LONDON, June 26 (Reuters) - Authorities in the
Democratic of Congo have approved the use of two mpox vaccines
to try to tackle an upsurge in cases and a dangerous new strain
spreading in the country.
Congo has seen 20,000 cases and more than 1,000 deaths from
mpox, mainly among children, since the start of last year.
The disease is a viral infection that spreads through close
contact, causing flu-like symptoms and pus-filled lesions. Most
cases are mild but it can kill.
This week, the World Health Organization (WHO) and
scientists warned of a new, more deadly strain spreading in
Congo's South Kivu province.
The regulator has issued an emergency use authorisation for
both Bavarian Nordic's ( BVNKF ) shot, Jynneos, and LC16, made by KM
Biologics, according to documents and sources involved in the
process.
Congo, one of the poorest countries in the world, saw the
first human mpox case in 1970, but has never had access to
vaccines or treatments to tackle the disease outside clinical
trials.
Both tools were widely available in European countries and
the United States in 2022 when an outbreak of a less severe
strain of mpox spread globally.
In the latest outbreak in Congo, national and international
regulatory barriers, a lack of funding, competing disease
outbreaks and stigma have held back the response.
The chief executive of Gavi, the Vaccine Alliance, Sania
Nishtar, told Reuters last week that her organisation was ready
to use COVID-19 era protocols to facilitate donations of the
vaccines from the United States and Japan once an approval was
in place. A spokesperson for Bavarian Nordic ( BVNKF ) on Wednesday
confirmed the approval in Congo.
Although the Congo authorities have approved the vaccines,
Gavi, which funds the purchase of vaccines for low-income
countries that are unable to do so alone, cannot buy them
without them being "pre-qualified" by the World Health
Organization, a form of approval.
In the absence of the approval, Gavi is reliant on donated
vaccines.
A WHO spokesperson said the agency is working with the
vaccine manufacturers on an approval process. He urged countries
to proceed with their own approvals as well as providing the WHO
with more data to move the process forward.
Other challenges to tackling Congo's outbreak include stigma
around the disease, which spreads through close contact,
including sexual contact.
Funding is also an issue, Cris Kacita, who leads mpox
operations nationally in Congo, told Reuters.
He said $84 million is needed to respond in the provinces
most at risk, but only $8 million has been raised.