Mpox: affected countries
This page provides an overview of mpox epidemiology, indicating where there may be a risk of clade I and clade II mpox exposure.
Global overview
There are 2 major genetic groups (clades) of the mpox virus (MPXV), clade I (formerly known as Central African or Congo basin clade) and clade II (formerly known as West African clade). Clade I is split into clade Ia and clade Ib. Clade II is split into clade IIa and clade IIb, and all clades have subgroup clusters called lineages. The majority of the cases seen in the global outbreak which started in 2022 were from clade IIb, lineage B.1. The latest epidemiological data on mpox (all clades) can be found on the World Health Organization (WHO) mpox surveillance dashboard.
Figure 1. Geographic distribution of MPXV clades, by country, as reported on 28 July 2025
Adapted from the World Health Organization multi-country external situation report.
The map is not indicative of ongoing outbreaks and is generated from available laboratory data associated with both travel-associated and locally acquired cases.
Table 1. Countries reporting the highest number of recent mpox cases (all clades)
| Country | Cases in the past month | Total confirmed cases | Clades reported |
|---|---|---|---|
| Democratic Republic of the Congo | 1,895 | 27,449 | Clades Ia and Ib |
| Sierra Leone | 1,341 | 4,481 | Clade II |
| Uganda | 595 | 7,231 | Clade Ib |
| China | 108 | 3,295 | Clade Ia, Ib and II |
| Burundi | 85 | 4,055 | Clade Ib |
| Ghana | 77 | 288 | Clade II |
| Liberia | 60 | 237 | Clade II |
| Kenya | 60 | 197 | Clade Ib |
| Germany | 59 | 4,437 | Clades Ib (travel-associated only) and II |
| Zambia | 56 | 138 | Clade Ib |
Adapted from WHO Global mpox trends section 5.2.
Dashboard updated July 2025 with data up to 30 June 2025.
Clade I mpox outbreak: 2024 to 2025
On 14 August 2024, the WHO declared a Public Health Emergency of International Concern in response to the upsurge of clade I mpox in the Democratic Republic of the Congo and a growing number of countries in the African Region. This outbreak remains ongoing, with evidence of sustained community transmission in several countries, as per Table 2.
Travel-associated clade I mpox cases outside the African Region have been reported in several countries. Whilst there is currently no evidence of sustained community transmission of clade I mpox outside of African Region countries, limited local transmission (for example, household transmission) has been reported in Australia, Belgium, China, France, Germany and the United Kingdom.
Figure 2. African region countries reporting laboratory confirmed clade I mpox (historic or current)
Mpox of an unknown clade has been reported in Gabon but is presumed to be clade I (due to case travel history).
Table 2. Countries with evidence of ongoing clade I mpox transmission or exportation during the 2024 to 2025 outbreak
| Country | Evidence of transmission | Clade |
|---|---|---|
| Burundi | Community transmission | Ib |
| Central African Republic | Community transmission | Ia |
| China | Unclear | Ib |
| Democratic Republic of the Congo | Community transmission | Ia and Ib |
| Ethiopia | Community transmission | I |
| Kenya | Community transmission | Ib |
| Malawi | Community transmission | Ib |
| Mozambique | Community transmission | Ib |
| Oman | Unclear (evidence of exported cases) | Ib |
| Republic of the Congo | Community transmission | Ia and Ib |
| Rwanda | Community transmission | Ib |
| South Sudan | Community transmission | Ib |
| Tanzania | Community transmission | Ib |
| Thailand | Unclear (evidence of exported cases) | Ib |
| Uganda | Community transmission | Ib |
| United Arab Emirates | Unclear (evidence of exported cases) | Ib |
| Zambia | Community transmission | Ib |
Updates to this page
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Updated based on latest WHO data
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Figure 1 and Table 2 updated based on the latest WHO emergency situation report #55.
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Updated Figure 1, updated Table 1 and Table 2 with latest data.
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Updated affected countries data. Added Ethiopia.
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Updated the case numbers and figure 1.
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Updated Figure 1 and Figure 2, addition of Malawi to country list.
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Update on Mpox global distributions image and an update to table of countries mpox cases.
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Updated Table 1 and Africa map.
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Updated to include clade II mpox and world map of mpox clade distribution.
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Added entries for Brazil and Qatar.
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Updated to reflect new cases since 14 February.
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Updated Zambia status.
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Added Republic of Ireland and a few other minor changes.
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Updated the list of affected countries.
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Tanzania added to Table 1. Updates added for travel-associated cases in Germany (URL also updated) and the UK.
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Belgium has been updated to reflect one new case reported in a household contact of their first imported case.
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Updated to include information for Belgium, China and France.
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Updated information for Gabon and added information for United Arab Emirates.
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Updated links and added Oman & Pakistan to list.
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Updated guidance.
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Updated information for imported clade I mpox cases in countries outside of the African region.
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First published.