**Health Resilience in the Face of the Humanitarian Crisis in North Kivu: A Priority Issue**
The health situation in North Kivu, a region historically marked by armed conflict, is worsening with the resurgence of clashes between the Congolese army and the M23 rebels. The resulting population movements are not only a factor of political instability, but also a catalyst in the spread of infectious diseases, among which Mpox (formerly known as monkeypox) is particularly worrying. To better understand the scale of this phenomenon, it is essential to examine the complex dynamics at play at the intersection of humanitarian and health crises.
### The Conflict and its Consequences
The Department of Public Health, while reporting an increase in Mpox cases in the province, raises a crucial question: how does the forced migration of populations influence the epidemic dynamics? According to previous studies on infectious diseases in conflict contexts, the relevance of social networks—whether formal or informal—becomes essential. The decohesion of communities, generated by the movement of people, leads to a disorganization of local health systems, making the management of epidemics even more complex.
### Statistics and Case Fatality Rates
The latest reports indicate that although the case fatality rate of Mpox remains low, increased vigilance must be maintained. In this context, it is relevant to recall that, from 2022 to 2023, the number of cases has more than doubled in many regions of Central Africa, with alarming figures given the increase in population mobility. Data collected by WHO demonstrate that Mpox often spreads in crowded urban areas where access to care is fragmented and health infrastructure is often deficient.
### International Response: Essential Support
During the meeting in Goma between the Vice-Governor of North Kivu and Chikwe Ihekweazu, Deputy Executive Director of WHO, it was reaffirmed that concerted efforts are crucial to stem this epidemic. However, the international response must go beyond simple humanitarian aid. Although resources are vital, strengthening local health capacities is proving to be a sustainable solution.
Innovative public-private partnerships, which feed the health sector through the transfer of technology and training, could offer better management of future health crises. For example, the establishment of mobile clinics could facilitate early screening and vaccination of vulnerable populations.
### The Problem of Population Displacement
Experts agree that the scale of displacement is not only a question of geography, but also of socio-culture. Displaced people, often already weakened by traumatic experiences, find themselves in crowded conditions where diseases spread easily. This underlines the importance of considering not only the physical health, but also the mental well-being of these populations. The stigma associated with contagious diseases such as Mpox could further harm their situation.
An information and awareness program, adapted to the culture and relevant habits of local communities, is crucial to change mentalities and encourage the adoption of preventive behaviors.
### A Vision of Hope: Collaborating for a Sustainable Future
The spread of Mpox in the context of conflict in North Kivu reveals a tragic but predictable reality: humanitarian and health crises are inextricably linked. Nevertheless, it is imperative to see this situation as an opportunity for resilient development. By pooling the resources of international agencies, NGOs, local governments and communities, it is possible to build a health system that not only treats epidemics, but also prevents them from occurring.
Similarly, the engagement of local populations in these efforts is fundamental. Sometimes, the best solutions emerge from the actors themselves. In this turbulent time, the creation of prevention and cure networks could transform this crisis into an opportunity for innovation.
In short, the fight against Mpox in the context of conflict in North Kivu cannot be limited to medicinal responses. It requires a holistic approach where humanity is at the heart of the actions, and where every voice counts. These are the challenges to be met and the lessons to be learned to ensure a future where health crises are no longer the norm, but an opportunity to strengthen solidarity and mutual aid.