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The new strain is from the more deadly Clade I but is distinct from other outbreaks which have previously affected the region. It can also be spread through non-sexual contact, which makes it more dangerous.

Many children have been infected, including newborn babies during pregnancy.

There have been reports of a small number of infected pregnant women miscarrying their babies.

And some patients have been left with long-term complications with their eyes, skin and genitals.

One healthcare worker looking after an infected patient is reported to have lost her sight after becoming infected herself.

In cases in DR Congo to date, the new strain has a mortality rate of 4% in adults and 10% in children.

Poor access to vaccines

John Claude Udahemuka, a lecturer at the University of Rwanda who is monitoring the eastern DR Congo outbreak, said the first person with the new strain was likely to have been a man who had sex with a woman in Kamituga and then with other women in several different locations.

The disease first appeared in the rainy season when the roads were bad and there was limited movement of people. He warned the current dry season could see more transmission, particularly during school holidays.

The South Kivu health department's Mr Masirika said: "If we can vaccinate sex workers plus health workers, I think cases can be reduced."

African researchers have called for urgent action to improve research into the mpox virus and speed up the distribution of vaccines.


Earlier this month, the WHO said the continuing development of the mpox outbreak in DR Congo was "concerning".

It pointed to limited public awareness of mpox, a lack of treatment kits and vaccines and the country's many other health priorities as factors in the appearance of a new strain.
The risk associated with mpox in DR Congo "remains high", it said.

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