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WHO says no urgent need for mass monkeypox vaccinations

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The World Health Organization does not believe the monkeypox outbreak outside of Africa requires mass vaccinations as measures like good hygiene and safe sexual behaviour will help control its spread, a senior official said on Monday.

Richard Pebody, who leads the high-threat pathogen team at WHO Europe, also told Reuters in an interview that immediate supplies of vaccines and antivirals are relatively limited.

His comments came as the U.S. Centers for Disease Control and Prevention said it was in the process of releasing some Jynneos vaccine doses for use in monkeypox cases.

Germany's government said on Monday that it was assessing options for vaccinations, while Britain has offered them to some healthcare workers.

Public health authorities in Europe and North America are investigating more than 100 suspected and confirmed cases of the viral infection in the worst outbreak of the virus outside of Africa, where it is endemic.

The primary measures to control the outbreak are contact tracing and isolation, Pebody said, noting that it is not a virus that spreads very easily, nor has it so far caused serious disease. The vaccines used to combat monkeypox can have some significant side-effects, he added.

It is unclear what is driving the outbreak, with scientists trying to understand the origin of the cases and whether anything about the virus has changed. There is no evidence the virus has mutated, a senior executive at the U.N. agency said separately on Monday.

Many - but not all - of the people who have been diagnosed in the current monkeypox outbreak have been men who have sex with men. But that may be because this demographic is likely to seek medical advice or access sexual health screening more readily, the WHO said earlier in the day.

Most of the confirmed cases have not been linked to travel to Africa, which suggests there may be large amounts of undetected cases, said Pebody. Some health authorities suspect there is some degree of community spread.

"So we're only seeing ... the tip of the iceberg," he said.

Given the pace of the outbreak, and lack of clarity around what is driving it, there has been worry that large events and parties this summer could make things much worse.

"I'm not saying to people don't have a good time, don't go to attend these events," Pebody said.

"It's rather around what people do at the parties that matters. So it's about safe sexual behaviour, good hygiene, regular hand washing - all these sorts of things will help to limit the transmission of this virus."

Health

UNICEF ensures 6.1 million people have access to basic health services in Afghanistan

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More than six million people accessed essential health and nutrition services at UNICEF-supported health facilities last month, the UN agency said in its latest Humanitarian Situation Report for September 1 to 30.

UNICEF said of the 6.1 million people who accessed essential health and nutrition services, half of them were children under the age of five.

In addition, 50 schools in 10 provinces gained access to safe water, handwashing facilities, and newly constructed or rehabilitated toilet facilities.

However, as of September, UNICEF’s Humanitarian Action for Children (HAC) appeal for children in Afghanistan is only 41 percent funded.

Afghanistan remains one of the world’s largest humanitarian crises, with 23.7 million people in need of humanitarian assistance following decades of conflict, extreme climate shocks, and severe economic decline.

UNICEF also stated that this year, 33 percent of the population receives most of their income from unsustainable income sources, compared to 26 percent in 2023.

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Polio vaccination campaign kicks off in Afghanistan

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Public Health Ministry officials have confirmed that a polio vaccine campaign across 16 provinces was launched on Monday.

Sharaft Zaman Amarkhil, the spokesperson of the Ministry of Public Health, says that the campaign got underway on Monday in a number of provinces including Kabul, Kandahar, Helmand, Uruzgan, Zabul, Farah, Nangarhar, Laghman, Kunar, Nuristan and some other provinces.

Amarkhil said the campaign will last for three days and an estimated 6.2 million children under the age of five will receive the anti-polio vaccine.

Zaman called on parents, religious scholars and ethnic elders to cooperate with the ministry's vaccinators in implementing the anti-polio vaccination campaign for children under five years old in the mentioned provinces.

The World Health Organization meanwhile published its latest Polio Bulletin on Monday and confirmed Afghanistan has recorded 23 cases of Wild Polio Virus so far this year.

Pakistan meanwhile reported two new cases this week - one in Khyber Pakhtunkhwa province and the other in Balochistan province.

Pakistan has recorded a total of 41 cases of polio so far this year, bringing the total between the two countries to 64, against last year’s total of 12 (Afghanistan 6 and Pakistan 6).
World Polio Day

Marking World Polio Day last week, UNICEF pointed out that the current data issues a stark warning that the life-threatening disease continues to thrive in areas where conflict, natural disasters, humanitarian crises, and other destabilizing factors make it difficult to deliver critical healthcare.

“In conflict, children face more than bombs and bullets; they are at risk of deadly diseases that should no longer exist,” said UNICEF Executive Director Catherine Russell.

“In many countries, we are witnessing the collapse of healthcare systems, destruction of water and sanitation infrastructure, and the displacement of families, triggering a resurgence of diseases like polio. Children are being left paralyzed, unable to walk, play, or attend school."

A global decline in childhood immunization has also led to an increase in polio outbreaks, including in countries that had been polio-free for decades.

Nowhere is this more evident than in conflict-affected areas, with 15 out of 21 such countries – including Afghanistan, Democratic Republic of Congo, Somalia, South Sudan, and Yemen – currently battling polio.

In recent months, UNICEF and partners have intensified emergency responses to surges in polio outbreaks.

In Gaza, for example, UNICEF, in partnership with WHO, reached nearly 600,000 children under 10 years during the first round of a polio vaccination campaign in mid-September. The second and final round has been successfully implemented in south and central Gaza, but renewed mass displacement and bombings have delayed the process in the north.

The campaign follows the return of polio to Gaza for the first time in 25 years.

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AIJU seals deal with private hospital for Afghan media workers

The MoU was signed during a ceremony in Kabul on Tuesday, between Hojatullah Mujadadi, the head of the union, and the director of the private hospital Abdullah Yousafzai.

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The Afghanistan Independent Journalists Union (AIJU) says it has signed a three-year memorandum of understanding (MoU) with a private hospital in Kabul to provide discounted health services to journalists.

The MoU was signed during a ceremony in Kabul on Tuesday, between Hojatullah Mujadadi, the head of the union, and the director of the private hospital Abdullah Yousafzai.

Mujadadi welcomed the move and said this was part of the union’s efforts to ensure media workers are provided with adequate health services.

According to the AIJU, media workers and their immediate families, which include their parents, siblings, spouse and children, will be entitled to substantial discounts for medical treatment at the hospital.

The AIJU said charges would be discounted by between 50% and 70% for media workers.

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