Why WHO declared Mpox a global public health emergency

The picture depicts the dorsal surfaces of a monkeypox case in a patient who was displaying the appearance of the characteristic rash during its recuperative stage. Photo: AFP

WHO: Mpox causes fever, muscular aches and large boil-like skin lesions

By John Idoko

The World Health Organisation (WHO) has declared the mpox surge in Africa as a global public health emergency, lamenting the worsening situation.

WHO made the declaration on Wednesday, when it called a meeting of experts to study the outbreak and make a recommendation to the UN health agency’s director-general, Tedros Adhanom Ghebreyesus.

 “Today, the emergency committee met and advised me that in its view, the situation constitutes a public health emergency of international concern. I have accepted that advice,” Tedros stated at a press conference.

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“This is something that should concern us all.

“WHO is committed in the days and weeks ahead to coordinate the global response, working closely with each of the affected countries, and leveraging our on-the-ground presence, to prevent transmission, treat those infected, and save lives.”

The decision comes after the African Union’s health watchdog declared its own public health emergency over the growing outbreak.

Mpox has swept through the Democratic Republic of Congo, where the virus formerly called monkeypox, was first discovered in humans in 1970, and spread to other countries.

Tedros said that the more than 14,000 cases and 524 deaths reported so far this year in DR Congo has already exceeded last year’s total.

“The emergence last year and rapid spread of clade 1b in DRC, which appears to be spreading mainly through sexual networks, and its detection in countries neighbouring DRC is especially concerning, and one of the main reasons for my decision to convene this emergency committee,” he said at the emergency committee meeting.

“In the past month, about 90 cases of clade 1b have been reported in four countries neighbouring the DRC that have not reported mpox before: Burundi, Kenya, Rwanda and Uganda.”

PHEIC status

A public health emergency of international concern (PHEIC) is the highest alarm the WHO can sound.

A PHEIC declaration triggers emergency responses in countries worldwide under the legally binding International Health Regulations.

It is the second PHEIC in succession on mpox — albeit one focused on a different, and more deadly, strain of the virus.

In May 2022, mpox infections surged worldwide, mostly affecting gay and bisexual men, due to the clade 2b subclade.

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