Monkeypox crisis in Africa | Experts urge Canada to respond

After the World Health Organization (WHO) declared COPD a public health emergency of international concern, experts say it is critical that Canada responds.


“When there is a fire, we all put it out quickly and the whole village is safe. If you let a house burn in a village, sooner or later, that fire will come looking for you,” illustrated D.r Madhukar Pai, Canada Research Chair in Epidemiology and Global Health at McGill University in Montreal.

The WHO statement comes as MPOX, also known as monkeypox, has spread from Congo and appeared in neighbouring Burundi, Kenya, Rwanda and Uganda, where no cases of the virus had previously been reported.

Other African countries have experienced outbreaks of different clades (or types) of mpox. An emergency committee of independent experts told the WHO director-general it was concerned about the “potential for spread to other countries in Africa and possibly outside the continent,” according to a press release.

PHOTO COURTESY OF NIAID, ASSOCIATED PRESS ARCHIVES

This undated image provided by the National Institute of Allergy and Infectious Diseases shows a colorized transmission electron micrograph of monkeypox particles (red) found inside an infected cell (blue).

While the current risk in Canada is low, the declaration of an international emergency is a signal for all countries to report their own cases of mpox and share resources to help the Africa Centres for Disease Control and Prevention (ACDC) control outbreaks, said Dr.r Pai, in interview.

“What we should do is instantly unite with other countries in the Global North – the US, the UK, Europe – [et] “Propose a package of money, resources, vaccines, medicines, tests, everything that is necessary for CCPM Africa to get ahead of this pandemic before it becomes a real global threat,” warned Dr.r Pai.

Doing so is not only being a “good global citizen,” but also the best way to prevent mpox from travelling and becoming a bigger threat in Canada, he argued.

“We cannot afford another global epidemic. And now is the time to act — not when it’s too late and suddenly it’s happening in Montreal. It’s Toronto… And then scramble to try to get ahead of it. We’ll spend millions more fighting it here instead of helping Africa now,” said Dr.r Pai.

PHOTO ARLETTE BASHIZI, REUTERS ARCHIVES

One of the main reasons for declaring an international emergency, the WHO said, is the emergence of a new strain of mpox, called clade Ib, which is spreading rapidly and appears to cause more severe disease.

Jason Kindrachuk, Canada Research Chair in Emerging and Re-emerging Viruses at the University of Manitoba, agrees.

“Viruses and emerging infectious diseases do not respect international borders and do not issue passports,” he illustrated in an interview.

“As we allow these things to spread more widely in communities and countries… the greater the risk of spread in our own country,” he added.

Mr. Kindrachuk also highlighted the financial consequences for Canada, as well as other countries, if they do not react quickly.

Whenever these outbreaks escalate to the point of triggering a public health emergency, whether locally or globally, considerable economic and resource efforts are required to try to contain the situation at that stage.

Jason Kindrachuk, Canada Research Chair in Emerging and Re-emerging Viruses at the University of Manitoba

One of the main reasons for declaring an international emergency, the WHO said, is the emergence of a new strain of mpox, called clade Ib, which is spreading rapidly and appears to cause more severe disease.

There have been no cases of clade I in Canada, the Public Health Agency of Canada (PHAC) confirmed in an emailed statement Wednesday.

“PHAC is closely monitoring the increase in cases of MPOX clade I in the DRC (Congo) and neighbouring regions and is liaising with partners and subject matter experts to update risk assessments, public health guidance and travel health advice as appropriate,” said the agency, which is also monitoring an increase in cases of MPOX clade II in Ontario.

MPOX clade II is the milder form of the virus that emerged in Canada during an outbreak in 2022.

The Canadian Press medical coverage is supported by a partnership with the Canadian Medical Association. The CP is solely responsible for this content.


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