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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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Two strangers got stuck on a train for two days in 1990. Here’s how they ended up married
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Nina Andersson and her friend Loa hoped they’d have the train carriage to themselves.

When Nina peered her head around the door and saw the compartment was entry, she grinned at Loa and gestured happily.

It seemed like they’d lucked out. An empty carriage on an otherwise packed train.

“We thought this would be great, just the two of us. We spread out everything, so we could have a couch each to lie on,” Nina tells CNN Travel today.

“Then, all of a sudden we hear this big ‘thump, thump, thump,’ on the door.”

It was summer 1990 and 20-year-old Nina was in the midst of traveling from Budapest, Hungary, to Athens, Greece — part of a month-long rail adventure with her friend Loa.

The two friends had each bought a train ticket known as the Interrail or Eurail pass, allowing young travelers a period of unlimited rail travel around Europe.

“I’m Swedish, I was working at Swedish Radio at the time, and had saved up money for going on my Interrail,” says Nina. “I wanted to see all of Europe.”

Traveling by train from Budapest to Athens was set to take about four days, weaving south through eastern Europe. In Belgrade — which was then part of the former Yugoslavia, but is now the capital of Serbia — the passengers had to switch trains.

And that’s when Nina and Loa grabbed the empty compartment for themselves and settled in, ready to enjoy the extra space. Then, the knocking at the door.

The two friends met each other’s eyes. They both knew, in that moment, that their solitude was to be short-lived.

“And then behind the door we see three heads poking in,” recalls Nina. “It was a Scotsman, an Englishman and an Irishman. It was like the start of a joke. And I thought, ‘What is this?’”

The three men were friendly, apologetic, slightly out of breath. They explained they’d fallen asleep on their last train, and almost missed this one — in fact, this train had started rolling out of the station but suddenly slowed down. The three stragglers had managed to hop on as the train ground to a halt.

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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Bonding on a stalled train
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In 1990, Derek Barclay was 21 and studying to become a construction engineer. He’d saved up money from an unglamorous summer job building a prison to buy an Interrail pass.

“Then, I dumped my bag at my mum’s house and said, ‘I’m off to Europe.’ She was horrified,” Derek tells CNN Travel today.

“The idea was to go from Casablanca to Istanbul. But I never went to either. Along the way I met Nina and I got distracted …”

While Nina and Derek formally met for the first time on the stalled train in Belgrade, Derek had first spotted Nina on a busy station platform, some hours earlier, in Budapest.

When he spotted her sitting on a bench, smiling and laughing with Loa, Derek was struck by Nina right away. For a moment, he imagined getting to know her, what she might be like. Where she might be from, where she might be going.

But then Derek had ended up on a different train. He’d met and got chatting to Steve the Englishman and Paul the Irishman. The trio had shared a couple of beers, fallen asleep, and woken, with a start, in Belgrade, to a suddenly-empty carriage. That’s when they panicked.

“We woke up, and just ran down the railway line — because we’re just about to miss this train to Athens — we jumped on the train as it was pulling away, and then it stopped,” Derek tells CNN Travel today. “Apparently that’s what they had to do to get the strike official.”

When Derek, Steve and Paul opened the door to Nina’s carriage, Derek didn’t immediately take Nina in, focusing instead on the near-empty compartment.

“Two of them in there, this carriage for eight, they’d spread stuff everywhere. It was obvious it was a ruse to try and get people not to go in. And we thought, ‘We’re not having any of that,’” says Derek, laughing. “So we squeezed in, and that was that.”

It was only when he ended up sitting opposite Nina that Derek realized she was the woman he’d noticed on the Budapest train platform.

Then they got chatting, and didn’t stop. They talked about a shared love of nature. About Derek being a member of Greenpeace. About Sweden and Scotland.

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