2022-07-22-世界卫生组织-Monkeypox_Virtual_Press_conference_transcript_-_23_July_2022_15页_142kb

Monkeypox Multi-Country Outbreak: WHO Declares PHEIC

• Event: WHO Emergency Committee for International Health Regulations (IHR) evaluates multi-country monkeypox outbreak.
• Official Decision: Director-General Tedros Adhanom Ghebreyesus declares the outbreak a Public Health Emergency of International Concern (PHEIC).
• Key Findings:
  • The outbreak has grown significantly, reporting over 15,000 cases from 75 countries (up from 3,040 in 47 countries one month prior) and five deaths.
  • The outbreak spread rapidly through new transmission modes, primarily affecting men who have sex with men.
  • Five criteria under IHR were assessed:
    1. Country-provided information shows wide spread to previously unaffected nations.
    2. Criteria for PHEIC were met.
    3. The Emergency Committee reached no consensus.
    4. Scientific principles and evidence are insufficient.
    5. Human health risk (moderate globally except Europe where risk is high) and international spread risk exist.

WHO Recommendations:

1. Countries with no recent cases: Implement coordinated response to stop transmission, engage affected communities, strengthen surveillance, clinical care, and research.
2. Countries with recent cases: Intensify prevention, protection for vulnerable groups, vaccines, therapeutics, and travel recommendations.
3. Countries with animal-to-human transmission: Manage zoonotic risks.
4. Countries with diagnostic/vaccine/therapeutic capacity: Share resources and strengthen global access.

Risk Assessment & Future Concerns:

• Outbreak concentrated among MSM, but potential for wider spread noted.
• Emphasis on combating stigma and discrimination.
• Important collaboration with affected communities essential.
• Concerns about disease becoming endemic beyond current epicenter and impacts on countries already experiencing monkeypox.
• Availability of vaccines and therapeutics, but questions on effectiveness and equitable access raised.
• Potential for new transmission modes beyond skin-to-skin contact.

WHO Appeal:

• Call for renewed focus on solidarity, preparedness, and research into vaccines and therapeutics.
• Commitment to backing affected communities and respecting human rights.
• Need for targeted WHO reforms to improve future pandemic response mechanisms under IHR.
• URGENT: Intensified control measures needed immediately.