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Monkeypox African region (WHO Africa, Week 39: 19 - 25 September 2022)

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  • Monkeypox African region (WHO Africa, Week 39: 19 - 25 September 2022)

    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES


    Week 22 : 23 - 29 May 2022
    Data as reported by: 17:00; 29 May 2022
    ...

    Monkeypox African region

    1 408 cases
    66 Death
    4.7% CFR



    EVENT DESCRIPTION

    Human monkeypox cases continue to be reported across the
    African region since the beginning of the year. As of 26 May
    2022, there have been 1 408 suspected cases with 66 deaths
    (case fatality ratio 4.7%) reported from seven countries across
    the African region: Cameroon (28 cases with two deaths), Central
    African Republic (17 cases with two deaths), Congo (seven cases
    with three deaths), Democratic Republic of the Congo (1 284
    cases with 58 deaths), Liberia (four cases with zero deaths),
    Nigeria (66 cases with one death), and Sierra Leone (two cases
    with zero deaths).

    A total of 44 cases have been confirmed for monkeypox virus
    infection across five countries, namely, Cameroon (three), Central
    African Republic (eight), Congo (two), Democratic Republic of
    the Congo (10), and Nigeria (21).

    Since its first detection in the region in 1970 in the Democratic
    Republic of the Congo, cases of human monkeypox were reported
    sporadically until 2017. Cases spiked in 2017, with a total of 2
    828 suspected cases with 69 deaths reported from five countries
    and continue to increase annually with a peak of 6 368 suspected
    cases with 231 deaths reported from seven countries in 2020.
    The reasons for these spikes are not fully known but may be due
    to deforestation and the encroachment of people into the habitats
    of monkeypox animal hosts. Cases dropped by 49% (n= 3 240)
    in 2021 compared to the previous year.

    Since 2017, a cumulative total of 23 428 suspected cases with
    589 deaths (CFR 2.5%) have been reported from seven countries
    across the region. Of these, 409 were laboratory-confirmed for
    monkeypox virus infection. The Democratic Republic of the
    Congo accounts for the highest burden, reporting 96% (n=22
    379) of the cumulative suspected cases since 2017.

    Suspected cases of human monkeypox in the Democratic
    Republic of the Congo have been reported from 87 health zones
    across 18 provinces since the beginning of 2022.

    From 1 January – 8 May 2022, a total of 1 284 suspected cases
    with 58 deaths (CFR 4.5%) were reported. The most affected
    provinces accounting for 71% of the total cases reported in 2022
    are Sankuru (n=468, 36.4%), Tshopo (n=169, 13.2%), Ecuador
    (n=168, 13.1%), and Tshuapa (n=108, 8.4%). A total of 10 cases
    out of 19 sampled were confirmed positive for monkeypox virus
    infection.

    In Nigeria, 66 suspected cases with one death have been reported
    from nine states. Of these, 21 cases were laboratory-confirmed
    from the following states: Adamawa (5), Bayelsa (2), Cross River
    (2), Delta (2), Federal Capital Territory (2), Imo (1), Kano (2),
    Lagos (4), and River (1). One death was recorded in a 40-year-old
    male with renal co-morbidity.

    See the dashboard below for other countries reporting outbreaks
    of monkeypox in the African region.

    Most outbreaks across affected countries have occurred in
    hard-to-reach forest communities. An increase in the number of
    districts reporting cases since 2017 has been observed, indicating
    a geographic spread of the disease.

    Results of genomic analysis showed two clades, West and Central
    Africa, of the monkeypox virus across the African region. While
    the Central African clade has been exclusively found in countries of
    the Central African belt, the West African clade has been identified
    in West Africa and parts of Cameroon. The Central African clade
    has been associated with higher virulence than the West African
    clade.

    The ongoing outbreaks in Congo, Cameroon, Central African
    Republic, Democratic Republic of the Congo, and Nigeria are
    unrelated to the events of monkeypox reported from 23 countries
    across the European, American, Eastern Mediterranean, and
    Western Pacific Regions. Although epidemiological investigations
    are ongoing, no travel or exposure links to areas reporting
    monkeypox cases in Africa have so far been established for the
    majority of cases reported outside of the African region. The
    sudden and unexpected appearance of monkeypox simultaneously
    in several countries outside of the African region suggests that
    there may have been undetected transmission for possibly an
    extended period of time.

    PUBLIC HEALTH ACTIONS

    All affected countries have established One-Health
    committees to coordinate partners and multi-sectoral
    response to the monkeypox outbreaks.
    In Nigeria, the National Multisectoral Emergency Operations
    Centre has been activated at level 2 to coordinate response
    to the outbreak.

    As part of the Integrated Disease Surveillance and Response
    (IDSR) strategy, all affected countries have included
    monkeypox among the list of priority diseases for immediate
    notification.

    Surveillance for improved case detection is being
    strengthened through training of health workers. In Nigeria,
    enhanced surveillance for monkeypox is being conducted in
    high burden states such as Delta, Bayelsa, and River states.

    Capacity of diagnostic tests are available at national reference
    laboratories in Cameroon, Central African Republic,
    Democratic Republic of Congo, and Nigeria.

    Rapid response teams are being mobilized in Cameroon,
    Democratic Republic of Congo, and Nigeria to conduct
    detailed epidemiological investigation of monkeypox
    outbreak events.

    Identified cases are being provided clinical care. In the Central
    African Republic, a treatment centre in Mbaïki district, one of
    the hotspot areas for monkeypox, has been setup to provide
    clinical care for cases.
    ...
    View/Open

    OEW22-2329052022.pdf (‎2.568Mb)‎

    https://apps.who.int/iris/handle/106...ore&order=desc
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 34: 15 - 21 August 2022
    Data as reported by: 17:00; 21 August 2022

    ...
    Monkeypox Multiple Countries

    404 cases
    7 Deaths
    17.0% CFR


    EVENT DESCRIPTION

    Following the second sitting of the International Health
    Regulations (IHR) emergency committee, the Director General
    of WHO declared the multi-country Monkeypox outbreak a
    public health event of international concern (PHEIC). This was
    based mainly on the fact that the outbreak was spreading rapidly
    through new modes of transmission, about which too little is
    understood and meets the criteria in the IHR 2005.

    The multi-country monkeypox outbreak continues to evolve
    insidiously in the Africa continent. Between 8 and 17 August 2022,
    28 new confirmed cases were reported from three countries in
    AFRO region; Nigeria (15), Ghana (12) and South Africa (1), with
    no new death reported during the same period. There are eight
    countries which have not reported new cases for over 21 days,
    the maximum incubation period of the disease.

    As of 17 August 2022, there have been 406 confirmed cases
    of monkeypox reported in 11 African countries; Nigeria (172),
    Democratic Republic of the Congo (163), Ghana (47), Cameroon
    (7), South Africa (4), Benin (3), Central Africa Republic (3), Congo
    (3), Liberia (2), Morocco (1), Sudan (1), with seven deaths.
    These represent 1.0% and 58.0% of global cases and deaths
    respectively. The top reporting countries; Nigeria (172 cases)
    and Democratic Republic of the Congo (163 cases) account for
    83.0% of all confirmed cases in Africa.

    Based on 291 confirmed cases with available information on age
    and gender, 59% of the confirmed cases are males. The most
    affected age groups were between 9 and 32 years, with a median
    age of 20 years. While children have also been affected, the
    analysis shows that Africa’s young and most active age group is
    the most exposed.

    Currently, there are two distinct patterns of transmission in
    Africa: the first one involves the sporadic transmission of
    monkeypox cases in remote rural communities, mainly in Central
    Africa around the Congo Basin; and a second insidious sustained
    person-to-person transmission in rural-peri-urban-urban
    communities, mainly in West Africa (Nigeria and Ghana).
    Between 1 January and 17 August 2022, a total of 37 736
    laboratory-confirmed cases and 179 probable cases, including
    12 deaths, have been reported to WHO from 93 Member States
    across all six WHO regions.

    The number of weekly reported new cases globally has increased
    by 20.3% in week 32 (08 Aug - 14 Aug) (7 477 cases) compared
    to week 31 (01 Aug - 07 Aug) (6 217 cases). The 10 most affected
    countries globally are: United States of America (11 915), Spain
    (5 792), Germany (3 187), The United Kingdom (3 055), Brazil (2
    985), France (2 749), Canada (1 059), Netherlands (1 029), Peru
    (834), and Portugal (770). Together, these countries account for
    88.4% of the cases reported globally.

    PUBLIC HEALTH ACTIONS

    WHO continues to provide technical assistance to countries
    to enhance their readiness to respond to potential monkeypox
    outbreaks promptly and effectively.

    A dedicated monkeypox incident management support
    system has been established at AFRO and in the respective
    countries to strengthen coordination and harmonize the
    response.

    Surveillance technical guidelines and reporting tools have
    been developed and disseminated to all countries to facilitate
    case detection, reporting, case investigations, contact tracing
    and follow-up.

    Standard and community case definitions for Monkeypox
    have been incorporated into the priority diseases list and
    reporting tools and disseminated to various levels of the
    healthcare systems to enhance surveillance.

    A system for proactive information and data gathering
    using the Epidemic Intelligence from Open Sources (EIOS)
    platform has been established to improve signal detection
    and verification with the national authorities.

    An epidemiology analytics cell has been established at AFRO
    to improve data capture, management, analysis, interpretation
    and use of the resulting information for decision-making.

    A monkeypox vaccination strategy has been developed to
    guide the identification of high-risk and priority groups for
    vaccination.

    SITUATION INTERPRETATION

    The multi-country monkeypox outbreak continues to evolve
    in Africa, with 11 countries affected from January to August
    2022. However, most cases (> 90 %) have been reported in
    countries that previously notified monkeypox cases. Ghana and
    South Africa need more attention since they have not reported
    monkeypox outbreaks previously. Improved case investigations
    and testing of suspected cases is required. In addition, enhanced
    risk communication and community engagement are needed
    to overcome the no urgency attached to monkeypox. WHO
    is providing necessary support to improve surveillance and
    laboratory capacity, including genomic surveillance in affected
    countries.

    https://apps.who.int/iris/bitstream/...1521082022.pdf
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      WEEKLY BULLETIN ON OUTBREAKS
      AND OTHER EMERGENCIES

      Week 35: 22 - 28 August 2022
      Data as reported by: 17:00; 28 August 2022

      ...

      Monkeypox Multiple Countries

      449 cases
      9 Deaths
      2.0% CFR


      EVENT DESCRIPTION

      The African continent continues to respond to the Monkeypox
      pandemic, however, with an increasing trend observed
      since April 2022. As of August 28 2022, there have been 449
      confirmed cases of Monkeypox reported in 11 African countries:
      (Democratic Republic of the Congo (DRC) (195), Nigeria (172),
      Ghana (56), Cameroon (7), South Africa (5), Benin Republic (3),
      Central Africa Republic (CAR) (3), Congo (3), Liberia (2), Sudan
      (2), and Morocco (1).

      In addition, nine deaths have been reported from Nigeria (4),
      Ghana (3), and CAR (2). The number of Monkeypox cases and
      deaths in Africa represents 1.0% and 60.0% of global cases and
      fatalities, respectively.

      The top three countries reporting the highest number of
      confirmed cases include; DRC 195 (43.6%), Nigeria 172 (38.5%),
      and Ghana 56 (12.5%), accounting for 94.6% (n = 423) of all
      confirmed cases. An average age of 21 years has been noted
      among all Monkeypox cases reported. Males (59%) have been
      more affected than females.

      Between 18 and 28 August 2022, 34 new confirmed cases were
      reported from three countries in the African region; DRC (32),
      South Sudan (1) and South Africa (1). No new country has
      reported a monkeypox case in the previous week.

      Between 1 January and 28 August 2022, 47 652 laboratory
      confirmed Monkeypox cases were reported globally. Similarly, 15
      deaths were reported from Brazil (1), Cuba (1), Ecuador (1), India
      (1), CAR (2), Spain (2), Ghana (3), and Nigeria (4) across all six
      WHO regions. Between 20 and 26 August 2022, there was an
      increase of 15% in the number of cases reported globally. During
      the period, 23% increase was reported in the WHO Region of the
      Americas, 13% in the WHO Western Pacific Region; 8% in the
      WHO South-East Asia Region; 7% in the WHO European Region;
      and 3% in the WHO Eastern Mediterranean Region.

      PUBLIC HEALTH ACTIONS

      WHO continues to provide technical assistance to countries
      to enhance their readiness to respond to potential monkeypox
      outbreaks promptly and effectively.

      A dedicated monkeypox incident management support
      system has been established at AFRO and in the respective
      countries to strengthen coordination and harmonize the
      response.

      Ghana is currently sensitising all regions on the monkeypox
      disease and its preventive measures.

      Standard and community case definitions for Monkeypox
      have been incorporated into the priority diseases list and
      reporting tools and disseminated to various levels of the
      healthcare systems to enhance surveillance.

      Surveillance technical guidelines and reporting tools have
      been developed and disseminated to all countries to facilitate
      case detection, reporting, case investigations, contact tracing
      and follow-up.

      A system for proactive information and data gathering using
      the Epidemic Intelligence from Open Sources platform was
      established to improve signal detection and verification with
      the national authorities.

      An epidemiology analytics cell has been established at AFRO
      to improve data capture, management, analysis, interpretation
      and use of the resulting information for decision-making.

      A monkeypox vaccination strategy has been developed to
      guide the identification of high-risk and priority groups for
      vaccination.

      SITUATION INTERPRETATION

      No new country reported a Monkeypox case in Africa in the
      past seven days. DRC, Nigeria and Ghana continue to report the
      highest burden of disease. New weekly cases were reported from
      three countries in the AFRO region, including the Democratic
      Republic of Congo, South Sudan and South Africa. More than
      half of the confirmed monkeypox cases are males. Improved case
      investigations and testing of suspected cases are required. WHO
      AFRO is providing necessary support to improve surveillance and
      laboratory capacity, including genomic surveillance in affected
      countries.

      https://apps.who.int/iris/bitstream/...2228082022.pdf
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #4
        WEEKLY BULLETIN ON OUTBREAKS
        AND OTHER EMERGENCIES

        Week 36: 29 August - 4 September 2022
        Data as reported by: 17:00; 4 September 2022

        ...

        Monkeypox Multiple Countries 1.9%

        524 cases
        10 Deaths
        1.9% CFR


        EVENT DESCRIPTION

        The number of newly confirmed monkeypox cases has continued
        to increase in African countries since January 2022. Between
        August 28 and 4 September 2022, the number of confirmed
        monkeypox cases increased by 12.7% (59), with one additional
        death reported in Ghana. Within this period, three countries
        reported new cases, including Nigeria (48), Ghana (9) and
        Morocco (2). In Africa, 11 countries have reported monkeypox
        cases, (Nigeria (220), Democratic Republic of the Congo (DRC)
        (195), Ghana (76), Cameroon (7), South Africa (5), Benin Republic
        (3), Central Africa Republic (CAR) (3), Congo (3), Morocco (3),
        Liberia (2), and Sudan (2).

        Nigeria (42.0%), DRC (37.2%) and Ghana (14.5%) remain
        the top three countries reporting the highest number of cases,
        accounting for 95.0% of all confirmed cases. More than half
        (59%) of monkeypox cases in Africa are males with an average
        age of 21 years.

        In the past week, Ghana recorded the fourth death, making a total
        of 10 deaths in Africa. Nigeria (4), Ghana (3), and CAR (2). The
        number of Monkeypox cases and deaths in Africa represents
        1.0% and 58.8% of global cases and fatalities, respectively. No
        new country has reported a monkeypox case in the previous
        week.

        Between 1 January and 4 September 2022, 51 163 laboratory
        confirmed and 302 probable Monkeypox cases were reported
        globally. Similarly, 17 deaths were reported from Belgium (1),
        Brazil (1), Cuba (1), Ecuador (1), India (1), CAR (2), Spain (2),
        Ghana (4), and Nigeria (4) across all six WHO regions. WHO
        Region of the Americas (27 803; 54.3%) and European region (22
        648; 44.3%) reported the highest number of cases. The top ten
        countries with the highest number of Monkeypox cases include
        the United States of America (18 303), Spain (6543), Brazil (4
        876), France (3 558), Germany (3 480), The United Kingdom
        (3.413), Peru (1.496), Canada (1.228), Netherlands (1,166), and
        Portugal (846).

        PUBLIC HEALTH ACTIONS

        WHO has developed a policy response tracker to understand
        better the characteristics of response measures put in place
        by countries and their impact on epidemic trends

        Daily tracking, monitoring and response to rumours and
        misinformation of monkeypox is currently ongoing in Nigeria

        WHO continues to provide technical assistance to countries
        to enhance their readiness to respond to potential monkeypox
        outbreaks promptly and effectively.

        Liberia to conduct refresher training for surveillance officers
        and laboratory technicians on case detection and specimen
        collection

        A dedicated monkeypox incident management support
        system has been established at AFRO and in the respective
        countries to strengthen coordination and harmonize the
        response.

        Standard and community case definitions for monkeypox
        have been incorporated into the priority diseases list and
        reporting tools and disseminated to various levels of the
        healthcare systems to enhance surveillance.

        Surveillance technical guidelines and reporting tools have
        been developed and disseminated to all countries to facilitate
        case detection, reporting, case investigations, contact tracing
        and follow-up.

        A system for proactive information and data gathering using
        the Epidemic Intelligence from Open Sources platform was
        established to improve signal detection and verification with
        the national authorities.

        An epidemiology analytics cell has been established at AFRO
        to improve data capture, management, analysis, interpretation
        and use of the resulting information for decision-making.


        SITUATION INTERPRETATION
        No new country reported a Monkeypox case in Africa in the past seven days. One new death was reported in Ghana. Nigeria, DRC,
        and Ghana continue to report the highest disease burden. New weekly cases were reported from two countries in the WHO African
        region, Nigeria and the Democratic Republic of Congo. More than half of the confirmed monkeypox cases are males. Improved
        case investigations and testing of suspected cases are required. WHO is providing necessary support to enhance surveillance and
        laboratory capacity, including genomic surveillance in affected countries.


        https://apps.who.int/iris/bitstream/...0804092022.pdf
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #5
          WEEKLY BULLETIN ON OUTBREAKS
          AND OTHER EMERGENCIES

          Week 37: 5 - 11 September 2022
          Data as reported by: 17:00; 11 September 2022

          ...

          Monkeypox Multiple Countries

          590 cases
          12 Deaths
          2.0% CFR


          EVENT DESCRIPTION

          The number of confirmed monkeypox cases in Africa has
          increased by 12.6% from 524 in Week 35 (29 Aug - 04 Sept) to
          590 in week 36 (5 Sep - 11 Sep). In the past week, three countries
          reported 66 new cases, including Ghana (8) and Liberia (1). An
          additional 57 cases were retrospectively reported from Nigeria.
          Nigeria recorded two deaths in the past week.

          Between 1 January and 4 September 2022, 11 African countries
          have reported monkeypox, including nine countries in the WHO
          African region (Nigeria (277), Democratic Republic of the Congo
          (DRC) (195), Ghana (84), Central Africa Republic (CAR) (8),
          Cameroon (7), South Africa (5), Benin Republic (3), Congo (3) and
          Liberia (3) and two countries in the WHO Eastern Mediterranean
          Region: Morocco (3) and Sudan (2).

          Nigeria (46.9%), DRC (33.1%) and Ghana (14.2%) remain
          the top three countries reporting the highest number of cases,
          accounting for 94.2% of all confirmed cases. Nigeria recorded
          two deaths in the past week, making a total of 12 deaths in Africa;
          Nigeria (6), Ghana (4), and CAR (2). The number of Monkeypox
          cases and deaths in Africa represents 1.0% and 60.0% of global
          cases and fatalities, respectively. No new country has reported a
          monkeypox case in the previous week.

          Globally, a cumulative total of 54 709 laboratory-confirmed and
          397 probable Monkeypox cases have been reported between
          1 January and 11 September 2022. Similarly, 20 deaths were
          reported from Belgium (1), Cuba (1), Ecuador (1), India (1),
          Brazil (2), CAR (2), Spain (2), Ghana (4), and Nigeria (6) across
          all six WHO regions. Most cases reported in the past 4 weeks
          were notified from the Region of the Americas 30 772 (56.2%)
          and the European Region 23 196 (42.4%).

          The top ten countries with the highest number of Monkeypox
          cases include the United States of America (19 833), Spain (6
          749), Brazil (5 525), France (3 646), Germany (3 505, The United
          Kingdom (3 484), Peru (1 724), Canada (1 289), Netherlands (1
          172), and Colombia (938). Together, these countries account for
          87.5% of the cases reported globally.

          PUBLIC HEALTH ACTIONS

          WHO is currently supporting affected countries to investigate
          the modes of transmission of monkeypox (zoonotic and
          urban outbreaks)

          An epidemiology analytics cell has been established at
          AFRO to improve data capture, management, analysis,
          interpretation and use of the resulting information for
          decision-making.

          Efforts are currently ongoing to understand comorbidities
          and other underlying factors (e.g. HIV infection) of deaths
          associated with monkeypox

          A policy response tracker has been developed and
          disseminated to the affected countries to understand better
          the characteristics of response measures put in place by
          governments and their impact on epidemic trends

          WHO continues to provide technical assistance to countries
          to enhance their readiness to respond to potential monkeypox
          outbreaks promptly and effectively

          A system for proactive information and data gathering using
          the Epidemic Intelligence from Open Sources platform was
          established to improve signal detection and verification with
          the national authorities.

          SITUATION INTERPRETATION

          In the past week, three countries reported new cases (Nigeria,
          Ghana, and Liberia) in the African Region. Two new deaths were
          reported in Nigeria. Nigeria, the Democratic Republic of Congo
          and Ghana remain the countries with the highest monkeypox
          burden in the past 4 weeks. Enhanced risk communication and
          community engagement are needed to address rumours and
          misinformation about monkeypox in Africa. WHO AFRO supports
          countries in understanding comorbidities and other underlying
          factors of monkeypox-related deaths.

          https://apps.who.int/iris/bitstream/...0511092022.pdf
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #6
            WEEKLY BULLETIN ON OUTBREAKS
            AND OTHER EMERGENCIES

            Week 38: 12 - 18 September 2022
            Data as reported by: 17:00; 18 September 2022

            ...

            Monkeypox Multiple Countries

            596 cases
            13 Deaths
            2.2% CFR


            EVENT DESCRIPTION

            The number of confirmed monkeypox cases in Africa increased
            by 1.1% to 596 in week 37
            (12 Sep – 18 Sep) from 590 in week
            36
            (5 Sep - 11 Sep), compared to the 12.6% increase between
            weeks 35 and 35. In the past week, two countries reported 6 new
            cases, including the Republic of Congo (2) and Sudan (4).

            Between 1 January and 18 September 2022, 11 African countries
            have reported monkeypox, including nine) countries in the
            WHO African region (Nigeria (277), Democratic Republic of the
            Congo (DRC) (195), Ghana (84), Central Africa Republic (CAR)
            (8), Cameroon (7), South Africa (5), Benin Republic (3), Congo
            (5) and Liberia (3) and two in the WHO Eastern Mediterranean
            Regional Office countries: Sudan (6) and Morocco (3).

            Three countries with the highest monkeypox burden in Africa
            include Nigeria (46.5%), DRC (32.7%) and Ghana (14.1%),
            accounting for 93.3% of all confirmed cases in Africa. With one
            new death from Sudan, the number of Monkeypox cases and
            deaths in Africa represents 1.0% and 56.5% of global cases and
            fatalities, respectively.

            Between 1 January and 18 September 2022, 60 320 laboratory
            confirmed and 525 probable Monkeypox cases were reported
            globally. Similarly, 23 deaths were reported from Belgium (1),
            Cuba (1), Ecuador (1), India (1), Brazil (2), Sudan (1), CAR (2),
            Spain (2), Ghana (4), and Nigeria (6) across all six WHO regions.
            Most cases reported in the past week were notified from the
            Region of the Americas 36 600 (60.7%) and the European Region
            23 897 (39.6%).

            PUBLIC HEALTH ACTIONS

            WHO is supporting countries in conducting case
            investigations, specimen collection, and contact identification
            at both national and sub-national levels

            Capacity building for data analysis, visualization and
            interpretation of monkeypox outbreak dynamics is ongoing
            across the member countries

            WHO is collaborating with countries to train healthcare
            workers on specimen collection, processing, packaging,
            storage, transport and manipulation, as well as infection
            prevention and control strategies.

            Efforts are ongoing to constantly supply health facilities with
            equipment (IPC), including personal protective equipment
            (gloves, face masks, hydroa-lcoholic gel, etc.)

            A policy response tracker has been developed and
            disseminated to the affected countries to understand better
            the characteristics of response measures put in place by
            governments and their impact on epidemic trends

            WHO continues to provide technical assistance to countries
            to enhance their readiness to respond to potential monkeypox
            outbreaks promptly and effectively.

            SITUATION INTERPRETATION

            In the past week, two countries reported new monkeypox cases
            (Sudan and Congo) in Africa. One new death was reported in Sudan.
            Nigeria, the Democratic Republic of Congo and Ghana remain the
            top countries with the highest number of monkeypox cases. WHO
            is supporting countries to enhance media communication to
            create public awareness of monkeypox to address rumours and
            misinformation about the monkeypox situation in Africa.

            https://apps.who.int/iris/bitstream/...1218082022.pdf
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              WEEKLY BULLETIN ON OUTBREAKS
              AND OTHER EMERGENCIES

              Week 39: 19 - 25 September 2022
              Data as reported by: 17:00; 25 September 2022

              ...

              Monkeypox Multiple Countries

              577 cases
              15 Deaths
              2.6% CFR


              EVENT DESCRIPTION

              The number of newly confirmed monkeypox cases in Africa
              decreased by 66.7% this week from six in week 37 (12 Sep – 18
              Sep) to two new cases in 38 (19 Sep - 25 Sep). In the past week,
              two countries reported two new cases, including Cameroon (1)
              and Sudan (1).

              Between 1 January and 25 September 2022, 11 African countries
              have reported 577 monkeypox cases, including nine countries in
              the WHO African region (Nigeria (277), Democratic Republic of
              the Congo (DRC) (174), Ghana (84), Central Africa Republic (CAR)
              (8), Cameroon (8), South Africa (5), Benin Republic (3), Congo
              (5) and Liberia (3) and two in the WHO Eastern Mediterranean
              Regional countries: Sudan (7) and Morocco (3).

              The top three countries with the highest number of monkeypox
              cases in Africa include Nigeria (48.0%), DRC (30.2%), and Ghana
              (14.6%). The three countries account for 92.7% of all confirmed
              cases in Africa. With two new deaths from Cameroon, the number
              of Monkeypox cases and deaths in Africa represents 1.0% and
              57.7% of global cases and fatalities, respectively.

              Between 1 January and 25 September 2022, 64 561 laboratory
              confirmed and 3 063 probable Monkeypox cases were reported
              globally. Similarly, 26 deaths were reported from Belgium (1),
              Cuba (1), Czechia (1), Ecuador (1), India (1), Sudan (1), United
              States of America (1), Brazil (2), Cameroon (2), CAR (2), Spain
              (3), Ghana (4), and Nigeria (6) across all six WHO regions.

              Most cases reported in the past week were notified from the
              Region of the Americas 39 355 (61.0%) and the European Region
              24 371 (37.7%). Africa region recorded the highest proportion
              of global monkeypox deaths (53.8%), followed by the European
              region (19.2%) and Region of the Americas (19.2%). Two
              regions, Eastern Mediterranean and South-East Asia reported
              one death each (3.8%).

              PUBLIC HEALTH ACTIONS

              WHO is providing necessary support to improve surveillance
              and laboratory capacity, including genomic surveillance in
              affected countries.

              Healthcare systems at various levels are currently using the
              standard and community case definitions for Monkeypox
              designed by the WHO and incorporated into the priority
              diseases list and reporting tools to enhance surveillance.
              Countries are using the WHO’s technical surveillance
              guidelines and reporting tools to facilitate case detection,
              reporting, case investigations, contact tracing, and follow-up.
              Monkeypox signal detection and verification are being
              enhanced through proactive information and data gathering
              system using the Epidemic Intelligence from Open Sources.

              An epidemiology analytics cell has been established at AFRO to
              improve data capture, management, analysis, interpretation,
              and use of the resulting information for decision-making.
              WHO has developed a monkeypox vaccination strategy to
              guide the identification of high-risk and priority groups for
              vaccination.

              SITUATION INTERPRETATION

              No new country has reported a monkeypox case in the previous
              week. Two new cases were reported in Africa in the past week;
              one from Cameroon and one from Sudan. Two new deaths were
              confirmed in Cameroon. Nigeria, the Democratic Republic of
              Congo, and Ghana remain the top countries with the highest
              number of monkeypox cases. WHO continues to support
              countries on monkeypox surveillance and laboratory capacity,
              including genomic sequencing in the affected countries.

              https://extranet.who.int/iris/restri...1925092022.pdf
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

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