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Spike in Mpox Cases

June 2, 2025

Liberia’s confirmation of 69 active mpox cases is a stark reminder that the region remains vulnerable to infectious disease threats. While the country has reported zero deaths, the circulation of both Clade IIa and IIb strains, coupled with regional mobility, poses a significant risk. The National Public Health Institute of Liberia (NPHIL) is acting swiftly, issuing a national health advisory and encouraging hygiene, surveillance, and institutional preparedness. As past outbreaks have shown, community engagement is critical. Continued vigilance, cross-border coordination, and public compliance are essential to prevent further spread and protect Liberia’s growing but still fragile health infrastructure.

The National Public Health Institute of Liberia (NPHIL) has confirmed 69 active cases of mpox nationwide, marking a concerning rise in infections. Though no deaths have been reported, the detection of both Clade IIa and IIb strains of the virus—also circulating in neighboring countries—calls for an urgent, coordinated public health response.

Mpox, transmitted through close contact and marked by a distinct rash, remains highly contagious. Liberia’s experience with past epidemics such as Ebola and COVID-19 has primed its institutions for rapid mobilization. NPHIL, alongside the Ministry of Health and international partners, has acted promptly by launching a national health advisory aimed at preventing community transmission and regional spillover.

Dr. Dougbeh Chris Nyan, Chair of Liberia’s Mpox Incident Management System, has rightly emphasized the importance of community-level participation. Public health measures—handwashing, physical distancing, symptom monitoring, and responsible reporting—are essential to preventing escalation. NPHIL is also collaborating with schools, markets, religious institutions, and transport agencies to implement preventive guidelines.

Despite the positive note of zero fatalities so far, complacency is dangerous. The potential for cross-border spread within ECOWAS countries remains high, given porous borders and frequent movement. Surveillance must be intensified, particularly in rural and underserved regions. Meanwhile, misinformation and stigma, often fueled by limited understanding of mpox, must be countered with targeted awareness campaigns.

Liberia’s public health system has come a long way, but this outbreak underscores the need for continued investment in disease surveillance, laboratory diagnostics, and community health worker training. NPHIL’s leadership and regional cooperation offer a strong foundation, but broad-based adherence to health protocols and sustained international support will determine whether this outbreak is contained—or becomes another public health emergency. Now is the time for decisive, inclusive action.

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