World Health Organization Declares Mpox as Public Health Emergency

By: David Donovan | Published: Aug 15, 2024

The World Health Organization (WHO) announced that mpox has been designated a public health emergency of international concern (PHEIC) on Wednesday.

WHO Director-General Dr. Tedros Adhanom Ghebreyesus stated during a press briefing on Wednesday, “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.”

Cases This Year

In the U.S., there have been 1,634 cases of mpox recorded up so far this year.

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CDC's Roybal campus in Atlanta, Georgia

James Gathany

This information comes from the U.S. Centers for Disease Control and Prevention (CDC).

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Comparisons to Previous Years

That is over two times the quantity of national cases seen at this time last year.

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Tom Harkin Global Communications Center

James Gathany

However it is a much lower figure than those seen during a U.S. mpox outbreak in 2022, CDC information shows.

Previous PHEICs

PHEICs were most recently issued for the Coronavirus pandemic and the past mpox outbreak of 2022.

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Refugees in the Congo by a body of water in boats

Flickr user Julien Harneis

In spite of the fact that mpox is endemic to parts of Central and Western Africa, cases have been significantly on the rise in the Democratic Republic of the Congo (DRC).

DRC Cases

There have been more than 14,000 mpox cases and 524 deaths in the DRC so far this year, as per the WHO.

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World Health Organisation headquarters, Geneva, north and west sides.

Wikimedia Commons user Yann

There are two sorts of mpox: clade I and clade II, with clade generally meaning they are derived from a common ancestor organism. 

Clade I Variant

Clade I has caused minor, limited episodes in the DRC for several years.

President Félix Tshisekedi with the president of neighbouring Republic of the Congo Denis Sassou Nguesso in 2020; both wear face masks due to the ongoing COVID-19 pandemic.

voaafrique.com

However scientists have distinguished a clade I variation, known as clade Ib, that appears to spread mainly through sexual contact and has all the earmarks of being behind the flare-up in the DRC.

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Emergency Committee Meeting

Tedros said the identification of clade Ib in adjoining African nations that have never recorded mpox cases drove him to convene a meeting of the WHO’s emergency committee.

Tedros with Houlin Zhao in 2017

Flickr user ITU Pictures

The neighboring African countries include Burundi, Kenya, Rwanda and Uganda. 

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“Very Worrying”

Tedros stated during the media briefing, “The detection and rapid spread of a new clade of mpox in eastern DRC, its detection in neighboring countries that had not previously reported mpox, and the potential for further spread within Africa and beyond is very worrying.” 

Tedros with Azerbaijan's President Ilham Aliyev in July 2018

President.az

On Monday, the Africa Centres for Disease Control and Prevention (Africa CDC) – the continent’s top health organization – declared mpox a public health emergency of continental security (PHECS).

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June Reports

Africa CDC’s PHECS announcement is the first such declaration since the organization’s founding in 2017, as per the agency.

Africa CDC director John Nkengasong in Kampala, 2016

Flickr user CDC Global

At the same time, the WHO distributed a report that found there were a sum of 934 new lab-affirmed instances of mpox and four deaths from 26 countries in the period of June.

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“Across the World”

According to the WHO report this “[illustrates] continuing transmission of mpox across the world.”

WHO Representative to India & EMT Team with Dr. Edmond Fernandes at a policy meeting

Wikimedia Commons user Ginevrajocosa88

There have been no instances of clade I mpox recorded outside of Central and Eastern Africa right now, including the U.S., as per the CDC. 

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Low U.S. Risk

The risk of the kind of mpox spreading in the DRC is low to the American public, as per the CDC.

CDC Building 17 in Atlanta, Georgia, as seen from Emory University

Wikipedia user Nrbelex

Presently, the JYNNEOS vaccine, a two-dose immunization is Food and Drug Administration-approved.

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Vaccine Effectiveness

The JYNNEOS vaccine to prevent both smallpox and mpox, is the only vaccine being utilized in the U.S. to prevent mpox. 

DRC President Joseph Kabila with U.S. President Barack Obama in August 2014

Office of the White House (Amanda Lucidon)

Information from Africa has shown two doses of JYNNEOS are at least 85% effective in preventing mpox spread.

Two doses is recommended for the best protection with a four-week wait between doses.

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