Miami Herald

WHO stops short of declaring monkeypox a global emergency as cases surge

- BY RACHEL PANNETT AND ANNABELLE TIMSIT

The World Health Organizati­on has decided not to declare monkeypox a global emergency despite a rapid rise in cases in Europe, electing instead to describe it as an “evolving health threat.”

The announceme­nt Saturday comes after the

WHO’s Internatio­nal Health Regulation­s Emergency Committee met last week to discuss whether the monkeypox outbreak should be labeled a Public Health Emergency of Internatio­nal Concern, or PHEIC, which would have marshaled new funding and spurred government­s into action.

WHO Director General Tedros Adhanom Ghebreyesu­s

said the committee shared “serious concerns about the scale and speed of the current outbreak,” which, he said, now spans more than 50 countries, with some 3,000 cases since early May.

The committee agreed the outbreak requires “coordinate­d action” to stop the further spread of the monkeypox virus using public health measures, including surveillan­ce, contact-tracing, isolation and care of patients.

But there were differing views among committee members about whether the event yet constitute­d a health emergency of internatio­nal concern – which is the highest level of alert WHO can issue. The coronaviru­s which causes covid-19 was labeled a

PHEIC following a similar meeting in January 2020.

“Everybody’s tired of the COVID pandemic and nobody wants to hear about another sort of infectious disease outbreak. But the point is, is that we’re sort of on the cusp of containmen­t among men who have sex with men or whatnot. And to get us to where we need to go, we need global coordinati­on and a global commitment,” said Gregg Gonsalves, an infectious diseases expert at Yale School of Public Health, who is a non-voting member of the WHO committee and believes moneypox should be declared a global

The committee noted monkeypox has been circulatin­g in a number of African countries for decades and has been neglected in terms of research, attention and funding – a point that has previously led some experts to suggest a double standard in the response to the outbreak in Europe.

Monkeypox is spread through close contact and has so far primarily affected men who have sex with men. It begins with flu-like symptoms before fluidfille­d lumps or lesions appear on the skin, which can leave behind permanent scarring.

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