Kamituga's nightlife fuels mpox spread among miners and sex workers

The Democratic Republic of Congo has been grappling with a resurgence of mpox since September 2023, primarily originating from the mining town of Kamituga. This area, known for its goldmines, has a population that local sources estimate to be around 600,000, significantly higher than the official count of 300,000. The spread of the virus has been exacerbated by the nightlife culture, where close physical contact in bars and nightclubs creates an ideal environment for transmission. Health authorities first identified unusual skin lesions in a nightclub manager, marking the beginning of the outbreak's recognition. Prostitutes in Kamituga have played a significant role in the spread of mpox, as they frequent these establishments and often engage in unprotected sex. The local association of sex workers has been vocal about the impact of the outbreak on their livelihoods, with many reporting a drastic decline in customers. One member, Alice, shared her experience of being infected without knowledge, highlighting the risks involved in their profession. The town's infrastructure, particularly the poor road conditions, complicates the situation, making it difficult to control the virus's spread. Despite the challenges, the community continues to navigate the complexities of life in Kamituga, where economic opportunities are limited, and health risks are high. The ongoing mpox epidemic serves as a stark reminder of the intersection between public health and socio-economic factors in the region. As the situation evolves, local health officials are working to contain the outbreak while addressing the underlying issues that contribute to its spread, including the stigma surrounding sex work and the need for better health education.