Here’s a close-up image of the mpox virus. Reuters
Toronto is experiencing a significant uptick in mpox cases, with health officials stressing the importance of vaccination to control the outbreak. As of July 31, the city has reported 93 confirmed cases, a sharp rise from 21 cases at the same time last year. Recent data shows that 13 new cases emerged in the last two weeks of July alone.
Toronto Public Health (TPH) has highlighted a troubling trend: the virus, also known as monkeypox, is not only spreading more widely but is also showing a higher concentration in the downtown area. In response, TPH is collaborating with community partners to boost awareness about mpox, enhance access to vaccinations, and ensure eligible residents receive their shots.
Earlier this year, in March, TPH noted a rise in mpox cases, with 21 reported since January 1. This was a stark increase compared to the 27 cases recorded throughout the entire previous year. The provincial health authorities have since advised public health units to step up testing for the virus, especially as infections have surged across Ontario.
The situation has gained international attention, with the World Health Organization (WHO) scheduled to hold an emergency meeting to discuss whether the rise in cases in Africa and other regions warrants a global emergency declaration. Mpox was previously declared a global emergency in July 2022, after it spread to over 70 countries, although it had mostly been confined to sporadic outbreaks in Central and West Africa before then.
Symptoms of mpox typically appear within six to 13 days after exposure but can take up to 21 days. These symptoms include fever, chills, muscle aches, and a rash. The virus spreads through physical contact with infected lesions, bodily fluids, or respiratory droplets. It can also be transmitted via contaminated materials like clothing or bedding, and through bites or scratches from infected animals.
The current wave of infections has particularly impacted gay, bisexual, and other men who have sex with men, largely due to close or intimate contact. Recent increases in case numbers correlate with major events and festivals in Toronto during late June and July. Of the 102 confirmed cases reported across Ontario by mid-July, 98 were in men, with no associated deaths or hospitalizations reported thus far.
Dr. Isaac Bogoch, an infectious diseases specialist, noted that while the virus is spreading, it’s not yet clear if the new strain is more contagious or severe than before. However, he emphasized that local transmission of mpox is on the rise, as most cases reported in Ontario are locally acquired rather than imported from other regions.
To combat the spread, TPH recommends getting vaccinated with two doses of the mpox vaccine, which is currently the best preventive measure. For those exposed to the virus, post-exposure prophylaxis is available. Although the effectiveness of the vaccine against the new variant is still being assessed, it is believed to offer reasonable protection against infection and severe illness.
