Mpox
The European Commission pledges support for Africa.
AW – 09/2024
On 14 August, the World Health Organisation (WHO) declared a
"public health emergency of international concern". This was due to a
renewed increase in mpox cases in the Democratic Republic of the Congo, among
other nations. At the same time, the first case of the mpox variant clade 1 was
confirmed in Europe. Since the outbreak of the COVID-19 pandemic, the European
Union (EU) has learnt to take such viral diseases seriously and is acting in a
coordinated manner.
Low risk for Europe
On 4 September, both the Committee on the Environment, Public Health
and Food Safety (ENVI) and, two weeks later on 18 September, the plenary
session in Strasbourg dealt with the current mpox outbreak. In its status
reports, the European Centre for Disease Prevention and Control (ECDC)
currently classifies the risk of the new variant for the population in Europe
as "low". Stella Kyriakides, EU Commissioner for Health and Food
Safety, therefore recently emphasised that it was not necessary to declare a
health emergency in the EU. Nonetheless, the ECDC has issued recommendations on
prevention options and travel advice. It is up to each EU Member State to
implement this. However, some parliamentarians demanded more: Instead of
inconsistent travel advice from the Member States, a common approach is needed
at European level.
Africa in focus: 566,500 vaccine doses promised
Kyriakides explained that 200,000 vaccine doses will be available for
the population of the Democratic Republic of Congo by the end of September. The
EU's Health Emergency Preparedness and Response Authority (HERA) procured the
vaccine doses from the pharmaceutical company Bavarian Nordic. Further doses of
vaccine have been and are being donated voluntarily by individual Member
States, including Germany. According to information from Africa, ten million
vaccine doses are needed. Parliamentarians criticised the fact that not all
Member States were showing solidarity in providing additional vaccine doses and
supporting their African partners. They called on the European Commission to
make the vaccine stocks of all EU Member States transparent and spoke out in
favour of more intensive cooperation. Commenting on the demands, the EU
Commissioner for Health and Food Safety Stella Kyriakides said that vaccine
donations are not only a matter of solidarity, but also serve as an appropriate
public health response, as they could prevent a health crisis. However, each
Member State decides for itself on its willingness to donate.
What is mpox?
According to the
Robert Koch Institute (RKI), mpox (also: monkeypox) is a zoonosis and thus, a
viral infectious disease that can be transmitted from infected animals to
humans. Transmission from person to person is possible, especially in close
contact. The disease is caused by the mpox virus, which has two genetic virus
variants (clades): the Central African clade 1 and the West African clade 2. A
further distinction is made between variant a and b for both clades. Infections
with clade 1, which are associated with more severe courses of the disease,
have so far mainly been observed in Africa. The mpox virus variants circulating
worldwide since 2022 are assigned to clade 2b.
No high number of cases expected in Germany
In May 2022, cases
of mpox clade 2b were identified in Germany for the first time. After a sharp
rise, the number of cases has fallen again significantly since August 2022.
Even today, isolated cases are still being reported to the Robert Koch
Institute (RKI). So far, only mpox infections with clade 2b have been detected
in Germany. According to the authorities, mpox outbreaks of clade 1 cannot be
completely ruled out in Germany either. However, a sharp increase in the number
of cases should not be expected.