Mpox Clade I has long been endemic in DRC. Over the last yr cases are up 160% and have been reported in Kenya, CAR, Rwanda.
Case fatality rate 3%
It is spread by close contact, sexual contact.
The poxes are quite visible (easy to diagnose), unsure latent infective period.
Clade 1 has never left the African continent to have secondary infections outside it.
Sept 23: India reports a clade 1b mpox case in a man returned from a Dubai trip. Contact tracing has been negative
Aug 22: Confirmed Clade1b
Aug 16: atleast one travel case confirmed in Pakistan. The Clade isn’t specified yet, and travel was from UAE. Which makes me think this might be Clade II
This was confirmed Clade II
PHEIC: Mpox declared a Global Health Emergency, PHEIC by WHO to be exact
Update: Mpox has been declared a public health emergency of continental concern in Africa today.
Some thoughts:
Although there are not direct flights between DRC and USA, there has been (atleast) travel related cases reported in South Africa, which is more connnected internationally. And Clade 1 mpox has (I think, need to check) larger and visible poxes that might be easier to spot in travellers, easier to sift through??