LAGOS/JOHANNESBURG: Mpox is nothing new to Africa yet there is no vaccine available on the continent, exposing rank inequity in global distribution as tens of richer nations inoculate people facing far less risk.
Experts say that inequality — alongside competing health problems and slow regulation — is putting millions of Africans in jeopardy, after scientists found the virus was now mutating fast, leaping from person to person and stealing over borders.
“The lack in the distribution of mpox vaccines in Africa is due to challenges in supply, funding, and infrastructure, and because the disease is less prevalent compared to other health priorities,” Duduzile Ndwandwe, a scientist at the South African Medical Research Council (SAMARA), said in emailed comments.
Mpox had been circulating in the Democratic Republic of Congo since January last year but only became a grave concern this January when scientists spotted the worrying, new mutation.
Two mpox vaccines made by Denmark’s Bavarian Nordic and Japan’s KM Biologics used to combat a 2022 outbreak have been widely available in at least 70 countries outside Africa — even administered for free in some US and European clinics.
But before Nigeria received 10,000 doses from the United States this week, no mpox vaccine was available — in any country — in Africa, and the variant now circling vulnerable, displaced populations in DRC is even more virulent than previous strains.
’A serious epidemic’
Mpox, formerly known as monkey pox, has been a public health problem in parts of Africa since 1970, but received little global attention until an international outbreak in 2022.
It typically causes flu-like symptoms, pus-filled lesions and can kill. Protection costs about $100 a person.
Jimmy Whitworth, professor of epidemiology at the London School of Hygiene and Tropical Medicine, described the new variant, clade 1b pox, as “fairly lethal.”
“This appears to be from sexual contact that it’s spreading, and this time it is going from person to person,” Whitworth said. “There’s now a need to raise it to the priority list because this is a serious epidemic.”
Since January 2023, there have been more than 27,000 suspected cases and 1,100 deaths in Congo, according to government figures, mainly among children.
The viral infection has spread from DRC to 12 neighboring countries, leading the World Health Organization (WHO) to designate the outbreak a public health emergency.
Many African nations are struggling to meet the challenge.
Whitworth said the $100 needed to distribute a dose of the vaccine is prohibitive for governments who must quash multiple threats — measles, malaria, cholera — with limited budgets.
“It is a huge expense to vaccinate just DRC. If you asked people in DRC last year what the higher priority was, ‘was it the measles or mpox vaccine?’ They would have said ‘measles vaccine’. And so would anybody else in public health because that was a bigger threat then,” the epidemiologist said.
National regulations are also a problem.
Despite the severity of the mpox crisis and the risk of it spreading across DRC’s borders, local regulators only approved a vaccine in June with no date yet set for distribution.
Why the delay?
In 2022, two mpox vaccines, along with public health campaigns against risky behavior, effectively controlled an outbreak that had hit 100 countries globally.
But African countries have so far remained underserved, with efforts only now ramping up to bolster their protection.
Africa Centers for Disease Control and Prevention (Africa CDC) said it had been granted 9.34 million euros ($10.43 million) in emergency funding from the Africa Union for its mpox response and it said it would need 10 million doses of vaccines.
Bavarian Nordic said it can make 10 million doses of its vaccine by end-2025 and offered 2 million doses this year.
The WHO gave its partner agencies, including global vaccine organization Gavi and UNICEF, the go-ahead to buy mpox vaccines pre-approval to speed their delivery to Africa.
DRC had expected to receive its first vaccines in the week of Aug. 26 after the United States and Japan both promised deliveries, but has since said it would take longer.
European Union countries have also pledged donations to help Africa fight the current outbreak.
Whitworth said regulators in Rwanda, Burundi, Uganda and Kenya, all countries where cases have been detected, should approve vaccines urgently without waiting for a full outbreak.
“The vaccine isn’t even licensed in those countries,” said Whitworth. “Those countries … need to speed up the process.”
Weak health system
Even pre-mpox, Congo’s health system was at breaking point — weighed down by epidemics of measles and Ebola and years of conflict — and campaigners say short-term fixes won’t work.
Katharina Schroeder from Save the Children said long-term investment in social welfare and health care infrastructure were vital to prevent future outbreaks, with many remote health centers lacking basic testing kits or trained staff.
“The health centers outside the city need to be equipped to triage patients … because often they’re looking for things like gloves and masks,” Schroeder said.
Save the Children has been training staff on the disease, but even when diagnoses are successfully sped through, few sick patients can then afford to isolate for the mandated four weeks.
“They understand this is mpox, they understand this is dangerous for their family. But they still don’t go into isolation because they live day by day. They don’t have enough to eat,” Schroeder said.
There is an mpox jab. Why is it taking so long to reach Africa?
https://arab.news/wyfar
There is an mpox jab. Why is it taking so long to reach Africa?
- Nigeria is the only African country with doses
- New variant fairly lethal, experts say
At least 10 killed in Afghanistan attack, interior ministry says
- The nature of the attack was not immediately clear
The nature of the attack was not immediately clear.
China urges ICC to take ‘objective’ position after Netanyahu arrest warrant
- Warrants for Benjamin Netanyahu and his former defense minister Yoav Gallant ‘for crimes against humanity and war crimes’
- China, like Israel and the United States, is not a member of the International Criminal Court
BEIJING: China urged the International Criminal Court on Friday to remain objective and fair after it issued an arrest warrant for Israeli Prime Minister Benjamin Netanyahu.
“China hopes the ICC will uphold an objective and just position (and) exercise its powers in accordance with the law,” foreign ministry spokesman Lin Jian said at a regular press conference in response to a question about the court’s warrant for Netanyahu.
The ICC issued warrants for Netanyahu and his former defense minister Yoav Gallant on Thursday “for crimes against humanity and war crimes” committed between October 8, 2023, and May 20 this year.
It said there were “reasonable grounds” to believe the pair bore “criminal responsibility” for using starvation as a method of warfare and intentionally attacking civilians.
Netanyahu denounced the move as anti-Semitic and the court’s accusations as “absurd and false.”
China, which like Israel and the United States is not a member of the ICC, said it “supports any efforts by the international community on the Palestinian issue that are conducive to achieving fairness and justice and upholding the authority of international law.”
Lin also accused the United States of “double standards” in response to a question about the US opposition to the court’s pursuit of Netanyahu, but its support for a warrant against Russian leader Vladimir Putin.
“China consistently opposes certain countries only use international law when it suits them... and engaging in double standards,” Lin said.
US President Joe Biden has condemned the warrants against Israeli leaders, calling them “outrageous.”
COP29 host urges collaboration as deal negotiations enter final stage
- Sweeping plan that would see rich nations pledge to hand over hundreds of billions of dollars to help poorer countries grapple with the worsening impacts of global warming
BAKU: COP29 climate summit host Azerbaijan urged participating countries to bridge their differences and come up with a finance deal on Friday, as negotiations at the two-week conference entered their final hours.
World governments represented at the meeting in the Caspian Sea city of Baku are tasked with agreeing a sweeping plan that would see rich nations pledge to hand over hundreds of billions of dollars to help poorer countries grapple with the worsening impacts of global warming.
Economists have said developing countries need at least $1 trillion annually by the end of the decade, but wealthy nations have so far been resisting. Negotiations have also been clouded by uncertainty over the role of the United States, the world’s top historic greenhouse gas emitter, ahead of climate skeptic President-elect Donald Trump’s return to the White House.
“We encourage parties to continue to collaborate within and across groups with the aim of proposing bridging proposals that will help us to finalize our work here in Baku,” the COP29 presidency said in a note to delegates on Friday morning.
It said a new draft deal would be released at midday in Baku, in the hopes of a deal by the end of the day.
Past COPs have traditionally run over time.
Division and discontent over the negotiations have already spilled into the open, after a fresh deal draft was released by the presidency on Thursday that offered two vastly different options that left no-one happy.
Although the 10-page document was slimmed to less than half the size of the previous versions issued at the summit, it avoided stating the total funds countries would aim to invest each year, leaving the space marked with an “X.”
It also reflected big divisions over issues such as whether funds should be offered as grants or loans, and the degree to which different types of non-public finance should count toward the final annual goal.
“I hope they find the sweet spot with this next iteration,” said Li Shuo, director of the China Climate Hub at the Asia Society, a veteran observer of COP summits. “Anything other than that may require rescheduling flights.”
UN Secretary-General Antonio Guterres returned to Baku from a G20 meeting in Brazil on Thursday, calling for a major push to get a deal and warning that “failure is not an option.”
Ireland’s anti-immigration right eyes election gains
- After recession and economic slowdown from 2008, immigration surged again following the coronavirus pandemic
- Some 20 percent of Ireland’s 5.4-million population is now foreign-born
Dublin: The Dublin office of lawyer Malachy Steenson doubles as his election campaign headquarters. Outside is an Irish tricolor and a sign reading: “Take back our nation.”
Inside, Steenson summarised his platform for the November 29 vote. “We need to close the borders and stop any more migrants coming in,” he told AFP.
Ireland is one of the few European Union members without any large established far-right party. But for the first time, immigration has become a frontline election issue.
Steenson, white-haired and 61, is part of an emerging group of ultra-nationalist politicians who performed well at local elections this year and now aim to gain a foothold in parliament.
Elected to Dublin City Council in June, he is running as an independent in the inner-city Dublin Central constituency that is now one of Ireland’s most ethnically diverse.
Most mainstream parties have spent much of the campaign bickering over solutions to Ireland’s acute housing shortage.
But for Steenson, migrants and asylum-seekers are exacerbating that crisis.
“If you import people who are going to sit around on welfare in accommodation that should be available to Irish nationals you’re just creating a bigger problem,” he said.
Ireland’s economy has attracted immigrants since the 1990s when eye-popping growth earned it the “Celtic Tiger” moniker.
After recession and economic slowdown from 2008, immigration surged again following the coronavirus pandemic, plugging job vacancies in booming tech, construction, and hospitality sectors, as well as health care.
Some 20 percent of Ireland’s 5.4-million population is now foreign-born. Official data showed a population increase fueled by migration of around 100,000 in the year to April 2024 — the largest since 2007.
But rapid demographic growth has heaped pressure on housing, services and infrastructure strained by lack of investment, fanning anti-migrant sentiment and hitting still largely favorable attitudes to immigration.
“Immigration is on everyone’s minds,” said Caroline Alwright, a fruit and vegetable stall-owner on Moore Street, a historic city-center market which has become a multicultural meeting place for different nationalities.
“A lot of people will vote for independent candidates, they see what is going on in this country,” said Alwright, 62, a veteran trader nicknamed by customers the “Queen of Moore Street.”
“This street has gone downhill, the country is being robbed blind with money given to people doing nothing on welfare,” she added, gesturing toward a group of Eastern European Romani.
In Kennedy’s pub across the constituency several punters also murmured discontent.
“The buses are full of foreigners, I would vote for anyone saying ‘Ireland is full’ and promising to do something about it,” said Mick Fanning, 74.
Around 110,000 Ukrainians have arrived in Ireland since Russia’s full-scale invasion in 2022, one of the highest numbers per head of population in the EU.
Meanwhile asylum applications have surged to record levels since 2022, with this year’s figures driven by a fourfold increase in people arriving from Nigeria.
The large inflow and the housing crisis has prompted the government to stop providing accommodation to all asylum seekers last year.
That forced hundreds of single male applicants to sleep rough in tents, sparking hostile reactions from some anti-migrant locals.
Ireland has also seen a spike in arson attacks on buildings rumored or earmarked to provide reception centers for asylum seekers.
Last year the largest riot seen in Dublin for decades was triggered by a knife attack on children by an Irish national of immigrant origin.
At the other end of the ward, students at Dublin City University were supportive of immigration.
“We are not full, that’s a closed mindset,” said Carla Keogh, 19, a teaching student.
“If we look into our own past, Irish people left to find help and support in other places, as humans we need to open ourselves up.”
The ultra-nationalist vote is fragmented by micro parties and independents, with few, if any, expected to make an electoral breakthrough.
Anti-immigration votes will rather channel toward moderate independents “who are more outspoken on migration” than more radical options, said political scientist Eoin O’Malley, from Dublin City University.
Most mainstream parties have also pledged to tighten up the asylum system.
The number of arrivals from Ukraine dropped this year after the government slashed allowances and accommodation benefits for newly arrived refugees.
“We were called fascists, racists, far-right, when we proposed the same things two years ago, when in fact we are none of those things,” said Steenson who self-describes as a nationalist.
South Korea’s mountain of plastic waste shows limits of recycling
- South Korea says that it recycles 7% of its plastic waste, compared to about 5%-6% in the US
SEOUL: South Korea has won international praise for its recycling efforts, but as it prepares to host talks for a global plastic waste agreement, experts say the country’s approach highlights its limits.
When the talks known as INC-5 kick off in Busan next week, debate is expected to center around whether a UN treaty should seek to limit the amount of plastic being made in the first place.
South Korea says that it recycles 73 percent of its plastic waste, compared to about 5 percent-6 percent in the United States, and the country might seem to be a model for a waste management approach.
The bi-monthly MIT Technology Review magazine has rated South Korea as “one of the world’s best recycling economies,” and the only Asian country out of the top 10 on its Green Future Index in 2022.
But environmental activists and members of the waste management industry say the recycling numbers don’t tell the whole story.
South Korea’s claimed rate of 73 percent “is a false number, because it just counts plastic waste that arrived at the recycling screening facility — whether it is recycled, incinerated, or landfilled afterward, we don’t know,” said Seo Hee-won, a researcher at local activist group Climate Change Center.
Greenpeace estimates South Korea recycles only 27 percent of its total plastic waste. The environment ministry says the definition of waste, recycling methods and statistical calculation vary from country to country, making it difficult to evaluate uniformly.
South Korea’s plastic waste generation increased from 9.6 million tons in 2019 to 12.6 million tons in 2022, a 31 percent jump in three years partly due to increased plastic packaging of food, gifts and other online orders that mushroomed during the pandemic, activists said. Data for 2023 has not been released.
A significant amount of that plastic is not being recycled, according to industry and government sources and activists, sometimes for financial reasons.
At a shuttered plastic recycling site in Asan, about 85km south of Seoul, a mountain of about 19,000 tonnes of finely ground plastic waste is piled up untreated, emitting a slightly noxious smell. Local officials said the owner had run into money problems, but could not provide details.
“It will probably take more than 2-3 billion won ($1.43 million-$2.14 million) to remove,” said an Asan regional government official. “The owner is believed unable to pay, so the cleanup is low priority for us.”
Reuters has reported that more than 90 percent of plastic waste gets dumped or incinerated because there is no cheap way to repurpose it, according to a 2017 study.
NO CONCRETE GOALS
South Korean government’s regulations on single-use plastic products have also been criticized for being inconsistent. In November 2023, the environment ministry eased restrictions on single-use plastic including straws and bags, rolling back rules it had strengthened just a year earlier.
“South Korea lacks concrete goals toward reducing plastic use outright, and reusing plastic,” said Hong Su-yeol, director of Resource Circulation Society and Economy Institute and an expert on the country’s waste management.
Nara Kim, a Seoul-based campaigner for plastic use reduction at Greenpeace, said South Korea’s culture of valuing elaborate packaging of gifts and other items needs to change, while other activists pointed to the influence of the country’s petrochemical producers.
“Companies are the ones that pay the money, the taxes,” said a recycling industry official who declined to be identified because of the sensitivity of the issue, adding that this enabled them to wield influence. “The environment ministry is the weakest ministry in the government.”
The environment ministry said South Korea manages waste over the entire cycle from generation to recycling and final disposal.
The government has made some moves to encourage Korea Inc. to recycle, including its petrochemical industry that ranks fifth in global market share.
President Yoon Suk Yeol said at the G-20 summit on Tuesday that “efforts to reduce plastic pollution must also be made” for sustainable development, and that his government will support next week’s talks.
The government has changed regulations to allow companies like leading petrochemical producer LG Chem to generate naphtha, its primary feedstock, by recycling plastic via pyrolysis. SK Chemicals’ depolymerization chemical recycling output has already been used in products such as water bottles as well as tires for high-end EVs.
Pyrolysis involves heating waste plastic to extremely high temperatures causing it to break down into molecules that can be repurposed as a fuel or to create second-life plastic products. But the process is costly, and there is also criticism that it increases carbon emissions.
“Companies have to be behind this,” said Jorg Weberndorfer, Minister Counsellor at the trade section of the EU Delegation to South Korea.
“You need companies who really believe in this and want to have this change. I think there should be an alliance between public authorities and companies.”
