Holidaymakers planning trips to Spain are being strongly advised to remain vigilant and implement additional safety measures following a significant increase in cases of a more infectious mpox strain. As of 18 February 2026, Spanish health officials have confirmed 84 total cases of mpox, previously known as monkeypox, with 36 of these identified as the highly transmissible MPXV clade Ib variant.
High Risk Groups and Transmission Patterns
According to Travel Health Pro, a substantial proportion of the reported cases involve men who have sex with men (MSM). On 17 February, the organisation noted: 'A total of 82 cases of mpox clade Ib have been reported in Spain. 62 of these cases have been reported in men who have sex with men (MSM). Take extra precautions.'
The clade Ib strain is believed to spread more readily than the clade II variant that was responsible for the global outbreak in 2022. Mpox transmission occurs primarily through close physical contact with infected skin, blisters, or scabs.
Symptoms and Vulnerable Populations
Symptoms typically manifest between five and 21 days after exposure and often begin with fever, headaches, exhaustion, muscle aches, and swollen glands. This is followed by the development of a rash and painful sores or fluid-filled blisters.
The World Health Organization highlights that certain groups are more susceptible to severe illness, including young children, pregnant women, and individuals with compromised immune systems.
Global Context and European Spread
Several African nations have been managing clade Ib outbreaks, with imported cases documented in various countries including Belgium, Canada, France, Germany, Sweden, and the United States.
Spain currently reports the highest number of cases within the EU and EEA. However, a comprehensive report from the European Centre for Disease Prevention and Control (ECDC) reveals that 255 cases have been recorded across ten countries to date.
United Kingdom Situation
In the UK, the Health Security Agency confirmed the first clade Ib case on 30 October 2024. By 31 January 2026, 25 cases had been identified, with most linked to travel to affected regions.
The NHS recommends that anyone experiencing symptoms, particularly after visiting central or eastern Africa, should contact 111 immediately.
Preventative Measures for Travellers
While mpox remains relatively uncommon, several strategies can help limit its spread:
- Vaccination: Get vaccinated if offered the mpox vaccine.
- Hygiene: Wash hands regularly with soap and water or use alcohol-based sanitiser.
- Awareness: Monitor for symptoms for three weeks after returning from affected areas.
- Communication: Discuss sexual health and symptoms with partners.
- Caution: Avoid close contact with potentially infected individuals.
Travellers should also avoid contact with wild or stray animals abroad, refrain from sharing bedding or towels with those who may have mpox, and be cautious about meat from wild animals in central or east Africa.
By adhering to these guidelines, holidaymakers can better protect themselves and help contain the spread of this infectious disease during their travels.
