LONDON (AP) — The World Health Organization declared the mpox outbreaks in Congo and elsewhere in Africa a global emergency on Wednesday, with cases confirmed among children and adults in more than a dozen countries and a new form of the virus spreading. Few vaccine doses are available on the continent.
Earlier this week, the Africa Centers for Disease Control and Prevention announced that the mpox outbreaks were a public health emergency, with more than 500 deaths, and called for international help to stop the virus’ spread.
“This is something that should concern us all ... The potential for further spread within Africa and beyond is very worrying,” said WHO director-general Tedros Adhanom Ghebreyesus.
The Africa CDC previously said mpox, also known as monkeypox, has been detected in 13 countries this year, and more than 96% of all cases and deaths are in Congo. Cases are up 160% and deaths are up 19% compared with the same period last year. So far, there have been more than 14,000 cases and 524 people have died.
“We are now in a situation where (mpox) poses a risk to many more neighbors in and around central Africa,” said Salim Abdool Karim, a South African infectious diseases expert who chairs the Africa CDC emergency group. He said the new version of mpox spreading from Congo appears to have a death rate of about 3-4%.
In 2022, WHO declared mpox to be a global emergency after it spread to more than 70 countries that had not previously reported mpox, mostly affecting gay and bisexual men. In that outbreak, fewer than 1% of people died.
Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine, said declaring these latest mpox outbreaks in Africa an emergency is warranted if that might lead to more support to contain them.
“It’s a failure of the global community that things had to get this bad to release the resources needed,” he said.
Officials at the Africa CDC said nearly 70% of cases in Congo are in children younger than 15, who also accounted for 85% of deaths.
Jacques Alonda, an epidemiologist working in Congo with international charities, said he and other experts were particularly worried about the spread of mpox in camps for refugees in the country’s conflict-ridden east.
“The worst case I’ve seen is that of a six-week-old baby who was just two weeks old when he contracted mpox,” Alonda said, adding the baby has been in their care for a month. “He got infected because hospital overcrowding meant he and his mother were forced to share a room with someone else who had the virus, which was undiagnosed.”
Save the Children said Congo’s health system already had been “collapsing” under the strain of malnutrition, measles and cholera.
The U.N. health agency said mpox was recently identified for the first time in four East African countries: Burundi, Kenya, Rwanda and Uganda. All of those outbreaks are linked to the one in Congo. In Ivory Coast and South Africa, health authorities have reported outbreaks of a different and less dangerous version of mpox that spread worldwide in 2022.
Earlier this year, scientists reported the emergence of a new form of the deadlier form of mpox, which can kill up to 10% of people, in a Congolese mining town that they feared might spread more easily. Mpox mostly spreads via close contact with infected people, including through sex.
Unlike in previous mpox outbreaks, where lesions were mostly seen on the chest, hands and feet, the new form causes milder symptoms and lesions on the genitals. That makes it harder to spot, meaning people might also sicken others without knowing they’re infected.
Before the 2022 outbreak, the disease had mostly been seen in sporadic outbreaks in central and West Africa when people came into close contact with infected wild animals.
Western countries during the 2022 outbreak mostly shut down the spread of mpox with the help of vaccines and treatments, but very few of those have been available in Africa.
Marks of the London School of Hygiene and Tropical Medicine said that in the absence of mpox vaccines licensed in the West, officials could consider inoculating people against smallpox, a related disease. “We need a large supply of vaccine so that we can vaccinate populations most at risk,” he said, adding that would mean sex workers, children and adults living in outbreak regions.
Congo hasn’t received any of the mpox vaccines it has requested.
Congolese authorities said they have asked for 4 million doses, Cris Kacita Osako, coordinator of Congo’s Monkeypox Response Committee, told The Associated Press. Kacita Osako said those would mostly be used for children under 18.
“The United States and Japan are the two countries that positioned themselves to give vaccines to our country,” Kacita Osako said.
Dr. Dimie Ogoina, a Nigerian mpox expert who chaired WHO’s emergency committee, said there were still significant gaps in understanding how mpox is spreading in Africa. He called for stronger surveillance to track the outbreaks.
“We're working blindly when we're not able to test all suspected cases," Ogoina said.
Although WHO’s emergency declaration is meant to spur donor agencies and countries into action, the global response to previous declarations has been mixed.
Dr. Boghuma Titanji, an infectious diseases expert at Emory University, said the last WHO emergency declaration for mpox “did very little to move the needle” on getting things like diagnostic tests, medicines and vaccines to Africa.
“The world has a real opportunity here to act in a decisive manner and not repeat past mistakes, (but) that will take more than an (emergency) declaration,” Titanji said.
Associated Press writers Gerald Imray in Cape Town, South Africa, Christina Malkia in Kinshasa, Congo and Mark Banchereau in Dakar, Senegal contributed to this report.
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.
FILE - This undated image provided by the National Institute of Allergy and Infectious Diseases shows a colorized transmission electron micrograph of monkeypox particles (red) found within an infected cell (blue), cultured in the laboratory that was captured and color-enhanced at the NIAID Integrated Research Facility in Fort Detrick, Md. (NIAID via AP, File)
This photo supplied by MSF (Doctors Without Borders) dated May 31, 2023, shows health workers educating children on the symptoms of the mpox disease in Goma, Congo. (Augustin Mudiayi/Doctors Without Borders/Médecins Sans Frontières via AP)
An Israeli airstrike hit a mosque in central Gaza and Palestinian officials said at least 19 people were killed early Sunday. Israeli planes also lit up the skyline across the southern suburbs of Beirut, striking what the military said were Hezbollah targets.
The strike in Gaza hit a mosque where displaced people were sheltering near the main hospital in the central town of Deir al-Balah. Another four people were killed in a strike on a school sheltering displaced people near the town.
The Israeli military said both strikes targeted militants, without providing evidence.
An Associated Press journalist counted the bodies at the Al-Aqsa Martyrs Hospital morgue. Hospital records showed that the dead from the strike on the mosque were all men, while another man was wounded.
In Beirut, the strikes reportedly targeted a building near a road leading to Lebanon’s only international airport and another formerly used by the Hezbollah-run broadcaster Al-Manar.
Israel and Hezbollah have traded fire across the Lebanon border almost daily since the day after Hamas’ cross-border attack on Oct. 7, 2023, which killed 1,200 Israelis and took 250 others hostage. Israel declared war on the Hamas militant group in the Gaza Strip in response. As the Israel-Hamas war reaches the one-year mark, nearly 42,000 Palestinians have been killed in the territory, and just over half the dead have been women and children, according to local health officials.
Nearly 2,000 people have been killed in Lebanon in the latest conflict, most of them since Sept. 23, according to the Lebanese Health Ministry.
Here is the latest:
BEIRUT — U.N. refugee agency chief Filippo Grandi says Lebanon is seeing a “major displacement crisis” as a result of Israel’s escalating air campaign in the country and that some of the strikes have violated international law.
Grandi made his remarks during a visit to Beirut on Sunday.
Lebanese government officials estimate that 1.2 million people are now displaced. The U.N. has appealed for money to respond to the humanitarian crisis. About 40% has been funded so far.
The UNHCR head also said there had been “many instances of violations of international humanitarian law in the way the airstrikes have been conducted that have destroyed or damaged civilian infrastructure.”
Two UNHCR workers have also been killed in the strikes.
Grandi said that a strike that cut access to a major border crossing between Lebanon and Syria had also created an obstacle for civilians attempting to flee to safety.
Israel has maintained that it is targeting Hezbollah figures and weapons in the airstrikes and ground incursion it has launched in Lebanon.
The escalating violence has pushed both Lebanese citizens and Syrian refugees in Lebanon to cross the border en masse.
RABAT, Morocco — Thousands of people have demonstrated in the streets of Morocco’s capital to call for justice for the Palestinians and for the Moroccan government to revoke its 2020 agreement formalizing its ties with Israel.
The North African nation has had — since the Oct. 7 attack on Israel by the militant group Hamas — some of the Arab world’s largest protests.
A diverse group — including students, Islamists, leftists, attorneys and unions — have poured into the streets of the country’s cities and towns in an expression of support for Palestinians in Israel's war against Hamas in Gaza.
“I don’t know who is next, probably in Syria or any other country. Maybe it’s our turn next,” said Houria, a demonstrator from northern Morocco.
Morocco’s government has spoken out against the war but retained its ties with Israel. Authorities have for the most part permitted protests yet pursued charges against demonstrators who have blocked the entrance to businesses or implicated the monarchy in their demands.
The protest in Rabat was among the largest demonstrations in months. Moroccans from throughout the country gathered in Rabat to march past the country’s parliament.
They protested against President Joe Biden and Israeli Prime Minister Benjamin Netanyahu and carried large banners of Arab leaders killed during the conflict, including Hamas' Ismail Haniyeh and longtime Hezbollah leader Hassan Nasrallah.
SAO PAULO, Brazil — A plane carrying Brazilians fleeing Lebanon has landed in Brazil, according to a statement from the Brazilian Air Force.
The plane touched ground in Sao Paulo’s Guarulhos airport Sunday. President Luiz Inácio Lula da Silva was at the scene to welcome them.
The flight, the first Brazil has organized to assist its nationals, was carrying 228 passengers including 10 infants, as well as three pets.
A second flight is scheduled for next week but will depend on security conditions on the ground, the foreign ministry said.
Around 21,000 Brazilians live in Lebanon, which is home to the largest community of Brazilians in the Middle East. Two Brazilian adolescents have been killed by Israeli bombardments in Lebanon.
BERLIN — On the eve of the one-year anniversary of the Oct. 7 attacks against Israel, hundreds of demonstrators marched behind a banner that read “Against all antisemitism,” accompanied by a police escort.
With scores of Israeli flags waving over head, some Jewish leaders led a song about “shalom” — peace — while marchers chanted “Free Gaza from Hamas!” and “Bring them home,” referring to hostages still held by Hamas militants in Gaza.
Another chant, “Rape is not resistance!” decried the sexual violence that occurred during the attack. Survivors have given The Associated Press numerous accounts of sexual atrocities committed during that day and a U.N. report released in March said there are “reasonable grounds” to believe Hamas committed rape, “sexualized torture,” and other cruel and inhumane treatment of women during its surprise attack.
Some in the crowd held up photos of hostages still held by Hamas. Photos of several women featured the word “Kidnapped” in German.
Hamas-led militants killed some 1,200 people in the Oct. 7 attack and took another 250 hostage. They are still holding around 100 captives, a third of whom are believed to be dead.
TEL AVIV, Israel — Israel’s Magen David Adom rescue service said one person was killed and 10 others were wounded in a stabbing and shooting attack in the southern city of Beersheba.
Sunday’s attack at the city’s central bus station came on the eve of the anniversary of Hamas’ Oct. 7 attack into Israel, which ignited the war in Gaza. The country is on high alert as it prepares to hold memorial ceremonies.
Israel’s police did not identify the assailant but said they were treating it as a terror attack. Palestinians have carried out a number of stabbing, shooting and car-ramming attacks since the war began.
The attack comes a few days after seven people were killed in a shooting attack in Tel Aviv last Monday. In that attack, two Palestinian men opened fire on a crowd inside the city’s light rail and around the station before being killed by security forces in the area.
VATICAN CITY — Pope Francis issued a new appeal for peace “on every front” is his Sunday Angelus prayer and spoke of the Oct. 7 attack by Hamas against Israel.
“Brothers and sisters, tomorrow it will be a year since the terrorist attack by Hamas against the people of Israel, to whom I renew my closeness,” the pontiff said. He called for the “immediate liberation" of the hostages still held in Gaza.
The pope called for a day of prayer and fasting on Monday, the first anniversary of the attack - which he said sparked a war that has taken a heavy toll on Palestinian civilians in Gaza.
“From that day the Middle East has fallen into worse suffering because of destructive military actions that continue to hit the Palestinian people,” the pontiff said. "It is most of all innocent civilians, they must receive the necessary humanitarian aid.”
The pope repeated his plea for “an immediate ceasefire on every front," including Lebanon.
"Let’s pray for Lebanese people, especially for the people in the south forced to leave their villages.”
TEL AVIV, Israel — Ahead of the anniversary of Hamas’ Oct. 7 attack, the Israeli military on Sunday displayed thousands of weapons seized from the militant group.
The military, which created the display at a sprawling army base south of Tel Aviv, said it has retrieved more than 5,000 AK-47 assault rifles from Gaza and destroyed double that number, as well as seized thousands of other items including drones, explosives, RPGs, scuba equipment, machine guns, sniper rifles, anti-tank missiles and weapons manufactured both inside Gaza and in Iran, Russia and North Korea.
The army also displayed homemade explosives it said Hamas used to burst through the border barrier on Oct. 7. It said they were crafted specifically after years of studying Israel’s border during years of Hamas-organized violent protests along the fence, including as early as 2018.
“What Hamas did on Oct. 7 was storm Israel with all their abilities at one time,” said military spokesperson Lt. Col. Nadav Shoshani. He said that the Israeli military had seized the weapons from Hamas, and Hezbollah in Lebanon, to study the types of weapons used as well as track where they came from.
As Israel prepares for a day of somber memorials marking a year since the attacks, the military said it was increasing troop presence in Israel’s south to protect memorials taking place along the Gaza border.
A large memorial planned by bereaved families was expected to draw a crowd of more than 40,000 in Tel Aviv, but will be broadcast with only direct family members and media in attendance due to warnings from the military of possible rocket attacks from Lebanon.
BEIRUT — The southern suburbs of Beirut were hit by more than 30 strikes overnight, the heaviest bombardment since Sept. 23, when Israel began a significant escalation in its air campaign against Hezbollah in Lebanon, Lebanon’s state-run National News Agency reported Sunday.
The targets included a gas station on the main highway leading to the Beirut airport and a warehouse for medical supplies, the agency said.
Some of the overnight strikes set off a long series of explosions, suggesting that ammunition stores may have been hit.
PARIS — French President Emmanuel Macron called for “a halt to arms exports for use in Gaza,” saying it's urgent to avoid escalating tensions in the region, his office said.
Macron drew strong criticism from Israel’s Prime Minister Benjamin Netanyahu by saying "the priority is … that we stop delivering weapons to fight in Gaza.” He made the comments in an interview with France Inter radio, which was recorded on Tuesday and aired Saturday.
France doesn’t deliver any weapons to Israel, Macron said.
Netanyahu released a video statement in which he called out the French president by name and referred to such calls as a “disgrace.”
In a statement, Macron’s office said “France is Israel’s unfailing friend. Mr. Netanyahu’s words are excessive and irrelevant to the friendship between France and Israel.”
“We must return to diplomatic solutions,” it added.
The statement also said that Macron had demonstrated his commitment to Israel's security when France mobilized its military resources in response to the Iranian attack. French authorities did not provided details about France’s role.
Macron has called for an immediate cease-fire in both Gaza and Lebanon.
DEIR AL-BALAH, Gaza Strip — An apparent Israeli airstrike early Sunday killed at least 18 people in central Gaza, Palestinian medical officials said.
The strike hit a mosque sheltering displaced people near the al-Aqsa Martyrs hospital in the town of Deir al-Balah, the hospital said in a statement.
An Associated Press journalist counted the bodies at the hospital morgue. Hospital records showed that the dead were all men. Another two men were critically wounded, the hospital said.
The Israeli military did not immediately comment about the strike on the mosque.
The latest strikes add to the mounting Palestinian death toll in Gaza, which is now nearing 42,000 according to the Palestinian Health Ministry. The ministry does not differentiate between civilian and militant deaths, but many of the dead were women and children.
BEIRUT — Powerful new explosions rocked Beirut’s southern suburbs late Saturday as Israel expanded its bombardment in Lebanon, also striking a Palestinian refugee camp deep in the north for the first time as it targeted both Hezbollah and Hamas fighters.
Thousands of people in Lebanon, including Palestinian refugees, continued to flee the widening conflict in the region, while rallies were held around the world marking the approaching anniversary of the start of the war in Gaza.
The strong explosions began near midnight after Israel’s military urged residents to evacuate areas in Beirut’s Haret Hreik and Choueifat neighborhoods. AP video showed the blasts illuminating the densely populated southern suburbs, where Hezbollah has a strong presence. They followed a day of sporadic strikes and the nearly continuous buzz of reconnaissance drones.
Israel’s military confirmed it was striking targets near Beirut and said about 30 projectiles had crossed from Lebanon into Israeli territory.
Moroccan women wave flags and chant slogans in support of Gaza and Lebanon during a protest in Rabat, Morocco, Sunday, Oct. 6, 2024 (AP Photo/Mosa'ab Elshamy)
Smoke rises from a destroyed building at the site of an Israeli airstrike in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP Photo/Bilal Hussein)
A man checks the site of an Israeli airstrike in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP Photo/Bilal Hussein)
Emergency workers inspect a building that was hit in an Israeli airstrike in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP Photo/Bilal Hussein)
Israeli soldiers pray at a staging area in northern Israel, Sunday, Oct. 6, 2024. (AP Photo/Baz Ratner)
An Israeli soldier prays at a staging area in northern Israel, Sunday, Oct. 6, 2024. (AP Photo/Baz Ratner)
People check the site of an Israeli airstrike in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP Photo/Bilal Hussein)
Smoke rises from a destroyed building at the site of an Israeli airstrike in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP Photo/Bilal Hussein)
Mourners gather around the bodies of Palestinian men who were killed in an Israeli airstrike in Deir al-Balah, Gaza, Sunday, Oct. 6, 2024. (AP Photo/Abdel Kareem Hana)
