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Abstract

In November 2024, a case of clade Ib mpox was confirmed in Canada. Here, we describe the events that led to laboratory confirmation of clade Ib monkeypox virus (MPXV) and the public health response. Genomic analysis of the Canadian clade Ib MPXV revealed a number of APOBEC3-related mutations suggesting sustained human-to-human transmission. These findings expand the number of countries with travel-related clade Ib mpox and highlights the continued need for mpox monitoring of potential human adaptations or new transmission patterns.

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/content/10.2807/1560-7917.ES.2025.30.25.2500402
2025-06-26
2025-06-30
/content/10.2807/1560-7917.ES.2025.30.25.2500402
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References

  1. Masirika LM, Udahemuka JC, Schuele L, Ndishimye P, Otani S, Mbiribindi JB, et al. Ongoing mpox outbreak in Kamituga, South Kivu province, associated with monkeypox virus of a novel Clade I sub-lineage, Democratic Republic of the Congo, 2024. Euro Surveill. 2024;29(11):2400106.  https://doi.org/10.2807/1560-7917.ES.2024.29.11.2400106  PMID: 38487886 
  2. Vakaniaki EH, Kacita C, Kinganda-Lusamaki E, O’Toole Á, Wawina-Bokalanga T, Mukadi-Bamuleka D, et al. Sustained human outbreak of a new MPXV clade I lineage in eastern Democratic Republic of the Congo. Nat Med. 2024;30(10):2791-5.  https://doi.org/10.1038/s41591-024-03130-3  PMID: 38871006 
  3. World Health Organization (WHO). WHO Director-General declares mpox outbreak a public health emergency of international concern. Geneva: WHO; 2024. Available from: https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern
  4. Treutiger CJ, Filén F, Rehn M, Aarum J, Jacks A, Gisslén M, et al. First case of mpox with monkeypox virus clade Ib outside Africa in a returning traveller, Sweden, August 2024: public health measures. Euro Surveill. 2024;29(48):2400740.  https://doi.org/10.2807/1560-7917.ES.2024.29.48.2400740  PMID: 39611206 
  5. World Health Organization (WHO). Global Mpox trends. Geneva: World Health Organization. [Accessed: 5 May 2025]. Available from: https://worldhealthorg.shinyapps.io/mpx_global
  6. Public Health Agency of Canada (PHAC). Mpox: Public health management of human cases and associated human contacts in Canada. Ottawa: PHAC; 2025. Available from: https://www.canada.ca/en/public-health/services/diseases/mpox/health-professionals/management-cases-contacts.html
  7. Centers for Disease Control and Prevention (CDC). Mpox monitoring and risk assessment for people exposed in the community. Atlanta: CDC. [Accessed: 29 Nov 2024]. Available from: https://www.cdc.gov/mpox/php/monitoring/index.html#:~:text=members%2C%20young%20children).-,Exposure%20risk%20assessment%20for%20community%20settings,-Each%20risk%20level
  8. Otter AD, Jones S, Hicks B, Bailey D, Callaby H, Houlihan C, et al. Monkeypox virus-infected individuals mount comparable humoral immune responses as Smallpox-vaccinated individuals. Nat Commun. 2023;14(1):5948.  https://doi.org/10.1038/s41467-023-41587-x  PMID: 37741831 
  9. Collier AY, McMahan K, Jacob-Dolan C, Liu J, Borducchi EN, Moss B, et al. Rapid decline of mpox antibody responses following MVA-BN vaccination. JAMA. 2024;332(19):1669-72.  https://doi.org/10.1001/jama.2024.20951  PMID: 39361499 
  10. Isabel S, Eshaghi A, Duvvuri VR, Gubbay JB, Cronin K, Li A, et al. Targeted amplification-based whole genome sequencing of Monkeypox virus in clinical specimens. Microbiol Spectr. 2024;12(1):e0297923.  https://doi.org/10.1128/spectrum.02979-23  PMID: 38047694 
  11. de Jong R, Schauer J, Kossow A, Scharkus S, Jurke A. Response of the German public health service to the first imported mpox clade Ib case in Germany, October 2024. Euro Surveill. 2024;29(48):2400743.  https://doi.org/10.2807/1560-7917.ES.2024.29.28.2400743  PMID: 39611210 
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