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11 African countries record 1,153 mpox cases in six weeks

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The World Health Organisation (WHO) has reported that 11 African countries recorded active transmission of mpox in the six weeks between 6 July and 16 August 2026, with 1,153 confirmed cases and seven deaths.

The organisation disclosed this in its Mpox: Multi-country External Situation Report published on 14 September.

According to the report, Madagascar recorded 785 cases, the highest during the period, followed by Angola with 184, Kenya with 94, the Democratic Republic of the Congo (DRC) with 41, and Cameroon with 28.

WHO noted that “reported weekly confirmed cases have remained somewhat stable on the continent, with about 200 cases per week in recent weeks.”

However, it cautioned that the figures could be underestimated due to reporting delays and reduced surveillance.

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Mpox cases since 2025

The latest figures form part of the multi-country mpox outbreak, which has affected 35 African countries since January 2025.

According to the WHO report, the countries reported 52,424 confirmed mpox cases and 238 deaths between 1 January 2025 and 16 August 2026.

Globally, 65,784 confirmed cases and 264 deaths were reported in 105 countries between 1 January 2025 and 31 July 2026.

The WHO said 32 countries reported 1,370 confirmed cases and seven deaths in July alone, with the African Region accounting for 74.8 per cent of the cases.

New spread

WHO also reported new developments in the virus’s spread. Chile and Hungary reported mpox caused by clade Ib for the first time. In contrast, community transmission of the clade was reported in Czechia, France, Germany, Ireland, Italy, the Netherlands, Portugal, Switzerland and the United Kingdom.

Spain had the highest cumulative number of clade Ib cases in the group, with 241, followed by France with 173, Portugal with 162, and Germany with 140.

Madagascar remains a major concern, with WHO describing its outbreak as the largest mpox outbreak globally and in the African Region since December 2025.

As of 16 August, Madagascar had recorded 3,436 confirmed cases and 22 deaths.

Emergency status

The latest development comes months after the Africa Centres for Disease Control and Prevention (Africa CDC) declared an end to mpox as a Public Health Emergency of Continental Security (PHECS) in January 2026.

READ ALSO: Ebola outbreak spreads to 61 health zones in DRC — WHO

Africa CDC said at the time that the emergency declaration was being lifted as the continent moved from an emergency response towards longer-term control and elimination of the disease.

The agency reported that suspected mpox cases had fallen by 40 per cent and confirmed cases by 60 per cent between early and late 2025, while the suspected case fatality ratio fell from 2.6 per cent to 0.6 per cent.

However, it stressed that mpox remained endemic in some settings and that vaccination would remain central to the response.

The WHO now considers the ongoing multi-country outbreak a graded health emergency and has extended its standing recommendations on mpox until August 2027.


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Health

EXCLUSIVE: Ebola: 34-year-old pilot, wife identified as suspected cases who tested negative in North-east Nigeria

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A 34-year-old pilot and his wife, a medical doctor, were the two people investigated for suspected Ebola Virus Disease (EVD) in Adamawa State after developing symptoms including fever, vomiting, fatigue, headache, cough, bleeding gums and nosebleeds.

Although Nigerian officials said two suspected Ebola cases were being investigated in the state and eventually turned negative, their identities were not disclosed. PREMIUM TIMES can now disclose the officials’ identities, though we are redacting their names.

An internal memo from the Adamawa State Ministry of Health and Human Services, obtained exclusively by PREMIUM TIMES, said the couple were admitted to the isolation centre of the Modibbo Adama University Teaching Hospital (MAUTH), Yola, on 29 October.

The memo, dated 30 October 2026 and signed by the State Epidemiologist, Jones Kadabiyu, said the Adamawa State Public Health Emergency Operations Centre (PHEOC) received the report at 6:45 a.m. following a clinician’s report from MAUTH.

The development came as health authorities intensified surveillance following Nigeria’s confirmation of its first Ebola case in the current outbreak.

The Nigeria Centre for Disease Control and Prevention (NCDC) had on Saturday announced that two suspected Ebola cases had been identified in the North-east, but did not initially disclose the state where the cases were detected.

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However, the agency later confirmed that the two suspected cases were in Adamawa, noting that the laboratory tests on samples from both individuals were negative for Ebola after two rounds of testing.

In a statement signed by its Director-General, Jide Idris, the NCDC said it was working with the Adamawa State government to investigate the suspected cases.

The agency said it isolated the two individuals and immediately activated public health measures while collecting samples for laboratory testing.

“Fortunately, the samples turned out negative for EBV after two rounds of testing,” Mr Idris said.

The NCDC said there is currently no laboratory-confirmed Ebola case in Adamawa State, adding that the previously confirmed case in the Federal Capital Territory (FCT) remains the only confirmed case in Nigeria.

What PREMIUM TIMES learnt

According to the memo, the pilot developed symptoms on 13 October, while his wife developed similar symptoms on 25 October.

The names of the two patients are contained in the documents seen by PREMIUM TIMES. However, this newspaper is withholding their identities to protect their privacy.

A preliminary report dated 31 October from Yola North Local Government Area (LGA), Adamawa State, said the pilot travelled to Kenya “for personal reasons” on 14 October and returned to Nigeria on 25 October. It said he had developed a fever before his trip and was treated for malaria.

“Prior to his departure, he reportedly developed a fever on 13 October 2026 and was treated for malaria. He reportedly remained well while in Kenya,” it noted.

However, upon returning to Yola, he developed symptoms including fever, nausea and vomiting, fatigue, headache, cough, bleeding gums and nosebleeds. His wife subsequently developed similar symptoms after caring for him at home.

They were both admitted at the MAUTH isolation centre.

The state health authorities collected samples from both patients on 30 October and transported them to the National Reference Laboratory for testing, according to the report.

Contacts traced

The memo report said 18 contacts had been identified, traced and line-listed, while the preliminary report dated 31 October put the number at 17.

The PHEOC also notified the State Rapid Response Team, the State NCDC office, Local Government Disease Surveillance and Notification Officers, the World Health Organisation (WHO) and UNICEF.

The state health authorities recommended continued contact tracing, infection prevention and control measures, enhanced surveillance and coordination with relevant authorities.

The NCDC has urged Nigerians to remain calm and avoid spreading unverified information.

It also advised people who develop symptoms such as fever, severe weakness, headache, muscle pain, vomiting, diarrhoea or unexplained bleeding, particularly after a relevant exposure, to seek immediate medical attention.

READ ALSO: Ebola: Saudi Arabia suspends travel to Kenya, halts visa issuance

Ebola outbreak

Nigeria is one of five countries that have detected Bundibugyo virus disease during the current outbreak, which began in the Democratic Republic of the Congo (DRC) in May.

The outbreak has remained concentrated in the DRC but has spread beyond the country.

Nigeria’s first confirmed case of Ebola in 2026 was a woman who travelled from Uganda to Abuja and tested positive on 20 October. She was subsequently medically evacuated to Switzerland for continued treatment.

The NCDC’s latest situation report said 62 contacts linked to Nigeria’s confirmed case had been identified and were being monitored.

The Coordinating Minister of Health and Social Welfare, Muhammad Pate, had said genomic analysis showed that the virus detected in the Nigerian patient was closely related to the strain identified in Kenya’s first imported case. He, however, said the finding did not establish that the Nigerian patient was infected in Kenya.

WHO’s latest update reported 10,274 confirmed cases and 4,992 deaths in the DRC as of 28 October. Kenya had recorded nine confirmed cases and two deaths, while Nigeria had one confirmed case at the time of the update.

Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other body fluids of an infected person.


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Health

Ebola: No new cases in Nigeria as two suspected cases in North-east test negative

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The Nigeria Centre for Disease Control and Prevention (NCDC) has said two suspected Ebola cases identified in Adamawa State have tested negative for the virus.

The development came hours after the agency announced that two suspected Ebola cases had been identified in Nigeria’s North-east, without disclosing the state where they were found.

In a statement signed by its Director-General, Jide Idris, on Saturday evening, the NCDC said the samples collected from the two individuals tested negative for Ebola virus after two rounds of testing.

The agency said the suspected cases were reported in Yola, Adamawa State, on 30 October after the two individuals presented with symptoms suggestive of Ebola.

“Fortunately, the samples turned out negative for EVD after two rounds of testing,” Mr Idris said.

Mr Idris said there is currently no laboratory-confirmed Ebola case in Adamawa State.

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He added that the index case previously confirmed in the Federal Capital Territory remains the only confirmed Ebola case reported in Nigeria to date.

Ebola outbreak

The development comes 11 days after Nigeria confirmed its first case of Ebola disease caused by the Bundibugyo virus.

Nigeria is one of five countries that have detected Bundibugyo virus disease during the current outbreak, which began in the Democratic Republic of the Congo (DRC) in May.

The outbreak has remained concentrated in the DRC but has spread beyond the country.

Nigeria’s first confirmed case of Ebola in 2026 was a woman who travelled from Uganda to Abuja and tested positive on 20 October. She was subsequently medically evacuated to Switzerland for continued treatment.

READ ALSO: Ebola: No new cases in Nigeria as two suspected cases in North-east test negative

The NCDC’s latest situation report said 62 contacts linked to Nigeria’s confirmed case had been identified and were being monitored.

The Coordinating Minister of Health and Social Welfare, Muhammad Pate, had said genomic analysis showed that the virus detected in the Nigerian patient was closely related to the strain identified in Kenya’s first imported case. He, however, said the finding did not establish that the Nigerian patient was infected in Kenya.

WHO’s latest update reported 10,274 confirmed cases and 4,992 deaths in the DRC as of 28 October. Kenya has recorded nine confirmed cases and two deaths, while Nigeria has one confirmed case at the time of the update.


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