Commentary: Monkeypox makes pledges of pandemic solidarity look hollow

, led to cries of “never again”. Never again should vital data and samples be held back in an outbreak; never again should the global South be abandoned by the global North in the quest for money, drugs and vaccines., those pledges now look hollow. High-income countries are once again scrambling for vaccines to which African countries have little access, even though the disease has existed in central and west Africa for decades.

The lofty ideal of global health as a public good is again faltering in the face of national interests. The fragmented response is not just a problem for controlling monkeypox. It also signals trouble for the global pandemic treaty that is currently being drafted, designed to bind countries more tightly to acting for the collective good.An advisory panel that met at the World Health Organization last weeklabelling monkeypox a public health emergency of international concern.

The emerging science already hints at something unusual: Preliminary research published last week suggests the virus is evolving faster than expected. And the outbreak, affecting 48 countries so far, is not fizzling out.

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