The spread of mpox in congested refugee camps and prisons is raising vaccine needs as Africa struggles to contain multiple outbreaks of the disease that has killed 1,100 people on the continent this year.

Over the past week, Africa’s surge of new mpox cases continued, and the region passed a grim marker, with fatal cases passing 1,000 for the year amid several worrying developments, including spread to new countries and in crowded settings that include prisons and refugee camps.

Some 1,100 people across Africa have died from mpox, the African Union's health agency said Thursday, warning that the epidemic was "going out of control" without further action."Mpox is going out of control if we don't act,

Rwanda's outbreak of the deadly Marburg virus is easing after vaccinations of the most vulnerable people including healthcare workers, but mpox cases are still spreading to new African countries, Rwanda's health minister and the Africa Centres for Disease Control and Prevention's head said on Thursday.

The estimated budget for a six-month plan put forward by Africa CDC and the World Health Organization is almost $600 million, with 55% allocated to the response to mpox in 14 affected nations and boosting readiness in 15 others.