In Goma, Congo, Sarah Bagheni experienced symptoms like headaches, fever, and unusual skin lesions but did not realize they could be caused by mpox, a virus leading to a global health crisis. She and her husband reside in a displacement camp with limited access to medical assistance. The region is at the center of multiple mpox outbreaks in Africa, with a new variant recently identified in eastern Congo prompting the World Health Organization to declare a global health emergency.

In conflict-ridden eastern Congo, where numerous rebel groups clash with Congolese forces over resources, millions are cut off from medical aid. Conditions in refugee camps around Goma are dire, lacking proper medical facilities. The overcrowded camps pose a significant challenge in identifying and treating mpox cases. The lack of testing and health campaigns has left many individuals undiagnosed and at risk.

Dr. Pierre Olivier Ngadjole noted that around 70% of recent mpox cases in Goma were from displacement camps, spanning from infants to the elderly. Severe cases of mpox can lead to lesions on various body parts, with transmission primarily occurring through close physical contact. Access to diagnosis and treatment remains a significant hurdle for individuals like Bagheni, who faces mobility issues due to previous amputations.

The humanitarian crisis in eastern Congo complicates efforts to curb the mpox outbreak, according to Dr. Chris Beyrer. Factors such as ongoing conflict, mining activities attracting vulnerable populations, and poverty contribute to the spread of the virus. Despite calls for vaccine sharing with African nations, access issues persist, hindering effective response to the crisis. The situation is exacerbated by limited vaccine availability in Africa compared to wealthier regions.

The emergence of a new and potentially more infectious strain of mpox in eastern Congo has intensified the outbreak, with neighboring countries reporting cases linked to Congo’s situation. The virus now affects a wider demographic, with children under 15 making up a significant portion of cases and fatalities. Health authorities in Congo stress the need for vigilance and call for international support to address the escalating crisis.