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WHO, Africa CDC Launch Response Plan to Mpox Outbreak

This handout photograph taken and released by the European Union's Press Service on September 5, 2024, journalists work during the reception of a batch of mpox vaccines donated by European Union at the tarmac of Kinshasa International Airport in the Nsele district of Kinshasa. (AFP / European Union handout)
This handout photograph taken and released by the European Union's Press Service on September 5, 2024, journalists work during the reception of a batch of mpox vaccines donated by European Union at the tarmac of Kinshasa International Airport in the Nsele district of Kinshasa. (AFP / European Union handout)
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WHO, Africa CDC Launch Response Plan to Mpox Outbreak

This handout photograph taken and released by the European Union's Press Service on September 5, 2024, journalists work during the reception of a batch of mpox vaccines donated by European Union at the tarmac of Kinshasa International Airport in the Nsele district of Kinshasa. (AFP / European Union handout)
This handout photograph taken and released by the European Union's Press Service on September 5, 2024, journalists work during the reception of a batch of mpox vaccines donated by European Union at the tarmac of Kinshasa International Airport in the Nsele district of Kinshasa. (AFP / European Union handout)

The Africa Center for Disease Control and Prevention and the World Health Organization launched on Friday a continent-wide response plan to the outbreak of mpox, three weeks after WHO declared outbreaks in 12 African countries a global emergency.

The estimated budget for the six-month plan is almost $600 million, with 55% allocated to mpox response in 14 affected nations and boosting readiness in 15 others, while 45% is directed towards operational and technical support through partners, Africa CDC director-general Dr. Jean Kaseya told reporters on Friday.

The plan focuses on surveillance, laboratory testing and community engagement, Kaseya said, underscoring the fact that vaccines aren't enough to fight the spreading outbreak.

The organization said that since the start of 2024, there have been 5,549 confirmed mpox cases across the continent, with 643 associated deaths, representing a sharp escalation in both infections and fatalities compared to previous years. The cases in Congo constituted 91% of the total number. Most mpox infections in Congo and Burundi, the second most affected country, are in children under age 15.

The plan comes a day after the first batch of mpox vaccines arrived in the capital of Congo, the center of the outbreak. The 100,000 doses of the JYNNEOS vaccine, manufactured by the Danish company Bavarian Nordic, have been donated by the European Union through HERA, the bloc’s agency for health emergencies. Another 100,000 are expected to be delivered on Saturday, Congolese authorities said.

“These vaccines are vital in safeguarding our health workers and vulnerable populations, and in curbing the spread of mpox,” Kaseya said Thursday.

The 200,000 doses are just a fraction of the 3 million that doses authorities have said are needed to end the mpox outbreaks in Congo, the epicenter of the global health emergency. The European Union countries pledged to donate more than 500,000 others, but the timeline for their delivery remained unclear.

Emmanuel Lampaert, Doctors Without Borders representative in Congo, said that vaccination was an additional tool, and that basic health measures were still crucial to combat the outbreak, and there were obviously challenges with that in many parts of Congo.

Congo issued an emergency approval of the vaccine, which has already been used in Europe and the United States in adults, but it remained unclear on Friday when the vaccination campaign would begin. For the moment, the rollout would be reserved for adults, Kaseya said, with priority targeted groups being those who have been in close contact with infected people and sex workers.

The European Medicines Agency is examining additional data to be able to administer it to children ranging in age from 12 to 17, which could happen at the end of the month, HERA Director-General Laurent Muschel said.

“We don’t have all the answers,” Muschel told reporters on Friday. “We learn by doing. We are going to adapt the strategy depending on the impact of the vaccination campaign."

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Tunisia Women Herb Harvesters Struggle with Drought and Heat

A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
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Tunisia Women Herb Harvesters Struggle with Drought and Heat

A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)
A woman harvests aromatic and medicinal plants in the mountains of Tbainia village near the city of Ain Drahem, in the northwest of Tunisia on November 6, 2024. (AFP)

On a hillside in Tunisia's northwestern highlands, women scour a sun-scorched field for the wild herbs they rely on for their livelihoods, but droughts and rising temperatures are making it ever harder to find the precious plants.

Yet the harvesters say they have little choice but to struggle on, as there are few opportunities in a country hit hard by unemployment, inflation and high living costs.

"There is a huge difference between the situation in the past and what we are living now," said Mabrouka Athimni, who heads a local collective of women herb harvesters named "Al Baraka" ("Blessing").

"We're earning half, sometimes just a third, of what we used to."

Tunisia produces around 10,000 tons of aromatic and medicinal herbs each year, according to official figures.

Rosemary accounts for more than 40 percent of essential oil exports, mainly destined for French and American markets.

For the past 20 years, Athimni's collective has supported numerous families in Tbainia, a village near the city of Ain Draham in a region with much higher poverty rates than the national average.

Women, who make up around 70 percent of the agricultural workforce, are the main breadwinners for their households in Tbainia.

- 'Yield less' -

Tunisia is in its sixth year of drought and has seen its water reserves dwindle, as temperatures have soared past 50 degrees Celsius (122 degrees Fahrenheit) in some areas during the summer.

The country has 36 dams, mostly in the northwest, but they are currently just 20 percent full -- a record low in recent decades.

The Tbainia women said they usually harvested plants like eucalyptus, rosemary and mastic year-round, but shrinking water resources and rare rainfall have siphoned oil output.

"The mountain springs are drying up, and without snow or rain to replenish them, the herbs yield less oil," said Athimni.

Mongia Soudani, a 58-year-old harvester and mother of three, said her work was her household's only income. She joined the collective five years ago.

"We used to gather three or four large sacks of herbs per harvest," she said. "Now, we're lucky to fill just one."

Forests in Tunisia cover 1.25 million hectares, about 10 percent of them in the northwestern region.

Wildfires fueled by drought and rising temperatures have ravaged these woodlands, further diminishing the natural resources that women like Soudani depend on.

In the summer of last year, wildfires destroyed around 1,120 hectares near Tbainia.

"Parts of the mountain were consumed by flames, and other women lost everything," Soudani recalled.

To adapt to some climate-driven challenges, the women received training from international organizations, such as the Food and Agriculture Organization (FAO), to preserve forest resources.

Still, Athimni struggles to secure a viable income.

"I can't fulfil my clients' orders anymore because the harvest has been insufficient," she said.

The collective has lost a number of its customers as a result, she said.

- 'No longer sustainable' -

A recent study by the Tunisian Forum for Economic and Social Rights (FTDES) highlighted how climate-induced damage to forests had severely impacted local communities.

"Women in particular suffer the consequences as their activities become more difficult and arduous," the study said.

Tunisia has ratified key international environmental agreements, including the 2015 Paris Climate Accord.

But environmental justice researcher Ines Labiadh, who oversaw the FTDES study, said implementation "remains incomplete".

In the face of these woes, the Tbainia harvesters, like many women working in the sector, will be forced to seek alternative livelihoods, said Labiadh.

"They have no choice but to diversify their activities," she said. "Relying solely on natural resources is no longer sustainable."

Back in the field, Bachra Ben Salah strives to collect whatever herbs she can lay her hands on.

"There's nothing we can do but wait for God's mercy," she said.