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Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
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Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”



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‘I see the world around me in a brand-new way’: Dubai photographer reveals the UAE’s hidden wildlife
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In a country best known for its soaring skyscrapers, modern architecture and sprawling desert, wildlife isn’t always what comes to mind when people think of the United Arab Emirates (UAE). But Dubai-based photographer Anish Karingattil is determined to change that.

Originally from India, Karingattil moved to Dubai 17 years ago and began photographing wildlife shortly after, specializing in macro photography, using extreme close ups. Highlights of his stunning portfolio of images, taken across the seven Emirates, include a scorpion with her babies, an Arabian horned viper hiding in the desert sand, and two black and yellow mud daubers covered in dew drops.
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“Photographers get to tell a story through images,” Karingattil says. “Macro photography allows me to see life and the world around me in a brand-new way.”

Despite its hot climate and harsh desert, the UAE is home to over 1,000 plant and animal species. The waters around the country are home to the largest concentration of Indian Ocean humpbacks dolphin in the world, and the second-largest population of dugongs, after Australia.

With the UAE’s president recently extending the country’s “Year of Sustainability” into 2024, Karingattil uses wildlife photography as a method of capturing the country’s biodiversity and sharing it with others.

While interior design is his full-time job, “herping” is his passion. “Herping is the act of observing, studying, and photographing reptiles and amphibians in their natural habitats,” says Karingattil. “It is a popular hobby among nature enthusiasts and wildlife photographers who are fascinated by the diversity and beauty of these creatures.”

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