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12 Nov 2024 | 10:18 AM UTC

Uganda: Confirmed monkeypox (mpox) cases reported in multiple areas, especially Kampala, in November /update 4

Confirmed monkeypox (mpox) cases reported in Uganda in November. Kampala is most affected. Maintain basic health precautions.

Informational

Health officials continue to report monkeypox (mpox) cases in multiple areas in Uganda, with an additional 291 cases reported Oct. 19- Nov. 10, bringing the total case count to 443 since July 24. This is the first outbreak reported in the country. All cases are infected with the clade Ib strain of the virus. To date, 37 districts have been affected. Kampala (182 cases) is the most affected district, followed by Wakiso (67 cases), Nakasongola (56 cases), Mayuge (24 cases), Mukono (22 cases), and Namayingo (12 cases). Health authorities are working with communities to raise awareness, address misinformation and stigma, and encourage affected individuals to seek medical assistance to curb the spread of mpox. As disease surveillance and contact tracing continue, officials will likely identify additional cases in the coming weeks. This report represents the most up-to-date information as of Nov. 12.

Practice basic health precautions, including frequent handwashing with soap and water, covering the nose and mouth when coughing, and avoiding obviously ill individuals. Avoid overcrowded areas such as nightclubs and consider using safe sexual practices such as physical barriers (condoms) in countries reporting monkeypox transmission. Seek medical attention if symptoms develop within two weeks of being in affected areas, especially if you have had one or more new sexual partners. Vaccines are available.

On Aug. 14, the WHO declared the mpox outbreak in Africa a Public Health Emergency of International Concern (PHEIC). The African region has seen an unprecedented increase in mpox cases since early 2024, with previously unaffected countries like Burundi, Kenya, Rwanda, and Uganda reporting cases. The WHO's declaration aims to prompt a coordinated international response, improve surveillance, accelerate vaccine distribution, enhance public health measures, and mobilize resources to control the outbreak.

Mpox is a viral illness caused by the monkeypox virus, a species of the genus Orthopoxvirus. Mpox is mainly transmitted to humans through direct contact with infected individuals (including intimate or sexual contact), infected animals, or through contact with contaminated materials. Human-to-human transmission primarily occurs through close personal contact with an infected individual via respiratory droplets, direct contact with bodily fluids, or indirect contact with lesion material - e.g., contaminated clothing or bedding. Symptoms typically appear 3-17 days after exposure but can develop up to 21 days after exposure. Symptoms generally include fever, headache, muscle and back aches, swollen lymph nodes, chills, exhaustion, and a distinctive rash characterized by lesions that progress through several stages before falling off.