By Ellyce Lim || Illustration by Joxyne Gravoso
As we rise from the aftermath of the COVID-19 pandemic, the emergence of mpox—formerly known as monkeypox—presents a stark reminder that our public health system remains under strain.
In mid-August, World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus declared the mpox outbreak a public health emergency of international concern. Less than a week later, the Philippines reported its first case of mpox. With cases steadily creeping into regions previously unaffected, such as the Philippines, which had seen no prior outbreaks, we must confront a pressing question:
Is our country prepared for the next looming challenge?
Understanding Mpox
Mpox is caused by the monkeypox virus (MPXV), part of the Orthopoxvirus genus. It typically manifests with symptoms such as fever, headaches, muscle aches, and a distinctive skin rash that can linger for weeks. Transmission occurs through close contact with infected individuals, contaminated materials, or animals.
Similar to COVID-19, mpox can spread even before symptoms appear. This asymptomatic transmission makes it crucial to approach the virus with the gravity it warrants, as early detection and preventive measures are essential.
Background on Mpox
The World Health Organization (WHO) declared mpox a global health emergency in July 2022 as the virus began to spread through sexual contact, affecting more than 70 countries, primarily in the African region, including the Democratic Republic of Congo. This declaration highlighted the urgent need for coordinated global action.
Although the WHO lifted the emergency status in May 2023 as cases declined, the virus’s recent resurgence has highlighted just how resilient the MPXV truly is. Neglecting outbreaks in regions of origin, as we saw with COVID-19, could result in global consequences. The virus’s ability to spread unchecked highlights the need for constant vigilance and action.
Mpox in the Philippines
Mpox has recently made its way to the Philippines, with the first recorded case appearing in August 2024. As of September 16, the country has reported 18 confirmed cases, with 5 individuals having already recovered.
While Department of Health Secretary Herbosa claimed that “Napakadaling i-control ang mpox” and asserted that the country can prevent the outbreak without a vaccine, it is important to recognize that despite being less transmissible than COVID-19, mpox still poses a serious threat to the country and should not be underestimated. As Dr. Susan Mercado, a former Department of Health Undersecretary and WHO appointed Director of Programme Management (DPM) in the Western Pacific, expressed in an episode of the Health Updates webinar series of the University of the Philippines Manila, “This virus is not as infectious as COVID-19, but we must continue to spread awareness and take preventive measures.” The country’s experience with COVID-19 highlights the importance of proactive health measures, ensuring that we do not fall into complacency.
Resource and Healthcare
While vaccines are available in the market, the public’s awareness and access to these resources remain limited. Health Secretary Balbosa announced that 2,500 mpox vaccines have been requested, with delivery expected in a few months. For now, the Philippines is not a priority according to WHO statistics.
COVID-19 exposed significant gaps in our healthcare system, including underfunding, insufficient infrastructure, and lack of personnel. As we transition to tackling mpox, we need to invest in healthcare resources that bolster our capacity to respond to outbreaks. This includes better diagnostic tools, increased vaccine stockpiles, and enhanced training for healthcare workers.
Community Involvement
One of the critical lessons from the COVID-19 pandemic was the power of community solidarity. For example, the Homeless People’s Federation Philippines, Inc. (HPFPI), with support from the Philippine Action for Community-led Shelter Initiatives, Inc. (PACSII)—a non-profit, non-governmental organization—implemented programs to mitigate the health and economic impacts of COVID-19. As many people experienced an abrupt loss of income with the enforcement of the lockdown, these programs included community drives to mobilize funds and resource distribution. Additionally, HPFPI focused on raising awareness and promoting mitigation techniques, such as good hygiene practices by placing hand washing stations in certain areas of the community.
This underscores the need for similar grassroots efforts to disseminate accurate information, promote vaccination, and address the stigma that may deter individuals from seeking care in the event of a pandemic. Community movements like HPFPI have demonstrated the effectiveness of local engagement in tackling these challenges.
As we stand on the brink of another potential health crisis, it is crucial that the Philippine government acts decisively. We must learn from the mistakes of the past that swift action, effective communication, and proper resource allocation are essential to preventing a widespread outbreak of mpox. Our nation’s ability to respond effectively to this challenge will depend not only on governmental action but also on the cooperation of each citizen.
As we face the continuing threat of emerging infectious diseases like mpox, the importance of preparedness, healthcare resources, and community engagement cannot be overstated. While the habits we developed during the COVID-19 pandemic can help mitigate the outbreak of mpox, we cannot afford to be complacent. It is imperative that we actively learn from our past experiences to avoid repeating history. The sooner it is addressed, the less susceptible the country will be to a full-scale pandemic.
While the government’s proactive measures are a positive step forward in our collective preparedness, the role of citizens in adhering to health protocols, committing to precautionary measures, embracing collective responsibility, and supporting local initiatives is what building a stronger front for our country hinges on in preparing for another possible pandemic. Only through our united efforts can we ensure that we are ready to face whatever challenges lie ahead and promote a safer future for all.










