Tracking the evolutionary footprint of Mpox in West Africa: phylogenetic and clade analysis.

Mpox (formerly called monkeypox) is a zoonotic viral disease caused by the monkeypox virus (MPXV) that has recently emerged as a notable global health issue by spreading beyond its typical geographical zones in Central and West Africa. In this study, we conducted a phylogenetic and evolutionary investigation of MPXV in West Africa. We focussed on 167 complete genome sequences collected from human infections in Nigeria and Cameroon between 2019 and 2024, all of which were retrieved from the GSAID database. To analyse these sequences, we employed multiple sequence alignment using fast Fourier transform (MAFFT) and maximum likelihood techniques to identify conserved genomic variants and trace evolutionary patterns within the virus. Our findings revealed that all the MPXV strains studied belong to clade II, which is further subdivided into two subclades. Notably, this study documents the presence of two distinct subclades IIa and IIb, reflecting the complex and ongoing evolution of the virus in the region. The phylogenetic analysis reveals rapid mutations and suggests that MPXV is being transmitted from multiple lineages between Nigeria and Cameroon. This demands the need to further strengthen the surveillance and containment efforts in West Africa. This study highlights the role of genomic surveillance in monitoring the evolution and spread of the MPXV, particularly in regions with limited available data.