Congo finally begins mpox vaccinations in a drive to slow outbreaks

GOMA, Congo (AP) — Congolese authorities Saturday began vaccinations against mpox, nearly two months after the disease outbreak that spread from Congo to several African countries and beyond was declared a global emergency by the World Health Organization.

The 265,000 doses donated to Congo by the European Union and the U.S. were rolled out in the eastern city of Goma in North Kivu province, where hospitals and health workers have been overstretched, struggling to contain the new and possibly more infectious strain of mpox.

Congo, with about 30,000 suspected mpox cases and 859 deaths, accounts for more than 80% of all the cases and 99% of all the deaths reported in Africa this year. All of the Central African nation’s 26 provinces have recorded mpox cases.

Although most mpox infections and deaths recorded in Congo are in children under age 15, the doses being administered are only meant for adults and will be given to at-risk populations and front-line workers, Health Minister Roger Kamba said this week.

“Strategies have been put in place by the services in order to vaccinate all targeted personnel,” Muboyayi ChikayaI, the minister's chief of staff, said as he kicked off the vaccination.

At least 3 million doses of the vaccine approved for use in children are expected from Japan in the coming days, Kamba said.

Mpox, also known as monkeypox, had been spreading mostly undetected for years in Africa before the disease prompted the 2022 global outbreak that saw wealthy countries quickly respond with vaccines from their stockpiles while Africa received only a few doses despite pleas from its governments.

However, unlike the global outbreak in 2022 that was overwhelmingly focused in gay and bisexual men, mpox in Africa is now being spread via sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups, Dr. Dimie Ogoina, the chair of WHO’s mpox emergency committee, recently told reporters.

More than 34,000 suspected cases and 866 deaths from the virus have been recorded across 16 countries in Africa this year. That is a 200% increase compared to the same period last year, the Africa Centers for Disease Control and Prevention said.

But access to vaccines remains a challenge.

The continent of 1.4 billion people has only secured commitment for 5.9 million doses of mpox vaccines, expected to be available from October through December, Dr. Jean Kaseya, head of the Africa CDC, told reporters last week. Congo remains a priority, he said.

At the vaccination drive in Goma, Dr. Jean Bruno Ngenze, the WHO representative in the province, warned that North Kivu is at a risk of a major outbreak due to the “promiscuity observed in the camps” for displaced people, as one of the world's biggest humanitarian crisis caused by armed violence unfolds there.

The news of the vaccination program brought relief among many in Congo, especially in hospitals that had been struggling to manage the outbreak.

“If everyone could be vaccinated, it would be even better to stop the spread of the disease,” said Dr. Musole Mulambamunva Robert, the medical director of Kavumu Hospital, one of the mpox treatment centers in eastern Congo.

Eastern Congo has been beset by conflict for years, with more than 100 armed groups vying for a foothold in the mineral-rich area near the border with Rwanda. Some have been accused of carrying out mass killings.

Associated Press writers Jean-Yves Kamale in Kinshasa, Congo and Chinedu Asadu in Abuja, Nigeria contributed to this report.

The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org

A nurse holds a bottle of mpox vaccine at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

Health workers prepare to administer mpox vaccine to members of the public at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

A health worker is photographed during mpox vaccination, at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

Health workers are photographed during mpox vaccination at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

A nurse prepares to administer a vaccine against mpox, at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

A man receives a vaccination against mpox, at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

A man receives a vaccination against mpox, at the General hospital, in Goma, Democratic Republic of Congo Saturday, Oct. 5, 2024. (AP Photo/Moses Sawasawa)

LONDON (AP) — A car-ramming at a Christmas market in Germany, which police are treating as an attack, is the latest in a grim series of events in which vehicles have been used as deadly weapons.

There have been a spate of such attacks over the past decade, some committed by groups but most by individuals. The motives – where they could be established – have varied widely. Some were inspired by Islamic militant groups such as al-Qaida and ISIS, which encouraged followers to carry out low-cost, low-tech attacks with cars and trucks. Others have been linked to mental illness, far-right extremism and online misogyny.

What law-enforcement authorities term “vehicle as a weapon attacks” have reshaped cities around the world, as planners erect concrete barriers around public spaces and build anti-vehicle obstacles into new developments.

Here are some major vehicle attacks:

MAGDEBURG, Germany, Dec. 20. 2024 — At least five people are killed and more than 200 injured when a car slams into a Christmas market in eastern Germany. The suspect, who was arrested, is a 50-year-old doctor originally from Saudi Arabia who had expressed anti-Muslim views and support for the far-right AFD party.

ZHUHAI, China, Nov. 11, 2024 — A 62-year-old driver rams his car into people exercising at a sports complex in southern China, killing 35 people in the country’s deadliest mass slaying in years. Authorities said the perpetrator was upset about his divorce but offered few other details.

LONDON, Ontario, June 6, 2021 — Four members of a Muslim family die when an attacker hits them with a pickup truck while they are out for a walk, in what Canadian Prime Minister Justin Trudeau calls “a terrorist attack, motivated by hatred.” White nationalist attacker Nathaniel Veltman was sentenced to life in prison.

TORONTO, April 23, 2018 — A 25-year-old Canadian man, Alek Minassian, drives a rented van into mostly female pedestrians on Yonge St., the main thoroughfare in Toronto, killing 10 people and injuring 16. Minassian told police he belonged to the online “incel” community of sexually frustrated men.

NEW YORK, Oct. 31, 2017 — Sayfullo Saipov, an Islamic extremist from Uzbekistan, drives a pickup truck onto a popular New York City bike path, killing eight.

BARCELONA, Aug. 17, 2017 — A man driving a van slams into people on the Spanish city’s crowded Las Ramblas boulevard, killing 14 and injuring many others. Several members of the same cell carry out a similar vehicle attack in the nearby resort town of Cambrils before they are shot dead by police. The Islamic State group claimed responsibility.

CHARLOTTESVILLE, Virginia, Aug. 12, 2017 — During a “Unite the Right” rally, white supremacist James Alex Fields Jr. intentionally drives his car into a crowd of counter-protesters, killing one woman and injuring dozens of people.

LONDON: March 22, 2017 — British man Khalid Masood rams an SUV into people on Westminster Bridge, killing four, before stabbing to death a policeman guarding the Houses of Parliament nearby. He is shot dead. June 3, 2017 — three attackers drive a van at pedestrians on London Bridge before stabbing people in nearby Borough Market. Eight people are killed and the attackers shot dead by police. June 19, 2017 — Darren Osborne, a man radicalized by far-right ideas, drives a van at worshippers outside a mosque in London’s Finsbury Park area, killing one man and injuring 15 people.

MELBOURNE, Australia, Jan 20, 2017 – Six people are killed and more than 30 injured when a car hits lunchtime crowds at a pedestrian mall in Australia’s second-largest city. Perpetrator James Gargasoulas is found to have been in a state of drug-induced psychosis.

BERLIN, December 19, 2016 — Anis Amri, a rejected asylum-seeker from Tunisia, plows a hijacked truck into a Christmas market in the German capital, killing 13 people and injuring dozens. The attacker is killed days later in a shootout in Italy.

NICE, France, July 14, 2016 — Tunisian-born French resident Mohamed Lahouaiej-Bouhlel drives a rented truck for more than a mile (almost 2 kilometers) along a packed seaside promenade in the French Riviera resort on the Bastille Day holiday, killing 86 people in the deadliest attack of its kind.

APELDOORN, Netherlands, April 28, 2009 – Former security guard Karst Tates drives a car into parade spectators in an attempt to hit an open-topped bus carrying members of the Dutch royal family. Six people are killed and Tates dies of injuries the next day, leaving his full motive a mystery.

CHAPEL HILL, North Carolina, March 3, 2006 — University of North Carolina graduate Mohammed Taheri-Azar drives an SUV into a crowd at the university, lightly injuring nine people, in a self-professed bid to avenge Muslim deaths overseas.

FILE - Injured people are treated in Barcelona, Spain, Thursday, Aug. 17, 2017 after a white van jumped the sidewalk in the historic Las Ramblas district, crashing into a summer crowd of residents and tourists. (AP Photo/Oriol Duran, File)

FILE - In this April 23, 2018, file photo, police stand near a damaged van after a van mounted a sidewalk crashing into pedestrians in Toronto. (Aaron Vincent Elkaim/The Canadian Press via AP, File)

FILE - Forensic officers move the van at Finsbury Park in north London, where a vehicle struck pedestrians in north London Monday, June 19, 2017. (AP Photo/Frank Augstein, File)

FILE - In this Dec. 20, 2016 file photo the trailer of a truck stands beside destroyed Christmas market huts in Berlin, Germany. (AP Photo/Markus Schreiber, file)

FILE - In this July 14, 2016 file photo, authorities investigate a truck after it plowed through Bastille Day revelers in the French resort city of Nice, France, killing 86 people. (Sasha Goldsmith via AP, File)

FILE - In this Wednesday, March 22, 2017 file photo, police secure the area on the south side of Westminster Bridge close to the Houses of Parliament in London. (AP Photo/Matt Dunham, File)

FILE - People fly into the air as a vehicle drives into a group of protesters demonstrating against a white nationalist rally in Charlottesville, Va., Saturday, Aug. 12, 2017. (Ryan M. Kelly/The Daily Progress via AP, File)

FILE - In this Dec. 20, 2016 file photo Christmas decoration sticks in the smashed window of the cabin of a truck which ran into a crowded Christmas market Monday evening killing several people in Berlin, Germany. (AP Photo/Markus Schreiber, file)