Monkeypox spread declared ‘global emergency’

As 16,000 cases have been reported worldwide, the World Health Organization said that the spike is still concentrated among gay men.

The World Health Organization on Saturday declared the global spread of monkeypox a ‘Public Health Emergency of International Concern’, one level below the pandemic status assigned to Covid-19. There have now been 16,000 cases recorded in 75 countries, WHO Director Tedros Adhanom Ghebreyesus said.

The monkeypox outbreak, which began among gay men in Europe in May, is the first disease outbreak to be labeled a public health emergency by the WHO since Covid-19 in January 2020, two months before the latter was declared a global pandemic by the organization.

“We have an outbreak that has spread around the world rapidly, through new modes of transmission, about which we understand too little,” Tedros said after a discussion with the WHO’s emergency committee. Pointing to the spread of monkeypox in countries where it is traditionally not found, as well as its risk to human health, Tedros added that “for all of these reasons, I have decided that the global monkeypox outbreak represents a public health emergency of international concern.”

Monkeypox is similar to human smallpox, which was eradicated in 1980, and is endemic in parts of west and central Africa. Its initial symptoms include fever, headache, muscle aches, backache, swollen lymph nodes, chills, and exhaustion, and those afflicted develop distinctive skin lesions.

The first European cases occurred almost exclusively in gay and bisexual men, with health officials noting that lesions were appearing on patients’ genitals. While it is unclear whether the current outbreak is spreading solely through sexual contact, Tedros stated that “this is an outbreak that is concentrated among men who have sex with men, especially those with multiple sexual partners.”

Tedros called on groups representing gay men to “adopt measures that protect both the health, human rights and dignity of affected communities,” although the WHO chief stopped short of calling on these men to abstain from sexual activity.

A combined vaccine for smallpox and monkeypox is in production, and has been distributed in major cities in the US, UK, and several European countries.

Although some African strains of monkeypox can kill 3-6% of those they infect, the current outbreak appears significantly milder. According to Tedros, the disease has killed only five people worldwide so far.

One day before the WHO meeting, the US recorded its first cases involving children. Both cases “are traced back to individuals who come from the…gay men’s community,” Centers for Disease Control and Prevention (CDC) Director Rochelle Walensky told the Washington Post, although she did not clarify whether these children caught the disease sexually or non-sexually, for example through contact with a patient’s clothing.

At least five children in Europe have also been infected.