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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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They’ve sailed across Southeast Asia for centuries. Now, these sea nomads are being forced to live on land
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Bilkuin Jimi Salih doesn’t remember how old he was when he learned to dive, only, that all the men in his family can do it.

It might have been his grandfather who taught him, or his father, or even an uncle or cousin. He recalls swimming dozens of feet underwater among the reefs, collecting spider conches, abalone and sea cucumbers to sell at the local fish market.

“One of our specialties is that, because we live on the sea and we’re always in the sea, we can dive in the water for a long time,” says Salih, via a translator. “We learn by observing, and from there, we develop our own technique.”

To most people, Salih’s free diving skills are highly unusual; but not to his community. Salih is Bajau Laut, an indigenous seafaring group in Southeast Asia that has lived a semi-nomadic lifestyle on the ocean for centuries. Living on boats and fishing for income and sustenance, the Bajau Laut aren’t just reliant on the sea: they’re biologically adapted to it, with larger spleens that give them the ability to hold their breath for far longer than the average person.

“We’re very comfortable in the water,” says Salih. The 20-year-old was born on board a lepa, a type of houseboat, on the shore of Omadal Island, off the coast of Semporna in Malaysian Borneo.

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