Clade I mpox: affected countries

Figure 1. African Region countries reporting laboratory confirmed clade I mpox (historic or current)

Given the continuing spread of clade I mpox, please check this webpage regularly for any updates to the countries included. This table is derived from the methodology outlined in the Mpox: scenarios and technical elements of preparedness and response for clade I technical briefing 9.

Table 1. Countries reporting clade I mpox where there may be a risk of clade I mpox exposure

There are reports of single imported clade I mpox cases in the following countries.countries outside of the African region. There is no evidence of transmission in country and thus the risk of exposure is considered minimal:

• Canada (with reported travel history to a clade I affected African country)
• Germany (with reported travel history to Rwanda)
• India (with reported travel history to the United Arab Emirates)
• Sweden (with reported travel history to a clade I affected African country)
• Thailand (with reported travel history to a clade I affected African country)
• United States (with reported travel history to a clade I affected African country)

The United Kingdom has reported an imported clade I mpox case (with reported travel history to mpox clade I affected countries in Africa), with 3 further cases identified in household contacts.

These countries are not considered as clade I mpox affected for purposes of testing or guidance. Reported travel history is not necessarily indicative of acquisition in-country and investigations may be ongoing.