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  • WHO Strengthens Malawi’s Disease Surveillance with Key Donation.

    WHO Strengthens Malawi’s Disease Surveillance with Key Donation.

    THE WHO CONTRIBUTES TO NPHL

    NPHL, Lilongwe, Malawi – May 15th, 2025.
    by
    Moses Nyambalo Phiri in collaboration with Happy Abraham Manda, Mr. Henry Limula and Settie Kanyanda.

    The World Health Organisation (WHO), with support from UK Aid (UKAID), has made a significant donation delivery of essential laboratory items to the National Public Health Laboratories (NPHL) to the National Public Health Laboratory, PHIM. This timely contribution will aid Malawi’s capacity to monitor and respond to various public health threats, including the ongoing Mpox outbreak

    The NPHRL plays a pivotal role in Malawi’s health surveillance systems, tracking a range of diseases. Currently, a key focus is the surveillance of Mpox, a viral disease that has affected several African nations, with Malawi reporting six confirmed cases by May 15th, 2025.

    NPHL receiving the donations.

    To ensure the safety of frontline health workers during critical activities such as outbreak investigations, sample collection, and the implementation of control measures, the WHO generously donated Personal Protective Equipment (PPEs). The consignment included vital items such as gloves, aprons, and gumboots.

    THE WHO and NPHL Team

    Receiving the donations on behalf of the NPHRL, Mr. Joseph Bitilinyu Bangoh expressed his sincere appreciation to the WHO for their prompt response citing the current response activities NPHL – PHIM is undertaking to contain Mpox. He further acknowledged the WHO’s consistent support to PHIM during the Mpox pandemic and in the surveillance of other significant diseases, including conjunctivitis, cholera, and influenza.

    He earnestly appealed to the WHO to maintain their invaluable assistance, even in the face of potential financial constraints affecting international organizations. Dr. Nelly Yatich, representing the WHO during the donation, warmly assured the PHIM staff of the WHO’s unwavering commitment to supporting Malawi, particularly during health crises like the current Mpox outbreaks. She emphasized the WHO’s proactive approach in providing the necessary equipment swiftly to aid in the effective management of Mpox cases.

    Mr. Ishmael Bashir, Second from left.

    During the event, Mr. Bangoh also formally welcomed Mr. Ishmael Bashir, a resident delegated from the (WHO) to work at PHIM, NPHRL. He reiterated his gratitude to the WHO for this additional support, highlighting that Mr. Bashir’s presence will provide valuable insight into Malawi’s needs and facilitate targeted assistance.

    This has indicated the robust collaboration that exists between the World Health Organisation (WHO) and the Public Health Institute of Malawi (PHIM). Their joint efforts are crucial for enhancing Malawi’s public health systems and protecting its citizens. This partnership is expected to continue with future collaborations.

    Special Thanks to:

    Mr. Happy Abraham Manda, Content Creator, NPHL

    Mr Henry Stanley Limula, Content Reviewer, NPHL

    Mr. Settiel Kanyanda, Content Reviewer, PHIM

    Special recognition is given to the contributors whose efforts brought this content to fruition.
  • Mpox Situation in Malawi.

    Mpox Situation in Malawi.

    MPOX SITUATION.

    National Public Health Emergency Operations Centre (NPHEOC), Lilongwe, Malawi, 2025.
    by
    Moses Nyambalo Phiri in collaboration with Grace Funsani, Chriswell Nkoloma and Settie Kanyanda.

    Malawi has recorded two new laboratory-confirmed Mpox cases as of October 6, 2025, bringing the total number of cases in the country to 128 since the first case was recorded on April 17, 2025. These cases exclude two cross-border cases. The update comes from the Public Health Institute of Malawi (PHIM) in its Mpox Spot Report, Issue 62, published on October 6, 2025.

    Both new cases are young female children who reported to health facilities on September 30, 2025.
    An 11-year-old female child from Area 25, who reported at the Area 25 Health Facility and a 9-year-old female child from Chilinde 1, who reported at the Chilinde Health Facility.

    The patients presented with common symptoms, including fever, cough, and a skin rash, and reportedly had no underlying health conditions. Lesion swab samples were collected and sent to the laboratory on the same day they visited the facilities, and Mpox infection was confirmed through testing on September 30, 2025. Neither of the confirmed cases has a history of travel outside of Malawi.

    Mpox Outbreak Report – Malawi

    Malawi’s Coordinated Public Health Response

    The Public Health Institute of Malawi has implemented a multi-faceted strategy using a One-Health approach to contain the outbreak, protect public health, and provide care.

    🚨

    Activation

    Incident Management System (IMS) Activated

    🤝

    Collaboration

    Multi-sectoral One-Health Surveillance

    🏃

    Action

    Rapid Response Teams Deployed

    📚

    Engagement

    Risk Communication & Community Engagement

“The first case was recorded in Lilongwe district on April 16, 2025. Later additional cases were registered.  All the cases are males within the age range of 2 to 38 years: a 30-year-old from Phwetekere- Area 36, a 33-year-old from Kawale 2, 38 year-old from Chilinde, a 35 year-old from Area 36, Kandikole, an 18 year-old from Area 36, Tumbwe, Traditional Authority (TA) Tsabango, Lilongwe district, and a two year-old child from Michesi 1 village, TA Mponda, Mangochi district.Three cases from Lilongwe have recovered and have been discharged from clinical care, while the other three are still under clinical care . No death has been reported.”

Grace Fusani – Mpox Incident Manager, PHIM.
Mpox in Malawi: Outbreak Infographic

Total Confirmed Cases

141

(138 Domestic, 3 Cross-Border)

Total Deaths

1

(CFR ~0.7%)

Contacts Traced

1,412

(1,383 Discharged, 29 Follow-up)

Active Cases

0

(Zero (0) Domestic Cases Active)

Live Mpox Situation Dashboard

View the real-time epidemiological and response data directly from the national surveillance system in this interactive dashboard. (Scroll horizontally if necessary.)

Temporal Trend: Outbreak Progression (Interactive)

This chart shows the epidemic curve of confirmed cases over time. Monitoring this trend helps determine the effectiveness of containment strategies and predict future resource needs. (Scroll horizontally if necessary.)

Demographic Profile (Interactive)

This chart provides a breakdown of the case demographics. Current data shows that females account for 46% of cases and children represent a significant portion of the total case load, emphasizing the widespread transmission and the need for specialized pediatric and community-wide public health messaging. (Scroll horizontally if necessary.)

Geographical Distribution: Outbreak Epicenter & Spread (Interactive)

The outbreak has affected 12 districts, but Lilongwe remains the clear epicenter, accounting for over 80% of all confirmed domestic cases. This concentration guides the targeted public health and vaccination response. This map/chart provides a detailed view of the spread across the country. (Scroll horizontally if necessary.)

Age Distribution (Static)

Children represent a significant portion of cases, accounting for 25% of all infections. This necessitates specialized pediatric care and targeted IPC measures in schools.

Clinical Insights: High-Risk Links & Features

A preliminary audit of 34 inpatients from KCH and Lilongwe DHO provided critical insights. The findings revealed a high prevalence of severe disease and a significant correlation with HIV status, informing high-risk prioritization.

Clinical Manifestations Audit (Interactive)

This chart details the specific clinical features observed in the audited patient cohort. It highlights the frequency of severe symptoms like genital ulcers and bacterial superinfection, which informs case management protocols. (Scroll horizontally if necessary.)

The Critical HIV Correlation

HIV-positive patients were significantly more likely to develop severe complications. 10 of 12 (83%) HIV-positive patients had severe features, compared to only 5 of 12 (42%) HIV-negative patients.

Malawi’s Multi-Pillar National Response

Surveillance

Rigorous case finding and contact tracing protocols. District Rapid Response Teams (DRRTs) are trained and deployed to interrupt transmission chains.

  • → 1,412 contacts traced to date
  • → Active case search ongoing

Case Management

Development and dissemination of protocols for Home-Based Care (HBC) for mild cases, reserving ETUs for severe cases.

  • → Zero (0) active domestic cases
  • → 132 cases discharged from care

IPC & WASH

Focused on minimizing transmission in homes, communities, and health facilities. Preparing for safe school environments.

  • → Home-based IPC package developed
  • → IPC/WASH assessment ongoing

Vaccination

PMRA has approved the MVA-BN vaccine. Strategic allocation to high-risk groups has achieved significant coverage.

  • → 80% of Target Population Vaccinated
  • → Targeted vaccination for high-risk groups

Ongoing Challenges & Commitment

Non-Disclosure of Contacts

Non-disclosure of contacts by some clients remains a barrier to rapid containment, complicating tracing and follow-up efforts.

Incomplete Data Capturing

Incomplete data in registers and forms hinders retrospective analysis and makes tracing of potentially missed cases identified through active search challenging.

Movement of Suspected Cases

The movement of suspected cases before the release of laboratory results poses a risk and complicates isolation and immediate case management.

What response activities have so far been undertaken ?

Cases
Malawi Mpox Outbreak

PHIM has activated its Incident Management System (IMS) for Mpox and is working with various sectors, including animal health, civic education, and disaster management, using One Health Approach

Mpox Suspect in Lilongwe

1. Surveillance.

Rapid Response Teams (RRTs) have been deployed to conduct contact tracing and investigate cases. Surveillance systems have been enhanced at the community level, health facilities, and points of entry (PoEs).

The district team are being trained on Mpox through a collaborative effort involving Amref Health Africa, the US CDC, and the World Bank, which have provided the necessary resources. Initial training, supported by Amref Health Africa, has been conducted in the Chitipa and Karonga districts. This district level training will be extended to all districts to ensure comprehensive staff preparedness covering critical areas such as Mpox Etiology and Virology, Transmission Pathways, Prevention and Control Measures, and Clinical Management etc.

Chitipa -Mpox District Training 7/May/2025.

2. Case Management.

Case management guidelines have been developed and distributed, and isolation facilities have been identified.

Kamuzu Central Hospital – Toilets Supported by Amref
Kamuzu Central Hospital – Isolation Unit Supported by WHO
Kamuzu Central Hospital – Toilets Supported by Amref

3. Labolatory.

Samples from suspected cases are being tested using PCR, and genomic sequencing of the Mpox virus is underway.

Mpox sample testing in the national laboratory

Essential medicines and PPEs have been distributed to districts and Messages about Mpox prevention are being disseminated in local languages through various channels, including posters, social media, leaflets, and audio recordings. PHIM is working to address these challenges and will continue to provide updates on the situation.

  • PHIM Strategic and Operation Plans Dissemination

    PHIM Strategic and Operation Plans Dissemination

    PHIM-Documents Dissemination.

    Amarylis Hotel – Blantyre, Malawi – March 26th, 2025.
    by
    Moses Nyambalo Phiri and Settie Kanyanda

    The Public Health Institute of Malawi (PHIM) has successfully executed a nationwide dissemination initiative, distributing critical strategic documents aimed at reinforcing the nation’s capacity to prepare for and respond to public health emergencies.

    PHIM disseminated the newly developed National Public Health Emergency Operations Centre (PHEOC) Handbook, the Malawi Multi-sector Cholera Control Plan, the PHIM Strategic Plan, Priority Areas for Multi-Sectoral Interventions (PAMI) Booklet, National Public Health Research Strategic Plan, and the Malawi Multi-Hazard Emergency Response Plan among others. These documents represent a significant advancement in Malawi’s public health infrastructure, providing essential frameworks for coordinated and effective emergency response.

    This comprehensive Multi-Sectoral and Multi-Disciplinary effort as it was during the development is as the same with during dissemination highlighting Malawi’s commitment to proactive public health management.

    The development of these documents involved extensive collaboration with various stakeholders, acknowledging the intricate and multisectoral nature of public health emergencies.

    The PHEOC Handbook, in particular, serves as a cornerstone for our emergency response efforts. It equips our national and district teams with the necessary guidelines to ensure timely and adequate responses to public health crises. By aligning our efforts through these strategic documents, we are significantly enhancing our national resilience and promoting a unified approach to safeguarding the health of all Malawians.

    This collaborative process ensured that the resulting resources are comprehensive, practical, and tailored to Malawi’s specific needs. PHIM focused on in-depth discussions with stakeholders present ensuring that all are thoroughly familiar with the content of the disseminated documents and their respective roles in emergency response protocols. Key emphasis was placed on the importance of interagency collaboration and coordinated action, recognizing that effective public health crisis management requires a cohesive and unified approach as emphasized by Dr. Evelyn Chitsa Banda, Deputy Director of PHIM responsible for the National Public Health Research and Development during the dissemination in Blantyre.

    By equipping national and district officers with these vital documents and knowledge, PHIM is taking a decisive step towards building a robust, responsive, and resilient public health system in Malawi. This initiative signifies a strong commitment to proactive public health management and the protection of not only citizens of Malawi, but every person living in Malawi.

    The dissemination events, held concurrently in Zomba in the south, Mponela in the center, and Mzuzu in the north, facilitated in-depth discussions and training sessions for a diverse group of stakeholders. Participants included representatives, from relevant ministries, agencies, and departments nationwide like, Department of Disaster Management Affairs (DODMA) the Malawi Defense Force, The Ministry of Agriculture (Animal Health) and The Malawi Police, reflecting the multisectoral and multidisciplinary approach integral to effective public health management.

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    Mzuzu, Mzimba-North
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    Mponela, Dowa.
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    Mponela, Dowa.
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    Zomba
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    Blantyre

    By equipping national and district officers with these vital documents and knowledge, PHIM is taking a decisive step towards building a robust, responsive, and resilient public health system in Malawi.