WHO Grants First Mpox Vaccine Approval to Ramp up Response to Disease in Africa

Doses of Bavarian Nordic's Imvanex vaccine, used to protect against mpox virus, at the Edison municipal vaccination center in Paris, France July 27, 2022. Alain Jocard/Pool via Reuters
Doses of Bavarian Nordic's Imvanex vaccine, used to protect against mpox virus, at the Edison municipal vaccination center in Paris, France July 27, 2022. Alain Jocard/Pool via Reuters
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WHO Grants First Mpox Vaccine Approval to Ramp up Response to Disease in Africa

Doses of Bavarian Nordic's Imvanex vaccine, used to protect against mpox virus, at the Edison municipal vaccination center in Paris, France July 27, 2022. Alain Jocard/Pool via Reuters
Doses of Bavarian Nordic's Imvanex vaccine, used to protect against mpox virus, at the Edison municipal vaccination center in Paris, France July 27, 2022. Alain Jocard/Pool via Reuters

The World Health Organization said Friday it has granted its first authorization for use of a vaccine against mpox in adults, calling it an important step toward fighting the disease in Africa.

The approval of the vaccine made by Bavarian Nordic A/S means that donors like vaccines alliance Gavi and UNICEF can buy it. But supplies are limited because there's only a single manufacturer.

“This first (authorization) of a vaccine against mpox is an important step in our fight against the disease, both in the context of the current outbreaks in Africa, and in future,” said WHO Director-General Tedros Adhanom Ghebreyesus.

WHO also said it was creating an “access and allocation mechanism” to try to fairly distribute mpox tests, treatments and vaccines to the countries who need them most.

The UN health agency approved the two-dose mpox vaccine for people aged 18 and above. WHO said that while it was not recommending the vaccine for those under 18, the shot may be used in infants, children and adolescents “in outbreak settings where the benefits of vaccination outweigh the potential risks.”

The mpox vaccine made by Bavarian Nordic was previously authorized by numerous rich countries across Europe and North America during the global mpox outbreak in 2022. Millions of doses given to adults showed the vaccine helped slow the virus' spread, but there is limited evidence of how it works in children.

Officials at the Africa Center for Disease Control and Prevention said last month that nearly 70% of cases in Congo — the country hardest hit by mpox — are in children younger than 15, who also accounted for 85% of deaths.

Overall, WHO said over 120 countries have confirmed more than 103,000 cases of mpox since the outbreak began two years ago. Its latest tally, as of Sunday, showed that 723 people in more than a dozen countries in Africa have died of the disease.

African experts have estimated they might need about 10 million vaccines to stop the ongoing outbreaks on the continent while donor countries have promised to provide about 3.6 million vaccines. As of last week, Congo, the most-affected country, had received only about 250,000 doses.

On Thursday, the Africa CDC said 107 new deaths and 3,160 new cases had been recorded in the past week, just a week after it and WHO launched a continental response plan.

Mpox belongs to the same family of viruses as smallpox but causes milder symptoms like fever, chills and body aches. People with more serious cases can develop lesions on the face, hands, chest and genitals.



Biden Signs Bill That Averts Govt Shutdown Ending Days of Washington Upheaval

United States President Joe Biden participates in a holiday visit to patients and families at Children's National Hospital in Washington, DC, USA, 20 December 2024. (EPA)
United States President Joe Biden participates in a holiday visit to patients and families at Children's National Hospital in Washington, DC, USA, 20 December 2024. (EPA)
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Biden Signs Bill That Averts Govt Shutdown Ending Days of Washington Upheaval

United States President Joe Biden participates in a holiday visit to patients and families at Children's National Hospital in Washington, DC, USA, 20 December 2024. (EPA)
United States President Joe Biden participates in a holiday visit to patients and families at Children's National Hospital in Washington, DC, USA, 20 December 2024. (EPA)

President Joe Biden signed a bill into law Saturday that averts a government shutdown, bringing a final close to days of upheaval after Congress approved a temporary funding plan just past the deadline and refused President-elect Donald Trump’s core debt demands in the package.

The deal funds the government at current levels through March 14 and provides $100 billion in disaster aid and $10 billion in agricultural assistance to farmers.

House Speaker Mike Johnson, R-La., had insisted lawmakers would “meet our obligations” and not allow federal operations to close. But the outcome at the end of a tumultuous week was uncertain after Trump had insisted the deal include an increase in the government's borrowing limit. If not, he had said, then let the closures “start now.”

Johnson's revised plan was approved 366-34, and it was passed by the Senate by a 85-11 vote after midnight. By then, the White House said it had ceased shutdown preparations.

“There will be no government shutdown,” said Senate Majority Leader Chuck Schumer, D-N.Y.

Johnson, who had spoken to Trump after the House vote, said the compromise was "a good outcome for the country” and that the president-elect “was certainly happy about this outcome, as well.”

The final product was the third attempt from Johnson, the beleaguered speaker, to achieve one of the basic requirements of the federal government — keeping it open. The difficulties raised questions about whether Johnson will be able to keep his job, in the face of angry Republican colleagues, and work alongside Trump and his billionaire ally Elon Musk, who was calling the legislative plays from afar.

The House is scheduled to elect the next speaker on Jan. 3, 2025, when the new Congress convenes. Republicans will have an exceedingly narrow majority, 220-215, leaving Johnson little margin for error as he tries to win the speaker's gavel.

One House Republican, Rep. Andy Harris of Maryland, criticized Republicans for the deficit spending in the bill and said he was now “undecided” about the GOP leadership. Others are signaling unhappiness with Johnson as well.

Yet Trump's last-minute debt limit demand was almost an impossible ask, and Johnson had almost no choice but to work around that pressure. The speaker knew there wouldn’t be enough support within the slim Republican majority alone to pass any funding package because many Republican deficit hawks prefer to cut the federal government and would not allow more debt.

Instead, the Republicans, who will have full control of the White House, House and Senate in the new year, with big plans for tax cuts and other priorities, are showing they must routinely rely on Democrats for the votes needed to keep up with the routine operations of governing.

The federal debt stands at roughly $36 trillion, and the spike in inflation after the coronavirus pandemic has pushed up the government’s borrowing costs such that debt service next year will exceed spending on national security. The last time lawmakers raised the debt limit was June 2023. Rather than raise the limit by a dollar amount, lawmakers suspended the debt limit through Jan. 1, 2025.

There is no need to raise that limit right now because the Treasury Department can begin using what it calls “extraordinary measures” to ensure that America does not default on its debts. Some estimate these accounting maneuvers could push the default deadline to the summer of 2025. But that’s what Trump wanted to avoid because an increase would be needed while he was president.

GOP leaders said the debt ceiling would be debated as part of tax and border packages in the new year. Republicans made a so-called handshake agreement to raise the debt limit at that time while also cutting $2.5 trillion in spending over 10 years.

It was essentially the same deal that flopped Thursday night — minus Trump’s debt demand. But it's far smaller than the original deal Johnson struck with Democratic and Republican leaders — a 1,500-page bill that Trump and Musk rejected, forcing him to start over. It was stuffed with a long list of other bills — including much-derided pay raises for lawmakers — but also other measures with broad bipartisan support that now have a tougher path to becoming law.

Trump, who has not yet been sworn into office, is showing the power but also the limits of his sway with Congress, as he intervenes and orchestrates affairs from Mar-a-Lago alongside Musk, who is heading up the new Department of Government Efficiency.