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This is a worksheet and not a case list. The intent of this worksheet is to provide some idea of where the most dangerous clade of mpox is occurring/spreading and what the size of the problem is.
As a departure from our usual lists we are incorporating suspected and probable cases if reported by a governmental authority. Lab verification is challenging in this situation. Mpox is easier to clinically diagnose than other viruses.
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August 27, Africa CDC: All clades - As of August 26, 2024 in Africa 22,863 total mpox cases (3,641 confirmed and 19,222 suspected) and 622 deaths. No country or clade breakdown. link
Burundi - Govenment says more than 300 cases. Clade not mentioned for cases 259-300+. link At WHO presser August 30 announced 258 total clade 1b cases link
Cameroon - Africa CDC rpt: 35 cases, 2 deaths so far in 2024. Likely clades I and II. link
Central African Republic - Africa CDC rpt says 213 cases, 1 deaths confirmed by WHO link, clade 1a. link link
Congo - Africa CDC rpt says 146 cases, 1 death, no clade mentioned. Health Minister on Aug. 25: "We have recorded 158 suspected cases since the beginning of the year. And, we have had 21 confirmed cases. Until two days ago, we had only 19 confirmed, treated and cured cases. 48 hours ago, we identified two new cases ,” link
DRC - WHO director on August 26: "more than 18,000 suspected cases of mpox, with 615 deaths" link - unknown split between clades 1a and 1b (children cases are 1b link ) - media rpt dated August 22: 15,664 cases and 548 deaths link
Gabon - 1 case, traveled from Uganda, WHO confirms clade 1a link
Ghana - Africa CDC rpt: 4 cases, no deaths. Possible clade IIb. link
Guinea - 1 case, 7 year old girl, no clade mentioned, no deaths
Ivory Coast - 32 cases, 1 death , WHO confirms clade as clade I & II. link link
Kenya - 5 cases confirmed total. link 5th case is spouse of 4th case who had traveled to Rwanda. 2 cases clade not confirmed yet. link , WHO confirms 2 cases of clade 1b , 3rd case clade is not determined yet), no deaths, 3rd case has recent travel history to Uganda.
Liberia - Africa CDC rpt: 5 cases, no deaths. Cases referred to in WHO press release as clade II plus here: link
Morocco - 1 case, clade II
Nigeria - NCDC reports total 48 confirmed cases of mpox in 2024, 868 suspected cases and no deaths across 33 states and the Federal Capital Territory. Clade II confirmed by WHO link. Most affected age group are children. link link
Rwanda - MoH reports 4 total cases. All connected through the DRC, no deaths, WHO confirms clade 1b. link link
South Africa - 29 cases including 3 deaths listed. Clade I & IIb link link
Sweden - 1 case. Clade 1b. No deaths
Thailand - 1 case. Clade 1b. No deaths
Uganda - 5 total cases link - Clade of 5th case is not stated yet. 4 cases clade 1b. WHO confirms 1st 2 cases with clade 1b - DRC contact. No deaths officially link , Media report on Aug 25 quoting a hospital doctor in Masafu: one death, 3 people admitted to hospital & possibly 20 contacts of deceased's body showing mpox signs. link
Sources:
Virological.org - Clade Ib Mpox in the Democratic Republic of the Congo (DRC): clinical and virological report of the first case in Kinshasa, the capital city
WHO - Disease Outbreak News: Mpox - African Region - August 22, 2024
WHO - Multi-country outbreak of mpox External Situation Report 35, published 12 August 2024
Data as received by WHO from national authorities as of 30 June 2024 link
Africa CDC - Mpox Situation in Africa – Africa CDC - dated July 30, 2024
@KrutikaKuppalli - former WHO medical officer with mpox experience (see post 2)
Various Ministry of Health department statements as provided. Linked above.
Various news reports believed to be credible. Linked above.
Sources considered but not being used:
WHO Mpox Outbreak Global Trends report dated August 22, 2024 because it spans 2 years (2022-2024) and this list is narrowly focused on the more deadly clade of 1b which has emerged in 2024. link Also, the lab confirmed cases figures used in the WHO report greatly understate the reality on the ground as reported by the African CDC. Mpox, unlike flu, is more easily diagnosed clinically.
As a departure from our usual lists we are incorporating suspected and probable cases if reported by a governmental authority. Lab verification is challenging in this situation. Mpox is easier to clinically diagnose than other viruses.
------------------------------------------------------------
August 27, Africa CDC: All clades - As of August 26, 2024 in Africa 22,863 total mpox cases (3,641 confirmed and 19,222 suspected) and 622 deaths. No country or clade breakdown. link
Burundi - Govenment says more than 300 cases. Clade not mentioned for cases 259-300+. link At WHO presser August 30 announced 258 total clade 1b cases link
Cameroon - Africa CDC rpt: 35 cases, 2 deaths so far in 2024. Likely clades I and II. link
Central African Republic - Africa CDC rpt says 213 cases, 1 deaths confirmed by WHO link, clade 1a. link link
Congo - Africa CDC rpt says 146 cases, 1 death, no clade mentioned. Health Minister on Aug. 25: "We have recorded 158 suspected cases since the beginning of the year. And, we have had 21 confirmed cases. Until two days ago, we had only 19 confirmed, treated and cured cases. 48 hours ago, we identified two new cases ,” link
DRC - WHO director on August 26: "more than 18,000 suspected cases of mpox, with 615 deaths" link - unknown split between clades 1a and 1b (children cases are 1b link ) - media rpt dated August 22: 15,664 cases and 548 deaths link
Gabon - 1 case, traveled from Uganda, WHO confirms clade 1a link
Ghana - Africa CDC rpt: 4 cases, no deaths. Possible clade IIb. link
Guinea - 1 case, 7 year old girl, no clade mentioned, no deaths
Ivory Coast - 32 cases, 1 death , WHO confirms clade as clade I & II. link link
Kenya - 5 cases confirmed total. link 5th case is spouse of 4th case who had traveled to Rwanda. 2 cases clade not confirmed yet. link , WHO confirms 2 cases of clade 1b , 3rd case clade is not determined yet), no deaths, 3rd case has recent travel history to Uganda.
Liberia - Africa CDC rpt: 5 cases, no deaths. Cases referred to in WHO press release as clade II plus here: link
Morocco - 1 case, clade II
Nigeria - NCDC reports total 48 confirmed cases of mpox in 2024, 868 suspected cases and no deaths across 33 states and the Federal Capital Territory. Clade II confirmed by WHO link. Most affected age group are children. link link
Rwanda - MoH reports 4 total cases. All connected through the DRC, no deaths, WHO confirms clade 1b. link link
South Africa - 29 cases including 3 deaths listed. Clade I & IIb link link
Sweden - 1 case. Clade 1b. No deaths
Thailand - 1 case. Clade 1b. No deaths
Uganda - 5 total cases link - Clade of 5th case is not stated yet. 4 cases clade 1b. WHO confirms 1st 2 cases with clade 1b - DRC contact. No deaths officially link , Media report on Aug 25 quoting a hospital doctor in Masafu: one death, 3 people admitted to hospital & possibly 20 contacts of deceased's body showing mpox signs. link
Sources:
Virological.org - Clade Ib Mpox in the Democratic Republic of the Congo (DRC): clinical and virological report of the first case in Kinshasa, the capital city
WHO - Disease Outbreak News: Mpox - African Region - August 22, 2024
WHO - Multi-country outbreak of mpox External Situation Report 35, published 12 August 2024
Data as received by WHO from national authorities as of 30 June 2024 link
Africa CDC - Mpox Situation in Africa – Africa CDC - dated July 30, 2024
@KrutikaKuppalli - former WHO medical officer with mpox experience (see post 2)
Various Ministry of Health department statements as provided. Linked above.
Various news reports believed to be credible. Linked above.
Sources considered but not being used:
WHO Mpox Outbreak Global Trends report dated August 22, 2024 because it spans 2 years (2022-2024) and this list is narrowly focused on the more deadly clade of 1b which has emerged in 2024. link Also, the lab confirmed cases figures used in the WHO report greatly understate the reality on the ground as reported by the African CDC. Mpox, unlike flu, is more easily diagnosed clinically.
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