Mpox has faded in the US. Who deserves the credit?

NEW YORK (AP) — Less than six months ago, mpox was an exploding health crisis. What had been an obscure disease from Africa was ripping through European and U.S. gay communities. Precious doses of an unproven vaccine were in short supply. International officials declared health emergencies.

Today, reports of new cases are down to a trickle in the U.S. Health officials are shutting down emergency mobilizations. The threat seems to have virtually disappeared from the public consciousness.

“We're in a remarkably different place,” said Dr. William Schaffner, a Vanderbilt University infectious diseases expert. “It's really impressive how that peak has come down to very, very low levels.”

So who deserves the credit? It's an unsettled question, but experts cite a combination of factors.

Some commend public health officials. Others say more of the credit should go to members of the gay and bisexual community who took their own steps to reduce disease spread when the threat became clear. Some wonder if characteristics of the virus itself played a role.

“It's a mixed story" in which some things could have gone better but others went well, said Dr. Tom Frieden, a former director of the U.S. Centers for Disease Control and Prevention.

CASES SOAR, THEN FALL

Mpox, formerly known as monkeypox, is a rare disease caused by infection with a virus that's in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals, but it was not known to spread easily among people.

Mpox cases began emerging in Europe and the U.S. in May, mostly among men who have sex with men. Cases escalated rapidly in dozens of countries in June and July, around the time of gay pride events. The infections were...