{"id":34502,"date":"2024-08-17T11:15:38","date_gmt":"2024-08-17T11:15:38","guid":{"rendered":"https:\/\/emecr.org\/?p=34502"},"modified":"2024-09-16T22:31:58","modified_gmt":"2024-09-16T22:31:58","slug":"who-declares-mpox-outbreak-in-africa-a-global-health-emergency","status":"publish","type":"post","link":"https:\/\/emecr.org\/es\/who-declares-mpox-outbreak-in-africa-a-global-health-emergency\/","title":{"rendered":"La OMS declara el brote de poxvirus en \u00c1frica emergencia sanitaria mundial"},"content":{"rendered":"
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La Organizaci\u00f3n Mundial de la Salud (OMS) y los Centros Africanos para el Control y la Prevenci\u00f3n de Enfermedades (CDC africanos) han declarado el brote de viruela s\u00edmica que se est\u00e1 produciendo en \u00c1frica emergencia sanitaria mundial. En respuesta, las autoridades europeas tienen previsto enviar m\u00e1s de 175.000 vacunas a la regi\u00f3n en un esfuerzo por frenar el brote.<\/p>

La Rep\u00fablica Democr\u00e1tica del Congo (RDC) se ha convertido en el epicentro de esta crisis, y la OMS ha identificado como especialmente alarmante la r\u00e1pida propagaci\u00f3n de un nuevo clado de mpox en el este de la RDC. El brote ha alcanzado ya a pa\u00edses vecinos que no hab\u00edan notificado casos de viruela s\u00edmica, lo que hace temer una mayor propagaci\u00f3n por \u00c1frica y otros continentes. El Director General de la OMS, Tedros Adhanom Ghebreyesus, hizo hincapi\u00e9 en la gravedad de la situaci\u00f3n, declarando que el brote se considera ahora una emergencia de salud p\u00fablica de importancia internacional (PHEIC), el nivel m\u00e1s alto de alerta emitido por la agencia sanitaria de las Naciones Unidas.<\/p>

Para apoyar la respuesta de \u00c1frica a la crisis del mpox, la OMS ha pedido $15 millones (13,6 millones de euros) de financiaci\u00f3n y ya ha liberado $1,45 millones (1,32 millones de euros) de sus reservas de emergencia.<\/p>

Aumenta una nueva cepa de Mpox<\/h1>

El mpox, end\u00e9mico en \u00c1frica Occidental y Central desde hace d\u00e9cadas, representa ahora una amenaza mayor debido a una nueva cepa que apareci\u00f3 el a\u00f1o pasado en la RDC. Esta cepa, una rama del virus Clade I, tiene una tasa de letalidad de alrededor de 10% y se est\u00e1 propagando r\u00e1pidamente a trav\u00e9s del contacto sexual y personal cercano. La situaci\u00f3n se complica a\u00fan m\u00e1s con la aparici\u00f3n de otra cepa en Sud\u00e1frica y Costa de Marfil.<\/p>

S\u00f3lo en 2024 se han notificado m\u00e1s de 14.000 casos de viruela s\u00edmica y 524 muertes en al menos 13 pa\u00edses africanos, entre ellos Burundi, Kenia, Ruanda y Uganda, que acaban de detectar casos de la nueva cepa. Es probable que las cifras reales sean m\u00e1s elevadas debido a la limitada capacidad de an\u00e1lisis de la regi\u00f3n.<\/p>

La declaraci\u00f3n del mpox como emergencia de salud p\u00fablica continental por parte del Africa CDC supone la primera vez que la agencia sanitaria de la Uni\u00f3n Africana realiza una declaraci\u00f3n de crisis de este tipo desde su fundaci\u00f3n en 2017. Jean Kaseya, jefe del Africa CDC, expres\u00f3 la gravedad de la situaci\u00f3n, se\u00f1alando el impacto generalizado del mpox en las familias de todo el continente.<\/p>

Nicaise Ndembi, asesora principal de los CDC africanos que trabajan en la respuesta desde la RDC, destac\u00f3 la importancia de las declaraciones de emergencia para desbloquear recursos destinados a la vigilancia transfronteriza de la enfermedad, las pruebas de diagn\u00f3stico y la distribuci\u00f3n de vacunas.<\/p>

Por qu\u00e9 es preocupante el brote de Mpox<\/h1>

Los brotes de Mpox, especialmente los del clado I, han tenido hist\u00f3ricamente altas tasas de mortalidad, con hasta 10% de los infectados que sucumben al virus. Aunque la tasa de letalidad del clado II es significativamente menor, inferior a 0,2%, determinados grupos, como los lactantes, las personas inmunodeprimidas y las mujeres embarazadas, corren un mayor riesgo de infecci\u00f3n grave.<\/p>

La propagaci\u00f3n del mpox suele ser dif\u00edcil de rastrear debido a una vigilancia incompleta, sobre todo en las zonas rurales, donde el acceso a las instalaciones de diagn\u00f3stico es limitado. El Dr. Daniel Bausch, experto en enfermedades infecciosas, hizo hincapi\u00e9 en las dificultades que plantea el diagn\u00f3stico de la viruela mucosa en regiones remotas, donde el env\u00edo de muestras a los laboratorios puede ser un obst\u00e1culo importante.<\/p>

La r\u00e1pida propagaci\u00f3n del mpox en \u00c1frica es especialmente preocupante, dado el potencial de transmisi\u00f3n internacional. Aunque la mayor\u00eda de los casos siguen concentr\u00e1ndose en la RDC, ya se han notificado casos en 13 pa\u00edses africanos. La reciente confirmaci\u00f3n de un caso de mpox del clado I en Suecia -el primero fuera de \u00c1frica- subraya la amenaza mundial que supone el virus.<\/p>

El Dr. Bausch tambi\u00e9n destac\u00f3 la importancia de la equidad en la respuesta mundial al mpox, se\u00f1alando que la propagaci\u00f3n del virus en \u00c1frica justifica el mismo nivel de urgencia que los brotes en los pa\u00edses de ingresos m\u00e1s altos.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Esfuerzos para contener la propagaci\u00f3n<\/h1>

Aunque existen vacunas contra el mpox, su accesibilidad en \u00c1frica sigue siendo limitada. La Alianza para las Vacunas, Gavi, ha asignado hasta $500 millones para suministrar vacunas contra el mpox a los pa\u00edses afectados, incluida la RDC. Para 2026, Gavi planea establecer una reserva mundial de vacunas contra el mpox, similar a sus reservas para el c\u00f3lera, el \u00e9bola, la meningitis y la fiebre amarilla.<\/p>

La OMS tambi\u00e9n ha subrayado que la vacunaci\u00f3n es s\u00f3lo un componente de la respuesta. Para contener el brote ser\u00e1 necesario mejorar la vigilancia, el diagn\u00f3stico y la investigaci\u00f3n para subsanar las deficiencias en el conocimiento del virus. La organizaci\u00f3n ha aprobado el proceso de inclusi\u00f3n de vacunas contra el mpox en la Lista de Uso de Emergencia y ha elaborado un plan regional de respuesta, con $1,5 millones ya liberados del Fondo de Contingencia de la OMS para Emergencias.<\/p>

Actualmente se dispone de medio mill\u00f3n de dosis de la vacuna contra el mpox, con la posibilidad de producir 2,4 millones m\u00e1s de aqu\u00ed a finales de a\u00f1o. Est\u00e1 previsto que la RDC y Nigeria sean los primeros receptores de estas vacunas, como parte del esfuerzo coordinado para combatir el brote en \u00c1frica.<\/p>

La comunidad sanitaria mundial se est\u00e1 uniendo para contener el brote de viruela s\u00edmica, pero los retos pendientes siguen siendo importantes, sobre todo para garantizar un acceso equitativo a las vacunas y los recursos en todo el continente.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

The World Health Organization (WHO) and the Africa Centres for Disease Control and Prevention (Africa CDC) have declared the ongoing mpox outbreak in Africa as a global health emergency. 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