Distribution in Africa Since the beginning of this year and as of 26 August 2024, a total of 22,863 cases (19,222 suspected; 3,641 Confirmed) and 622 deaths, Average CFR 2.06% (95%CI: 0-4.26%) of mpox have been reported from 13 Africa Union (AU) Member States (MS): Burundi, Cameroon, Central African Republic, Congo Republic, Côte d’Ivoire, Democratic Republic of the Congo, Gabon, Liberia, Kenya, Nigeria, Rwanda, South Africa and Uganda (refer to map on page 2).Transmission Transmission between animals to humans occurs from direct contact with infected blood, bodily fluids, lesions, or infected fomites. Personperson transmission mostly is through close contact with respiratory droplets (amplified by sustained face-to-face contact, skin lesions, infected fomites, and mother-to-child transmission via the placenta or at birth through close contact. Sexual transmission of mpox has been reported especially among commercial sex-workers.
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