Mpox Clade Ib

Monkeypox virus (MPXV) — Clade Ib

Reported by ECDC Communicable Disease Threats ReportSource updated 5 months ago(8 May 2026)View source ↗
The most recent official update we hold is from 8 May 2026 (5 months ago). These figures may not reflect the current situation — check the source for later information.
REPORTED CASES
1,202
REPORTED DEATHS
Not reported
FIGURES AS OF
8 May 2026 (source date)
HUMAN-TO-HUMAN TRANSMISSION
Documented
WHERE
DRC (endemic, emergency lifted 2 Apr), Madagascar (major outbreak), Spain (103 cases — EU highest), Germany (47 cases, local tx Berlin), Italy (34 cases), France (18 cases) +6 more
STATUS
monitoring
REPORTED BY
ECDC Communicable Disease Threats Report ↗
SOURCE UPDATED
Source updated 5 months ago

WHAT IS HAPPENING · SUMMARY OF ECDC COMMUNICABLE DISEASE THREATS REPORT

Mpox clade Ib continues to circulate globally. Since September 2025, clade Ib MPXV has been confirmed in individuals with no recent travel across four WHO regions, primarily among men who have sex with men. The second PHEIC for mpox was lifted on 5 September 2025 though WHO continues emergency preparedness activities.

FOR THE GENERAL PUBLIC

The source has not published a general-public risk statement that ContagionMap holds. Follow your national public-health authority for advice where you live.

FOR TRAVELLERS

Avoid close physical contact with confirmed or suspected mpox cases. Vaccination recommended for high-risk individuals. Consult ECDC or national health authority guidance before travel to regions with active clade Ib circulation.

WHAT IS KNOWN

  • ECDC Communicable Disease Threats Report reports 1,202 cases.
  • Locations reporting cases or under monitoring: DRC (endemic, emergency lifted 2 Apr), Madagascar (major outbreak), Spain (103 cases — EU highest), Germany (47 cases, local tx Berlin), Italy (34 cases), France (18 cases), Netherlands (17 cases), Belgium (14 cases), United Kingdom (48 cases), Sweden (8 cases), Ireland (7 cases), United States (20 cases).
  • Person-to-person transmission is documented by the source.

WHAT IS UNCERTAIN

  • There has been no official update since 8 May 2026 (5 months ago); the current situation may differ.

CONTAGIONMAP ANALYSIS

Significance: Moderate. This is ContagionMap's rating of how severe the outbreak is where cases are occurring, based on the figures above and the pathogen. It is not an official WHO or government classification and is not a measure of risk to people elsewhere.

LOCATIONS (12)

LocationCasesDeathsNote
DRC (endemic, emergency lifted 2 Apr)——
Madagascar (major outbreak)1,196—Active outbreak since Dec 2025. Madagascar + DRC account for majority of global Clade I cases in early 2026.
Spain (103 cases — EU highest)103—Highest Clade I case count in EU/EEA (Aug 2024–Mar 2026). Community transmission among MSM.
Germany (47 cases, local tx Berlin)47—Local transmission confirmed Berlin early 2026. 47 cases Aug 2024–Mar 2026.
Italy (34 cases)34—12 of 34 EU hospitalised cases were in Italy.
France (18 cases)18—Community transmission confirmed.
Netherlands (17 cases)17—
Belgium (14 cases)14—
United Kingdom (48 cases)48—48 Clade Ib cases as of 30 Apr 2026 (UKHSA). Novel recombinant Clade Ib/IIb strain detected Jan 2026.
Sweden (8 cases)8—
Ireland (7 cases)7—First Irish case was Clade Ia (not Ib). Subsequent 6 cases Clade Ib.
United States (20 cases)20—11 cases Nov 2024–Feb 2026 + 9 more since Mar 2026.

REPORTED FIGURES OVER TIME

OFFICIALLY REPORTED FIGURES
Mpox Clade Ib
Cumulative reported cases

Figures are as reported by the named source on the date shown. Summaries and the significance rating are ContagionMap's. This record last changed on ContagionMap 12 May 2026. Not medical advice.