<p dir="ltr">The global spread of clade Ib mpox, as evidenced by travel-associated cases in Europe, the Americas, South Asia, and the Middle East, highlights its rapid international dissemination. Since November 2024, the USA has reported four distinct cases, all linked to travel from outbreak regions. Canada confirmed its first case on Nov 22, 2024, associated with travel from Central Africa.<sup> </sup>By March 2025, multiple cases were reported in Europe, including Sweden (one case), Belgium (five cases), Germany (eight cases), France (two cases), and the UK and Northern Ireland (ten cases).</p>