Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa

Abstract Mpox has re-emerged as a significant public health threat, particularly in Africa. This study explores the key drivers behind the recent resurgence, focusing on epidemiological trends, transmission dynamics, and lessons learned from recent outbreaks. The research involved a comprehensive re...

Full description

Saved in:
Bibliographic Details
Main Authors: Adewunmi Akingbola, Christopher Abiodun Adegbesan, Olajumoke Adewole, Courage Idahor, Tolani Odukoya, Emmanuel Nwaeze, Shekoni Mayowa, Owolabi Abdullahi, Petra Kerubo Mariaria
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Tropical Medicine and Health
Subjects:
Online Access:https://doi.org/10.1186/s41182-024-00678-1
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849734674114412544
author Adewunmi Akingbola
Christopher Abiodun Adegbesan
Olajumoke Adewole
Courage Idahor
Tolani Odukoya
Emmanuel Nwaeze
Shekoni Mayowa
Owolabi Abdullahi
Petra Kerubo Mariaria
author_facet Adewunmi Akingbola
Christopher Abiodun Adegbesan
Olajumoke Adewole
Courage Idahor
Tolani Odukoya
Emmanuel Nwaeze
Shekoni Mayowa
Owolabi Abdullahi
Petra Kerubo Mariaria
author_sort Adewunmi Akingbola
collection DOAJ
description Abstract Mpox has re-emerged as a significant public health threat, particularly in Africa. This study explores the key drivers behind the recent resurgence, focusing on epidemiological trends, transmission dynamics, and lessons learned from recent outbreaks. The research involved a comprehensive review of recent mpox outbreaks, analyzing factors, such as socio-economic conditions, environmental influences, and genetic evolution. Findings indicate that the resurgence is linked to the cessation of smallpox vaccination, increased human–wildlife interactions, and rapid urbanization in endemic regions. The virus, which was previously confined to rural areas, has now spread to urban populations, and crossed national borders, driven by high population mobility and socio-economic instability. A notable shift in transmission dynamics has been observed, with increased human-to-human transmission, particularly among men who have sex with men (MSM), contributing to more severe and widespread outbreaks. The study highlights the urgent need to strengthen health systems in Africa, particularly in the areas of diagnostics, surveillance, and public health preparedness. Challenges such as inadequate laboratory infrastructure and delayed response mechanisms have exposed vulnerabilities in current public health frameworks. To prevent future outbreaks, targeted strategies must be implemented, including enhanced community engagement, improved access to vaccines and treatments, and timely, accurate reporting of cases. Coordinated global action is essential to prevent mpox from becoming a more persistent and widespread public health threat. This research discusses the importance of proactive measures and international cooperation in addressing the ongoing threat posed by mpox, particularly in regions with limited healthcare resources.
format Article
id doaj-art-4d3d5653309f4629bce50edcb52250ec
institution DOAJ
issn 1349-4147
language English
publishDate 2025-04-01
publisher BMC
record_format Article
series Tropical Medicine and Health
spelling doaj-art-4d3d5653309f4629bce50edcb52250ec2025-08-20T03:07:44ZengBMCTropical Medicine and Health1349-41472025-04-0153111210.1186/s41182-024-00678-1Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in AfricaAdewunmi Akingbola0Christopher Abiodun Adegbesan1Olajumoke Adewole2Courage Idahor3Tolani Odukoya4Emmanuel Nwaeze5Shekoni Mayowa6Owolabi Abdullahi7Petra Kerubo Mariaria8Department of Public Health, University of Cambridge, Cambridgeshire Old Trinity SchoolsDepartment of Global Health, African Cancer Institute, Stellenbosch UniversityDepartment of Community Health and Primary Healthcare, Lagos State University College of MedicineNottingham University Hospitals NHS TrustSchool of Public Health, University of Port-HarcourtDepartment of Community Health, Lagos State University College of MedicineDepartment of Community Health and Primary Healthcare, Lagos State University College of MedicineBayero UniversityInfectious Diseases Institute, Makerere UniversityAbstract Mpox has re-emerged as a significant public health threat, particularly in Africa. This study explores the key drivers behind the recent resurgence, focusing on epidemiological trends, transmission dynamics, and lessons learned from recent outbreaks. The research involved a comprehensive review of recent mpox outbreaks, analyzing factors, such as socio-economic conditions, environmental influences, and genetic evolution. Findings indicate that the resurgence is linked to the cessation of smallpox vaccination, increased human–wildlife interactions, and rapid urbanization in endemic regions. The virus, which was previously confined to rural areas, has now spread to urban populations, and crossed national borders, driven by high population mobility and socio-economic instability. A notable shift in transmission dynamics has been observed, with increased human-to-human transmission, particularly among men who have sex with men (MSM), contributing to more severe and widespread outbreaks. The study highlights the urgent need to strengthen health systems in Africa, particularly in the areas of diagnostics, surveillance, and public health preparedness. Challenges such as inadequate laboratory infrastructure and delayed response mechanisms have exposed vulnerabilities in current public health frameworks. To prevent future outbreaks, targeted strategies must be implemented, including enhanced community engagement, improved access to vaccines and treatments, and timely, accurate reporting of cases. Coordinated global action is essential to prevent mpox from becoming a more persistent and widespread public health threat. This research discusses the importance of proactive measures and international cooperation in addressing the ongoing threat posed by mpox, particularly in regions with limited healthcare resources.https://doi.org/10.1186/s41182-024-00678-1MpoxZoonosesDisease outbreaksPublic Health SurveillanceEpidemiologyViral zoonotic diseases
spellingShingle Adewunmi Akingbola
Christopher Abiodun Adegbesan
Olajumoke Adewole
Courage Idahor
Tolani Odukoya
Emmanuel Nwaeze
Shekoni Mayowa
Owolabi Abdullahi
Petra Kerubo Mariaria
Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
Tropical Medicine and Health
Mpox
Zoonoses
Disease outbreaks
Public Health Surveillance
Epidemiology
Viral zoonotic diseases
title Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
title_full Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
title_fullStr Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
title_full_unstemmed Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
title_short Understanding the resurgence of mpox: key drivers and lessons from recent outbreaks in Africa
title_sort understanding the resurgence of mpox key drivers and lessons from recent outbreaks in africa
topic Mpox
Zoonoses
Disease outbreaks
Public Health Surveillance
Epidemiology
Viral zoonotic diseases
url https://doi.org/10.1186/s41182-024-00678-1
work_keys_str_mv AT adewunmiakingbola understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT christopherabiodunadegbesan understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT olajumokeadewole understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT courageidahor understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT tolaniodukoya understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT emmanuelnwaeze understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT shekonimayowa understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT owolabiabdullahi understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica
AT petrakerubomariaria understandingtheresurgenceofmpoxkeydriversandlessonsfromrecentoutbreaksinafrica