The confirmation of another monkeypox case in Karachi of a 26-year-old security guard with no foreign travel history confirms that mpox is no longer a traveller's disease in Sindh. This latest infection brings the provincial tally to 37 cases, alongside nine tragic deaths recorded just this year. When a virus stops requiring an international passport stamp to take root in a body, it means that it has established itself locally. Authorities must treat this as an urgent public........

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