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Genomics reveals zoonotic and sustained human mpox spread in West Africa

Edyth Parker (), Ifeanyi F. Omah, Delia Doreen Djuicy, Andrew Magee, Christopher H. Tomkins-Tinch, James Richard Otieno, Patrick Varilly, Akeemat Opeyemi Ayinla, Ayotunde E. Sijuwola, Muhammad I. Ahmed, Oludayo O. Ope-Ewe, Olusola Akinola Ogunsanya, Alhaji Olono, Femi Mudasiru Saibu, Philomena Eromon, Moïse Henri Moumbeket Yifomnjou, Loique Landry Messanga Essengue, Martial Gides Wansi Yonga, Gael Dieudonné Essima, Ibrahim Pascal Touoyem, Landry Jules Mouliem Mounchili, Sara Irene Eyangoh, Alain Georges Mballa Etoundi, Linda Esso, Inès Mandah Emah Nguidjol, Steve Franck Metomb, Cornelius Chebo, Samuel Mbah Agwe, Hans Makembe Mossi, Chanceline Ndongo Bilounga, Olusola Akanbi, Abiodun Egwuenu, Odianosen Ehiakhamen, Chimaobi Chukwu, Kabiru Suleiman, Afolabi Akinpelu, Adama Ahmad, Khadijah Isa Imam, Richard Ojedele, Victor Oripenaye, Kenneth Ikeata, Sophiyah Adelakun, Babatunde Olajumoke, Áine O’Toole, Mark Zeller, Karthik Gangavarapu, Daniel J. Park, Gerald Mboowa, Sofonias Kifle Tessema, Yenew Kebede Tebeje, Onikepe Folarin, Anise Happi, Philippe Lemey, Marc A. Suchard, Kristian G. Andersen, Pardis Sabeti, Andrew Rambaut, Chikwe Ihekweazu, Idris Jide, Ifedayo Adetifa, Richard Njouom and Christian T. Happi ()
Additional contact information
Edyth Parker: Redeemer’s University
Ifeanyi F. Omah: University of Edinburgh
Delia Doreen Djuicy: Centre Pasteur du Cameroun
Andrew Magee: University of California Los Angeles
Christopher H. Tomkins-Tinch: The Broad Institute of MIT and Harvard
James Richard Otieno: Theiagen Genomics
Patrick Varilly: The Broad Institute of MIT and Harvard
Akeemat Opeyemi Ayinla: Redeemer’s University
Ayotunde E. Sijuwola: Redeemer’s University
Muhammad I. Ahmed: Redeemer’s University
Oludayo O. Ope-Ewe: Redeemer’s University
Olusola Akinola Ogunsanya: Redeemer’s University
Alhaji Olono: Redeemer’s University
Femi Mudasiru Saibu: Redeemer’s University
Philomena Eromon: Redeemer’s University
Moïse Henri Moumbeket Yifomnjou: Centre Pasteur du Cameroun
Loique Landry Messanga Essengue: Centre Pasteur du Cameroun
Martial Gides Wansi Yonga: Centre Pasteur du Cameroun
Gael Dieudonné Essima: Centre Pasteur du Cameroun
Ibrahim Pascal Touoyem: Centre Pasteur du Cameroun
Landry Jules Mouliem Mounchili: Centre Pasteur du Cameroun
Sara Irene Eyangoh: Centre Pasteur du Cameroun
Alain Georges Mballa Etoundi: Centre Pasteur du Cameroun
Linda Esso: Ministry of Public Health
Inès Mandah Emah Nguidjol: Ministry of Public Health
Steve Franck Metomb: Ministry of Public Health
Cornelius Chebo: Ministry of Public Health
Samuel Mbah Agwe: Ministry of Public Health
Hans Makembe Mossi: Ministry of Public Health
Chanceline Ndongo Bilounga: Ministry of Public Health
Olusola Akanbi: Nigeria Centre for Disease Control and Prevention
Abiodun Egwuenu: Nigeria Centre for Disease Control and Prevention
Odianosen Ehiakhamen: Nigeria Centre for Disease Control and Prevention
Chimaobi Chukwu: Nigeria Centre for Disease Control and Prevention
Kabiru Suleiman: Nigeria Centre for Disease Control and Prevention
Afolabi Akinpelu: Nigeria Centre for Disease Control and Prevention
Adama Ahmad: Nigeria Centre for Disease Control and Prevention
Khadijah Isa Imam: Nigeria Centre for Disease Control and Prevention
Richard Ojedele: Nigeria Centre for Disease Control and Prevention
Victor Oripenaye: Nigeria Centre for Disease Control and Prevention
Kenneth Ikeata: Nigeria Centre for Disease Control and Prevention
Sophiyah Adelakun: Nigeria Centre for Disease Control and Prevention
Babatunde Olajumoke: Nigeria Centre for Disease Control and Prevention
Áine O’Toole: University of Edinburgh
Mark Zeller: The Scripps Research Institute
Karthik Gangavarapu: The Scripps Research Institute
Daniel J. Park: The Broad Institute of MIT and Harvard
Gerald Mboowa: Africa Centres for Disease Control and Prevention
Sofonias Kifle Tessema: Africa Centres for Disease Control and Prevention
Yenew Kebede Tebeje: Africa Centres for Disease Control and Prevention
Onikepe Folarin: Redeemer’s University
Anise Happi: Redeemer’s University
Philippe Lemey: KU Leuven
Marc A. Suchard: University of California Los Angeles
Kristian G. Andersen: The Scripps Research Institute
Pardis Sabeti: The Broad Institute of MIT and Harvard
Andrew Rambaut: University of Edinburgh
Chikwe Ihekweazu: Nigeria Centre for Disease Control and Prevention
Idris Jide: Nigeria Centre for Disease Control and Prevention
Ifedayo Adetifa: Nigeria Centre for Disease Control and Prevention
Richard Njouom: Centre Pasteur du Cameroun
Christian T. Happi: Redeemer’s University

Nature, 2025, vol. 643, issue 8074, 1343-1351

Abstract: Abstract Five years before the 2022 multi-country mpox outbreak, Nigeria and Cameroon reported their first cases in more than three decades1,2. Whereas the outbreak in Nigeria is recognized as an ongoing human epidemic, the drivers of the resurgence in Cameroon remain unclear3,4. The rate of zoonoses remains uncertain in both countries, and gaps in genomic data obscure the timing and zoonotic and geographic origin of monkeypox virus (MPXV) emergence in humans. Here, to address these uncertainties, we sequenced 118 MPXV genomes isolated from cases in Nigeria and Cameroon between 2018 and 2023. We show that in contrast to cases in Nigeria, cases in Cameroon are the result of repeated zoonoses, with two distinct zoonotic lineages circulating across the Nigeria–Cameroon border. Our findings suggest that shared animal populations in the cross-border forest ecosystems drive the emergence and spread of the virus. Accordingly, we identify the closest zoonotic outgroup to the Nigerian human epidemic lineage (hMPXV-1) in a southern Nigerian border state. We estimate that the shared ancestor of the zoonotic outgroup and hMPXV-1 circulated in animals in southern Nigeria in late 2013. We find that hMPXV-1 emerged in humans in August 2014 in the southern Rivers State and circulated undetected for three years. Rivers State was the main source of viral spread during the human epidemic. Our study sheds light on the recent establishment of MPXV in the human population and highlights the risk of persistent zoonotic emergence of MPXV in the complex border regions of Cameroon and Nigeria.

Date: 2025
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DOI: 10.1038/s41586-025-09128-2

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