Health Minister Ong Ye Kung has indicated that while the immediate risk of mpox (formerly known as monkeypox) in Singapore is currently low, global connectivity makes it likely that cases could appear locally.
Even though Singapore does not have any direct flights to and from the affected areas in Africa, the situation is “very worrying”, said Mr. Ong, adding that mpox is expected to spread to Europe and the Middle east, and Singapore will likely be one of the first country in the region to find cases owing to the country’s extensive global flight connections.
The World Health Organization (WHO) recently declared the mpox outbreak in Africa an emergency. The Democratic Republic of Congo, a hotspot for the virus, has reported over 15,600 potential cases and 548 deaths this year. The outbreak is driven by the clade I strain, which has a fatality rate of about 3.5% to 4%. A newer variant, clade Ib, has emerged, showing increased transmissibility through routine close contact, particularly among children. This variant has also been reported in Sweden, the first of such cases outside Africa. Pakistan has also reported its first case of mpox, while China will implement screening for travelers for the virus.
In Singapore, as of late July 2024, there have been 10 cases of mpox, all involving the milder clade II strain, which has a lower fatality rate of about 0.2%. The Ministry of Health (MOH) confirms that these cases have been managed effectively, and there is currently no significant public health risk. The MOH emphasizes that precautionary measures are in place to handle any potential cases.
Minister Ong highlighted that Singapore is prepared to monitor the situation closely and implement necessary measures if mpox begins to spread more widely in Europe or the Middle East. Although clade II’s transmission rate is relatively low, the situation in Africa—especially among unvaccinated children—underscores the need for vigilance. Mpox transmission is mainly through close contact, not airborne particles.
Health authorities in Singapore are ready to enhance surveillance and border monitoring if needed. The public is advised to maintain good health practices and seek medical attention if symptoms such as rashes, similar to chickenpox, develop.
The MOH has directed healthcare providers to remain vigilant for mpox cases, including the more severe clade I infections. Travelers must report any symptoms and travel history via the SG Arrival Card to aid early detection.
In summary, while Singapore is currently at low immediate risk for mpox, the country is proactively preparing for potential cases through rigorous monitoring and health system readiness. Maintaining awareness and preparedness is crucial as global transmission patterns evolve.
Adapted from: https://www.channelnewsasia.com/singapore/mpox-cases-monkeypox-outbreak-singapore-africa-transmission-ong-ye-kung-4552221
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