Tiwari Ananda, Kalonji Thierry, Miller Taru, Van Den Bossche Tim, Krolicka Adriana, Muhindo-Mavoko Hypolite, Mitashi Patrick, Tahita Marc Christian, Lood Rolf, Pitkänen Tarja, Maketa Vivi
Department of Food Hygiene and Environmental Health, Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
Microbiology Unit, Finnish Institute for Health and Welfare, Kuopio, Finland.
J Infect Dis. 2025 Jun 2;231(5):e825-e829. doi: 10.1093/infdis/jiaf006.
Several African countries, mainly the Democratic Republic of Congo, Burundi, and Uganda, are facing highly transmissible mpox clade Ib epidemics, prompting the World Health Organization to declare a Public Health Emergency of International Concern. It has spread to key travel hubs like Kinshasa, Bujumbura, and Kampala, increasing international spread risks. Current mitigation efforts focus mainly on medical care, diagnostics, vaccination, and infection prevention, but overlook wastewater and environmental surveillance (WES). WES can be effective in detecting hotspots and enabling rapid response through enhanced data collection and genomic sequencing. This perspective article reviews the latest outbreak situation and advocates integrating WES into response strategies.
几个非洲国家，主要是刚果民主共和国、布隆迪和乌干达，正面临高传染性的猴痘Ib分支疫情，促使世界卫生组织宣布国际关注的突发公共卫生事件。它已蔓延至金沙萨、布琼布拉和坎帕拉等主要旅游枢纽，增加了国际传播风险。目前的缓解措施主要集中在医疗护理、诊断、疫苗接种和感染预防，但忽视了废水和环境监测（WES）。WES通过加强数据收集和基因组测序，在检测热点地区和实现快速应对方面可以发挥有效作用。这篇观点文章回顾了最新的疫情形势，并主张将WES纳入应对策略。
