ebola

MPox in Africa

 LINK

, presently, there are 20,000 suspected Clade I/Clade II mpox cases, including 5,000 confirmed cases and 194 deaths, which have been reported across 15 African countries. The Democratic Republic of Congo accounts for most confirmed and suspected cases. The outbreak has been most severe in children under 15 years old due to low immunity and malnutrition, with mortality rates reaching up to 10% in this group.

sleeping sickness in Zambesi area

 CDC report.

T.b. rhodesiense is endemic in 13 countries.† Since 2011, reported rhodesiense HAT cases have been steadily declining, with only 24 cases reported in 2023...

Between this patient’s presentation in August 2024 and January 2025 three additional cases of rhodesiense HAT were reported to WHO in persons from nonendemic countries who were bitten by a tsetse fly while traveling in the Zambezi Valley.

The Zambezi Valley spans northern Zimbabwe and southern Zambia, where epidemiologic conditions are similar, and the parasite is endemic. These four cases are the first Zambezi Valley–associated cases reported since 2019, although Zambia has experienced human cases in other areas during this period....

BMC 2021 

In the 1980s and 1990s, great strides were taken towards the elimination of tsetse and animal African trypanosomiasis (AAT) in Zimbabwe. However, advances in recent years have been limited. Previously freed areas have been at risk of reinvasion, and the disease in tsetse-infested areas remains a constraint to food security. article

The patterns of tsetse and AAT distributions in Zimbabwe are shaped by a combination of bioclimatic factors, historical events such as the rinderpest epizootic at the turn of the twentieth century

the rinderpest killed a lot of the wild animals so the flies had nothing to bite; the white settlers kept the wild population down by hunting, and when I lived in Zimbabwe,  there was a fenced off zone to keep animals and flies from migrating south from the Zambesi area, and extensive spraying to control flies was done. PDF.

and extensive and sustained tsetse control that is aimed at progressively eliminating tsetse and trypanosomiasis from the entire country. 

The comprehensive dataset assembled in the atlas will improve the spatial targeting of surveillance and control activities. It will also represent a valuable tool for research, by enabling large-scale geo-spatial analyses....

The tsetse-infested area in Zimbabwe is currently estimated at 30,000 km2, which corresponds to 17% of the 180,000 km2 ecologically suitable area originally infested by tsetse [10]. In particular, tsetse distribution in Zimbabwe has always been restricted to the north, northwest, northeast and southeast of the country with the central highveld being ecologically unsuitable for the fly.

fake cows that smell like cows and attract the flies are one means of control....2001 article BMJ...

the cows were introduced into Zimbabwe in the mid-1980s, when thousands of cattle were infected with nagana, a disease equivalent to sleeping sickness in cattle. Cases of nagana in the country plummeted to almost zero and have remained at this low level for the past five years. A total of 60000 cows are now in use in Zimbabwe...

TED talk about genetically altering cattle to stop the disease

MPox

Fear grips east DR Congo as displaced await mpox vaccine https://t.co/npVsWLni6y

— Inquirer (@inquirerdotnet) August 18, 2024

NIgeria: Cholera

maybe because the infrastructure for drinking water is lacking

this is from 3 years ago:

and this is from 9 years ago:

the movement of population from villages to the city outstrips the ability to provide services such as water.

a restricted article on the background:

Even if people can afford to pay the bills, the provision of urban services by state actors (or commissioned firms) is erratic and often not available. The daily infrastructure provision remains the responsibility of individuals and groups, mostly organised in complex yet fragile and changing networks. Drawing from the research on the existing, largely informal water supply in slum communities, this article argues for the recognition and pro-active implementation of hybrid approaches in the planning, implementation and administration of urban infrastructure. It calls for co-production and ‘hybrid water governance’.

here is another recent article:

the more recent articles blame global warming of course, but what is not mentioned: Corruption. How bad is corruption? So bad that it has a wikipedia page about it.Nigeria ranked 145th among the 180 countries in the Index, where the country ranked first is perceived to have the most honest public sector.

2021 BBC article.

Replacing aging infrastructure is often low priority even in the USA, but when aid money is easily diverted or shoddy work on the infrastructure is done, the result is disease. I cannot prove how much this contributes to the cholera epidemic, but in Harare and even parts of the Philippines, it was a major cause of cholera.

Saving Africans: Stopping HIV

Ebola seems to be under control

StrategyPage has a long essay about the various tribal wars in Central Africa/DRC area, and how a Russian mercenary group is looting gold and diamonds to sell via the UAE. 

 But they do have this good news in their report:

November 30, 2022: In western Uganda, the Ebola outbreak that began in September has seen a decline in cases because of rapid medical response. Reported cases have declined but despite that decline, Uganda has closed schools nation-wide in an attempt to curb the spread of the Ebola virus. In November eight children died from Ebola in Uganda. The spread of Ebola to neighboring Congo seems to have been halted.....

Andrew Wefwafa had a series of videos about this

 

.....this was caused by the Sudan variation of the virus, and the problem is that the vaccine that helped stop the previous epidemics in central Africa were for a different strain. 

Just recently, a new experimental vaccine for this Ebola strain has been sent there. LINK The doses are from the Sabin Vaccine Institute (SVI), according to Reuters. The SVI vaccine is a modified chimpanzee adenovirus (ChAd3) vector vaccine.

note: The adenovirus vector is what was used in the british AZ vaccine for covid, and for previous Ebola vaccines .

Health officials had earlier cleared plans to study three candidate Ebola Sudan vaccines. The others are from Merck and Oxford University. 

In the middle of November, a WHO working group recommended that ring vaccine trials prioritize the Merck candidate first, owing to the safety and efficacy of the VSV-EBOV platform used for the Zaire Ebola vaccine, followed by the SVI vaccine, then the Oxford vaccine. A sharp decline in Uganda's Ebola cases presents an obstacle to ring vaccination trials. essentially the disease was stopped by isolation etc. so we will not be able to prove the vaccine works. /sarcasm.

WHO Report.

The ring procedure is to isolate the cases, and vaccinate the ones in contact, then vaccinate the ones who were in contact with the contacts, etc.

.......

Terrorism continues, China steals, but Ebola is over in Central Africa

 summary of what's going on in the Congo (DRC) and in Central Africa at StrategyPage.

Longer report on the end of Ebola outbreak that started in April this year LINK

Different public health response measures were put in place, including community-based surveillance trainings for rapid response teams; Infection Prevention and Control (IPC) interventions in health care facilities and the community, psycho-social support, and risk communication and community engagement. A total 11,139 (alive) and 161 (deaths) alerts were investigated; 1,076 contacts were identified and followed; 909 laboratory samples (805 blood and 104 swab) were tested and 2,037 persons vaccinated (301 contacts vaccines, 1301 contacts of contacts and 435 Health care workers).

covid information: Ivermectin use in Zimbabwe

 

.....

in the west, it is the sick, elderly, and those with chronic illness such as diabetes or renal failure who are dying.

But in Africa, those HIV positive are at risk.

CDC report from Zambia.

The effect of HIV infection on COVID-19 outcomes is unclear. Studies in South Africa (1) and the United Kingdom (2) found an independent association between HIV infection and COVID-19 mortality; however, other studies have not found an association between poor COVID-19 outcomes and either HIV status among hospitalized patients (3–5) or HIV-associated factors such as CD4 count, viral load, or type of antiretroviral therapy (ART) (6). The effect of HIV infection on COVID-19 outcomes remains an urgent question in sub-Saharan Africa, where many countries are experiencing dual HIV and COVID-19 epidemics, and capacity to treat severe COVID-19 is limited. ... those with severe HIV disease were more likely to develop severe COVID-19 or to die of COVID-19 compared with those with controlled HIV disease.

translation: If you have severe HIV, you are at higher risk. 
If your HIV is under control (e.g. by taking treatment) your risk is normal.

the big problem is keeping HIV positive people taking their anti HIV medicine during the pandemic. 

Sttarting the covid shots

 Reuters article says that Zimbabwe is getting the vaccine from China India, and Russia

the chinese vaccine gives 50 percent protection but China is giving it to a lot of poor countries to push their image of the savior country.

Ironically, the Russian Sputnik vaccine works: It is based on the old fashioned adenovirus type vaccine and reviewed in the British medical literature as being 90 percent effective.

the Indian vaccine is less tested and relies on the old fashioned technology of using an inactivated virus. more info on it's Wikipedia page.

the article says that less than 2000 people have died from Covid, which is a low number given the many other diseases there killing people, for example a large HIV positive population.

Alas, I haven't heard from my friend there in two years: And she never picked up the last two wire money I sent her, so I can't get a first hand report on what is going on.