WHO declares mpox no longer a global health emergency

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1997
Brian W.J. Mahy, BSc, MA, PhD, ScD, DSc

This image was created during a investigation into an outbreak of monkeypox, which took place in the Democratic Republic of the Congo (DRC), 1996 to 1997, formerly Zaire, and depicts the dorsal surfaces of monkeypox case patient, who was displaying the appearance of the characteristic rash during its recuperative stage. Even in its stages of healing, note how similar this rash appears to be when compared to the recuperative rash of smallpox, also a <i>Orthopoxvirus</i>.

In 1996, 71 suspected human monkeypox cases were reported from the Katako-Kombe Health Zone, Kasai Oriental, DRC. These initial reports suggested predominant person-to-person transmission and prolonged chains of transmission. Two cases were confirmed by monkeypox virus isolation from lesion material. In February 1997, an investigation was initiated. Our report describes epidemiologic observations and laboratory results supporting the conclusion that repeated animal reintroduction of monkeypox virus is needed to sustain the disease in the local human population. For more extensive details, as well as citations, see the link below.<p>PHIL images 12745 through 12784 depict a full slide presentation telling the story of this investigation.



Caption: A monkeypox patient in the Democratic Republic of the Congo during an outbreak in 1997.

CREDIT: CDC/ Brian W.J. Mahy

More than 87,000 cases and 140 deaths have been reported from 111 countries during the global mpox outbreak.

PHOTO: AFP

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GENEVA - The World Health Organisation (WHO) declared that mpox no longer constitutes a global health emergency on Thursday, almost exactly a year after the disease formerly known as monkeypox started spreading across the world.

Following falling cases numbers, WHO chief Tedros Adhanom Ghebreyesus told an online press conference that he was “pleased to declare” that he had accepted the advice of the United Nations agency’s emergency committee on mpox to lift its highest level of alarm.

The announcement came just a week after the WHO said that Covid-19 also no longer constitutes a public health emergency of international concern (PHEIC).

“While the emergencies of mpox and Covid-19 are both over, the threat of resurgent waves remains for both. Both viruses continue to circulate and both continue to kill,” Dr Tedros said.

“Mpox continues to pose significant public health challenges that need a robust, proactive and sustainable response,” he added, calling on countries to remain vigilant.

Though long present in parts of Central and West Africa, in May 2022 cases of mpox started emerging in Europe, North America and then elsewhere, mostly among men who have sex with men.

The WHO

declared that mpox was a PHEIC in July.

But the number of people infected with the disease – which causes fever, muscular aches and large boil-like skin lesions – has consistently fallen since.

More than 87,000 cases and 140 deaths have been reported from 111 countries during the global outbreak, according to a WHO count.

But almost 90 per cent fewer cases were recorded over the last three months compared with the previous three-month period, Dr Tedros said.

“While we welcome the downward trend of mpox cases globally, the virus continues to affect communities in all regions, including in Africa, where transmission is still not well understood,” he said.

After the status was lifted for Covid-19 and mpox, there is now just one WHO-declared PHEIC – for poliovirus, which was declared as such in May 2014. AFP


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