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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KAJIADO, Kenya — The blood, milk and meat of cattle have long been staple foods for Maasai pastoralists in Kenya, perhaps the country’s most recognizable community. But climate change is forcing the Maasai to contemplate a very different dish: fish.

A recent yearslong drought in Kenya killed millions of livestock. While Maasai elders hope the troubles are temporary and they will be able to resume traditional lives as herders, some are adjusting to a kind of food they had never learned to enjoy.

Fish were long viewed as part of the snake family due to their shape, and thus inedible. Their smell had been unpleasant and odd to the Maasai, who call semi-arid areas home.

“We never used to live near lakes and oceans, so fish was very foreign for us,” said Maasai Council of Elders chair Kelena ole Nchoi. “We grew up seeing our elders eat cows and goats.”

Among the Maasai and other pastoralists in Kenya and wider East Africa — like the Samburu, Somali and Borana — cattle are also a status symbol, a source of wealth and part of key cultural events like marriages as part of dowries.

But the prolonged drought in much of East Africa left carcasses of emaciated cattle strewn across vast dry lands. In early 2023, the Kenya National Drought Management Authority said 2.6 million livestock had died, with an estimated value of 226 billion Kenya shillings ($1.75 billion).

Meanwhile, increasing urbanization and a growing population have reduced available grazing land, forcing pastoralists to adopt new ways to survive.

In Kajiado county near Kenya’s capital, Nairobi, the local government is supporting fish farming projects for pastoralists — and encouraging them to eat fish, too.

Like many other Maasai women, Charity Oltinki previously engaged in beadwork, and her husband was in charge of the family’s herd. But the drought killed almost 100 of their cows, and only 50 sheep of their 300-strong flock survived.

“The lands were left bare, with nothing for the cows to graze on,” Oltinki said. “So, I decided to set aside a piece of land to rear fish and monitor how they would perform.”

The county government supplied her with pond liners, tilapia fish fingerlings and some feed. Using her savings from membership in a cooperative society, Oltinki secured a loan and had a well dug to ease the challenge of water scarcity.

After six months, the first batch of hundreds of fish was harvested, with the largest selling for up to 300 Kenyan shillings each ($2.30).

Another member of the Maasai community in Kajiado, Philipa Leiyan, started farming fish in addition to keeping livestock.

“When the county government introduced us to this fish farming project, we gladly received it because we considered it as an alternative source of livelihood,” Leiyan said.

The Kajiado government’s initiative started in 2014 and currently works with 600 pastoralists to help diversify their incomes and provide a buffer against the effects of climate change. There was initial reluctance, but the number of participants has grown from about 250 before the drought began in 2022.

“The program has seen some importance,” said Benson Siangot, director of fisheries in Kajiado county, adding that it also addresses issues of food insecurity and malnutrition.

The Maasai share their love for cattle with the Samburu, an ethnic group that lives in arid and semi-arid areas of northern Kenya and speaks a dialect of the Maa language that the Maasai speak.

The recent drought has forced the Samburu to look beyond cattle, too — to camels.

In Lekiji village, Abdulahi Mohamud now looks after 20 camels. The 65-year-old father of 15 lost his 30 cattle during the drought and decided to try an animal more suited to long dry spells.

“Camels are easier to rear as they primarily feed on shrubs and can survive in harsher conditions,” he said. “When the pasture dries out, all the cattle die.”

According to Mohamud, a small camel can be bought for 80,000 to 100,000 Kenyan shillings ($600 to $770) while the price of a cow ranges from 20,000 to 40,000 ($154 to $300).

He saw the camel’s resilience as worth the investment.

In a vast grazing area near Mohamud, 26-year-old Musalia Piti looked after his father’s 60 camels. The family lost 50 cattle during the drought and decided to invest in camels that they can sell whenever they need cattle for traditional ceremonies. Cows among the Samburu are used for dowries.

“You have to do whatever it takes to find cattle for wedding ceremonies, even though our herds may be smaller nowadays,” said Lesian Ole Sempere, a 59-year-old Samburu elder. Offering a cow as a gift to a prospective bride’s parents encourages them to declare their daughter as “your official wife,” he said.
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ISLAMABAD — Millions of people in Pakistan continue to live along the path of floodwaters, showing neither people nor the government have learned lessons from the 2022 devastating floods that killed 1,737 people, experts said Thursday, as an aid group said half of the 300 victims killed by rains since July are children.

Heavy rainfall is drenching those areas that were badly hit by the deluges two years ago.

The charity Save the Children said in a statement that floods and heavy rains have killed more than 150 children in Pakistan since the start of the monsoon season, making up more than half of all deaths in rain-affected areas.

The group said that 200 children have also been injured in Pakistan because of rains, which have also displaced thousands of people. Save the Children also said that people affected by floods were living in a relief camp in Sanghar, a district in the southern Sindh province, which was massively hit by floods two years ago.

“The rains and floods have destroyed 80% of cotton crops in Sanghar, the primary source of income for farmers, and killed hundreds of livestock,” the charity said, and added that it’s supporting the affected people with help from a local partner.

Khuram Gondal, the country director for Save the Children in Pakistan, said that children were always the most affected in a disaster.

“We need to ensure that the immediate impacts of the floods and heavy rains do not become long-term problems. In Sindh province alone, more than 72,000 children have seen their education disrupted,” he said.

Another charity, U.K.-based Islamic Relief, also said weeks of torrential rains in Pakistan have again triggered displacement and suffering among communities that were already devastated by the 2022 floods and are still in the process of rebuilding their lives and livelihoods.

Asif Sherazi, the group’s country director, said his organization is reaching out to flood-affected people.

There was no immediate response from the country’s ministry of climate change and national disaster management authority.

Pakistan has yet to undertake major reconstruction work because the government didn’t receive most of the funds out of the $9 billion that were pledged by the international community at last year’s donors’ conference in Geneva.

“We learned no lessons from that 2022 floods. Millions of people have built mud-brick homes on the paths of rivers, which usually remain dry,” said Mohsin Leghari, who served as irrigation minister years ago.

Leghari said that less rain is predicted for Pakistan for monsoon season compared with 2022, when climate-induced floods caused $30 billion in damage to the country’s economy.

“But the floodwater has inundated several villages in my own Dera Ghazi Khan district in the Punjab province,” Leghari said. “Floods have affected farmers, and my own land has once again come under the floodwater.”

Wasim Ehsan, an architect, said Pakistan was still not prepared to handle any 2022-like situation mainly because people ignore construction laws while building homes and even hotels in urban and rural areas.

He said the floods in 2022 caused damage in the northwest because people had built homes and hotels after slightly diverting a river. “This is reason that a hotel was destroyed by the Swat River in 2022,” he said.
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ABUJA, NIGERIA — Nigeria’s difficult victory over polio faces a challenge as the poliovirus type 2 variant reemerges and the nation considers new measures to tackle the outbreak.

Nigeria eradicated wild polio in 2020, but more than 50 cases of the poliovirus type 2 variant were reported between January and May. Authorities and global partners met Wednesday in Abuja with northern traditional leaders to strengthen efforts against the disease, particularly in under-immunized areas.

Bill Gates, a key global funder of Nigeria’s polio fight, said eradicating this strain is a top priority for the Gates Foundation.

“We do have this circulating variant, poliovirus type 2. The acronym is cVDPV2. … Unfortunately, it’s equally bad as the wild poliovirus,” Gates said. “It can paralyze or even kill children, and we still have work to do to get rid of this.”

Efforts focus on improving surveillance and expanding vaccination coverage. The World Health Organization noted setbacks earlier this year, stressing the need for continuing vigilance.

“We are facing the challenge of interrupting transmission of significant variant poliovirus type 2,” said Walter Kazadi Mulombo, WHO country representative to Nigeria. “We nearly got there several months ago but then we experienced some setbacks.”

Reluctance to take the vaccine, driven by religious and traditional beliefs, has hampered polio eradication efforts in Nigeria. However, northern traditional leaders have played a pivotal role in community outreach and health campaigns.

Muyi Aina, executive director of the Nigerian Primary Healthcare Development Agency, said traditional leaders have helped close the immunization gap in remote areas.

“The results we’re getting are due largely to the commitment received from our revered traditional leaders,” Aina said. “For example, we had a 57% reduction in pending noncompliance from the April campaign, and we were able to vaccinate an additional 117,000 zero-plus children [newborns and older] across 14 states with the help of the traditional leaders.”

Nigeria’s routine vaccination efforts, including recent campaigns to immunize against the human papilloma virus have been lauded. However, the resurgence of poliovirus type 2 highlights the need for sustained immunization, especially in vulnerable regions.

Cristian Munduate, the UNICEF country representative, called for more collaboration.

“We need to accelerate with polio, but we also need to accelerate in line with all these effects to link more routine immunization to reach those children,” Munduate said. “To work and strengthen primary health care, we are very committed to at least having one primary health care [worker] fully equipped per ward.”

Muhammadu Sa’ad Abubakar, the sultan of Sokoto, representing northern traditional rulers, reaffirmed their commitment to supporting vaccination efforts while thanking stakeholders.

“We are more concerned in the welfare of our people, so whoever is going to help us to help our people is part and parcel of us and is always welcomed,” Abubakar said.

Despite progress, the resurgence of poliovirus type 2 remains a serious threat. The Abuja meeting concluded with calls for stronger efforts, better surveillance, and continued collaboration between traditional leaders and health officials to ensure eradication.
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Zimbabwe’s heavy reliance on coal-based energy is hurting the health of people in mining regions who continue to be exposed to dirty air from coal burning. Columbus Mavhunga visited the Hwange thermal power station — about 700 kilometers from Harare — and the surrounding area, where residents have complained about the air pollution.
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For more than a century, dams have blocked fish migration on California’s second-largest river. VOA’s Matt Dibble takes us to the removal of the last of four dams, a victory for Native Americans who depend on the river.
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A trip that should have lasted just over a week spirals into a roughly eight-month adventure. Plus, a pioneering teacher memorialized in bronze. And a robot proves its purpose by picking up pebbles. VOA’s Arash Arabasadi brings us The Week in Space.
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Despite global efforts to stop the practice of female genital mutilation, the harmful tradition continues to affect the lives and health of millions of women and girls in Somalia. Reporter Najib Ahmed has this story from the capital, Mogadishu, narrated by Anthony LaBruto. (Camera and Produced by: Abdulkadir Zuber)
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Kinshasa, Congo — The first delivery of almost 100,000 doses of mpox vaccines will arrive in the Democratic Republic of Congo on Thursday, the African Union’s health watchdog said.

The vast central Africa country of around 100 million people is at the epicenter of the mpox outbreak, with cases and deaths rising.

“We are very pleased with the arrival of this first batch of vaccines in the DRC,” Jean Kaseya, head of the Africa Centers for Disease Control and Prevention, told AFP, adding that more than 99,000 doses were expected.

More than 17,500 cases and 629 deaths have been reported in the country since the start of the year, according to the World Health Organization (WHO).

The vaccine doses will be transported onboard an airplane leaving the Danish capital Copenhagen on Wednesday evening and are due to arrive at Kinshasa’s international airport on Thursday at 1100 GMT.

 ‘Health war’

The Congolese National Institute of Public Health, which is in charge of managing the country’s mpox response, indicated that it was still waiting for details on the origin of the vaccines contained in the first delivery.

“Kinshasa is still waiting for documents from the Africa CDC that will provide information on these doses,” the institute’s director Dieudonne Mwamba Kazadi told AFP.

“We are in a health war against mpox. To face this disease, we need you,” Health Minister Samuel-Roger Kamba said on X on Tuesday.

In Africa, mpox is now present in at least 13 countries, including Burundi, Congo-Brazzaville and the Central African Republic, according to figures from the Africa CDC dated August 27.

On Wednesday, Guinea said it had recorded its first confirmed case of the disease, convening an emergency meeting in response.

A health official speaking on condition of anonymity told AFP that the case was discovered in a sub-prefecture close to the Liberian border.

Outside the continent, the virus has also been detected in Sweden, Pakistan and the Philippines.

The WHO said last week that the first vaccine doses would arrive in the DRC in the following days, with other deliveries to follow.

The WHO said at the end of August that around 230,000 MVA-BN vaccine doses produced by Danish drugmaker Bavarian Nordic were “imminently available to be dispatched to affected regions.”

Other countries have also promised to send vaccine doses to African nations.

Spain has promised 500,000 doses, with France and Germany each pledging 100,000.

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.

Both the Clade 1b and Clade 1a strains are present in the DRC.

The WHO’s Africa bureau said at the end of last month that 10,000 vaccine doses would be delivered to Nigeria — Bavarian Nordic vaccines donated by the United States.

This was the first African country to receive doses outside of clinical trials.

Formerly called monkeypox, the virus was discovered in 1958 in Denmark, in monkeys kept for research.

It was first discovered in humans in 1970 in what is now the DRC.

Mpox is caused by a virus transmitted to humans by infected animals but can also be passed from human to human through close physical contact.

The disease causes fever, muscular aches and large boil-like skin lesions.
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CAPE CANAVERAL, Florida — Boeing will attempt to return its problem-plagued capsule from the International Space Station later this week — with empty seats.

NASA said Wednesday that everything is on track for the Starliner capsule to undock from the space station Friday evening. The fully automated capsule will aim for a touchdown in New Mexico’s White Sands Missile Range six hours later.

NASA’s two stuck astronauts, who flew up on Starliner, will remain behind at the orbiting lab. They’ll ride home with SpaceX in February, eight months after launching on what should have been a weeklong test flight. Thruster trouble and helium leaks kept delaying their return until NASA decided that it was too risky for them to accompany Starliner back as originally planned.

“It’s been a journey to get here, and we’re excited to have Starliner return,” said NASA’s commercial crew program manager Steve Stich.

NASA’s Butch Wilmore and Suni Williams will close the hatches between Starliner and the space station on Thursday. They are now considered full-time station crew members along with the seven others on board, helping with experiments and maintenance, and ramping up their exercise to keep their bones and muscles strong during their prolonged exposure to weightlessness.

To make room for them on SpaceX’s next taxi flight, the Dragon capsule will launch with two astronauts instead of the usual four. Two were cut late last week from the six-month expedition, which is due to blast off in late September. Boeing must vacate the parking place for SpaceX’s arrival.

Boeing encountered serious flaws with Starliner long before its June 5 liftoff on the long-delayed astronaut demo.

Starliner’s first test flight went so poorly in 2019 — the capsule never reached the space station because of software errors — that the mission was repeated three years later. More problems surfaced, resulting in even more delays and more than $1 billion in repairs.

The capsule had suffered multiple thruster failures and propulsion-system helium leaks by the time it pulled up at the space station after launch. Boeing conducted extensive thruster tests in space and on the ground, and contended the capsule could safely bring the astronauts back. But NASA disagreed, setting the complex ride swap in motion.

Starliner will make a faster, simpler getaway than planned, using springs to push away from the space station and then short thruster firings to gradually increase the distance. The original plan called for an hour of dallying near the station, mostly for picture-taking; that was cut to 20 or so minutes to reduce the stress on the capsule’s thrusters and keep the station safe.

Additional test firings of Starliner’s 28 thrusters are planned before the all-important descent from orbit. Engineers want to learn as much as they can since the thrusters won’t return to Earth; the section containing them will be ditched before the capsule reenters.

The stuck astronauts — retired Navy captains — have lived on the space station before and settled in just fine, according to NASA officials. Even though their mission focus has changed, “they’re just as dedicated for the success of human spaceflight going forward,” flight director Anthony Vareha said.

Their blue Boeing spacesuits will return with the capsule, along with some old station equipment.

NASA hired Boeing and SpaceX a decade ago to ferry its astronauts to and from the space station after its shuttles retired. SpaceX accomplished the feat in 2020 and has since launched nine crews for NASA and four for private customers.
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SYDNEY — Global concerns over plastic pollution and cuts to fossil fuel use are behind a new Australian-led initiative to develop a new generation of 100 percent compostable plastic. Experts estimate that more than 170 trillion pieces of plastic are floating in the world’s oceans. There are growing concerns about the impact of micro-plastics on health and the environment.    

The Bioplastics Innovation Hub aims to “revolutionize” plastic packaging by making biologically-made plastic that can break down in compost, land or water.  

The aim is to produce water bottles, for example, using bioplastics derived from waste products from the food industry. 

The green plastic scheme brings together the Commonwealth Scientific and Industrial Research Organization, the CSIRO – Australia’s national science agency – and Murdoch University in Perth in a multi-million dollar collaboration with industry partners. 

Andrew Whiteley, a CSIRO research program director, told VOA the technology could be ground-breaking.

“What we are really essentially doing is trying to phase out those fossil fuel plastics and bring in this new generation of bioplastics, which take over the roles of the plastics that we have already been using. So it is, really, just that switch over and going forward in a more sustainable way using these bioplastics.” 

Australian states and territories have been phasing out various plastics for several years. At the start of September 2024, more items have been banned in South Australia and Western Australia, including polystyrene containers and cups, plastic confetti, and plastic coffee cups and lids.

Chile, Kenya, India and New Zealand have also imposed restrictions on some single-use plastic products, such as bags or cutlery.

But there is a warning that the degradation of everyday plastic items, from packaging and in clothing, is creating microplastics that pollute the environment and pose a risk to health.    

Michelle Blewitt is the program director of the Australian Microplastic Assessment Project, a national citizen science organization, which has been monitoring microplastics.

She told the Australian Broadcasting Corp. the microplastic problem is getting worse.

“Micro plastics are particles that are less than 5mm in size and they can break up into smaller and smaller pieces until they become airborne.  So, they are found in our waterways and in the air and our homes and certainly on the beaches around our waterways as well.”

CSIRO scientists say the biodegradable plastic scheme is part of Australia’s commitment to the United Nations Global Treaty on plastic pollution.  It aims to be a legally binding international agreement between 175 countries to reduce the production and consumption of high-risk plastic.

About 98% of single-use plastic products are made from fossil fuels, according to the U.N.
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LONDON — The growing mpox outbreaks in Africa that triggered the World Health Organization’s emergency declaration are largely the result of decades of neglect and the global community’s inability to stop sporadic epidemics among a population with little immunity against the smallpox-related disease, leading African scientists said Tuesday.

According to Dr. Dimie Ogoina, who chaired WHO’s mpox emergency committee, negligence has led to a new, more transmissible version of the virus emerging in countries with few resources to stop outbreaks.

Mpox, also known as monkeypox, had been spreading mostly undetected for years in Africa before the disease prompted the 2022 outbreak in more than 70 countries, Ogoina said at a virtual news conference.

“What we are witnessing in Africa now is different from the global outbreak in 2022,” he said. While that outbreak was overwhelmingly focused in gay and bisexual men, mpox in Africa is now being spread via sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.

And while most people over 50 were likely vaccinated against smallpox — which may provide some protection against mpox — that is not the case for Africa’s mostly young population, who Ogoina said were mostly susceptible.

Mpox belongs to the same family of viruses as smallpox but causes milder symptoms like fever and body aches. It mostly spreads through close skin-to-skin contact, including sex. People with more serious cases can develop prominent blisters on the face, hands, chest and genitals.

Earlier this month, WHO declared the surging mpox outbreaks in Congo and 11 other countries in Africa to be a global emergency.

On Tuesday, the Africa Centers for Disease Control and Prevention said there were more than 22,800 mpox cases and 622 deaths on the continent and that infections had jumped 200% in the last week. The majority of cases and deaths are in Congo, where most mpox infections are in children under 15.

Dr. Placide Mbala-Kingebeni, a Congolese scientist who helped identify the newest version of mpox, said diagnostic tests being used in the country did not always pick it up, making it hard to track the variant’s spread.

In May, Mbala-Kingebeni, who heads a lab at Congo’s National Institute for Biomedical Research, published research showing a new form of mpox that may be less deadly but more transmissible. The noted mutations suggested it was “more adapted to human transmission,” he said, but the lack of tests in Congo and elsewhere complicated efforts to monitor outbreaks.

The new variant has been detected in four other African countries as well as Sweden, where health officials said they have identified the first case of a person this month with the more infectious form of mpox. The person had been infected during a stay in Africa.

WHO said that available data to date does not suggest that the new form of mpox is more dangerous but that research is ongoing.

Marion Koopmans, a virologist at Erasmus Medical Centre in the Netherlands who has been studying mpox, said scientists were now seeing some significant impacts of the disease, noting that pregnant women were miscarrying or losing their fetuses and that some babies were being born infected with mpox.

Ogoina, a professor of infectious diseases at Niger Delta University in Nigeria, said that in the absence of vaccines and drugs, African health workers should focus on providing supportive care, like ensuring patients have enough to eat and are given mental health support, given the stigma that often comes with mpox.

“It’s very, very unfortunate that we have had mpox for 54 years and we are only now thinking about therapeutics,” he said.

Mbala-Kingebeni said strategies previously used to stop Ebola outbreaks in Africa might help, given the limited numbers of shots expected. He said authorities have estimated Africa needs about 10 million doses but might only receive about 500,000 — and it’s unclear when they might arrive.

“Finding a case and vaccinating around the case, like we did with Ebola, might help us target the hot spots,” he said.

Koopmans said that given the urgent need for vaccines in Africa, waiting for more doses to be produced was unrealistic.

“The short term really is about, who has vaccines and where are they to be best used next?” she said.

Spain’s health ministry announced Tuesday that it would dip into its mpox vaccine stockpile to donate 20% of its supply, about 500,000 doses, to African countries battling mpox.

“We consider it senseless to accumulate vaccines where they are not needed,” Spain’s health ministry said in a statement, adding Spain will recommend to the European Commission to propose that all member states also donate 20% of their vaccine stock.

Spain’s donation alone is more than what the European Union, vaccine Bavarian Nordic and the U.S. have pledged. Last week, Africa CDC said the EU and Bavarian Nordic had promised 215,000 mpox vaccines while the U.S. said it was donating 50,000 doses of the same vaccine to Congo. Japan has also donated some doses to Congo.

Meanwhile, the U.S. on Tuesday donated 10,000 doses of mpox vaccines to Nigeria where mpox has been common, making the vaccines the first to arrive in Africa since the global emergency was declared. The country has had a few dozen cases this year.
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