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Mutant mpox declared global health emergency by WHO after rapid spread

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Mutant mpox declared global health emergency by WHO after rapid spread

MUTANT mpox has been declared a global health emergency by the World Health Organisation after its rapid spread to 13 countries.

The highly contagious disease has killed at least 500 people and infected 13,700 during an initial outbreak in the Democratic Republic of Congo (DRC).

Health chiefs have declared a second global health emergency

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Health chiefs have declared a second global health emergencyCredit: Reuters
The virus has spread to 13 countries

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The virus has spread to 13 countriesCredit: Reuters

The virus – formally known as monkeypox – has now spread to 12 other countries in Africa, and scientists are concerned about how fast a new variant of the disease is spreading and its high fatality rate.

WHO chief Tedros Adhanom Ghebreyesus said the potential for further spread within Africa and beyond “is very worrying”.

“A co-ordinated international response is essential to stop this outbreak and save lives,” he said.

Mpox is transmitted through close contact, such as sex, skin-to-skin contact and talking or breathing close to another person.

There are two main types of mpox – clade 1 and clade 2.

A previous mpox public health emergency, declared in 2022, was caused by the relatively mild clade 2.

However, this time it is the far more deadly clade 1 variant that is surging.

It has a fatality rate of around five per cent in adults and 10 per cent in children, compared to three per cent for its predecessor.

In April, alarm bells were raised when scientists found a new easier-to-catch strain of mpox called clade 1b which had “pandemic potential” in Kamituga, a small mining town in the DRC.

Doctor Tedros Adhanom Ghebreyesus, from the WHO, warned: “In the past month, about 90 cases of clade 1b have been reported in four countries neighbouring the DRC that have not reported mpox before: Burundi, Kenya, Rwanda and Uganda.

‘Most dangerous mpox strain yet’ that spreads via touch is ‘spreading rapidly’ and poses threat to Europe

“But we are not dealing with one outbreak of one clade – we are dealing with several outbreaks of different clades in different countries with different modes of transmission and different levels of risk.”

WHO’S labelling of a “public health emergency of international concern” is meant to encourage member countries to begin preparing for the virus.

This could entail the sharing of vaccines and treatments with poorer nations.

Dr Josie Golding, from the Wellcome Trust, said it was a “strong signal”, while Emory University’s Dr Boghuma Titanji said the move “underscores the gravity of the crisis”.

What mpox lesions can look like

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What mpox lesions can look likeCredit: AFP

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Prof Trudie Lang, the director of the Global Health Network at the University of Oxford, said it was “important and timely”, but added that the emergence of a new strain meant there were “many unknowns that need to be addressed”.

On Tuesday, scientists from the Africa Centres for Disease Control and Prevention declared a public health emergency.

The head of the organisation, Jean Kaseya, warned that this current outbreak could spiral out of control if immediate steps were not taken to contain it.

“We must be proactive and aggressive in our efforts to contain and eliminate this threat,” he said.

Health chiefs outside Africa are keeping track of the situation to assess the risk of the outbreak spreading further.

Prof Marion Koopmans, from the Pandemic and Disaster Management Centre, said the risk of the virus coming to Europe is “small although it is possible”.

Experts have previously told the Sun the disease could easily spread via international travel.

The 13 countries hit by mpox outbreak

Burundi: 225 cases

Cameroon: 35 cases (2 deaths)

Central African Republic: 258 cases 

Congo: 169 cases (1 death)

Cote d’Ivoire: 2 cases  

Democratic Republic of Congo: 16 789 cases (511 deaths)

Ghana: 4 cases 

Liberia: 5 cases

Kenya: 1 case

Nigeria: 24 cases 

Rwanda: 2 cases 

South Africa: 24 cases (3 deaths)

Uganda: 2 cases

Source: Fit to Travel

Mpox is a viral infection that causes flu-like symptoms and pus-filled lesions.

Until a few years ago most cases of it were reported in central and west Africa.

But in 2022, the WHO declared a public health emergency when the clade 2 strain triggered the global outbreak that reached over 100 countries – including the UK.

That outbreak was brought under control by vaccinating vulnerable groups.

Like clade 2, most new infections in the DRC appear to have been sexually transmitted.

But there have also been cases of the new bug spreading through touch alone in schools and workplaces.

BUGS DON’T RECOGNISE BORDERS

Vaccines and treatments were previously used to combat the global outbreak but they are not available in many countries, including Congo.

Earlier this month, authorities said it had reached the major city of Goma, which has an international airport that operates frequent direct flights to and from Europe. 

“Pathogens don’t recognise borders,” Ben Oppenheim, a global health experts and senior director of US company Ginkgo Biosecuritypreviously told the Sun.

“Goma is an important regional transit point, which heightens the risk of the virus spreading regionally and potentially globally – including to Europe and the UK,” he said.

Trudie Lang, professor of global health research at Oxford University, added: “It is quite possible people with the infection and who are infectious could get on a flight and transmit this elsewhere.”

Symptoms of mpox could include a fever, respiratory issues, muscle aches and swollen lymph nodes.

Rashes on the hands, feet, chest, mouth or genitals can also appear.

I mistook monkeypox for Covid – I’ve never been in so much pain

A MAN who caught mpox in 2022 first believed he had Covid before experiencing agonising symptoms that made him fear for his life.

Harun Tulunay, a 35-year-old charity worker, experienced extreme symptoms which left him hospitalised for almost two weeks. 

Harun, who lives in London, first started to display flu-like symptoms back in early June 2022, such as high fever, chills and muscle aches.

After having recently caught Covid he was “convinced” he had had the virus again, he told The Sun. “But every test I did came back negative.”

A few days later, the charity worker developed a red and white rash on his body that resembled an allergic reaction, which he said was “nothing like the monkeypox pictures you see online”.

It wasn’t until a few days later that he also noticed a painless spot on his nose which he assumed was a mosquito-like bite or pimple. 

Harun works in sexual health so is well versed in monkeypox and its symptoms, but he had never seen his rash or spot associated with the disease and so didn’t think he could have it.

A few days later, Harun’s health took a turn for the worse as his fever reached 40C. “No amount of painkillers would ease the pain,” he said.

It was at this point that Harun developed swollen tonsils and a very sore throat.  

“I couldn’t breathe, swallow or speak,” he said. 

“I vividly remember calling up the hospital and crying in pain.”

Harun was finally referred to the hospital where he was put into isolation.

His test confirmed he had monkeypox, and only then did lesions often associated with monkeypox begin to appear on his hands, legs, and feet.

“My throat was covered,” he said, explaining that the lesion on his nose was bigger and had become infected.

“I was scared I would die alone in my hospital room,” he said. “I’d never been in so much pain in my life.”

“I remember looking at a water bottle and crying because I couldn’t drink it,” he added. 

Harun has now made a full recovery.

There have also been cases of the new bug spreading through touch alone in schools and workplaces

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There have also been cases of the new bug spreading through touch alone in schools and workplacesCredit: Alamy
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