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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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Emmanuel Rondeau has photographed tigers across Asia for the past decade, from the remotest recesses of Siberia to the pristine valleys of Bhutan. But when he set out to photograph the tigers in the ancient rainforests of Malaysia, he had his doubts.

“We were really not sure that this was going to work,” says the French wildlife photographer. That’s because the country has just 150 tigers left, hidden across tens of thousands of square kilometers of dense rainforest.

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“Tiger numbers in Malaysia have been going down, down, down, at an alarming rate,” says Rondeau. In the 1950s, Malaysia had around 3,000 tigers, but a combination of habitat loss, a decline in prey, and poaching decimated the population. By 2010, there were just 500 left, according to WWF, and the number has continued to fall.

The Malayan tiger is a subspecies native to Peninsular Malaysia, and it’s the smallest of the tiger subspecies in Southeast Asia.

“We are in this moment where, if things suddenly go bad, in five years the Malayan tiger could be a figure of the past, and it goes into the history books,” Rondeau adds.

Determined not to let that happen, Rondeau joined forces with WWF-Malaysia last year to profile the elusive big cat and put a face to the nation’s conservation work.

It took 12 weeks of preparations, eight cameras, 300 pounds of equipment, five months of patient photography and countless miles trekked through the 117,500-hectare Royal Belum State Park… but finally, in November, Rondeau got the shot that he hopes can inspire the next generation of conservationist­s.

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“This image is the last image of the Malayan tiger — or it’s the first image of the return of the Malayan tiger,” he says.

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