@article{fdi:010093515, title = {{P}erspective : an overemphasis on vaccines for {M}pox skewes important lessons from {COVID}-19 and the need for public health approaches}, author = {{B}rown, {G}. {W}. and von {A}gris, {J}. and {B}ell, {D}. and {S}turmberg, {J}. and {R}idde, {V}al{\'e}ry and {M}akali, {S}. {L}. and {B}alaluka, {G}. {B}. and {B}ridge, {G}. and {P}aul, {E}.}, editor = {}, language = {{ENG}}, abstract = {{T}he emergency declarations for {M}pox triggered a flurry of appeals for 'vaccine equity' and the mass production of additional vaccine doses, citing a need to 'learn lessons' from {COVID}-19. {W}e question whether the right lessons have been learned in terms of a supposed need to rollout vaccines quickly and widely, raising concerns about the consequences of an overreliance on expert-driven mass vaccination strategies over more diversified, context-specific and systemic public health strategies. {C}ompared to {COVID}-19, {M}pox has no such epidemic potential because it requires close contact for transmission. {M}oreover, {C}ongolese populations face far more pressing health burdens. {T}hus, the health needs of the population risk being lost within a response focused on global procurement of costly health technologies whatever the context in which the outbreak is occurring. {A}lternatively, locally owned prioritisation and public health and sanitation approaches are key, which should be proportionate to relative disease burdens, and which utilise a diversity of strategies that are cost-effective and with wider public health benefits.}, keywords = {{M}pox response ; {V}accines ; {V}accine equity ; {L}essons from {C}ovid-19 ; {REPUBLIQUE} {DEMOCRATIQUE} {DU} {CONGO}}, booktitle = {}, journal = {{J}ournal of {I}nfection and {P}ublic {H}ealth}, volume = {18}, numero = {6}, pages = {102749 [4 p.]}, ISSN = {1876-0341}, year = {2025}, DOI = {10.1016/j.jiph.2025.102749}, URL = {https://www.documentation.ird.fr/hor/fdi:010093515}, }