Feature Stories

Photo: Daily News, Tanzania.

On November 16, 2024, a four-story building collapsed in Dar es Salaam's Kariakoo area, resulting in 29 confirmed deaths and 88 injuries. Rescue operations concluded after 10 days, during which more than 80 individuals were rescued from the debris. The building's owner has been arrested, and investigations into the incident are ongoing. The collapse occurred in the busy Kariakoo district, raising critical questions about building safety and emergency preparedness in urban centers. In response, President Samia Suluhu Hassan has ordered an audit of all buildings in the Kariakoo area to assess their structural integrity and prevent future tragedies.

Chief government spokesperson Thobias Makoba provided updates at the scene, sharing that rescue workers were using specialized methods to maintain communication and supply oxygen to those trapped. These techniques underscore the importance of using effective communication tools during emergencies.

Leadership in action

President Samia Suluhu Hassan, attending a G20 summit in Brazil, extended the rescue timeline several times emphasizing the commitment to saving lives. “Do not end the rescue operations. Extend it by an extra 24 hours to continue the fight for our brothers and sisters, whom we believe are still alive,” President Hassan stated. She also commended the rescue teams and volunteers for their relentless efforts.

Her decision highlights the critical role of leadership in coordinating effective communication during crises. Clear, decisive messaging can inspire action, instill hope, and guide public behavior in emergencies.

Community engagement and safety awareness

The incident has spurred significant public concern, with many volunteers stepping forward to assist rescue efforts. However, two individuals were arrested for unauthorized fundraising related to the tragedy, demonstrating the need for clear guidelines on legitimate channels for support. Transparency in crisis communication helps build trust and prevents misinformation.

This tragedy underscores the importance of community awareness about urban safety. Authorities and stakeholders should prioritize public education on structural safety and the role of citizens in reporting unsafe practices.

Risk communication takeaways

This event serves as a reminder of the critical elements of effective Risk and Crisis Communication:

• Preparedness: Ensuring robust urban planning and enforcement of safety regulations.
• Real-time updates: Providing clear, timely information to the public to manage expectations and guide action.
• Community involvement: Leveraging trusted community leaders and organizations to foster collaboration during crises.
• Building trust: Ensuring transparency in response efforts and addressing misinformation proactively.

This incident provides valuable lessons for improving emergency response and fostering community resilience in Tanzania and beyond.

Media links for further reading:

1. Rescue ends in Tanzania building collapse as death toll rises to 29

   https://apnews.com/article/tanzania-building-collapse-37451d91d64618b867ba3c564e9d24db

2.  Tanzania building collapse: Rescue efforts continue as govt vows stern action

   https://www.africanews.com/2024/11/18/tanzania-building-collapse-rescue-efforts-continue-as-govt-vows-stern-action/

3. Tanzania building collapse kills at least 13 people https://www.reuters.com/world/africa/tanzania-building-collapse-kills-least-13-people-2024-11-17/

4. Five killed, 42 rescued in Kariakoo building collapse

   https://dailynews.co.tz/five-killed-42-rescued-in-kariakoo-building-collapse/

New undiagnosed disease in DR Congo: urgent action needed - Lancet

The outbreak of an undiagnosed disease in DR Congo, reported by WHO on Dec 8, 2024,1 is a pressing global health concern that demands swift and coordinated action. As of Dec 5, 406 cases and 31 deaths have been reported in the Panzi health zone in Kwango province, with influenza-like symptoms and anaemia. Most affected individuals are children aged younger than 5 years, many of whom are severely malnourished.

The remoteness of the region and poor infrastructure complicate the identification of the pathogen, with suspicions that multiple diseases could be contributing to these cases. Furthermore, the outbreak has the potential to transcend regional boundaries, particularly as DR Congo shares porous borders with Angola, where provinces such as Uige are vulnerable to cross-border transmission. Mobility between these regions could facilitate the spread of the disease to neighbouring African countries, raising the potential for a Public Health Emergency of International Concern.

With disease samples dispatched to Kinshasa for laboratory testing to determine the pathogen's origin, we are in a crucial window to prevent its further spread. Today, the approach must be different. The disease's unknown nature warrants containment measures at both the local and international levels. These measures should include the immediate restriction of cross-border movement in affected regions, enhanced disease surveillance, and the rapid mobilisation of health-care resources to DR Congo and neighbouring countries. Additionally, the international community must recognise that this is not solely an African challenge; it is a global health threat. Comprehensive funding and logistical support should be prioritised, enabling rapid diagnostic efforts, contact tracing, and the provision of personal protective equipment to front-line workers.

The risk of spillover into neighbouring countries underscores the urgency for Angola and other countries in the region to heighten preparedness measures. These measures should include deploying rapid response teams, establishing quarantine protocols, and intensifying public health communication to mitigate panic and misinformation. In this interconnected world, a delayed or fragmented response could allow this disease to evolve into a global health crisis. By learning from our recent past, we can change the trajectory of this outbreak and safeguard lives across continents. The experience with COVID-19 has shown that delays in responding to outbreaks can have catastrophic consequences. Therefore, it is imperative that the global community acts decisively to contain this undiagnosed disease in DR Congo, protecting not only African populations, but also global public health.

Reference

Undiagnosed disease—Democratic Republic of the Congo

https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON546

A recent outbreak of an undiagnosed illness in the Democratic Republic of the Congo is on the radar of public health professionals. Preparedness is key to mitigating the issue.

Photo: Testing for malnourishment in Democratic Republic of the Congo. Image courtesy of DFID – UK Department for International Development,

A recent outbreak of an undiagnosed illness in the Panzi health zone of the Democratic Republic of the Congo (DRC) has captured global attention, spotlighting the challenges of outbreak investigations in resource-limited settings. Since late October, over 400 cases have been reported, predominantly among children under five years old. Symptoms such as fever, cough, and body aches have resulted in 31 deaths, with severe malnutrition compounding the crisis.

This outbreak highlights the critical need for strong global public health systems to detect and respond to emerging health threats. Although the cause remains uncertain, investigators are exploring various possibilities, including endemic diseases like malaria and respiratory infections such as acute pneumonia, influenza, COVID-19, and measles. Malnutrition is thought to play a significant role in worsening disease severity. Laboratory testing is ongoing, and health officials are evaluating whether multiple diseases may be contributing to the cases and fatalities reported.

Read more here from an article in the New York Academy of Sciences: https://www.nyas.org/ideas-insights/blog/unraveling-the-mystery-in-the-drcs-disease-outbreak-is-it-disease-x/

Photo: Roger Samuel Kamba, Minister of Public Health, Hygiene and Prevention.

The Democratic Republic of the Congo (DRC) is confronting a health crisis in the remote Panzi health zone of Kwango Province, where an undiagnosed illness has infected more than 400 people and killed at least 31, predominantly malnourished children under the age of five. The mystery “Disease X”—which may or may not be a new disease—causes symptoms such as fever, headache, cough, runny nose and body aches. The World Health Organization said in a press briefing on Tuesday that 10 out of 12 samples have tested positive for malaria, but it’s possible more than one disease is involved. The outbreak has raised pressing questions about the DRC’s ability to respond effectively to health emergencies in isolated areas.

Accessing Panzi is a formidable challenge, with poor road infrastructure requiring a multi-day journey from Kinshasa, the nation’s capital. “This is really the definition of remote,” says Placide Mbala, a virologist and head of epidemiology at the DRC’s National Institute of Biomedical Research. He explains that limited connectivity and delayed sample collection have hampered diagnosis efforts. Specimens collected initially were unsuitable for analysis, but a team from the DRC’s Ministry of Public Health has now gathered higher-quality samples, says Mbala, who is part of the team. Read more from the Publication, Scientific American, here .

The Serengeti-Mara ecosystem, spanning 30,000 square kilometers across Kenya’s Maasai Mara and Tanzania’s Serengeti, is a vital habitat with diverse landscapes, including savannahs, grasslands, riverine forests, and acacia woodlands. This ecosystem hosts the Great Migration, where millions of wildebeest, zebras, and other herbivores journey annually in search of food and water. This migration sustains numerous predators like lions and cheetahs, maintaining an ecological balance that exemplifies the region’s biodiversity. The ecosystem also supports species like elephants, giraffes, hippos, and a rich variety of bird species, creating a unique setting for intricate ecological interactions.

However, climate change threatens the stability of this ecosystem. A study featured in The Guardian, conducted by a research team from universities in Europe, IUCN, and Kenya Meteorological Department has examined the Mara-Serengeti’s weather patterns since 1913, noting increased temperatures, variable rainfall, and recurring severe droughts over recent decades. Average minimum temperatures have risen significantly, with Narok Town showing a 5.3°C increase from 1960 to 2024. Rainfall has also increased, alongside more frequent and intense droughts and floods, all of which are straining resources vital for wildlife and communities alike.

Global climate systems, especially the Southern Oscillation Index (which influences El Niño and La Niña events) and the Indian Ocean Dipole (IOD), have exacerbated these extreme weather conditions. Since 1970, El Niño and La Niña events have become more intense and frequent, leading to unpredictable rainfall and drought cycles in East Africa. Additionally, a warming Indian Ocean has strengthened the IOD, contributing to more frequent severe floods and droughts. These intensified climate patterns, driven by global warming, disrupt traditional migration and breeding cycles, reduce water and vegetation availability, and heighten competition between wildlife and human communities.

The impact on the ecosystem is profound. Wildlife populations are declining as animals face shrinking habitats and limited resources. Field observations, historical data from Kenya’s Game Department, and district records show that extreme weather events have repeatedly coincided with notable shifts in wildlife distribution and population. The researchers systematically ruled out other factors like poaching, pollution, or disease, confirming that climate change is the main driver.

The Serengeti-Mara ecosystem stands at a critical juncture. Conservation efforts must adapt to mitigate the effects of climate change and ensure the long-term resilience of this biodiverse landscape. Balancing the needs of both wildlife and local communities is essential to preserving the ecosystem's health and supporting those who depend on it.

Read full article in The Guardian on this link .

In March 2023, Tanzania faced a Marburg virus disease (MVD) outbreak in the Kagera region, impacting nine confirmed cases and resulting in six deaths. Through swift response actions, led by the Government of Tanzania and supported by Africa CDC and other health partners, the outbreak was contained within 78 days. Key factors in this success included strong political leadership, robust partnerships across sectors, and efficient use of existing health programs and resources. Regular coordination, multi-sectoral collaboration, and transparent communication were also pivotal in managing the crisis effectively, setting a benchmark for handling future outbreaks.

More details in an article by Africa CDC on this link .

According to the World Health Organization (WHO), 4.5 billion people worldwide lack access to essential healthcare services. Amidst global health challenges, more than 100,000 mpox cases and 200 deaths have been confirmed, and outbreaks of cholera and other diseases are escalating. A report predicts climate change could cause 14.5 million additional deaths by 2050 and impose a $1.1 trillion burden on healthcare systems. Experts warn that global preparedness remains inadequate, with lessons from the COVID-19 pandemic largely unlearned. Read more from this report by Al Jazeera.

Coronavirus Disease 2019 (COVID-19) and the mitigation measures taken to limit its spread have significantly disrupted other essential health services in Africa. This disruption has threatened the control of major high-burden diseases such as HIV, tuberculosis (TB), and malaria as well as the prevention of maternal and child mortality.

While the 2020 WHO global reports for HIV, TB, and malaria show progress in control of these diseases in African countries, there are still significant gaps in meeting the global targets. Similarly, modeling studies predict that most African countries are unlikely to meet the Sustainable Development Goals (SDGs) 2030 targets for reductions in maternal and child mortality under the current rate of progress.

Prediction models and emerging empirical data indicate that the implemented mitigation measures against COVID-19 such as travel restrictions and lockdowns as well as the repurposing of health resources and suspension of prevention programs such as immunizations will lead to an increase in new infections and deaths, significantly reversing the gains achieved in the control of these health challenges.

A more comprehensive COVID-19 response that minimizes indirect deaths is therefore warranted in Africa. These include implementing WHO recommendations that limit contact with the clinic where possible, such as multimonths drug dispensing, self-testing, virtual platforms for case management, community- and home-based prevention, and care services such as home distribution of test kits, vaccines, treatment, and mosquito nets.

This is in addition to ensuring effective implementation of COVID-19 infection prevention and control measures in healthcare facilities including providing healthcare workers with personal protective equipment and prioritizing them for COVID-19 immunization.

There is also a need to incorporate aggressive recovery plans to reverse the lost gains in disease control efforts and put African countries back on course toward achieving the global targets. This includes leveraging on the wider COVID-19 response enablements such as the increased political will and global solidarity funding efforts to support a more comprehensive response that accounts for the indirect public health effects of the pandemic.

Read full paper here .

The One Health approach aims to integrate the health of humans, animals, and ecosystems, recognizing their interdependence. Although the concept gained prominence during the 2003-2004 SARS outbreak, it has roots in traditional Indigenous practices. By involving multiple sectors and disciplines, One Health seeks to address broad health challenges, including access to clean water, food security, and the impact of climate change, contributing to sustainable development.

Incorporating a gender dimension into One Health reveals how societal norms and power relations create vulnerabilities for women, men, and non-binary individuals. Gender roles influence behaviors that affect human, animal, and environmental health, such as meat consumption, where traditional masculine practices often contribute to environmental degradation. By unmasking these gendered patterns, the approach can foster more sustainable and equitable practices across societies.

A gender-transformative One Health approach goes beyond addressing superficial health issues by challenging entrenched gender norms and power dynamics. It promotes equitable resource distribution, fosters dialogue, and encourages behavioral change to create more egalitarian relationships between men and women. This holistic perspective enables systemic transformations that support both gender equality and healthier, more sustainable interactions with the environment.

Read more on this factsheet by the GIZ Selva Maya programme on this link .

A new study highlights the critical role of addressing gender inequalities in improving both human and environmental health. Authored by Claudia Cataldo, Roberta Masella, and Luca Busani, the research explores how the gender gap—particularly in education and political empowerment—correlates with life expectancy and environmental performance across 155 countries.

The study emphasizes that reducing gender disparities, especially in educational attainment, can positively impact not only societal well-being but also ecosystem vitality and public health. By closing the gender gap, nations could significantly enhance the effectiveness of the One Health approach, which integrates human, animal, and environmental health.

For a deeper dive into the research and its findings, read the full paper here .