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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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Wasilla, south central Alaska. Home to bears, lakes, mountains and a flight school that’s fast becoming a private aviation wonderland.
At FLY8MA Pilot Lodge, you can opt for a scenic flight tour with glacier views, take the controls for a flying lesson, or go all in and get your pilot training.
When night falls over the broad vistas of the US state they call the Last Frontier, you can then climb the steps to two unique accommodation experiences: a converted McDonnell Douglas DC-6 airplane and the newest arrival, a McDonnell Douglas DC-9 – still with its DHL livery.
The fast-developing site is an ongoing project by FLY8MA founder Jon Kotwicki, who previously owned a flight school in Florida, before working as a commercial pilot and eventually ending up in Alaska.
Flying for the airlines “pays good money and everything, but it’s a very boring job,” he says. “Driving Uber is more interesting because you could talk to your passengers.”
Having fallen in love with the south central region on a vacation spent hiking, fishing and spotting bears and grizzlies, he chose it as a spot where he and his team – and his trusty Pomeranian dog Foxtrot – could “buy a lot of property and perhaps develop our own airport and run our own show.”
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