On July 23, the World Health Organization declared monkeypox a public health emergency of international concern. It was a contentious decision, with the WHO’s director-general, Dr. Tedros Adhanom Ghebreyesus, making the final call and overruling the WHO’s emergency committee. The advisory committee’s disagreements mirrored debates that have been unfolding among public officials, on social media, and in opinion pages over the past several weeks. Is monkeypox a public health emergency when it’s spreading “just” among gay and bisexual men and trans women? To what degree do other populations need to worry?
Behind those questions are concerns about stigma and how best to allocate scarce resources. But they also reflect an individualistic understanding of public health. Rather than asking what the monkeypox outbreak means for them now, the public could be asking how the monkeypox outbreak could affect them in the future and why and how it could be contained now.
The longer monkeypox transmission goes unchecked, the more likely it is to spill over into other populations. There have already been a handful of cases among women and a couple of cases in children because of household transmission. In otherwise healthy people, monkeypox can be extremely painful and disfiguring. But in pregnant women, newborns, young children, and immunocompromised people, monkeypox can be deadly. Those groups would all be in danger if monkeypox became entrenched in this country.
