Mpox in Newborns: What Pakistan Must Know

The Express Tribune reports mpox cases detected in newborns for the first time in Pakistan. Affected babies are from Khairpur in Sindh; doctors describe fever, lethargy, poor feeding, and distinctive fluid-filled rashes. There have been fatalities, underscoring how serious mpox can be for infants. Experts warn that gaps in hospital hygiene and isolation can enable cross-infection, so strict infection control is a must.

Mpox, or monkeypox, is a viral illness that spreads mainly through close skin-to-skin contact, contaminated bedding or clothing, and, in some situations, respiratory droplets during prolonged close contact. In newborns, infection can be severe and progress quickly, so early recognition matters. Common signs include fever, lethargy, poor feeding, and painful rashes that can become infected if not treated.

Pakistan recorded 53 confirmed mpox cases in 2025, most linked to international travel. In 2026, there is a worrying shift toward local transmission, with Karachi reporting cases and at least one domestically transmitted infection traced back to Khairpur. This trend raises concerns for families and hospitals alike and highlights the need for strict infection control in nurseries and clinics.

Health authorities and major hospitals are stepping up awareness and guidance. A briefing at Aga Khan University Hospital stressed rapid testing, prompt isolation of suspected cases, and proper use of personal protective equipment by health workers. Officials emphasize timely reporting to public health authorities to track spread and ensure rapid care for those affected.

Protecting newborns: practical steps for families

• Seek urgent medical care if a newborn has fever, lethargy, poor feeding, or a new rash, and mention possible mpox exposure to the doctor.
• Avoid sharing beds, towels, or clothing; keep the baby’s items separate and clean; wash hands before handling the infant.
• Hospitals should isolate suspected cases promptly and ensure staff use PPE and strict hygiene protocols.
• Limit exposure at home if others show mpox-like symptoms; maintain good respiratory hygiene and clean surfaces regularly.
• Follow public health guidance on testing and contact tracing; share travel history and contact details with healthcare providers.

Bottom line: mpox in newborns is serious but preventable with quick care and solid infection control. Parents should stay informed through trusted health sources and follow doctors’ guidance to protect their babies.