Though the surge in Sierra Leone has received much of the attention, cases are also rising in two other countries in West Africa: Ghana and Liberia.
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.
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Ten countries reported case rises in March, with the Republic of Congo reporting the largest rise in Africa.
Five studies reported 2-dose protection ranging from 66% to 90%.
Many of the problems in the mpox response were due to a deflated and exhausted public health workforce across the country.
Despite the risk of severe infection from COVID-19, the study authors found that only 40.5% of residents were up to date with COVID vaccination.
Most infections occurred at lower latitudes from January to July (not including April) but were seen mainly at higher latitudes from August to December.
With the H5N1 avian flu virus now reported in 5 Michigan dairy herds, officials remind residents to avoid drinking unpasteurized milk.
Researchers said the new lineage may have been present in a local animal reservoir and that sustained spread is a concern for the DRC and other world regions.
The test, the first for home sample collection, is available for doctors to order for patients who have suspected infections.
Bisexual men were less likely to report mpox vaccination than gay men.
Kids are the most affected group in the DRC's mpox outbreak, and their exposure is coming from household contacts and small animals.
