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World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus declared Monday that the monkeypox outbreak spreading in 75 countries and territories constitutes a "public health emergency of international concern". This is the organization's highest level of alert for a global public health emergency, meaning the current COVID-19 and monkeypox outbreaks are at this level at the same time.

Alarm signals

In early May, the UK reported confirmed cases of monkeypox, followed by more European and American countries reported cases of monkeypox, the outbreak is rapidly spreading in many parts of the world. M& # 111nkeypox was previously endemic mainly in West and Central Africa. Who experts said that month that the occurrence of monkeypox cases in multiple "non-endemic" countries with no direct travel links to endemic areas was "atypical."

At the end of June, who's emergency committee met to assess the m& # 111nkeypox outbreak in many locations around the world. At that time, 47 countries and territories had reported cases, with a total of about 3,040 cases. The committee ultimately agreed that m& # 111nkeypox did not yet constitute a "public health emergency of international concern."

On 21 July, the WHO Emergency committee met again to discuss the m& # 111nkeypox outbreak. At this point, 75 countries and territories have reported more than 16,000 cases to WHO, including five deaths. The committee failed to reach a consensus, but Tedros decided to declare monkeypox a "public health emergency of international concern" at a press conference on Wednesday.

Tedros stressed that the committee is only responsible for providing advice and reference to the Director-General, who has the final say.

Multiple account

Tedros said there were five factors to consider in the decision. First, information from countries showed that m& # 111nkeypox virus had rapidly spread to many countries that had never seen cases before. Second, the declaration of "international customs" under the International Health Regulations