with 49% and 29% respectively.

Respondents from North America, which is significantly less disaster-prone than Southeast Asia, said they only felt slightly less prepared, while those in Northern and Western Europe were in the middle of the pack.

The results from Southeast Asia, primarily made up of lower-middle-income countries, suggest wealth is not a deciding factor in disaster response and preparation, said Ed Morrow, senior campaigns manager for Lloyd’s Register Foundation, a British-based global safety charity.

Southeast Asia is “a region that clearly has much to teach the world in terms of preparing for disasters,” he said.

Globally, no country ranked higher than the Philippines for having experienced a natural disaster in the past five years, with 87% of respondents saying they had.

It was also among the top four countries where the highest proportion of households have a disaster plan. All were in Southeast Asia: the Philippines (84%), Vietnam (83%), Cambodia (82%) and Thailand (67%), followed by the United States (62%).

Those with the lowest proportion were Egypt, Kosovo and Tunisia, all with 7%.

The data were drawn from the World Risk Poll, conducted every two years, with the main results from the 2023 survey published in June. Questions on disasters focused on natural hazards instead of conflicts or financial disasters, and they excluded the coronavirus pandemic.

Surveys were conducted of people aged 15 and above in 142 countries and based on telephone or face-to-face conversations with approximately 1,000 or more respondents in each country with the exception of China, where some 2,200 people were contacted online.

Margin of error ranged from plus or minus 2.2 to 4.9 percentage points, for an overall 95% confidence level.

“It is our intention that this freely available data should be used by governments, regulators, businesses, NGOs and international bodies to inform and target policies and interventions that make people safer,” Morrow said.
…

…

…

Abuja, Nigeria — Nigerian authorities on Thursday placed key entry points into the country on high alert following the outbreak of the mpox virus in Africa. Authorities have also put nine Nigerian states, including the commercial hub, Lagos, and the capital, Abuja, under serious surveillance.

The Nigerian Center for Disease Control and Prevention told journalists that the action is in response to surging cases of the mpox virus in Africa and to intensify coordination to limit importation and spread of the virus.

This week, the Africa Centers for Disease Control and Prevention said it had recorded 2,863 confirmed cases of mpox, with 517 deaths, across 13 countries this year. It said there are about 17,000 suspected cases of mpox, formerly known as monkeypox, in total.

So far this year, Nigeria has recorded 39 cases of mpox, with no deaths.

Jide Idris, head of the Nigerian CDC, said it’s best to be prepared.

“We’re intensifying surveillance activities by tracking cases across Nigeria to swiftly detect and respond to any new cases,” he said. “Along this line, five designated international airports, some key seaports … land and foot crossing borders have been placed in high alert. Declaration forms have been distributed to airlines where there’s an ongoing outbreak of mpox in the last 90 days.”

The Nigerian CDC said authorities are distributing diagnostic tools to states. They also have issued a public advisory on ways to prevent the spread of the mpox virus, including limiting contact with animals such as rodents and monkeys.

“We’re also considering vaccination efforts for high-risk groups, as Nigeria expects to receive about 10,000 doses of the new vaccines that have just recently been approved for emergency use,” Idris said. “We’re also meeting with collaborative agencies like Ministry of Environment and Agriculture for support and coordination efforts.”

Authorities say a new strain of the virus, which is more deadly and more easily transmitted, is responsible for the recent spread. The strain was first discovered in the Democratic Republic of Congo and later reported in Kenya, Rwanda and Uganda, all previously unaffected nations.

On Tuesday, the Africa CDC declared mpox a public health emergency of international-continental concern.

Jean Kaseya, head of the Africa CDC, said, “This declaration is not merely a formality. It’s a clarion call to action. It’s a recognition that we can no longer afford to be reactive; we must be proactive and aggressive in our effort to contain and eliminate this threat.”

Mpox is a viral disease that causes pus-filled lesions resembling rashes to appear on the skin.

In 2022, the World Health Organization declared it an international health emergency after cases were found in more than 70 countries.

Health analysts say the new strain is worrisome and will need a coordinated international response to control it and save lives.
…

…

PESHAWAR, Pakistan — Pakistan’s health ministry has confirmed at least one case of the mpox virus in a patient who had returned from a Gulf country, it said on Friday, as provincial health authorities reported they had detected three cases.

A health ministry spokesperson said the sequencing of the confirmed case was under way, and that it would not be clear which variant of mpox the patient had until the process was complete.

A new form of the virus has triggered global concern because it seems to spread more easily though routine close contact.

Earlier on Friday, the health department in northern Khyber Pakhtunkhwa province said three cases had been detected in patients on arrival from the United Arab Emirates. It was not clear whether the patient confirmed by the central health ministry was among the three.

The World Health Organization has declared the recent outbreak of the disease as a public health emergency of international concern after the new variant of the virus was identified.

Health ministry spokesperson Sajid Shah said so far they had no confirmation of the new variant, but the sequencing of the sample of the confirmed patient was under way.

“Once that’s done, we will be able to say what strain is this,” said Shah.

Salim Khan, the director general of health services for Khyber Pakhtunkhwa, said three patients were in quarantine.

Global health officials on Thursday confirmed an infection with a new strain of the mpox virus in Sweden and linked it to a growing outbreak in Africa, the first sign of its spread outside the continent.

The WHO on Wednesday sounded its highest level of alert over the outbreak in Africa after cases in the Democratic Republic of Congo spread to nearby countries.

There have been 27,000 cases and more than 1,100 deaths, mainly among children, in Congo since the current outbreak began in January 2023.

The disease, caused by the monkeypox virus, leads to flu-like symptoms and pus-filled lesions. It is usually mild but can kill, with children, pregnant women and people with weakened immune systems, such as those with HIV, all at higher risk of complications.
…

…

cape canaveral, florida — The first of four supermoons this year rises next week, providing tantalizing views of Earth’s constant companion.

Stargazers can catch the first act Monday as the full moon inches a little closer than usual, making it appear slightly bigger and brighter in the night sky.

“I like to think of the supermoon as a good excuse to start looking at the moon more regularly,” said Noah Petro, project scientist for NASA’s Lunar Reconnaissance Orbiter.

August’s supermoon kicks off a string of lunar spectacles. September’s supermoon will coincide with a partial lunar eclipse. October’s will be the year’s closest approach, and November’s will round out the year.

What makes a moon so super?

More a popular term than a scientific one, a supermoon occurs when a full lunar phase syncs up with an especially close swing around Earth. This usually happens only three or four times a year and consecutively, given the moon’s constantly shifting, oval-shaped orbit.

A supermoon obviously isn’t bigger, but it can appear that way, although scientists say the difference can be barely perceptible.

“Unless you have looked at a lot of full moons or compare them in images, it is hard to notice the difference, but people should try,” Petro said in an email.

How do supermoons compare?

There’s a quartet of supermoons this year.

The first will be 361,970 kilometers away. The next will be nearly 4,484 kilometers closer the night of September 17 into the following morning.

A partial lunar eclipse will also unfold that night, visible in much of the Americas, Africa and Europe as the Earth’s shadow falls on the moon, resembling a small bite.

October’s supermoon will be the year’s closest at 357,364 kilometers from Earth, followed by November’s supermoon at 361,867 kilometers.

What’s in it for me?

Scientists point out that only the keenest observers can discern the subtle differences. It’s easier to detect the change in brightness — a supermoon can be 30% brighter than average.

With the U.S. and other countries ramping up lunar exploration with landers and eventually astronauts, the moon beckons brighter than ever. As project scientist for the first team of moonwalkers coming up under Apollo’s follow-on program, Artemis, Petro is thrilled by the renewed lunar interest.

“It certainly makes it more fun to stare at,” Petro said.
…

…

washington — President Joe Biden on Tuesday visited Louisiana’s infamous “Cancer Alley” to strike at what he identified as a top priority of his dwindling presidency: announcing $150 million in research funding toward the goal of dramatically reducing cancer deaths in the United States.

The Cancer Moonshot is an initiative close to Biden’s heart. Both he and first lady Jill Biden have had brushes with skin cancers. And in 2015, an aggressive brain cancer took the life of their eldest son, Beau.

“We’re moving quickly,” Biden said of the initiative, which has a goal of reducing the U.S. cancer death rate by at least half by 2047. “Because we know that all families touched by cancer are in a race against time.”

Cancer is the second-biggest cause of death worldwide. The National Cancer Institute predicts that 2 million Americans will be diagnosed this year with the immune-mediated disease, which can manifest in organs, bone marrow and blood and which comes in hundreds of different varieties.

“Cancer touches us all,” the first lady said. “When Joe and I lost our son to brain cancer, we decided to turn our pain into purpose. We wanted to help families like ours so that they won’t have to experience this terrible loss, and as president, Joe has brought his own relentless optimism to the Biden Cancer Moonshot to end cancer as we know it. It’s ambitious, but it’s also within our reach – maybe not yet, but one day soon.”

Biden launched the initiative when he was vice president. Since he restored the program as president, the research agency he created has invested more than $400 million in the cause.

Cancer advocates praised the move but stressed the need for long-term engagement.

“We’ve made tremendous strides in how we prevent, detect, treat and survive cancer, but there is still much work to be done to improve the lives of those touched by this disease,” said Dr. Karen E. Knudsen, CEO of the American Cancer Society and the American Cancer Society Cancer Action Network.

“Cancer cases are estimated to hit an all-time high this year, and we cannot relent in driving forward public policies that will address this,” Knudsen said. “Funding more researchers across the country focused on more effective and innovative treatments will bring us closer to future cancer breakthroughs and ending cancer as we know it, for everyone.”

And cancer is often compounded by environmental causes – such as those in the 140-kilometer (85-mile) stretch of communities between Baton Rouge and New Orleans, home to a string of major fossil fuel and petrochemical operations.

Karl Minges, associate dean in the School of Health Sciences at the University of New Haven, told VOA that while the disease itself doesn’t discriminate, social factors often make it hit harder in lower-income communities.

“Any time that money from the federal government and publicity is put on a topic, I think it’s something that has the ability to actually make a significant difference,” he told VOA.

And, he said, the fact that this federal money is going toward research institutions – and not private pharmaceutical companies – means the lessons learned can be shared well beyond the United States.

“The U.S. is always on sort of the cutting edge with regard to [research and development] of new drugs and treatments and methodologies,” he said.

“But by giving the money to the institutes, it’s sort of available as public funding for researchers to access, and anytime that’s the case, there’s an imperative, whether it’s a clinical trial or it’s a an observational study, that the results are in the public domain, so that can be then subsumed by other countries outside of the United States who face similar issues,” Minges said.
…

…

…