At least one Asian country outside Africa will report sustained community Clade Ib transmission (≥3 locally acquired cases in ≥2 distinct chains) confirmed by WHO DON or national health authority by end of 2027, based on the documented non-African Clade Ib emergence pattern: Spain Dec 2025, Singapore Apr 2026, Pakistan cluster under investigation Apr 2026 — three geographies in 5 months demonstrating Clade Ib fitness outside its endemic African zone.

System-generated assessment. This assessment remains under review until the stated horizon or until sufficient evidence allows evaluation.