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Pulling back the curtain
1Nigeria.
Science (New York, N.Y.)
|August 22, 2024
Summary
Mpox (formerly monkeypox) circulated undetected in Nigeria for eight years. Early detection and intervention could have potentially prevented its global spread.
Area of Science:
- Epidemiology
- Viral disease surveillance
Background:
- Mpox endemic in Nigeria for eight years prior to global spread.
- Lack of comprehensive surveillance and diagnostic capacity in Nigeria.
- Zoonotic spillover events likely occurred repeatedly before widespread transmission.
Discussion:
- The Nigerian mpox outbreak highlights critical gaps in global health security.
- Delayed recognition of endemic mpox facilitated its international dissemination.
- The need for enhanced zoonotic disease surveillance in resource-limited settings.
Key Insights:
- Mpox was established in Nigeria long before the 2022 global outbreak.
- Early detection systems could have contained the virus domestically.
- International spread was a consequence of prolonged, undetected local transmission.
Outlook:
- Strengthening national surveillance systems is crucial for preventing future pandemics.
- Investment in diagnostic tools and public health infrastructure in endemic regions is vital.
- Improved international cooperation is necessary for rapid response to emerging infectious diseases.
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