Port Sudan — For the second consecutive year Sudan is in the grip of a cholera outbreak that has left at least 28 people dead in the last month as rains fall in areas crammed with those fleeing the country’s 16-month-old war, officials said.

Since July 22, when the current wave began, 658 cases of cholera have been recorded across five states, World Health Organization (WHO) country director Shible Sahbani told Reuters in Port Sudan.

With much of the country’s health infrastructure collapsed or destroyed and staffing thinned by displacement, 4.3% of cases have resulted in deaths, a high rate compared to other outbreaks, Sahbani said.

Some 200,000 are at high risk of falling ill, he said.

The war between the army and the paramilitary Rapid Support Forces (RSF) has created one of the world’s largest humanitarian crises and displaced more than 10 million people inside Sudan and beyond its borders.

The country is dealing with a total of five concurrent disease outbreaks include dengue fever and measles.

The RSF has advanced across swathes of Sudan, where people have been cut off from aid as the army has withheld access and RSF soldiers loot supplies and hospitals. Efforts to deliver aid to the western region of Darfur have been complicated by rains.

International experts have determined that there is a famine in Darfur’s Zamzam camp, an area flooded in the rains and highly susceptible to cholera.

About 12,000 cases and more than 350 deaths were registered in the previous cholera wave between October 2023 and May 2024, health minister Haitham Mohamed Ibrahim said, adding that there had been no major outbreak in the nine years before the war.

The current outbreak is centered in Kassala and Gedaref states, which host 1.2 million displaced people.

In Gedaref, a Reuters reporter filmed pools of water attracting insects and large ponds of stagnant rain water mixing with refuse. A local official said that the vast majority of diseases were caused by insects, poor water quality, and sewage.

Many people fleeing raids by the RSF shelter in crowded, makeshift displacement centers, where lavatories have overflowed as heavier-than-usual rains continue to fall. Cholera is transmitted from food and water contaminated with infected feces and thrives in such conditions.

Sahbani said that states like Khartoum and Gezira, largely controlled by the RSF, had also seen cholera cases, while states in the Kordofan and Darfur regions could likely see outbreaks.

“The challenge is getting supplies to the areas we need them. Due to the rainy season many roads are not usable now, but also there are security constraints and bureaucratic constraints,” he said.

On Friday, he told reporters in a virtual briefing that the International Coordinated Group for vaccine allocation (ICG) had approved delivery of 455,000 cholera vaccine doses to Sudan, some “good news in the middle of this horrible crisis.”

Ibrahim said the army-aligned government had used “unorthodox measures” including air drops to try to get vaccines and supplies into those RSF-controlled areas as well as isolated army-controlled areas.

Both officials emphasized that the need in Sudan far outweighed the aid effort, particularly as the U.N.’s humanitarian appeal for Sudan is only about one-third funded.

 
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Harare, Zimbabwe — The United Nations said Thursday it is working with governments and health officials in Eastern and Southern Africa to contain the outbreak of mpox there.

UNICEF, the World Health Organization and the Africa Centers for Disease Control and Prevention, along with local partners, are responding to the spread of the new mpox clade 1b variant, said Etleva Kadilli, UNICEF’s regional director for Eastern and Southern Africa.

Kadilli said in a statement that more than 200 confirmed cases have been detected in five countries: Burundi, Kenya, Rwanda, South Africa and Uganda.

Dr. Francis Kasolo, director and head of the WHO at the African Union and U.N. Economic Commission for Africa, told a joint WHO-Africa CDC meeting, “Our collaboration has been instrumental in enhancing surveillance, laboratory capacity and effective deployment of technical capacity to countries. Together we are making progress.”

But, he said, there is still much to be done.

It is imperative that we remain vigilant and proactive in our efforts to combat mpox. This means not only addressing it in the immediate needs, but also investing in long-term strategies that will build resilient health systems capable of withstanding future outbreaks and shocks,” Kasolo said.

Last week, the WHO declared mpox a public health emergency of international concern following a surge of mpox in the Democratic Republic of Congo and a growing number of other African countries.

An earlier emergency was declared in 2022. The U.N. agency said that one was declared over in May 2023.

Botswana and Zimbabwe are now screening for mpox after their neighbor, South Africa, recorded three deaths from the new strain. Zimbabwe is screening for the viral ailment at all ports of entry.

“We have said all those who present [high fever] and rash should be thoroughly investigated — where they are coming from and for how long they have been there and possible contact with people who have monkey pox,” Zimbabwean Health Minister Douglas Mombeshora said, referring to mpox’s previous name.

“We have kits to do tests for monkey pox,” he said. “So yes, we are on a very high alert. … I know there was a scare a few days ago. Some people were reporting on social media that there were people who had presented with some rash. They thought it was monkey pox. We did not take it for granted. The patient was said to have tested negative.”

Dr. Norman Matara of Zimbabwe Doctors for Human Rights said that given the country’s poor health care system, keeping mpox out is better than trying to contain it after cases appear.

“It saves the nation a lot of money because treatment is always expensive,” he said. “It also prevents us from unnecessary lockdown restrictions of movements … like what we saw with COVID-19.”

For now, he said, there is no need to panic.

“At the moment we have not recorded any case of mpox. … We just need to increase our health surveillance so that anyone with symptoms can be isolated and they can be screened and any case can be easily identified and minimize the virus spreading in the country,” Matara said.

Dr. Matshidiso Moeti, the WHO regional director for Africa, told VOA this week that the Democratic Republic of Congo was the “epicenter” of mpox. She said front-line health workers in affected areas should be given priority on vaccinations against the ailment.

“The issue of access to vaccines is something which we are working on collectively at the international level,” she said. “This is really a case of negotiating with pharmaceutical companies that are able to produce the vaccine to ensure they scale up their production and increase availability of vaccines.”

Besides a rash, other symptoms of the viral infection can include lesions, muscle aches and swollen lymph glands. Most people fully recover, but some become very ill and die.
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Gaborone, Botswana — Botswana says one of the largest diamonds ever found has been unearthed at one of its mines and has put on show on Thursday.

The Botswana government believes the huge 2,492-carat stone is the second-biggest ever brought out of a mine.

Canadian mining company Lucara Diamond Corp. said in a statement Wednesday that it recovered the “exceptional” rough diamond from its Karowe Mine in Botswana. Lucara said it was a “high-quality” stone and was found intact. It was located using X-ray technology.

“We are ecstatic about the recovery of this extraordinary 2,492-carat diamond,” Lucara president and CEO William Lamb said in a statement.

The weight makes it the largest diamond found in more than 100 years and the second-largest ever dug out of a mine after the Cullinan Diamond, discovered in South Africa in 1905. The Cullinan was 3,106 carats and was cut into gems, some of which form part of the British Crown Jewels.

A bigger black diamond was discovered in Brazil in the late 1800s, but it was found above ground and was believed to have been part of a meteorite.

The newly discovered diamond was presented to the world at the office of Botswana President Mokgweetsi Masisi.

The government said it was the largest diamond found in the southern African country, which is the second-biggest producer of diamonds and has unearthed all of the world’s biggest stones in recent years. The Karowe Mine has previously produced four diamonds over 1,000 carats.

Before this discovery, the Sewelo diamond, which was found at the Karowe Mine in 2019, was recognized as the second-biggest mined diamond in the world at 1,758 carats. It was bought by French fashion house Louis Vuitton for an undisclosed amount.

The 1,111-carat Lesedi La Rona diamond, also from Botswana’s Karowe Mine, was bought by a British jeweler for $53 million in 2017.

Scientists say natural diamonds are at least a billion years old and some of them more than 3 billion years old.
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