ABUJA, NIGERIA — Nigeria’s difficult victory over polio faces a challenge as the poliovirus type 2 variant reemerges and the nation considers new measures to tackle the outbreak.

Nigeria eradicated wild polio in 2020, but more than 50 cases of the poliovirus type 2 variant were reported between January and May. Authorities and global partners met Wednesday in Abuja with northern traditional leaders to strengthen efforts against the disease, particularly in under-immunized areas.

Bill Gates, a key global funder of Nigeria’s polio fight, said eradicating this strain is a top priority for the Gates Foundation.

“We do have this circulating variant, poliovirus type 2. The acronym is cVDPV2. … Unfortunately, it’s equally bad as the wild poliovirus,” Gates said. “It can paralyze or even kill children, and we still have work to do to get rid of this.”

Efforts focus on improving surveillance and expanding vaccination coverage. The World Health Organization noted setbacks earlier this year, stressing the need for continuing vigilance.

“We are facing the challenge of interrupting transmission of significant variant poliovirus type 2,” said Walter Kazadi Mulombo, WHO country representative to Nigeria. “We nearly got there several months ago but then we experienced some setbacks.”

Reluctance to take the vaccine, driven by religious and traditional beliefs, has hampered polio eradication efforts in Nigeria. However, northern traditional leaders have played a pivotal role in community outreach and health campaigns.

Muyi Aina, executive director of the Nigerian Primary Healthcare Development Agency, said traditional leaders have helped close the immunization gap in remote areas.

“The results we’re getting are due largely to the commitment received from our revered traditional leaders,” Aina said. “For example, we had a 57% reduction in pending noncompliance from the April campaign, and we were able to vaccinate an additional 117,000 zero-plus children [newborns and older] across 14 states with the help of the traditional leaders.”

Nigeria’s routine vaccination efforts, including recent campaigns to immunize against the human papilloma virus have been lauded. However, the resurgence of poliovirus type 2 highlights the need for sustained immunization, especially in vulnerable regions.

Cristian Munduate, the UNICEF country representative, called for more collaboration.

“We need to accelerate with polio, but we also need to accelerate in line with all these effects to link more routine immunization to reach those children,” Munduate said. “To work and strengthen primary health care, we are very committed to at least having one primary health care [worker] fully equipped per ward.”

Muhammadu Sa’ad Abubakar, the sultan of Sokoto, representing northern traditional rulers, reaffirmed their commitment to supporting vaccination efforts while thanking stakeholders.

“We are more concerned in the welfare of our people, so whoever is going to help us to help our people is part and parcel of us and is always welcomed,” Abubakar said.

Despite progress, the resurgence of poliovirus type 2 remains a serious threat. The Abuja meeting concluded with calls for stronger efforts, better surveillance, and continued collaboration between traditional leaders and health officials to ensure eradication.
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For more than a century, dams have blocked fish migration on California’s second-largest river. VOA’s Matt Dibble takes us to the removal of the last of four dams, a victory for Native Americans who depend on the river.
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Despite global efforts to stop the practice of female genital mutilation, the harmful tradition continues to affect the lives and health of millions of women and girls in Somalia. Reporter Najib Ahmed has this story from the capital, Mogadishu, narrated by Anthony LaBruto. (Camera and Produced by: Abdulkadir Zuber)
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Kinshasa, Congo — The first delivery of almost 100,000 doses of mpox vaccines will arrive in the Democratic Republic of Congo on Thursday, the African Union’s health watchdog said.

The vast central Africa country of around 100 million people is at the epicenter of the mpox outbreak, with cases and deaths rising.

“We are very pleased with the arrival of this first batch of vaccines in the DRC,” Jean Kaseya, head of the Africa Centers for Disease Control and Prevention, told AFP, adding that more than 99,000 doses were expected.

More than 17,500 cases and 629 deaths have been reported in the country since the start of the year, according to the World Health Organization (WHO).

The vaccine doses will be transported onboard an airplane leaving the Danish capital Copenhagen on Wednesday evening and are due to arrive at Kinshasa’s international airport on Thursday at 1100 GMT.

 ‘Health war’

The Congolese National Institute of Public Health, which is in charge of managing the country’s mpox response, indicated that it was still waiting for details on the origin of the vaccines contained in the first delivery.

“Kinshasa is still waiting for documents from the Africa CDC that will provide information on these doses,” the institute’s director Dieudonne Mwamba Kazadi told AFP.

“We are in a health war against mpox. To face this disease, we need you,” Health Minister Samuel-Roger Kamba said on X on Tuesday.

In Africa, mpox is now present in at least 13 countries, including Burundi, Congo-Brazzaville and the Central African Republic, according to figures from the Africa CDC dated August 27.

On Wednesday, Guinea said it had recorded its first confirmed case of the disease, convening an emergency meeting in response.

A health official speaking on condition of anonymity told AFP that the case was discovered in a sub-prefecture close to the Liberian border.

Outside the continent, the virus has also been detected in Sweden, Pakistan and the Philippines.

The WHO said last week that the first vaccine doses would arrive in the DRC in the following days, with other deliveries to follow.

The WHO said at the end of August that around 230,000 MVA-BN vaccine doses produced by Danish drugmaker Bavarian Nordic were “imminently available to be dispatched to affected regions.”

Other countries have also promised to send vaccine doses to African nations.

Spain has promised 500,000 doses, with France and Germany each pledging 100,000.

The WHO declared an international emergency over mpox on August 14, concerned by the surge in cases of the new Clade 1b strain in the DRC that spread to nearby countries.

Both the Clade 1b and Clade 1a strains are present in the DRC.

The WHO’s Africa bureau said at the end of last month that 10,000 vaccine doses would be delivered to Nigeria — Bavarian Nordic vaccines donated by the United States.

This was the first African country to receive doses outside of clinical trials.

Formerly called monkeypox, the virus was discovered in 1958 in Denmark, in monkeys kept for research.

It was first discovered in humans in 1970 in what is now the DRC.

Mpox is caused by a virus transmitted to humans by infected animals but can also be passed from human to human through close physical contact.

The disease causes fever, muscular aches and large boil-like skin lesions.
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CAPE CANAVERAL, Florida — Boeing will attempt to return its problem-plagued capsule from the International Space Station later this week — with empty seats.

NASA said Wednesday that everything is on track for the Starliner capsule to undock from the space station Friday evening. The fully automated capsule will aim for a touchdown in New Mexico’s White Sands Missile Range six hours later.

NASA’s two stuck astronauts, who flew up on Starliner, will remain behind at the orbiting lab. They’ll ride home with SpaceX in February, eight months after launching on what should have been a weeklong test flight. Thruster trouble and helium leaks kept delaying their return until NASA decided that it was too risky for them to accompany Starliner back as originally planned.

“It’s been a journey to get here, and we’re excited to have Starliner return,” said NASA’s commercial crew program manager Steve Stich.

NASA’s Butch Wilmore and Suni Williams will close the hatches between Starliner and the space station on Thursday. They are now considered full-time station crew members along with the seven others on board, helping with experiments and maintenance, and ramping up their exercise to keep their bones and muscles strong during their prolonged exposure to weightlessness.

To make room for them on SpaceX’s next taxi flight, the Dragon capsule will launch with two astronauts instead of the usual four. Two were cut late last week from the six-month expedition, which is due to blast off in late September. Boeing must vacate the parking place for SpaceX’s arrival.

Boeing encountered serious flaws with Starliner long before its June 5 liftoff on the long-delayed astronaut demo.

Starliner’s first test flight went so poorly in 2019 — the capsule never reached the space station because of software errors — that the mission was repeated three years later. More problems surfaced, resulting in even more delays and more than $1 billion in repairs.

The capsule had suffered multiple thruster failures and propulsion-system helium leaks by the time it pulled up at the space station after launch. Boeing conducted extensive thruster tests in space and on the ground, and contended the capsule could safely bring the astronauts back. But NASA disagreed, setting the complex ride swap in motion.

Starliner will make a faster, simpler getaway than planned, using springs to push away from the space station and then short thruster firings to gradually increase the distance. The original plan called for an hour of dallying near the station, mostly for picture-taking; that was cut to 20 or so minutes to reduce the stress on the capsule’s thrusters and keep the station safe.

Additional test firings of Starliner’s 28 thrusters are planned before the all-important descent from orbit. Engineers want to learn as much as they can since the thrusters won’t return to Earth; the section containing them will be ditched before the capsule reenters.

The stuck astronauts — retired Navy captains — have lived on the space station before and settled in just fine, according to NASA officials. Even though their mission focus has changed, “they’re just as dedicated for the success of human spaceflight going forward,” flight director Anthony Vareha said.

Their blue Boeing spacesuits will return with the capsule, along with some old station equipment.

NASA hired Boeing and SpaceX a decade ago to ferry its astronauts to and from the space station after its shuttles retired. SpaceX accomplished the feat in 2020 and has since launched nine crews for NASA and four for private customers.
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