Congo’s humanitarian crisis helped mpox spiral again into a global health emergency

Patients listen to a doctor outside the consultation room of the Mpox treatment centre at Nyiragongo General Referral Hospital, north of Goma on August 17, 2024. (AFP)
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Updated 18 August 2024
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Congo’s humanitarian crisis helped mpox spiral again into a global health emergency

  • 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

GOMA, 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 percent 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 percent 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 adviser 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 the UN 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 (280 miles) 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 percent of cases and 85 percent 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.
 

 


Unfazed devotees shrug off stampede at India mega-festival

Updated 4 sec ago
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Unfazed devotees shrug off stampede at India mega-festival

  • The disaster, which saw a crowd spill out of a police cordon and trample bystanders, prompted spooked pilgrims to leave festival
  • The Kumbh festival attracts tens of millions of Hindu faithful from around India every 12 years to the northern city of Prayagraj

Prayagraj: Swarming throngs of devotees bathed in rivers at the world’s biggest religious gathering in India on Thursday, undeterred by a stampede a day earlier that killed at least 30 people.

The Kumbh Mela attracts tens of millions of Hindu faithful from around India every 12 years to the northern city of Prayagraj but has a woeful record of deadly crowd incidents.

Wednesday’s pre-dawn disaster, which saw a surging crowd spill out of a police cordon and trample bystanders, prompted some spooked pilgrims to leave the festival.

But many more were still arriving in the stampede’s aftermath to participate in what they said was a matter of religious obligation.

“We’ve obviously heard about the stampede,” 21-year-old Naveen Pradhan, who arrived at the festival with his family hours after the disaster, told AFP.

“But this is a holy thing, a religious thing, something we should do as Hindus, and my family wouldn’t have missed this no matter what.”

The six-week Kumbh Mela is the single biggest milestone on the Hindu religious calendar, and Wednesday marked one of the holiest days in the festival, coinciding with an alignment of the Solar System’s planets.

Despite the early morning disaster, saffron-clad holy men continued with the day’s rituals hours later, leading millions into a sin-cleansing bath by the confluence of the Ganges and Yamuna rivers.

“The journey was challenging — the trains were packed, the train stations were packed,” pharmacist Padmabati Dam, who traveled by train for more than 1,000 kilometers (600 miles) to reach the festival, told AFP.

“We were tired after such a long journey but as soon as we took a dip in the river we just felt so fresh and happy. It was as if all that inconvenience was really worth it.”

The Kumbh Mela is rooted in a mythological Hindu battle between deities and demons for control of a pitcher containing the nectar of immortality.

Organizers have likened the scale of this year’s festival to a temporary country, forecasting up to 400 million pilgrims would visit before the final day on February 26.

Authorities waited nearly 18 hours after Wednesday’s stampede to give an official death toll, an apparent effort to minimize disruption to the day’s events.

Even before the latest incident, attendees have fumed over what they said was poor crowd management.

Reserved pathways and cordoned-off areas reserved for eminent attendees have been a source of vehement complaint at the festival for reducing the amount of space for common pilgrims.

Police this year installed hundreds of cameras at the festival site and on roads leading to the sprawling encampment, mounted on poles and a fleet of overhead drones.

The surveillance network feeds into an artificial intelligence system at a command and control center meant to alert staff if sections of the crowd get so concentrated that they pose a safety threat.

More than 400 people died after they were trampled or drowned at the Kumbh Mela on a single day of the festival in 1954, one of the largest tolls in a crowd-related disaster globally.

Another 36 people were crushed to death in 2013, the last time the festival was staged in Prayagraj.


American Airlines jet collides with helicopter near Washington’s Reagan Airport

Updated 30 January 2025
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American Airlines jet collides with helicopter near Washington’s Reagan Airport

  • A web camera shot from Kennedy Center in Washington showed an explosion mid-air across the Potomac around 2047 ET with an aircraft in flames crashing down rapidly
  • There has not been a fatal US passenger airplane accident since February 2009, but a series of near-miss incidents in recent years have raised serious safety concerns

WASHINGTON: An American Airlines regional passenger jet and a US Army Black Hawk helicopter crashed into the Potomac River after a midair collision near Reagan Washington National Airport on Wednesday night, officials said.
The Washington Post said multiple bodies had been pulled from the water. Senator Ted Cruz of Texas said on social media that “we know there are fatalities,” though he did not say how many.
An American Airlines source told Reuters that 60 passengers, along with two pilots and two crew members were scheduled to be on the flight. Three soldiers were aboard the helicopter, a US official said.
There has not been a fatal US passenger airplane accident since February 2009, but a series of near-miss incidents in recent years have raised serious safety concerns.
NBC reported that four people had been pulled alive from the Potomac River.
A web camera shot from the Kennedy Center in Washington showed an explosion mid-air across the Potomac around 2047 ET with an aircraft in flames crashing down rapidly.
The US Federal Aviation Administration said a PSA Airlines regional jet collided midair with the helicopter while on approach to Reagan.
PSA was operating Flight 5342 for American Airlines, which had departed from Wichita, Kansas, according to the FAA.
Police said multiple agencies were involved in a search and rescue operation in the Potomac River, which borders the airport.
Dozens of police, ambulance and recuse units, some ferrying boats, staged along the river and raced to positions along the tarmac of Reagan airport. Live TV images showed several boats in the water, flashing blue and red lights.
The airport said late on Wednesday that all takeoffs and landings had been halted as emergency personnel responded to an aircraft incident.
The National Transportation Safety Board said it was gathering more information on the incident.
American Airlines said on social media that it was “aware of reports that American Eagle flight 5342, operated by PSA, with service from Wichita, Kansas (ICT) to Washington Reagan National Airport (DCA) has been involved in an incident.”
American Airlines said it would provide more information as it became available to the company.
Over the last two years, a series of near-miss incidents have raised concerns about US aviation safety and the strain on understaffed air-traffic-control operations.
FAA Administrator Mike Whitaker stepped down on Jan. 20 and the Trump administration has not named a replacement — or even disclosed who is running the agency on an interim basis.
The last deadly major crash involving a commercial airliner in the US was in 2009, when 49 people aboard a Colgan Air flight crashed in New York state. One person also died on the ground.


Passenger jet with 64 aboard collides with Army helicopter while landing at Reagan Airport near DC

Updated 49 min 50 sec ago
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Passenger jet with 64 aboard collides with Army helicopter while landing at Reagan Airport near DC

ARLINGTON: A jet carrying 60 passengers and four crew members collided Wednesday with an Army helicopter while landing at Ronald Reagan National Airport near Washington, prompting a large search-and-rescue operation in the nearby Potomac River.
There was no immediate word on casualties or the cause of the collision, but all takeoffs and landings from the airport were halted as helicopters from law enforcement agencies across the region flew over the scene in search of survivors. Inflatable rescue boats were launched into the Potomac River from a point along the George Washington Parkway, just north of the airport, and first responders set up light towers from the shore to illuminate the area near the site of the collision.
President Donald Trump said he had been “fully briefed on this terrible accident" and, referring to the passengers, added, “May God Bless their souls.”
The Federal Aviation Administration said the midair crash occurred around 9 p.m. EST when a regional jet that had departed from Wichita, Kansas, collided with a military helicopter on a training flight while on approach to an airport runway. It occurred in some of the most tightly controlled and monitored airspace in the world, just over three miles south of the White House and the Capitol.
Investigators will try to piece together the aircrafts' final moments before their collision, including contact with air traffic controllers as well as a loss of altitude by the passenger jet.
American Airlines Flight 5342 was inbound to Reagan National at an altitude of about 400 feet and a speed of about 140 miles per hour when it suffered a rapid loss of altitude over the Potomac River, according to data from its radio transponder. The Canadian-made Bombardier CRJ-701 twin-engine jet, manufactured in 2004, can be configured to carry up to 70 passengers.
A few minutes before landing, air traffic controllers asked the arriving commercial jet if it could land on the shorter Runway 33 at Reagan National and the pilots said they were able. Controllers then cleared the plane to land on Runway 33. Flight tracking sites showed the plane adjust its approach to the new runway.
Less than 30 seconds before the crash, an air traffic controller asked the helicopter if it had the arriving plane in sight. The controller made another radio call to the helicopter moments later: “PAT 25 pass behind the CRJ.” Seconds after that, the two aircraft collided.
The plane’s radio transponder stopped transmitting about 2,400 feet short of the runway, roughly over the middle of the river.
Video from an observation camera at the nearby Kennedy Center showed two sets of lights consistent with aircraft appearing to join in a fireball.
The collision occurred on a warm winter evening in Washington, with temperatures registering as high as 60 degrees Fahrenheit, following a stretch days earlier of intense cold and ice. On Wednesday, the Potomac River was 36 degrees Fahrenheit, according to the National Oceanic and Atmospheric Administration. The National Weather Service reported that wind gusts of up to 25 mph were possible in the area throughout the evening.
The U.S. Army described the helicopter as a UH-60 Blackhawk based at Fort Belvoir in Virginia. A crew of three soldiers were onboard the helicopter, an Army official said. The helicopter was on a training flight.
The crash is serving as a major test for two of the Trump administration’s newest agency leaders. Pete Hegseth, sworn in days ago as defense secretary, posted on social media that his department was “actively monitoring” the situation that involved an Army helicopter. Transportation Secretary Sean Duffy, just sworn in earlier this week, said in a social media post that he was “at the FAA HQ and closely monitoring the situation.”
The airport was to remain closed until 5 a.m. Friday.
Located along the Potomac River, just southwest of the city. Reagan National is a popular choice because it’s much closer than the larger Dulles International Airport, which is deeper in Virginia.
Depending on the runway being used, flights into Reagan can offer passengers spectacular views of landmarks like the Washington Monument, the Lincoln Memorial, the National Mall and the U.S. Capitol. It’s a postcard-worthy welcome for tourists visiting the city.
The incident recalled the crash of an Air Florida flight that plummeted into the Potomac on January 13, 1982, that killed 78 people. That crash was attributed to bad weather.
The last fatal crash involving a U.S. commercial airline occured in 2009 near Buffalo, New York. Everyone aboard the Bombardier DHC-8 propeller plane was killed, including 45 passengers, 2 pilots and 2 flight attendants. Another person on the ground also died, bringing the total death toll to 50. An investigation determined that the captain accidentally caused the plane to stall as it approached the airport in Buffalo.


Trump issues orders to promote school choice, end “anti-American” teaching

Updated 30 January 2025
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Trump issues orders to promote school choice, end “anti-American” teaching

  • Order prioritizes federal funding for school choice programs
  • Second order aims to block federal funding related to “gender ideology or discriminatory equity ideology” in schools

President Donald Trump on Wednesday signed executive orders to promote parental choice in school selection and end federal funding for curricula that he called the “indoctrination” of students in “anti-American” ideologies on race and gender.
The two directives, which come a week after Trump was sworn into his second term of office, are in keeping with his campaign promise to remake the country’s education system in line with a rigorous conservative agenda that Democrats say could undermine public schools.
The first order directs the Department of Education to issue guidance on how states can use federal education funds to support “choice initiatives,” without providing further details.
“It is the policy of my Administration to support parents in choosing and directing the upbringing and education of their children,” the president said in the order. “Too many children do not thrive in their assigned, government-run K-12 school.”
His second directive aims to stop schools from using federal funds for curriculum, teacher certification and other purposes related to “gender ideology or discriminatory equity ideology.”
“In recent years, however, parents have witnessed schools indoctrinate their children in radical, anti-American ideologies while deliberately blocking parental oversight,” it reads.
Trump and his allies throughout the campaign have accused public schools of teaching white children to be ashamed of themselves and their ancestors due to the country’s history of slavery and discrimination against people of color.
The second order, without evidence, claims that teachers have been “demanding acquiescence” to concepts of “white privilege” or “unconscious bias” and thereby promoting racism and undermining national unity.
The executive order will have a “chilling effect” on subjects related to race and ethnicity in schools, said Basil Smikle Jr., a political strategist.
“I would imagine that it would restrict the kind of reading materials that are even available to students outside of the classroom,” he said.
Although that order does not invoke the term “critical race theory” by name, it employs the language often used by CRT opponents to criticize teaching about institutional racism.
A once-obscure academic concept, the theory has become a fixture in the fierce US debate over how to teach children about the country’s history and structural racism. An academic framework most often taught in law schools but not in primary and secondary schools, it rests on the premise that racial bias — intentional or not — is baked into US laws and institutions.
Conservatives have invoked the term to denounce curricula they consider too liberal or excessively focused on America’s history of racial discrimination. Supporters say understanding institutional racism is necessary to address inequality.
Christina Greer, an associate professor of political science at Fordham University, said the order came as no surprise.
“As a candidate, he said there was radical indoctrination of students,” she said. “He’s making sure to frighten students and educators across the country so they can’t teach the real history of the United States.”
It was not clear how the order issued on Wednesday would affect how the history of race relations is taught in American schools. During his inaugural address last week, Trump criticized education that “teaches our children to be ashamed of themselves — in many cases, to hate our country.”

SCHOOL CHOICE

The first order also directs the US Department of Education to prioritize federal funding for school choice programs, a longstanding goal for conservatives who say public schools are failing to meet academic standards while pushing liberal ideas.
Many Democrats and teachers’ unions, on the other hand, say school choice undermines the public system that educates 50 million US children.
Federal test scores released by the National Assessment of Educational Progress on Wednesday underscored the challenge faced by educators in the wake of widespread learning loss during the COVID-19 pandemic.
The scores showed that one-third of eighth graders tested below NAEP’s “basic” reading level, the most in the test’s three-decade history, while some 40 percent of fourth-graders also fell below that basic threshold.
That executive order also directs US states on how they could use block grants to support alternatives to public education, such as private and religious schools.
US education is primarily funded via states and local taxes, with federal sources accounting for about 14 percent of the funding of public K-12 schools, according to Census data.
Trump’s order could affect some $30 billion to $40 billion in federal grants, estimated Frederick Hess, an education expert at the right-leaning American Enterprise Institute.
“This stuff is directionally significant,” said Hess, adding that Trump’s directive represented “the most emphatic support for school choice we’ve ever seen at the federal level.”
The first order also calls for allowing military families to use Pentagon funds to send their children to the school of their choosing. It also mandates that Native American families with students in the Bureau of Indian Education be allowed to use federal funds in selecting their schools.
A number of Republican-leaning states have in recent years adopted universal or near-universal school choice policies, paving the way for vouchers or other methods that allocate taxpayer funds for homeschooling or private tuition.
Josh Cowen, a professor of education policy at Michigan State University, said that Trump’s executive order is aimed at sending “an aggressive statement about his position on vouchers” even if his power to reallocate funds is limited.
Cowen said the bigger potential financial impact on education lies with a bill reintroduced in Congress this week that would create a federal school voucher program with an estimated $10 billion in annual tax credits. 


Rohingya refugees stranded on boat off Indonesia

Updated 30 January 2025
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Rohingya refugees stranded on boat off Indonesia

  • Authorities block migrants from disembarking at tourist beach ‘in case they escape’

JAKARTA: At least 75 Rohingya refugees including four children were stranded aboard a migrant boat off the coast of western Indonesia on Wednesday after authorities blocked them from landing at a tourist beach.

Security officers prevented the Rohingya from disembarking at Leuge beach in Aceh province and ordered them to stay aboard the boat. Police were deployed to monitor the beach, while local residents took photos of the boat and provided the refugees with food.
“For now, they are not allowed to disembark, considering today is a public holiday. Many tourist activities are taking place ... there are concerns that they might blend in with the crowd and escape,” local official Rizalihadi said.
“The temporary policy is for them to remain on the boat while waiting for representatives from the UN High Commissioner for Refugees and the International Organization for Migration to arrive.”

The Muslim minority Rohingya are persecuted in Myanmar, and thousands risk their lives each year on long and dangerous sea journeys to Malaysia or Indonesia.