As the World Health Organization (WHO) reports a disturbing rise in mpox cases across Asia, the need for vigilance and action is urgent. With close to a thousand confirmed cases and a dozen deaths since July 2022, the outbreak, which has already claimed lives in Thailand, is a glaring reminder of the vulnerability we face. While Bhutan has yet to report any cases, complacency is not an option. The rapid spread of this virus, coupled with its ability to cause severe illness and death, demands immediate and decisive action.
The Ministry of Health’s activation of the Health Emergency Operation Centre (HEOC) is a critical first step in safeguarding our nation. Currently in the ALERT phase, the HEOC is poised to monitor the situation closely, ensuring that we are prepared to respond swiftly if the threat escalates. However, we must recognise that this is not merely a drill. The activation of the HEOC signifies the gravity of the situation and the real possibility that we could soon face our own mpox cases.
The Department of Public Health (DoPH) and the Royal Centre for Disease Control (RCDC) have rightly prioritised enhancing surveillance systems, particularly at points of entry. This focus on early detection is crucial. We have seen from the experiences of our neighbouring countries that delayed responses can lead to rapid and uncontrollable outbreaks. The emphasis on monitoring travellers and working with airlines and media outlets to disseminate critical information is commendable, but it is just the beginning.
The potential for mpox to spread quickly across borders is alarming, especially considering the high mobility of people in the region. Bhutan’s geographic proximity to countries already affected by mpox makes us particularly vulnerable. While efforts to raise awareness and educate the population on preventive measures are underway, these must be intensified. The general public needs to understand the seriousness of the threat and the importance of adhering to recommended safety protocols.
Strengthening our health infrastructure is non-negotiable. The ministry’s plans to equip isolation facilities, ensure the availability of vaccines, and enhance laboratory and diagnostic capacities must be expedited. The virus has proven to be highly contagious, and without proper isolation and treatment facilities, an outbreak could have devastating consequences. Moreover, the availability of personal protective equipment and comprehensive training for healthcare workers are essential to prevent the spread of the virus within medical facilities, which could lead to catastrophic outcomes.
As we continue to follow the Standing Recommendations of the WHO Director-General, particularly those regarding epidemiological surveillance and genomic sequencing, we must remain vigilant. This is not a time for half-measures or complacency. The virus does not respect borders, and neither should our preparedness efforts.
Bhutan has successfully navigated public health crises before, but each new threat requires renewed commitment and resolve. The lessons learned from past experiences must inform our current strategy. Mpox may not yet be within our borders, but the risk is real and present. We must act now to ensure that when it does arrive, we are not caught off guard.
Vigilance, preparedness, and swift action will determine whether we can avoid the worst of this outbreak. Let us not wait for the first case to sound the alarm—by then, it may be too late.