After African countries struggled to get testing kits during the COVID-19 pandemic, officials vowed to make the continent less dependent on imported medical supplies. Now, in a first for Africa, a Moroccan company is filling orders for mpox tests as an outbreak continues.
Moroccan startup Moldiag began developing mpox tests after the World Health Organization declared the virus a global emergency in August. Africa's Centers for Disease Control and Prevention has reported more than 59,000 mpox cases and 1,164 deaths in 20 countries this year.
"This is a major problem," said Musole Robert, medical director of the Kavumu Referral Hospital, one of the few treating mpox patients in eastern Congo. "The main issue remains the laboratory, which is not adequately equipped."
Mpox primarily spreads through close skin-to-skin contact with infected people or their soiled clothes or bedsheets. It often causes visible skin lesions. A health worker swabs the rash and sends the sample to a lab. Mpox testing is critical because many symptoms resemble diseases like chicken pox or measles.
When mpox cases were found in some Western countries like the United States in 2022, some companies began developing rapid test kits that don’t require lab processing. But they shelved those efforts when the virus was largely contained.
Then outbreaks emerged again in Africa. Scientists are concerned by the spread of a new version of the disease that might be more easily transmitted among people.
"It's rather easy to send tests from an African nation to another one rather than waiting for tests to come in from China or Europe," Moumen said.
Moldiag was founded out of Morocco's Foundation for Advanced Science, Innovation and Research, a university-affiliated nonprofit whose research has received funding from the European Commission and Morocco’s government. The startup previously developed similar genetic tests for COVID-19 and tuberculosis.
The Africa CDC’s acting director for laboratory diagnostics and systems, Yenew Tebeje, said: "Historically, international institutions have not always ensured medical supplies like tests are quickly made available for crises in Africa."
Moldiag's $5 price for current tests aligns with recommendations from both WHO's target product standards and demands of health advocates who have criticized other test costs.