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First case of more dangerous mpox found outside Africa
Sweden’s public health agency has recorded what it says is the first case of a more dangerous type of mpox outside the African continent.
The person became infected during a stay in an area of Africa where there is currently a major outbreak of mpox Clade 1, the agency said.
The news comes just hours after the World Health Organization (WHO) declared that the outbreak of mpox in parts of Africa was now a public health emergency of international concern.
At least 450 people died during an initial outbreak in the Democratic Republic of Congo and the disease has since spread to areas of Central and East Africa.
According to Olivia Wigzell, the acting head of the Swedish public health agency, the infected person had sought care in the Stockholm area and the fact that they were receiving treatment in Sweden did not mean there was a risk to the broader population.
“The affected person has also been infected during a stay in an area of Africa where there is a large outbreak of mpox Clade 1,” she told a news conference.
Mpox, which was previously known as monkeypox, is transmitted through close contact, such as sex, skin-to-skin contact and talking or breathing close to another person. It causes flu-like symptoms, skin lesions and can be fatal, with four in 100 cases leading to death. It is most common in the tropical rainforests of West and Central Africa and there are thousands of infections every year.
There are currently a number of outbreaks of mpox that are taking place simultaneously and they are partly fuelled by the newer and more serious type of Clade 1b, identified in September last year.
There are two types of Clade 1 and the Swedish case has been identified as Clade 1b. Since mpox Clade 1b was first witnessed in Democratic Republic of Congo there have been confirmed cases in Burundi, Kenya and Rwanda, before the new case identified in Sweden.
While Clade 2 did cause a public health emergency in 2022, it was relatively mild and some 300 cases have already been identified in Sweden.
WHO/Europe said it was actively engaging with Sweden’s health authorities on “how best to manage the first confirmed case of mpox Clade 1b”.
It urged other countries to act quickly and transparently like Sweden, as there were likely to be further “imported cases of Clade 1 in the European region over the coming days and weeks”.
The Swedish public health agency said the more dangerous outbreak was likely to be linked to a higher rise of a more severe course of disease and higher mortality.
Dr Jonas Albarnaz, who specialises in pox viruses at the Pirbright Institute, said the first case outside of Africa was concerning as it meant the spread “might be larger than we knew yesterday”.
Dr Brian Ferguson, Associate Professor of Immunology at the University of Cambridge agreed it was “clearly a concerning development” but unsurprising given the severity and spread of the outbreak in Africa.
The WHO hopes its latest declaration, that mpox is a public health emergency of international concern, will trigger greater support to the areas most affected.
Vaccines are available, for those at greatest risk or who have been in close contact with an infected person, but many experts worry there are not enough jabs or funding to get them to the people who need them most.
The mortality rate from the Clade 1b variant in Sweden will not be as high as that seen in parts of Africa, because of the high quality of healthcare in Europe.
However, Dr Ferguson said there would likely be further cases in Europe and other parts of the world “as there are currently no mechanisms in place to stop imported cases of mpox happening”.
The European Centre for Disease Prevention and Control said symptoms usually appeared 6-13 days after infection, through fevers and headaches, rashes or sores and muscle ache.
Most people experienced mild to moderate symptoms followed by a full recovery, but immuno-compromised individuals were at greater risk.
While news of the first case outside Africa may cause alarm, it was to be expected.
As other disease outbreaks have shown, swift international action can help stop the disease spreading further.
[BBC]
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Iyer to lead in last two New Zealand ODIs, Kushagra earns maiden call-up
Squad for the first three ODIs: Shubman Gill [C], Rohit Sharma, Virat Kohli, Shreyas Iyer [VC], KL Rahul [WK], Nitish Kumar Reddy, Axar Patel, Naman Dhir, Anshul Kamboj, Gurnoor Brar, Ruturaj Gaikwad, Arshdeep Singh, Ishan Kishan [WK], Mohammed Siraj, Prasidh Krishna*, Kuldeep Yadav
Squad for fourth and fifth ODIs: Shreyas Iyer [C], Rohit Sharma, Virat Kohli, Tilak Varma, Ishan Kishan [WK, VC], Nitish Kumar Reddy, Axar Patel, Naman Dhir, Auqib Nabi, Gurnoor Brar, Ruturaj Gaikwad, Arshdeep Singh, Kumar Kushagra [WK], Mohammed Siraj, Yash Thakur, Kuldeep Yadav
[Cricbuzz]
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Pope pictured for first time since surgery and cancer diagnosis
Pope Leo XIV has been pictured celebrating Mass from hospital, in the first images of him released by the Vatican since he underwent lung surgery.
The 71-year-old pontiff was diagnosed with lung cancer after the surgery at Rome’s Gemelli Hospital on Tuesday afternoon, which the Vatican said had been “successful” and proceeded without complications.
The images shared on Friday showed the Chicago-born Pope wearing a green robe while standing behind a makeshift altar on the tenth floor of the hospital.
Pope Leo “celebrated with the medical and nursing staff” and thanked workers for their service, the Vatican press office said.
On Friday, the Pope’s doctors said tests had shown “a steady improvement in his general condition” since his procedure.
His doctors said that a chest X-ray indicated “good recovery of the operated lung”.
The whole lower lobe of the Pope’s right lung was removed “to ensure the procedure was radical”, the Vatican said following the surgery.
“After the operation, the Pope awoke normally and returned after a brief period of observation to his room,” it said earlier, before he spent a “peaceful night” at the hospital.

Pope Leo first announced that he would be having the operation during his weekly Sunday prayers, telling the crowd in St Peter’s Square that doctors had found a “well-contained” nodule on his lung “at an early stage” and advised him to have it removed.
Nodules are quite common and not necessarily cancerous, but after it was examined the medical team confirmed it was, “as suspected by pre-operative tests”, the Vatican said. He was diagnosed with lung adenocarcinoma.
The Vatican has stressed that the Pope had shown no symptoms of infection or illness prior to the procedure.
[BBC]
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Qatar announces ‘massive’ solar plant project in Lebanon
Qatar’s prime minister has announced plans to set up what he described as a “massive” solar plant in Lebanon to help ease its energy crisis.
Sheikh Mohammed bin Abdulrahman bin Jassim Al Thani made the announcement during his visit to Beirut on Friday, after meeting his Lebanese counterpart, Nawaf Salam.
“We have agreed to establish a comprehensive framework for cooperation in the energy sector and to present viable solutions,” Sheikh Mohammed said.
QatarEnergy has reached an agreement with French company TotalEnergies to jointly develop a solar power plant in Lebanon as an initial project.
The aim is to develop a major investment project “that would benefit the Lebanese economy, as well as the Qatari companies and entities participating in it”, he added.
Prime Minister Salam said he would put the plans for Lebanon’s electricity sector to the Lebanese Cabinet soon.
“The Qatari side will fund, implement and activate the project without any cost on the Lebanese state,” Lebanon’s leader said, adding that such a move is important because of the country’s financial crisis.
Lebanon’s state electricity company is one of the biggest sources of debt, haemorrhaging about $40bn over past decades with a bloated workforce and outdated infrastructure. The company provides only a few hours of electricity a day and the state, until a year ago, took advances from the Central Bank when diesel fuel ran out.
Sheikh Mohammed said Doha stands in “solidarity with the Lebanese people” and the entire region “in this dire hour”. Lebanon has been struggling with multiple energy crises in recent years and the situation has been compounded by the country’s financial collapse and Israel’s ongoing assault.
Earlier in the day, the Qatari PM also met Lebanon’s president and parliament speaker.
Among the topics discussed was the situation in southern Lebanon, where Israel continues its assault, capturing dozens of towns and villages.
Sheikh Mohammed said “Israeli violations within the Lebanese territories” were a large part of his talks.
He said that Israel should withdraw from Lebanon and cease its attacks, adding that Qatar is working in coordination with the United States to help lay the groundwork for future reconstruction in southern Lebanon to allow displaced people to return to their homes.
Israeli attacks on southern Lebanon have continued despite a ceasefire agreed in June. Under the agreement brokered by the US, the Lebanese government is to disarm Iran-backed Hezbollah. In return, Israeli forces will gradually withdraw from southern areas that they occupy. However, Hezbollah is not part of the agreement and has refused to disarm until Israel withdraws from the country.
Lebanese authorities say Israeli attacks have killed more than 4,300 people in the country since March. About 1.2 million people were also displaced in Lebanon at the height of the war.
Although most have returned home since the June ceasefire, more than 300,000 people remain displaced, according to the International Organization for Migration.
Lebanon’s PM Salam thanked Qatar for its “continuous” support during some of Lebanon’s “darkest hours”.
[A;jazeera]
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