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Health
21 August 2024

Mpox Health Crisis Demands Global Cooperation

WHO warns of rising mpox cases as vaccine access and outreach become urgent

The world is currently facing another health emergency, but this time it’s not COVID-19. The World Health Organization (WHO) has declared mpox, formerly known as monkeypox, as a global health emergency amid rising cases, particularly across Africa.

More than 17,000 mpox cases have surfaced across the continent this year alone, claiming lives and disrupting lives. Countries like the Democratic Republic of Congo, Uganda, and Central African Republic are among those hardest hit.

While this is not the first outbreak of mpox, the scale and urgency of the situation have led health officials to sound the alarm. During the last emergency declaration back in 2022, over 32,000 cases were reported just within the United States.

Dr. Hans Kluge, the WHO's regional director for Europe, emphasized the importance of collaboration among nations to combat this outbreak. He reassured the public, urging them not to equate mpox with the level of urgency felt during COVID-19.

Understanding how mpox spreads is central to containing it. The virus can be transmitted via direct contact with infected individuals or materials, with prolonged face-to-face interactions also posing risks.

The situation is complicated by various strains of the virus, namely clade I and clade II. While clade II led to recent outbreaks marked by milder symptoms, clade I has caused more severe illness and is primarily found in Central Africa.

Officials have stated there is currently no need for alarm on the scale of COVID-19 among the general population. Weekly reports show only a few cases of clade II being reported, but vigilance remains imperative.

One concerning aspect of this outbreak is its disproportionate effect on individuals with HIV. Those with advanced stages of the virus are noted to be at heightened risk for severe illness if they contract mpox.

"Individuals living with HIV on treatment have lower risks compared to those with high viral loads and weakened immune systems,” said Dr. Leo Moore, emphasizing the need for targeted public health interventions.

The Jynneos vaccine, currently recommended for immunocompromised individuals, is considered pivotal to mitigating the effects of mpox. The vaccine has accessibility concerns, especially for uninsured populations after its commercialization.

Although the vaccine will remain available to certain populations, concerns lie with its potential costs once federal provisions end. Many individuals might struggle to access it if they lack health insurance or reside in states with no expanded Medicaid coverage.

Preventive measures are key to managing mpox risks. It includes thorough hand hygiene, avoiding shared items, and maintaining distance from individuals showing symptoms.

The WHO is consistently releasing updated guidelines to shrink the gap of misinformation surrounding mpox. This is particularly important as harassment and stigma often surround diseases tied to sexual health.

To address community concerns, public health authorities are working on ensuring clear channels of communication. These will serve to educate individuals on protective measures and vaccination access.

The declaration of mpox as a public health emergency echoes the need for collective action and awareness among the global community. Health officials are advocating for solidarity as case numbers continue to rise.

Provincetown, Cape Cod, experienced earlier risks of becoming the epicenter during the last emergency. Pervasive vaccination and local initiatives helped contain the outbreak, demonstrating how community engagement can make significant impacts.

The dual challenge of mpox and its socioeconomic intricacies shows the urgent need to address healthcare disparities. Governments must strive for equitable distribution of vaccines and resources effective for all populations, especially the vulnerable.

While mpox remains primarily concentrated within specific geographic areas, its rapid spread should not be underestimated. Ongoing surveillance and vaccination efforts are key to maintaining community safety and health.

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