ReviewThe Lancet regional health. Africa2026
Decentralizing testing capacity of mpox in Africa: a narrative review.
Review in The Lancet regional health. Africa, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026Review
Corrections and comments
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Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Decentralized diagnostics are essential for the timely detection and control of mpox outbreaks. Burundi and the Democratic Republic of Congo (DRC) transitioned from centralized testing to decentralized models using GeneXpert platforms, mobile labs, and real-time feedback systems. Burundi expanded from one to 56 diagnostic sites, reducing site-level turnaround times to 2-4 h and achieving nearly 100% testing coverage. The DRC scaled up from 2 to 28 labs, deploying multiplex platforms and stabilizing testing rates. Genomic surveillance also advanced, with over 3000 mpox virus (MPXV) genomes sequenced across 23 countries, revealing new clades and informing public health responses. Africa reached the 8% sequencing threshold, enabling real-time viral tracking. The mpox epidemic accelerated reforms, including continental guidelines for laboratory decentralization and the launch of a new initiative to expand testing, training, and local manufacturing. This article describes the mpox laboratory decentralization efforts, achievements, lessons, and best practices across Africa.
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