Meanwhile, the US authorized the transfer of 219,000 vaccine doses, and the DR Congo deployed vaccine doses from Japan.
The test the US Centers for Disease Control and Prevention uses to identify clade I mpox cases is 'most likely not reliable' for detection of the substrain identified in the study, the authors say.
Another mpox study today showed that dose-sparing vaccine administration of the Jynneos vaccine appeared to have worked.
Receive the latest infectious disease information.
Togo's outbreak brings Africa's number of affected countries to 25, amid exponential spread in Sierra Leone.
The ARTIC 2.0 project will expand use of a low-cost, real-time genome sequencing technique used to detect COVID-19 variants to conduct surveillance on a wider variety of pathogens.
On viral culture, 4 of 21 environmental samples (19%) contained infectious virus.
Responding to the surge is a major focus, partly to prevent the spread to other West African countries.
About 6 in 10 presented accurate information on symptoms, preventive measures, and testing locations.
Sierra Leone is averaging 100 new cases a day, fueled by the clade 2b virus.
The freeze-dried formulation will be easier to store and transport than the liquid-frozen formulation that Bavarian Nordic has been supplying to the US government.
Healthcare workers remain the most trusted sources of information (73%), while trust in the federal government to provide factual information rose to 58%.
Some of the key steps have included deployment of more community health workers and decentralized lab testing.
The cases in Malawi bring the number of African countries affected by mpox to 23.