SIERRA LEONE — Between January 1 and April 30, 2025, Sierra Leone recorded 88 confirmed mpox (formerly monkeypox) cases, making up 58.2% of all mpox cases reported across Africa during that period. This data was published in the Africa Centres for Disease Control and Prevention (Africa CDC) Regional Health Emergency report and presented by Dr. Sartie Kenneh, Sierra Leone’s Chief Medical Officer, during a press briefing held on May 17 in Freetown.
Disease Concentrated in Freetown and Western Area
According to Dr. Kenneh, most cases were detected in the capital, Freetown, and surrounding urban communities. The affected individuals were primarily men aged between 20 and 39. Mpox is a viral zoonotic disease characterized by fever, rash, and swollen lymph nodes, and it is primarily transmitted through close physical contact.
Recovery and Containment Efforts Ongoing
Of the 88 confirmed cases, 81 have recovered. No deaths have been reported. The Ministry of Health and Sanitation, in collaboration with the World Health Organization (WHO), the United States Centers for Disease Control and Prevention (US CDC), and Breakthrough ACTION, is leading containment efforts. These include community sensitization, laboratory diagnostics, and technical training for healthcare providers.
Health Authorities Emphasize Vigilance
Dr. Kenneh emphasized the need for increased surveillance, particularly during the upcoming rainy season. He noted that flooding and displacement during this period could complicate containment. The government is strengthening coordination among healthcare providers to manage new cases promptly.
Comparison with Other African Countries
While mpox is endemic in parts of Africa, Sierra Leone’s recent caseload exceeds those of other countries during the same reporting period. The Africa CDC listed fewer cases in the Democratic Republic of the Congo, Nigeria, and Cameroon, none of which approach Sierra Leone’s total of 88.
Global Health Partners Support Local Response
At the press briefing, WHO and US CDC representatives reiterated their commitment to supporting Sierra Leone’s mpox response. Although there is no national vaccination campaign for mpox, discussions are ongoing regarding regional preparedness, resource allocation, and personal protective equipment (PPE) for frontline workers.
No Public Health Emergency Declared
Sierra Leone has not declared a public health emergency but is increasing public education and inter-agency collaboration. Officials urge the public to report suspected symptoms and seek medical attention promptly.
According to The Sierra Leone Telegraph, health authorities remain focused on surveillance and coordination as the country prepares for the upcoming rainy season and potential rise in infections.

