Mpox_Add case definitions for countries for which we have data (2024)

[aimeehan1]

See previous case definition list, 2022: globaldothealth/monkeypox#45

2024 Country List

• Burundi
• Cameroon
• Central African Republic (CAR)
• Cote d'Ivoire
• Democratic Republic of the Congo (DRC)
• Gabon
• Kenya
• Liberia
• Nigeria
• Republic of the Congo (Congo)
• Rwanda
• South Africa
• Sweden
• Thailand
• Uganda

[aimeehan1]

Nigeria, NCDC Situation Reports include case definitions in their Notes section.

[JacqSauer]

WHO Recommended Mpox Case Definitions (Global)

[JacqSauer]

Africa CDC states that "mpox cases include all persons who have presented with symptoms consistent with the suspected case definition of mpox" Need to look for which suspected case definition they are referencing:

[JacqSauer]

Case definitions provided for Burundi and DRC come from the WHO trends in mpox report
Burundi;

DRC;

[aimeehan1]

Guidance to interpret WHO Data and Case Definitions, "A significant number of suspected mpox cases, that are clinically compatible with mpox remain untested due to limited diagnostic capacity in some African countries and thus never get confirmed. For this reason, we include suspected cases in this section of the report. As of 20 November 2024, the all cases indicator no longer includes test-negative cases at a national level.

This indicator should be interpreted with caution, as suspected mpox cases are recorded according to varying national case definitions. Moreover, not all countries have robust surveillance systems for mpox, meaning reported case counts are likely underestimate the extent of community transmission." WHO Dashboard

"The epidemiological content of the report is based on information from global mpox indicator-based surveillance set
up in 2022. This surveillance system mainly collects data on confirmed and probable mpox cases and deaths
reported by Member States (MS) to WHO or reported publicly through official MS resources (webpages, surveillance
dashboards, as well as epidemiological and situation reports). Given limited access to Polymerase Chain Reaction
(PCR) testing of suspected mpox cases in some settings, particularly in the Democratic Republic of the Congo,
WHO has also been reporting suspected (clinically compatible) mpox cases which meet the country’s national
clinical case definition for mpox since the declaration of the public health emergency of international concern
(PHEIC) on 14 August 2024.
The indicator of suspected cases should nevertheless be interpreted with care, as suspected cases that undergo
testing are not removed from the overall count of suspected cases. In the absence of more detailed information, it
is currently not possible to correctly subtract confirmed cases from the total number of suspected cases reported;
therefore, the confirmed cases represent a subset of suspected cases." WHO Report