Epidemiological characteristics and vaccination impact scenario modelling of concurrent Clade I mpox outbreaks in the Democratic Republic of the Congo and Burundi
This study utilizes transmission-dynamic modeling to demonstrate that concurrent Clade I mpox outbreaks in the DRC and Burundi are driven by distinct mechanisms—sexual transmission in non-enzootic areas versus zoonotic spillover in enzootic regions—and that timely detection combined with tailored, single-dose vaccination strategies, particularly prioritizing children in enzootic zones and sex workers in non-enzootic zones, could significantly reduce infection burdens.