Still, that path is made messier by doing nothing for the countries in West and Central Africa, where monkeypox was first identified decades ago and has been spreading since 2017. Vaccines are not arriving there; Western nations, including the US, have snapped up the limited supply. Nigeria is believed to have been the source of the current international outbreak, via a long chain of transmission that wound through several European countries before arriving in the US. Unless that epidemic can be addressed, monkeypox won’t successfully be controlled there, or anywhere. “If the global equity issues are not attended to, if vaccines and therapeutics don’t make their way to Nigeria
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