Espoir Bwenge Malembaka

@esbwenge.bsky.social

MD, PhD – Infectious Diseases Epidemiologist, Johns Hopkins University, and Center for Tropical Diseases and Global health, Bukavu, DR Congo. Interested in cholera, mpox, outbreaks, vaccines, and Barcelona football club.

there's a pretty straightforward parallel with the way black businesspeople were targeted for lynching. Black success—even fairly mild success—is seen as a violation of the rightful white supremacist order. it's viewed as a cheat and a scandal to be met with outrage up to and including violence.

I didn't follow the Arday story closely. It's pretty clear though that plagiarism allegations against Black professors are seen as a major news story because many ppl see Black success and intelligent as automatically illegitimate. So the real "scandal" is that Black ppl are professors at all. 1

Important: mpox case definition is not specific and also picks up children with varicella, in particular now at what's hopefully the tail-end of the mpox outbreak in DRC. Diagnostics key.

Espoir Bwenge Malembaka@esbwenge.bsky.social · 5mo ago

When mpox is not mpox: varicella and measles in DR Congo thelancet.com/journals/lan... Congratulations @bugwaja and team for this nice work calling for efforts to transform mpox treatment centers from monofacal isolation units into integrated hubs for acute febrile rash illnesses.

In this second paper, clade Ib mpox outbreak in Uvira primarily affected children under 15 years (63.7%), with limited reported sexual transmission. Occupational healthcare and workplace exposures were rare. The overall case fatality ratio was 0.7%, but high among HIV-positive and infants < 1 yr.

Mpox Clade Ib incubation periods are longer than previous MPXV estimates and vary by exposure route, with shorter periods for sexual transmission. These differences suggest the need to revise post-exposure monitoring guidelines. doi.org/10.1101/2025...

The incubation periods of Monkeypox virus clade Ib

Background Monkeypox virus (MPXV) clade Ib, first detected in Democratic Republic of the Congo (DRC) in September 2023, spread internationally within months, prompting a WHO emergency declaration. Dat...

doi.org

Whether it’s Ebola, cholera, or mpox, the same issues persist—narrowly focused vertical programs driven by donor priorities. In an upcoming piece, we reflect on this challenge in the context of the current mpox outbreak in eastern DR Congo.

Madhu Pai, MD, PhD@madhupai.bsky.social · 2y ago

From HiV to Ebola to Covid and mpox, inequities in access is a defining feature Grateful to @craigspencer.bsky.social for his advocacy www.nejm.org/doi/full/10....

Such horizontal preventive programs have been notoriously hard to motivate and fund precisely because the impact of each dollar spent is diffuse across many health outcomes and donors struggle to see the selfish benefit of their specific investment.

If the unknown disease X in the DRC is malaria... its concernig that in 2024, there are still areas on earth unable to diagnose malaria. How can we discuss advancements like genomics surveillance when we have yet to address the basics of infectious diseases surveillance in DR Congo?