Mpox: Emerging Global Health Threat and the Need for Enhanced Surveillance and Treatment Strategies

The World Health Organization has declared Mpox a global health emergency as the deadly virus now spreads beyond Africa to Sweden and Pakistan. The Democratic Republic of Congo serves as the epicenter with over 14,000 cases and 524 deaths reported this year, affecting men, women, and children, particularly those under 15 years old. America’s healthcare system faces new challenges as vaccine supplies remain critically low, with only 200,000 doses available against the required 10 million for Africa alone.

Global Emergency Declared as Mpox Spreads

Due to its increased transmissibility and severity, a new strain of Mpox, known as clade 1b, has prompted the World Health Organization and Africa CDC to declare public health emergencies. The virus, formerly known as monkeypox, is related to smallpox and causes symptoms including painful rash, fever, and swollen glands that can lead to serious illness or death.

This outbreak differs significantly from the 2022 version, primarily affecting specific population groups in Western nations. Current infections are affecting broader demographics, including men, women, and children, with children under 15 in Congo accounting for a substantial portion of cases and deaths.

WHO Director-General Tedros Ghebreyesus emphasized the seriousness of the situation with his authority to break ties in committee decisions. Various African nations, including Burundi, Kenya, Rwanda, and Uganda, are now reporting increasing case numbers as the virus continues to spread beyond initial containment areas.

America’s Vaccine Supply Challenge

The global response faces severe limitations. Only 200,000 vaccine doses are currently available worldwide, against an estimated need of 10 million doses for Africa alone. Two WHO-recommended vaccines have been identified for emergency use, but manufacturing and distribution challenges threaten timely delivery to affected regions.

A coordinated international effort is underway, with the WHO facilitating access to diagnostics, vaccines, and clinical care supplies for lower-income countries. The initial response plan requires $15 million for surveillance, preparedness, and response activities, with donations being coordinated from various organizations and governments to address the critical vaccine shortage.

Testing capabilities in affected regions remain woefully inadequate, with Dr. Dimie Ogoina noting, “Without comprehensive testing, we are essentially working blind.” This testing gap severely hampers response efforts and makes tracking the actual spread of the virus nearly impossible.

Changing Transmission Patterns Raise Concerns

Mpox has traditionally spread from animals to humans, but recent outbreaks demonstrate significant human-to-human transmission, mainly through intimate contact. The virus shows signs of adaptation to human hosts, with new viral mutations potentially enabling easier spread between people.

“The most recent outbreaks show that intimate contact is now a significant way the virus spreads. That shift in how it’s transmitted leads to longer transmission chains and lasting outbreaks.” – Carlos Maluquer de Motes.

Complete eradication of Mpox remains impossible due to its established presence in animal reservoirs across Central Africa. The shifting transmission patterns and limited medical countermeasures highlight the urgent need for America and other developed nations to support enhanced global surveillance systems and treatment strategies.

Experts warn that future epidemics remain likely without immediate action to develop better diagnostic tools and antiviral treatments. Health officials stress that this outbreak should not divert attention from other concurrent health threats like cholera and Lassa fever, advocating for an integrated approach to public health management.

Sources:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01751-3/fulltext

https://news.un.org/en/story/2024/08/1153176

https://www.sciencedaily.com/releases/2025/04/250401131523.htm