Monkeypox has been a developing problem for decades and the current global outbreak was avoidable, but the looming threat was largely ignored, according to a leading expert on the virus.
Dr. Anne Rimoin is a UCLA epidemiology professor and has spent the last two decades in the Democratic Republic of Congo working on monkeypox.
She said it was only when the virus spread beyond rural Africa that it sparked a global response.
“This virus has been spreading in marginalized and vulnerable populations [in Africa] for decades, and we’ve done nothing about it,” Rimoin said. “We have known that monkeypox is a potential problem for decades.”
There are now confirmed cases in Europe, Asia, Australia, Africa, the Middle East and South America. The Centers for Disease Control says there are more than 750 monkeypox cases in the U.S. — across almost every state — but Rimoin said this was certainly an undercount because there was not enough testing available.
Monkeypox is rarely fatal and doesn’t generally lead to hospitalization. It is mostly not spread through the air, and people have been getting it from close physical contact.
So public health experts say the U.S. should have been able to handle the outbreak, and that the missteps right now look a lot like the start of the coronavirus pandemic: not enough tests or vaccines readily available, and an incomplete picture of the spread.
“We have no concept of the scale of the monkeypox outbreak in the U.S.,” biologist Joseph Osmundson at New York University told NPR in June.
In response, in late June the CDC said it would “lean forward with an aggressive public health response to the monkeypox outbreak” and activate its emergency operations center.
And on Monday, the CDC said commercial laboratories had now started testing for monkeypox.
“This will not only increase testing capacity but also make it more convenient for providers and patients to access tests,” CDC director Rochelle Walensky said in a statement.
Rimoin questioned why there wasn’t a more concerted effort to address or prepare for the virus years earlier when monkeypox was spreading in rural Africa.