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Africa CDC warns of exponential mpox spread in Guinea

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As African countries continue to grapple with multiple mpox outbreaks involving different clades and transmission patterns, officials from Africa Centres for Disease Control and Prevention (Africa CDC) today said Guinea’s outbreak is escalating exponentially, showing similar signs to a recent surge in Sierra Leone.

Countries in West Africa were affected later than hot spots in central Africa such as the Democratic Republic of the Congo (DRC), Uganda, and Burundi. Unlike those countries, more recently affected locations in West Africa have seen outbreaks mainly involving clade 2 viruses, including the one that triggered global spread.

Guinea cases concentrated in 3 regions

At a regular weekly briefing today, Yap Boum, PhD, MPH, deputy incident manager for Africa CDC's mpox response, said Guinea reported 121 confirmed mpox cases last week, more than double the 51 cases reported the previous week. After reporting its first case about 5 weeks ago, Guinea made up 20% of all mpox infections reported from Africa last week.

Cases are concentrated in Conakry, Faranah, and Kindia regions, and males make up 69.9% of cases. Boum said Guinea’s two biggest challenges right now are contact tracing and isolating patients. 

Sierra Leone reported its first cases in January, with activity that intensified in the following weeks, peaking in early May.

Worrisome rises in other countries

Boum said health officials are encouraged by continued declines in some of the region’s high-burden countries, including the DRC, Uganda, and Sierra Leone, which account for a large but declining percentage of all cases (currently 74%). Overall, countries are seeing improvements in test coverage, meaning most suspected cases are tested, which he said gives outbreak responders a clearer picture of how the outbreak is evolving.

However, Boum said the virus continues to pop up in new countries, most recently Gambia and Mozambique, and that Africa CDC is concerned about upward trends in multiple other spots, including Nigeria, Liberia, Kenya, and Ghana. For example, Boum said cases in Kenya are spreading beyond the initially affected coastal areas as the country enters its final stages of vaccination planning.

Cases were up in Togo last week as well, and though numbers are still small, Boum said the rise is concerning, given that the area is part of a transit hub in West Africa.

Mozambique, which reported its first case of the year earlier this month, now has 13 confirmed cases, which he said are limited to a single district. So far, the clade involved in the infections isn’t known. The country has stepped up surveillance and monitoring amid worries of cross-border spread to other countries. Four of five countries that border Mozambique—Malawi, South Africa, Zambia, and Zimbabwe—have reported mpox cases.

Vaccine doses dwindle

Delivery of all earlier mpox vaccine deliveries has now been completed, following allocation planning, Boum said, emphasizing that the region has no more doses to distribute. Though 800,000 doses are available from mpox vaccine manufacturer Bavarian Nordic, the region and its partners, including UNICEF, have no funding to buy and deploy them, partly due to cutbacks in global health spending.

Africa CDC has estimated that 3.4 million doses are needed to meet the current demand.

Countries with smaller outbreaks such as Mozambique and Liberia want the vaccine, which would be ideal to help control outbreaks while case numbers are still low, he said. 

Officials are considering ways to make the most of the scarce supplies, including fractional dosing, to help control outbreaks faster.

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sarcozona
4 hours ago
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Monkeypox coming to a school near you next fall!

I bet monkeypox outbreaks are going to be used to defend travel restrictions to and from brown places too.

If you care about the ability to travel to west Africa - or care about other people being able to go home and see their loved ones - you'd better be advocating hard for mpox vaccines in Africa and research into transmission.
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Army veteran self-deports after nearly 50 years in the U.S. : NPR

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For 55-year-old U.S. Army veteran Sae Joon Park, this was the hardest moment of his life. Not getting shot in combat. Not the years battling post-traumatic stress disorder or addiction. Not prison. It was leaving the U.S., a country he called home for nearly five decades.

On Monday, Park, a green-card holder, self-deported to South Korea. His removal order was the result of charges related to drug possession and failure to appear in court from over 15 years ago — offenses that, he said, stemmed from years of untreated PTSD.

Park's story reflects both the challenges of life after combat and the perils that noncitizen veterans face if caught in the legal system — realities made harsher amid the Trump administration's push for record deportations.

" I can't believe that this is happening in America," Park told NPR in an interview prior to his departure. "That blows me away, like a country that I fought for."

U.S. Immigration and Customs Enforcement did not immediately respond to a request for comment.

"I realized I was shot"

Park came to the U.S. from South Korea at age 7 to join his mother in Miami. A year later, the pair moved to Los Angeles, where Park would spend the rest of his childhood.

Growing up, Park said he didn't have many positive influences. But he looked up to his uncle, a colonel in the South Korean military. After high school, Park enlisted in the U.S. Army.

"I wanted direction and [to] better myself and maybe help serve the country," he said.

When 20-year-old Park finished basic training, he was deployed to Panama — unaware that he would soon be part of the 1989 U.S. invasion known as Operation Just Cause to topple Manuel Noriega's regime.

One afternoon, while eating lunch with his platoon, Panamanian soldiers began to fire, according to Park. He started shooting back when, suddenly, he felt a sharp pain in his back.

"I realized I was shot," he said. " So I'm thinking, 'Oh my God, I'm paralyzed.' And then thinking, 'Oh my God, I'm not just paralyzed. I'm dying right now.'"

Park was flown back to the U.S., honorably discharged, and awarded a Purple Heart. Though his body began to heal, he said his mind did not.

" I was suffering from PTSD severely," he added. "From sleeping nightmares to like, having just fearful thoughts all the time. Couldn't watch horror movies, couldn't hear loud noises."

Back then, Park didn't know he was dealing with PTSD. So, he never sought help and the trauma slowly took a toll. He eventually turned to drugs to cope.

" I had to find some kind of a cure for what I was going through," he said.

Throughout his 20s and 30s, he battled a crack cocaine addiction. One night in New York, while meeting up with a dealer, police appeared and arrested Park. Later, he skipped one of his court hearings.

"I just couldn't stay clean," he said. "So finally when the judge told me, 'Don't come back into my court with the dirty urine,' which I knew I would, I got scared and I jumped bail."

Park was charged with possession of a controlled substance and bail jumping, which derailed his chances of naturalization or getting relief from a deportation order.

Park said for a long time, citizenship was not a priority because he did not fully grasp the consequences of remaining a noncitizen. Although the U.S. offers expedited naturalization for those who serve honorably in the U.S. military for at least one year, or a single day during wartime, Park was discharged before he had served 12 months and the invasion of Panama was not classified as a period of hostility.

"I have to accept the fact that this is probably the last time I'll see her"

Park was in prison for three years starting in 2009. Drugs were easily within reach, but he said he lost all desire for them.

After his release, Park moved to Hawaii, where his family was living at the time. He found work at a car dealership in Honolulu, where he spent 10 years while raising his son and daughter. Watching them grow into kind, successful adults was his greatest blessing, he said.

After prison, Park received a removal order but was allowed to stay in the U.S. and required annual check-ins with immigration agents — which is typical for individuals that ICE does not consider a priority for deportation.

That changed earlier this month. At a meeting with local ICE officials in Hawaii, Park said he was warned that he would be detained and deported unless he left voluntarily within the next few weeks.

So, Park booked his flight and spent his final days in the U.S. — playing one last round of golf with his friends, savoring Hawaii's famous garlic shrimp, and enjoying time with his children and 85-year-old mother.

" I have to accept the fact that this is probably the last time I'll see her," he said.

On Monday morning, Park hugged his loved ones goodbye. Then, just like he had as a child, Park boarded a plane all by himself — this time, bound for a country he barely remembers, leaving behind the one he fought for.

"Even after everything I went through, I don't regret joining the military or getting shot," he said. "It's part of my life, my journey. It's made me who I am today."

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acdha
29 days ago
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deportations.

" I can't believe that this is happening in America. That blows me away, like a country that I fought for."
Washington, DC
sarcozona
20 hours ago
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Epiphyte City
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sarahconnorjr:

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sarcozona
20 hours ago
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sold
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In Short(s)

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I sew for many reasons—the pleasure, the satisfaction, the skills-building, the way it scratches an OCD itch. One of the biggest ones, though, if not the biggest, is to learn how to not just accept but also embrace my changing body. A body I’ve never felt at home in. A body I’ve never put much … Continue reading In Short(s)



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sarcozona
21 hours ago
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Epiphyte City
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Comparing the Covid-19 response and major outcomes in island nations

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References

  1. Our World in Data. Excess mortality during COVID-19 2025. https://ourworldindata.org/excess-mortality-covid accessed July 2025.
  2. Baker MG, Wilson N, Blakely T. Elimination could be the optimal response strategy for covid-19 and other emerging pandemic diseases. BMJ 2020;371:m4907. http://www.bmj.com/content/371/bmj.m4907.abstract
  3. Summers JA, Kerr J, Grout L, et al. A proactive Covid-19 response associated with better health and economic outcomes for OECD High-Income Island Countries. SSM - Population Health 2025;31:101827. https://www.sciencedirect.com/science/article/pii/S2352827325000813
  4. Markel H, Stern AM, Navarro JA, et al. Nonpharmaceutical influenza mitigation strategies, US communities, 1918–1920 pandemic. Emerging infectious diseases 2006;12(12):1961. https://doi.org/10.3201/eid1212.060506
  5. McLeod M, Baker M, Wilson N, et al. Protective Effect of Maritime Quarantine in South Pacific Jurisdictions, 1918–19 Influenza Pandemic. Emerg Infect Dis 2008;14(3):468-70. https://wwwnc.cdc.gov/eid/article/14/3/07-0927_article
  6. Eichner M, Schwehm M, Wilson N, et al. Small islands and pandemic influenza: Potential benefits and limitations of travel volume reduction as a border control measure. BMC Infect Dis 2009;9(1):160. https://doi.org/10.1186/1471-2334-9-160
  7. Nishiura H, Wilson N, Baker M. Quarantine for pandemic influenza control at the borders of small island nations. BMC Infect Dis 2009;9(27) https://doi.org/10.1186/1471-2334-9-27
  8. Oliu-Barton M, Pradelski BS, Aghion P, et al. SARS-CoV-2 elimination, not mitigation, creates best outcomes for health, the economy, and civil liberties. Lancet 2021;397(10291):2234-36. https://doi.org/10.1016/s0140-6736(21)00978-8
  9. Association of simulated COVID-19 policy responses for social restrictions and lockdowns with health-adjusted life-years and costs in Victoria, Australia. JAMA Health Forum; 2021;30;2(7):e211749 https://doi.org/10.1001/jamahealthforum.2021.1749
  10. Willis H, Narayanan A, Boudreaux B, et al. Global Catastrophic Risk Assessment. Rand Corporation, 2024. https://www.rand.org/pubs/research_reports/RRA2981-1.html.
  11. Vermeer M, Lathrop E, Moon A. On the extinction risk from artificial intelligence: Rand:https://www.rand.org/pubs/research_reports/RRA3034-1.html.
  12. Karger E, Rosenberg J, Jacobs Z, et al. Forecasting Existential Risks: Evidence from a Long-Run Forecasting Tournament (FRI Working Paper #1): Forecasting Research Institute; 2023  https://static1.squarespace.com/static/635693acf15a3e2a14a56a4a/t/64f0a7838ccbf43b6b5ee40c/1693493128111/XPT.p
  13. Gaievskyi S, Delfrate N, Ragazzoni L, et al. Use of multi-criteria decision analysis (MCDA) to support decision-making during health emergencies: a scoping review. Front Public Health 2025;13 https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1584026
  14. K. Shea, R.K. Borchering, W.J.M. Probert, et al. Multiple models for outbreak decision support in the face of uncertainty. PNAS 2023;120(18):e2207537120. https://doi.org/10.1073/pnas.2207537120 

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sarcozona
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New surveillance tool can predict COVID variants of concern

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sarcozona
1 day ago
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this is promising!
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