The spread of any disease is concerning. But when the World Health Organization (WHO) declares an international emergency—as it did with mpox (formerly monkeypox) in August—the sense of urgency heightens.
Earlier this year, scientists reported a new, more lethal strain of mpox. According to the WHO, the Democratic Republic of the Congo—the hardest-hit country—has seen 18,000 suspected cases and 629 deaths this year alone. For travelers, this might bring back memories of COVID, with its two years of stressful rules, restrictions, masks, testing, and quarantines. Here’s what you should know.
What is mpox?
This viral zoonotic disease—meaning it can jump between animals and humans—starts with flu-like symptoms: fever, headache, muscle aches, and fatigue. These are followed by a distinct rash that turns into blisters or sores. It spreads through close contact with infected people or contaminated items. While similar to smallpox, mpox is usually less severe and has a lower death rate. It’s mostly found in Africa but can spread elsewhere. Vaccination and isolation are crucial for controlling outbreaks.
Which countries are affected?
As of August, suspected cases have popped up in 13 African nations: Burundi, Cameroon, the Central African Republic, the Republic of the Congo, the Democratic Republic of the Congo, Gabon, Ivory Coast, Kenya, Liberia, Nigeria, Rwanda, South Africa, and Uganda. The Africa Centres for Disease Control and Prevention (CDC) has labeled mpox a “public health emergency of continental security.”
Has it reached Europe?
Sweden reported its first imported case in August. The European Centre for Disease Prevention and Control (ECDC) has increased the risk level of the deadlier Clade I strain from “very low” to “low.”
Lawrence Gostin, a public health expert and professor at Georgetown Law in Washington, told Reuters: “A case on the European continent could trigger rapid global spread of mpox. One case in Sweden likely means dozens more undetected across Europe.”
However, Dr. Meera Chand, deputy director of the UK Health Security Agency, offers reassurance: “The risk to the UK population remains low for now. Still, we’re preparing in case we see any cases here.”
Will there be travel restrictions?
China announced in August that it will screen travelers from high-risk areas for the next six months. Meanwhile, anyone entering Thailand from 42 “risk countries” must register and get tested upon arrival.
But African officials are pushing back against restrictions. Jean Kaseya, head of Africa’s CDC, said: “Don’t punish Africa. We need solidarity, not bans. Vaccines are expensive—we need proper support. Travel restrictions would repeat the unfair treatment we faced during COVID and won’t help the world move forward.”
Should I cancel my trip?
If you’ve booked a trip to the DRC, tour operators may be flexible. However, since the UK’s Foreign Office only advises against travel to specific parts of the country, operators aren’t required to refund you. For now, there’s no need to cancel trips to other affected African nations.
What precautions should I take?
Vaccination is an option. The ECDC recommends that travelers visiting affected areas in Africa consult a healthcare provider beforehand to check if they qualify for a shot. Those at highest risk include children under 15 and adults with multiple sexual partners.
Will travel insurance cover me?
Since mpox is classified as an epidemic, a solid travel insurance policy—covering at least £2 million in medical costs in Europe and £5 million worldwide—should protect you if you fall ill abroad. However, the National Travel Health Network and Centre warns: “Traveling to a mpox-affected area could impact your insurance options. Check with your provider before you go.”