World Health Organisation declares monkeypox global public health emergency
Geneva, Jul 23: The World Health Organisation said the expanding monkeypox outbreak in more than 70 countries is an extraordinary situation that now qualifies as a global emergency, a declaration Saturday that could spur further investment in treating the once-rare disease and worsen the scramble for scarce vaccines.
WHO Director-General Tedros Adhanom Ghebreyesus made the decision to issue the declaration despite a lack of consensus among members of WHO's emergency committee. It was the first time the chief of the U.N. health agency has taken such an action.
In short, we have an outbreak that has spread around the world rapidly through new modes of transmission about which we understand too little and which meets the criteria in the international health regulations, Tedros said.
I know this has not been an easy or straightforward process and that there are divergent views among the members" of the committee, he added.
Although monkeypox has been established in parts of central and west Africa for decades, it was not known to spark large outbreaks beyond the continent or to spread widely among people until May, when authorities detected dozens of epidemics in Europe, North America and elsewhere.
Declaring a global emergency means the monkeypox outbreak is an extraordinary event that could spill over into more countries and requires a coordinated global response.
WHO previously declared emergencies for public health crises such as the COVID-19 pandemic, the 2014 West African Ebola outbreak, the Zika virus in Latin America in 2016 and the ongoing effort to eradicate polio.
The emergency declaration mostly serves as a plea to draw more global resources and attention to an outbreak. Past announcements had mixed impact, given that the U.N. health agency is largely powerless in getting countries to act.
Last month, WHO's expert committee said the worldwide monkeypox outbreak did not yet amount to an international emergency, but the panel convened this week to reevaluate the situation.
According to the U.S. Centers for Disease Control and Prevention, more than 16,000 cases of monkeypox have been reported in 74 countries since about May.
To date, monkeypox deaths have only been reported in Africa, where a more dangerous version of the virus is spreading, mainly in Nigeria and Congo.
In Africa, monkeypox mainly spreads to people from infected wild animals like rodents, in limited outbreaks that typically have not crossed borders.
In Europe, North America and elsewhere, however, monkeypox is spreading among people with no links to animals or recent travel to Africa.
WHO's top monkeypox expert, Dr. Rosamund Lewis, said this week that 99% of all the monkeypox cases beyond Africa were in men and that of those, 98% involved men who have sex with men. Experts suspect the monkeypox outbreaks in Europe and North America were spread via sex at two raves in Belgium and Spain.
Michael Head, a senior research fellow in global health at Southampton University, said it was surprising WHO hadn't already declared monkeypox a global emergency, explaining that the conditions were arguably met weeks ago.
Some experts have questioned whether such a declaration would help, arguing the disease isn't severe enough to warrant the attention and that rich countries battling monkeypox already have the funds to do so; most people recover without needing medical attention, although the lesions may be painful.
I think it would be better to be proactive and overreact to the problem instead of waiting to react when it's too late," Head said.
He added that WHO's emergency declaration could help donors like the World Bank make funds available to stop the outbreaks both in the West and in Africa, where animals are the likely natural reservoir of monkeypox.
In the U.S., some experts have speculated whether monkeypox might be on the verge of becoming an entrenched sexually transmitted disease in the country, like gonorrhea, herpes and HIV.
The bottom line is we've seen a shift in the epidemiology of monkeypox where there's now widespread, unexpected transmission, said Dr. Albert Ko, a professor of public health and epidemiology at Yale University.
There are some genetic mutations in the virus that suggest why that may be happening, but we do need a globally-coordinated response to get it under control, he said.
Ko called for testing to be immediately scaled up rapidly, saying that similar to the early days of COVID-19, that there were significant gaps in surveillance.
The cases we are seeing are just the tip of the iceberg, he said. The window has probably closed for us to quickly stop the outbreaks in Europe and the U.S., but it's not too late to stop monkeypox from causing huge damage to poorer countries without the resources to handle it.
In the U.S., some experts have speculated that monkeypox might become entrenched there as the newest sexually transmitted disease, with officials estimating that 1.5 million men are at high risk of being infected.
Dr. Placide Mbala, a virologist who directs the global health department at Congo's Institute of National Biomedical Research, said he hoped any global efforts to stop monkeypox would be equitable.
Although countries including Britain, Canada, Germany and the U.S. have ordered millions of vaccine doses, none have gone to Africa.
The solution needs to be global, Mbala said, adding that any vaccines sent to Africa would be used to target those at highest risk, like hunters in rural areas.
Vaccination in the West might help stop the outbreak there, but there will still be cases in Africa, he said.
Unless the problem is solved here, the risk to the rest of the world will remain.
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Dense fog disrupts Delhi airport operations, over 130 flights impacted
New Delhi: Flight operations at Indira Gandhi International Airport were severely disrupted on Monday due to very dense fog that drastically reduced visibility across the national capital, officials said.
According to a report published by The New Indian Express, more than 130 flights were impacted, including 128 cancellations 64 arrivals and 64 departures while eight flights were diverted to other airports as airlines struggled to operate under adverse weather conditions.
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Sharing a passenger advisory on X (formerly Twitter), the Delhi Airport informed that "flight operations are currently being conducted under CAT III conditions due to dense fog, which may result in delays or cancellations."
The disruption comes amid worsening weather and environmental conditions in the city. The India Meteorological Department (IMD) had issued an orange alert for very dense fog across Delhi-NCR, warning of travel delays and poor visibility during early morning hours.
As per the report, the city’s Air Quality Index (AQI) hovered around 460 in the early hours, placing it in the “hazardous” category. As many as 19 monitoring stations reported hazardous air quality, with Anand Vihar recording the worst levels. Other areas reported air quality ranging from “very poor” to “severe.”
Meanwhile, the Delhi government is considering a partnership with IIT Kanpur to deploy Artificial Intelligence for pinpointing pollution sources and evaluating their impact.
Officials reportedly said the environment department is working on a roadmap for the partnership, including institutional mechanisms and phased implementation. Environment Minister Manjinder Singh Sirsa said the focus would be on data-driven decision-making. “We are moving towards a model where decisions are driven by real-time data, source identification, and measurable outcomes, not reactive measures.” he said.
He proposed initiative aims to enable targeted interventions across sectors by strengthening Delhi’s ability to track pollution sources at a granular level.
