June 2024

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Dakar, Senegal — Senegal said Monday it had implemented voluntary COVID-19 screening tests and reimposed the wearing of masks at Dakar’s international airport for returning pilgrims fearing the virus was linked to the deaths of some Mecca pilgrims.

Dakar suspects that a number of the some 1,300 deaths — according to a Saudi tally — are down to a respiratory syndrome ailment such as COVID-19, Health Minister Ibrahima Sy said on Sunday.

“Initially, we thought it was related to heatwaves because the temperature was excessively high, but we realized that there is a respiratory syndrome with the cases of death,” Sy said of the deaths during the hajj pilgrimage, which took place during intense heat.

“We told ourselves that, probably, there is a respiratory epidemic, and it was our duty to be able to monitor the pilgrims on their return by putting in place a screening system for everything COVID-19 related,” said Sy in remarks carried by Senegalese broadcasters.

The health ministry said it had “strengthened the health surveillance system” by deploying a team at the airport to provide voluntary screening tests and identify pilgrims suffering from flu-like illnesses.

The ministry also urged the population “to be vigilant, to show restraint and to be more serene to avoid an epidemic.”

Out of 124 rapid diagnostic tests, 78 proved positive for the COVID-19 virus, 36 of which were later confirmed by PCR tests, the ministry said.

Charles Bernard Sagna, chief medical officer for the airport, said the alert was raised when the Senegalese medical team based in Jeddah had reported “a significant number” of passengers with respiratory problems.

“There is no cause for alarm but there also has to be prevention,” the ministry said Sunday.

Senegalese daily L’Observateur reported that five of the dead at the hajj were Senegalese nationals.

They were among an around 12,000-strong officially registered Senegalese contingent.

Saudi Arabia’s official SPA news agency earlier reported 1,301 deaths at the annual hajj pilgrimage to Mecca, where temperatures climbed as high as 51.8 degrees Celsius (125 degrees Fahrenheit), according to the country’s national meteorological center.

More than 80 percent of pilgrims attending mainly outdoor rituals were “unauthorized” and walked long distances in direct sunlight, according to SPA.

The hajj is one of the five pillars of Islam that all Muslims with the means must complete at least once in their lives.

Saudi officials have said 1.8 million pilgrims took part this year, a similar number to last year, and that 1.6 million came from abroad.
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Cairo — More than 1,000 people died during this year’s Hajj pilgrimage in Saudi Arabia as the faithful faced extreme high temperatures at Islamic holy sites in the desert kingdom, officials said Sunday. 

More than half of the fatalities were people from Egypt, according to two officials in Cairo. Egypt revoked the licenses of 16 travel agencies that helped unauthorized pilgrims travel to Saudi Arabia, authorities said. 

Saudi Arabia has not commented on the deaths during the pilgrimage, which is required of every able Muslim once in their life. 

The Egyptian government announced the death of 31 authorized pilgrims due to chronic diseases during this year’s Hajj, but didn’t offer an official tally for other pilgrims. 

However, a Cabinet official said that at least 630 other Egyptians died during the pilgrimage, with most reported at the Emergency Complex in Mecca’s Al-Muaisem neighborhood. Confirming the tally, an Egyptian diplomat said most of the dead have been buried in Saudi Arabia. 

The officials spoke on condition of anonymity because they were not authorized to brief journalists. 

Saudi authorities cracked down on unauthorized pilgrims, expelling tens of thousands of people. But many, mostly Egyptians, managed to reach holy sites in and around Mecca, some on foot. Unlike authorized pilgrims, they had no hotels to escape from the scorching heat. 

In its statement, the government said the 16 travel agencies failed to provide adequate services for pilgrims. It said these agencies illegally facilitated the travel of pilgrims to Saudi Arabia using visas that don’t allow holders to travel to Mecca. 

The government also said officials from the companies have been referred to the public prosecutor for investigations. 

The fatalities also included 165 pilgrims from Indonesia, 98 from India and dozens more from Jordan, Tunisia, Morocco, Algeria and Malaysia, according to an Associated Press tally. Two U.S. pilgrims were also reported dead. 

The AP could not independently confirm the causes of death, but some countries like Jordan and Tunisia blamed the soaring heat. 

Associated Press journalists saw pilgrims fainting from the scorching heat during the Hajj, especially on the second and third days. Some vomited and collapsed. 

Deaths are not uncommon at the Hajj, which has seen at times over 2 million people travel to Saudi Arabia for a five-day pilgrimage. The pilgrimage’s history has also seen deadly stampedes and epidemics. 

But this year’s tally was unusually high, suggesting exceptional circumstances. 

A 2015 stampede in Mina during the Hajj killed over 2,400 pilgrims, the deadliest incident ever to strike the pilgrimage, according to an AP count. Saudi Arabia has never acknowledged the full toll of the stampede. A separate crane collapse at Mecca’s Grand Mosque earlier the same year killed 111. 

The second-deadliest incident at the Hajj was a 1990 stampede that killed 1,426 people. 

During this year’s Hajj period, daily high temperatures ranged between 46 degrees Celsius (117 degrees Fahrenheit) and 49 degrees Celsius (120 degrees Fahrenheit) in Mecca and sacred sites in and around the city, according to the Saudi National Center for Meteorology. Some people fainted while trying to perform the symbolic stoning of the devil. 

The Hajj, one of the five pillars of Islam, is one of the world’s largest religious gatherings. More than 1.83 million Muslims performed the Hajj in 2024, including more than 1.6 million from 22 countries, and around 222,000 Saudi citizens and residents, according to the Saudi Hajj authorities. 

Saudi Arabia has spent billions of dollars on crowd control and safety measures for those attending the annual five-day pilgrimage, but the sheer number of participants makes ensuring their safety difficult. 

Climate change could make the risk even greater. A 2019 study by experts at the Massachusetts Institute of Technology found that even if the world succeeds in mitigating the worst effects of climate change, the Hajj would be held in temperatures exceeding an “extreme danger threshold” from 2047 to 2052, and from 2079 to 2086. 

Islam follows a lunar calendar, so the Hajj comes around 11 days earlier each year. By 2029, the Hajj will occur in April, and for several years after that it will fall in the winter, when temperatures are milder. 
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BUSHBUCKRIDGE, South Africa — The walls of Shadrack Mashabane’s hut in the rural South African town of Bushbuckridge are covered with traditional fabrics, with a small window the only source of light. What stands out among the herbs and medicines in glass bottles is a white box containing an HIV testing kit.

Mashabane is one of at least 15 traditional healers in the town who, in a pilot study, have been trained by University of Witwatersrand researchers to conduct HIV testing and counseling in an effort to ensure as many South Africans as possible know their status.

It’s part of the largest known effort in the country to involve traditional healers in a public health goal and study the results. Later this year, at least 325 other healers will undergo the training and become certified HIV counselors. Researchers will compare rates of HIV testing by healers and clinics.

Most traditional healers were already knowledgeable about HIV — some from personal experience — and were eager to get involved, researchers said.

South Africa has one of the highest rates of HIV in the world. Stigma remains in many communities around the disease and its treatment — even though HIV antiretroviral medication and pre-exposure prophylaxis are free. Concern about privacy at clinics also keeps people from seeking help.

Many people in rural areas see traditional healers as their first point of contact for illnesses, and the project hopes they can help change attitudes.

South Africa’s large younger population is a special concern. A government study released in December showed that people living with HIV had fallen from 14% in 2017 to 12.7% in 2022, but HIV prevalence rose among girls between 15 and 19, a phenomenon largely attributed to older men sleeping with them.

Around 2,000 traditional healers operate in the Mpumalanga province town of Bushbuckridge, home to about 750,000 people, providing traditional and spiritual services.

Mashabane said patients at first found it difficult to believe he was offering HIV testing — a service they had long expected to be available only at health clinics.

“Many were not convinced. I had to show them my certificate to prove I was qualified to do this,” he said.

The process includes the signing of consent forms to be tested, along with a follow-up with Mashabane to ensure that patients who test positive receive their treatment from the local clinic.

He said breaking the news to a patient who has tested positive for HIV is not that difficult because the illness can be treated with readily available medication. But in many cases, he has to accompany the patient to the clinic “to make it easier for them.”

Florence Khoza is another traditional healer who has been trained to test for HIV. She said risky sexual behavior is common. She often dispenses traditional herbs and medication to treat gonorrhea, but now she goes further by advising patients to test for HIV.

“I tell them it is in their best interest,” she said.

Khoza said many patients fear going to the clinic or hospital and having other community members see them collecting HIV treatment.

“In many cases I collect the HIV medication on their behalf,” she said.

Ryan Wagner, a senior research fellow with the study, said testing and treating via traditional medicine practitioners could “ultimately lead to the end of new HIV cases in communities such as rural Mpumalanga, which has some of the largest HIV burden globally.”

Researchers hope their findings will inspire South Africa’s government to roll out such training across the country. 
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MADRID — Things are looking up for the Iberian lynx.

Just over two decades ago, the pointy-eared wild cat was on the brink of extinction, but as of Thursday the International Union for Conservation of Nature says it’s no longer an endangered species.

Successful conservation efforts mean that the animal, native to Spain and Portugal, is now barely a vulnerable species, according to the latest version of the IUCN Red List.

In 2001, there were only 62 mature Iberian lynx — medium-sized, mottled brown cats with characteristic pointed ears and a pair of beard-like tufts of facial hair — on the Iberian Peninsula. The species’ disappearance was closely linked to that of its main prey, the European rabbit, as well as habitat degradation and human activity.

Alarms went off and breeding, reintroduction and protection projects were started, as well as efforts to restore habitats like dense woodland, Mediterranean scrublands and pastures. More than two decades later, in 2022, nature reserves in southern Spain and Portugal contained 648 adult specimens. The latest census, from last year, shows that there are more than 2,000 adults and juveniles, the IUCN said.

“It’s really a huge success, an exponential increase in the population size,” Craig Hilton-Taylor, head of the IUCN Red list unit, told The Associated Press.

One of the keys to their recovery has been the attention given to the rabbit population, which had been affected by changes in agricultural production. Their recovery has led to a steady increase in the lynx population, Hilton-Taylor said.

“The greatest recovery of a cat species ever achieved through conservation (…) is the result of committed collaboration between public bodies, scientific institutions, NGOs, private companies, and community members including local landowners, farmers, gamekeepers and hunters,” Francisco Javier Salcedo Ortiz, who coordinates the EU-funded LIFE Lynx-Connect project, said in a statement.

IUCN has also worked with local communities to raise awareness of the importance of the Iberian lynx in the ecosystem, which helped reduce animal deaths due poaching and roadkill. In addition, farmers receive compensation if the cats kill any of their livestock, Hilton-Taylor said.

Since 2010, more than 400 Iberian lynx have been reintroduced to parts of Portugal and Spain, and now they occupy at least 3,320 square kilometers, an increase from 449 square kilometers in 2005.

“We have to consider every single thing before releasing a lynx, and every four years or so we revise the protocols,” said Ramón Pérez de Ayala, the World Wildlife Fund’s Spain species project manager. WWF is one of the NGOs involved in the project.

While the latest Red List update offers hope for other species in the same situation, the lynx isn’t out of danger just yet, says Hilton-Taylor.

The biggest uncertainty is what will happens to rabbits, an animal vulnerable to virus outbreaks, as well as other diseases that could be transmitted by domestic animals.

“We also worried about issues with climate change, how the habitat will respond to climate change, especially the increasing impact of fires, as we’ve seen in the Mediterranean in the last year or two,” said Hilton-Taylor. 
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MWINGI, Kenya — Esther Kangali felt a sharp pain while on her mother’s farm in eastern Kenya. She looked down and saw a large snake coiling around her left leg. She screamed, and her mother came running.

Kangali was rushed to a nearby health center, but it lacked antivenom to treat the snake’s bite. A referral hospital had none as well. Two days later, she reached a hospital in the capital, Nairobi, where her leg was amputated due to delayed treatment.

The 32-year-old mother of five knows it could have been avoided if clinics in areas where snakebites are common are stocked with antivenom.

Kitui County, where the Kangalis have their farm, has Kenya’s second highest number of snakebite victims, according to the health ministry, which last year put annual cases at 20,000.

Overall, in Kenya, about 4,000 snakebite victims die every year while 7,000 others experience paralysis or other health complications, according to the local Institute of Primate Research.

Residents fear the problem is growing. As the forests around them shrink due to logging and agricultural expansion, and as climate patterns become increasingly unpredictable, snakes are turning up around homes more frequently.

“We are causing adverse effects on their habitats like forest destruction, and eventually we are having snakes come into our homes primarily to seek for water or food, and eventually we have the conflict between humans and the snakes,” said Geoffrey Maranga, a senior herpetologist at the Kenya Snakebite Research and Intervention Center.

Climate change also can drive snakes into homesteads, he said, as they seek water in dry times and shelter in wet.

Maranga and his colleagues are part of a collaboration with the Liverpool School of Tropical Medicine to create effective and safe snakebite treatments and ultimately produce antivenom locally. Maranga’s center estimates that more than half of people bit by snakes in Kenya don’t seek hospital treatment — seeing it costly and difficult to find — and pursue traditional treatments.

Kenya imports antivenom from Mexico and India, but antivenom is usually region-specific, meaning a treatment in one region might not effectively treat snakebites in another.

Part of the work of Maranga and colleague Fredrick Angotte is extracting venom from one of Africa’s most dangerous snakes, the black mamba. The venom can help produce the next generation of antivenom.

“The current conventional antivenoms are quite old and suffer certain inherent deficiencies” such as side effects, said George Omondi, the head of the Kenya Snakebite Research and Intervention Center.

The researchers estimate the improved conventional antivenoms will take two or three years to reach the market. They estimate that Kenya will need 100,000 vials annually, but it’s not clear how that much will be produced locally.

The research aims to make antivenom more affordable to Kenyans. Even when antivenom is available, up to five vials are required, which can cost as much as $300.

Meanwhile, the research center also does community outreach on snakebite prevention, teaching health workers and others how to safely coexist with snakes, perform first aid and treat those affected by snakebite.

The goal is to have fewer Kenyans suffer like Kangali’s neighbor, Benjamin Munge, who died in 2020 four days after a snakebite because the hospital had no antivenom.

It’s unlikely that snakes will move away from homes, Kangali’s mother, Anna, said, so solving the problem is up to humans.

“If the snakebite medicine can come to the grassroots, we will all get help,” she said.
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ABIDJAN, Ivory Coast — Health authorities in Ivory Coast launched mobile enrollment centers for the country’s universal health coverage program, which has been criticized since its 2019 inception over difficulties accessing benefits.

Ivory Coast is one of a handful countries in West Africa that offers a universal health program. But, five years in, less than half its citizens have enrolled. Known locally by its French acronym CMU, the program is meant to cover 70% of citizens’ health care costs for a monthly charge of 1,000 West African CFA francs, or about $1.65.

However, many participants who have managed to enroll have reported glitches, including that vouchers given at hospitals that are supposed to provide them with medicine are later not accepted at pharmacies — requiring patients to pay out of pocket.

The mobile enrollment centers being rolled out at markets and remote neighborhoods are meant to allow Ivorians to sign up for the program and provide them with cards on site so they can immediately start receiving care at hospitals, clinics, and pharmacies around the country.

From 2019 until this year, only 13 million people, or 40% of the population, were able to enroll.

The country’s health minister, Pierre Dimba, said the mobile centers are aimed at reaching people who have been unable to sign up for reasons including that they work long hours.

“We used the method which worked well when we did the COVID-19 vaccination, which was to go to these people in the markets, in remote neighborhoods, to get them signed up,” he said.

Resident Bruno Agnissan already has a CMU card, but he came to an Abidjan mobile enrollment center in search of information about how to successfully use it.

He said that while his son was being treated for malaria at a hospital, the facility ran out of medicine. He was given a voucher and told to find the medicine at a local pharmacy.

“When we went to the pharmacy and I presented the voucher, the pharmacy said that no, this is only for civil servants, that it won’t work for us individuals,” Agnissan said. “I went to all the pharmacies, and it didn’t work.”

Ultimately, he had to pay for the medicine out of his own pocket, he said.

Samuel Touffet, another local resident who came to the mobile center to get updated on coverage under the program, echoed Agnissan’s concerns.

“There are so many pharmacies where if we go with the card, it doesn’t work. So we want to know, where are the pharmacies where we can go and use the card?” he said. “Also, when we go to the hospital with the card, they say it doesn’t work. So we don’t know what this card is even worth.”

Resident Martin Abou, who came to enroll himself and his family for the first time, was hopeful. “You never know. We don’t know what tomorrow has in store for us,” he said.

Dimba, the health minister, said that he hoped the program becomes a basic insurance that covers every Ivorian citizen, with private insurance used only as a supplement.

He added that he the goal was to have 20 million Ivorians enrolled by the end of the year.
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