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class="et_close_search_field"></span> </div> </div> </header>  <div id="et-main-area"> <div id="main-content"> <div class="container"> <div id="content-area" class="clearfix"> <div id="left-area"> <article id="post-7988" class="et_pb_post post-7988 post type-post status-publish format-standard has-post-thumbnail hentry category-infection tag-access tag-africa tag-collaboration tag-emergency tag-funding tag-global-health tag-infection tag-infectious-disease tag-mpox tag-outbreak tag-pheic tag-response tag-vaccine tag-virus tag-who"> <div class="et_post_meta_wrapper"> <h1 class="entry-title">WHO declares “worrying” mpox outbreak a PHEIC</h1> <p class="post-meta"> by <span class="author vcard"><a href="https://vaccinenation.org/author/charlotte-kilpatrick/" title="Posts by Charlotte Kilpatrick" rel="author">Charlotte Kilpatrick</a></span> | <span class="published">Aug 15, 2024</span> | <a href="https://vaccinenation.org/category/infection/" rel="category tag">Infection</a> | <span class="comments-number"><a href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/#respond">0 comments</a></span></p><img data-src="https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-1080x675.png?crop=1" alt="" width="1080" height="675" data-srcset="https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-1080x675.png?crop=1 1080w, https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-980x653.png 980w, https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-480x320.png 480w" data-sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" class="lazyload" style="--smush-placeholder-width: 1080px; --smush-placeholder-aspect-ratio: 1080/675;" /><noscript><img src="https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-1080x675.png?crop=1" alt="" class="" width="1080" height="675" srcset="https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-1080x675.png?crop=1 1080w, https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-980x653.png 980w, https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-15T094949.241-480x320.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" /></noscript> </div> <div class="entry-content"> <p><span data-contrast="auto">After a meeting of an International Health Regulations (IHR) Emergency Committee on 14</span><span data-contrast="auto">th</span><span data-contrast="auto"> August 2024, WHO Director-General Dr Tedros Adhanom Ghebreyesus <a href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern" target="_blank" rel="noopener">announced</a> that the mpox outbreak in the Democratic Republic of the Congo (DRC) and a “growing number” of countries in Africa constitutes a public health emergency of international concern (PHEIC). Dr Tedros’ decision is based on the advice of the Emergency Committee’s, comprising independent experts, who met to review data. The Committee considered the “upsurge” in mpox a PHEIC with potential to spread throughout Africa and outside the continent. </span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></p> <h5><span data-contrast="auto">Opening remarks</span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></h5> <p><span data-contrast="auto">Dr Tedros <a href="https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-ihr-emergency-committee-meeting-regarding-the-upsurge-of-mpox-2024---14-august-2024" target="_blank" rel="noopener">opened the meeting</a>, commenting on a significant increase in reported cases in the Democratic Republic of the Congo. The emergence and “rapid spread” of clade 1b and its detection in neighbouring countries is “especially concerning”, and Dr Tedros suggested that this was “one of the main reasons” for his decision to convene the Committee. Not only is the emerging clade a concern, but “we are dealing with several outbreaks of different clades in different countries”. </span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“Stopping these outbreaks will require a tailored and comprehensive response, with communities at the centre, as always.” </span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <p><span data-contrast="auto">WHO is reportedly already working with governments in the affected countries, as well as Africa CDC and other partners, to “understand and address the drivers of these outbreaks”. It has also developed a regional response plan, which will require an initial US$15 million for surveillance, preparedness, and response activities. $1.45 million has been released from the WHO Contingency Fund for Emergencies; more is planned to be released in the coming days but WHO is also appealing to donors for funding. </span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></p> <p><span data-contrast="auto">The standing recommendations under the IHR, issued at the <a href="https://vaccinenation.org/infection/mpox-like-covid-19-no-longer-a-pheic-says-who/" target="_blank" rel="noopener">declaration of the end</a> of the previous mpox PHEIC, were due to expire next week. However, Dr Tedros elected to extend them for another year.</span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":279}"> </span></p> <h5><span data-contrast="auto">PHEIC declared</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h5> <p><span data-contrast="auto">Dr Tedros will share the Committee meeting reporting and issue temporary recommendations to countries. As he <a href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern" target="_blank" rel="noopener">declared</a> the PHEIC, he highlighted the need for a “coordinated international response” to “stop these outbreaks and save lives”. WHO Regional Director for Africa Dr Matshidiso Moeti echoed this, commenting that “significant efforts are already underway”.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“With the growing spread of the virus, we’re scaling up further through coordinated international action to support countries bring the outbreaks to an end.” </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <p><span data-contrast="auto">Chair of the Committee, Professor Dimie Ogoina, stated that this is an emergency “not only for Africa, but for the entire globe”. </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“Mpox, originating in Africa, was neglected there, and later caused a global outbreak in 2022. It is time to act decisively to prevent history from repeating itself.”</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <h5><span data-contrast="auto">Infectious disease inequality</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h5> <p><span data-contrast="auto">Vaccine efforts have already begun, with donations of Bavarian Nordic’s vaccine secured by HERA. However, Dr Boghuma Tianji, Assistant Professor of Medicine, Department of Medicine at Emory University, <a href="https://www.sciencemediacentre.org/expert-reaction-to-africa-cdc-announcing-that-mpox-is-a-public-health-emergency-of-continental-security/" target="_blank" rel="noopener">identified a tension over donations</a>.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“While there has been substantial criticism of foreign donors for inadequate support, the over-reliance on external aid has highlighted a major flaw in the current response efforts.” </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <p><span data-contrast="auto">Indeed, the PHEIC declaration in 2022 “did not lead to significant improved access” for African countries. Professor Jonathan Ball, Deputy Director of Liverpool School of Tropical Medicine and Professor of Molecular Virology, Liverpool School of Tropical Medicine (LSTM) <a href="https://www.sciencemediacentre.org/expert-reaction-to-africa-cdc-announcing-that-mpox-is-a-public-health-emergency-of-continental-security/" target="_blank" rel="noopener">hoped</a> that international recognition of the emergency will “kick-start mobilisation of the necessary infection control measures”. </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“Low- and middle-income countries suffer most from infectious diseases yet have insufficient capacity for surveillance and control. Infectious diseases thrive on these health inequalities so it is essential for other countries to help build capacity – infections do not respect international borders, so this isn’t just someone else’s problem.”</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <p><span data-contrast="auto">Professor Marion Koopmans, Head of the Institute for Virus Research and Director of the Pandemic and Disaster Management Centre, Erasmus University Rotterdam, <a href="https://www.sciencemediacentre.org/expert-reaction-to-africa-cdc-announcing-that-mpox-is-a-public-health-emergency-of-continental-security/" target="_blank" rel="noopener">shared insights</a> into the significance of the declaration before it was announced.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <blockquote> <h6><span data-contrast="auto">“It raises the level of alert, globally, and may allow WHO to access funds for emergency response. Other than that, the same priorities remain: investing in diagnostic capacity, public health response, treatment support, and vaccination.”</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></h6> </blockquote> <p><span data-contrast="auto">At the Congress in Washington in April 2025 our experts will explore pressing mpox challenges including in the context of vaccine prioritisation, strategy, and communication. <a href="https://secure.terrapinn.com/V5/step1.aspx?E=10876" target="_blank" rel="noopener">Get your tickets to join us there</a> and don’t forget to <a href="https://vaccinenation.org/subscribe/" target="_blank" rel="noopener">subscribe to our weekly newsletters here</a>. </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> <div class="sharedaddy sd-sharing-enabled"><div class="robots-nocontent sd-block sd-social sd-social-icon sd-sharing"><h3 class="sd-title">Share this:</h3><div class="sd-content"><ul><li class="share-x"><a rel="nofollow noopener noreferrer" data-shared="sharing-x-7988" class="share-x sd-button share-icon no-text" href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/?share=x" target="_blank" title="Click to share on X" ><span></span><span class="sharing-screen-reader-text">Click to share on X (Opens in new window)</span></a></li><li class="share-linkedin"><a rel="nofollow noopener noreferrer" data-shared="sharing-linkedin-7988" class="share-linkedin sd-button share-icon no-text" href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/?share=linkedin" target="_blank" title="Click to share on LinkedIn" ><span></span><span class="sharing-screen-reader-text">Click to share on LinkedIn (Opens in new window)</span></a></li><li class="share-facebook"><a rel="nofollow noopener noreferrer" data-shared="sharing-facebook-7988" class="share-facebook sd-button share-icon no-text" href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/?share=facebook" target="_blank" title="Click to share on Facebook" ><span></span><span class="sharing-screen-reader-text">Click to share on Facebook (Opens in new window)</span></a></li><li class="share-jetpack-whatsapp"><a rel="nofollow noopener noreferrer" data-shared="" class="share-jetpack-whatsapp sd-button share-icon no-text" href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/?share=jetpack-whatsapp" target="_blank" title="Click to share on WhatsApp" ><span></span><span class="sharing-screen-reader-text">Click to share on WhatsApp (Opens in new window)</span></a></li><li class="share-print"><a rel="nofollow noopener noreferrer" data-shared="" class="share-print sd-button share-icon no-text" href="https://vaccinenation.org/infection/who-declares-worrying-mpox-outbreak-a-pheic/#print" target="_blank" title="Click to print" ><span></span><span class="sharing-screen-reader-text">Click to print (Opens in new window)</span></a></li><li class="share-email"><a rel="nofollow noopener noreferrer" data-shared="" class="share-email sd-button share-icon no-text" href="mailto:?subject=%5BShared%20Post%5D%20WHO%20declares%20%E2%80%9Cworrying%E2%80%9D%20mpox%20outbreak%20a%20PHEIC&body=https%3A%2F%2Fvaccinenation.org%2Finfection%2Fwho-declares-worrying-mpox-outbreak-a-pheic%2F&share=email" target="_blank" title="Click to email a link to a friend" data-email-share-error-title="Do you have email set up?" data-email-share-error-text="If you're having problems sharing via email, you might not have email set up for your browser. 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--smush-placeholder-aspect-ratio: 150/150;" /><noscript><img width="150" height="150" src="https://vaccinenation.org/wp-content/uploads/2024/08/Heading-2024-08-14T094939.702-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" data-pin-nopin="true" /></noscript><span class="yarpp-thumbnail-title">Africa CDC declares mpox PHECS and prepares for vaccines</span></a> <a class='yarpp-thumbnail' rel='norewrite' href='https://vaccinenation.org/infection/mpox-like-covid-19-no-longer-a-pheic-says-who/' title='Mpox, like COVID-19, no longer a PHEIC says WHO'> <img width="150" height="150" data-src="https://vaccinenation.org/wp-content/uploads/2023/05/World-Vaccine-Congress-2023-05-11T170213.750-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image lazyload" alt="" data-pin-nopin="true" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" style="--smush-placeholder-width: 150px; --smush-placeholder-aspect-ratio: 150/150;" /><noscript><img width="150" height="150" src="https://vaccinenation.org/wp-content/uploads/2023/05/World-Vaccine-Congress-2023-05-11T170213.750-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" data-pin-nopin="true" /></noscript><span class="yarpp-thumbnail-title">Mpox, like COVID-19, no longer a PHEIC says WHO</span></a> <a class='yarpp-thumbnail' rel='norewrite' href='https://vaccinenation.org/infection/covid-19-established-and-ongoing-but-no-longer-pheic/' title='COVID-19 “established and ongoing” but no longer PHEIC'> <img width="150" height="150" data-src="https://vaccinenation.org/wp-content/uploads/2023/05/Ebola-5-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image lazyload" alt="" data-pin-nopin="true" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" style="--smush-placeholder-width: 150px; --smush-placeholder-aspect-ratio: 150/150;" /><noscript><img width="150" height="150" src="https://vaccinenation.org/wp-content/uploads/2023/05/Ebola-5-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" data-pin-nopin="true" /></noscript><span class="yarpp-thumbnail-title">COVID-19 “established and ongoing” but no longer PHEIC</span></a> <a class='yarpp-thumbnail' rel='norewrite' href='https://vaccinenation.org/infection/who-in-january-2023-covid-19-still-a-pheic/' title='WHO in January 2023: COVID-19 still a PHEIC'> <img width="150" height="150" data-src="https://vaccinenation.org/wp-content/uploads/2023/01/World-Vaccine-Congress-2023-01-30T140253.041-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image lazyload" alt="" data-pin-nopin="true" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" style="--smush-placeholder-width: 150px; --smush-placeholder-aspect-ratio: 150/150;" /><noscript><img width="150" height="150" src="https://vaccinenation.org/wp-content/uploads/2023/01/World-Vaccine-Congress-2023-01-30T140253.041-150x150.png?crop=1" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" data-pin-nopin="true" /></noscript><span class="yarpp-thumbnail-title">WHO in January 2023: COVID-19 still a PHEIC</span></a> </div> </div> </div> <div class="et_post_meta_wrapper"> <section id="comment-wrap"> <div id="comment-section" class="nocomments"> </div> <div id="respond" class="comment-respond"> <h3 id="reply-title" class="comment-reply-title">Leave a Comment<small><a rel="nofollow" id="cancel-comment-reply-link" href="/infection/who-declares-worrying-mpox-outbreak-a-pheic/#respond" style="display:none;">Cancel reply</a></small></h3> <form id="commentform" class="comment-form"> <iframe title="Comment Form" data-src="https://jetpack.wordpress.com/jetpack-comment/?blogid=209026272&postid=7988&comment_registration=0&require_name_email=1&stc_enabled=0&stb_enabled=0&show_avatars=1&avatar_default=mystery&greeting=Leave+a+Comment&jetpack_comments_nonce=86870f8dd3&greeting_reply=Leave+a+Reply+to+%25s&color_scheme=light&lang=en_US&jetpack_version=14.1-a.7&iframe_unique_id=1&show_cookie_consent=10&has_cookie_consent=0&is_current_user_subscribed=0&token_key=%3Bnormal%3B&sig=582121a6988397379d34940bb3f5b841ac38ee8d#parent=https%3A%2F%2Fvaccinenation.org%2Finfection%2Fwho-declares-worrying-mpox-outbreak-a-pheic%2F" name="jetpack_remote_comment" style="width:100%; 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