A Rights-Based Global Response to Mpox Emergency in Africa

On August 14, following the Africa Centres for Disease Control and Prevention’s (Africa CDC) declaration of mpox as a public health emergency of continental security, the World Health Organization (WHO) recognized it as a public health emergency of international concern.

Mpox, a highly contagious disease transmitted primarily through close contact with infected individuals, has seen a significant rise in cases this year, with more than 17,000 reported cases and more than 500 deaths, predominantly in the Democratic Republic of Congo. Symptoms include a blistering rash, swollen lymph nodes, fever, and muscle aches. Experts told Human Rights Watch that the current variant of the virus seems to differ from previous outbreaks, with increased transmission occurring heterosexually and spreading to children through close interactions within families.

The Africa CDC has emphasized the need for global solidarity in combating this outbreak. Dr. Jean Kaseya, the Africa CDC’s director-general, has called on the international community to avoid punitive measures such as travel bans against African countries. There is a critical need for support, particularly access to vaccines, from countries with substantial stockpiles that are not experiencing any active outbreaks. “Don’t punish Africa,” Kaseya urged, pointing to the unfair treatment the continent endured during the COVID-19 pandemic and stressing the importance of a fair and equitable global response.

Global health experts have warned that the African continent is “always last in line for access to lifesaving tools.” The continent’s delayed access to HIV/AIDS treatments, Ebola response resources, Covid-19 vaccines, and now mpox interventions, underscores the persistent inequities in global health access. The response to the 2022 mpox outbreak, which primarily affected men who have sex with men, highlighted the risks of stigmatizing gay men. Human Rights Watch has previously warned that some actors exploit public health crises to marginalize vulnerable groups and stressed the need to place human rights at the center of any response.

As the current mpox outbreak continues, human rights principles must be applied to this public health challenge. Ensuring all people, regardless of geographic location or socioeconomic status, have access to necessary healthcare resources is not only a legal and moral imperative, but a critical component in controlling the spread of this and future infectious diseases.