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Epi Canary — Epidemic IntelligenceEvidence-led epidemic intelligence. Source-attributed evidence.
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Public note

For situational awareness and research transparency. Not medical advice.

Novel Pathogen Detectionactive

At least one confirmed mpox case (clade unspecified) will be detected in India within 90 days of the Pakistan Khairpur Sindh infant deaths cluster (by July 14 2026), given Pakistan-India cross-border movement in the Punjab/Rajasthan/Gujarat corridor and the unprecedented pediatric severity profile suggesting Clade Ib circulation in an adjacent geography.

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

Moderate confidence

Confidence in this assessment
40%

The evidence is meaningful, but there is still material uncertainty. Based on 9 linked evidence items and assessed against 90D.

Assessed through 90D·9 linked evidence items·Tracking since Apr 14, 2026

02

How this assessment will be evaluated

The criteria the system uses to determine whether this assessment is borne out by the stated horizon.

Automated

Method

Evidence Match

The condition the system checks for when evaluating this assessment.

Minimum source quality

T1Primary Institutional

Evidence must meet or exceed this credibility tier to count toward evaluation.

Required terms

pakistan-indiaunprecedentedcross-borderunspecified

03

Evidence quality mix

Tracking since Apr 14, 2026.

T29
▸Integrity referencesCryptographic hashes for verification

Registration

06

Scope synthesis

The current analyst narrative for this scope.

Open synthesis →

Africa CDC Outbreak Brief 26 confirms multi-country Africa Clade Ib burden; MPXV female genital tract replication study reinforces multi-mode transmission plausibility for Clade Ib non-sexual spread hypotheses.

07

Evidence linked to this assessment

9 linked items.

MPOX - USA (03): (CALIFORNIA) SAN FRANCISCO, CLADE I. The CDPH is monitoring the situation and e

Currently interpreted as supporting evidence for 2 tracked assessments.

T2https://www.promedmail.org/?alert=8732325neutral
Apr 19, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 14, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 14, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 14, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 13, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 13, 2026
Epidemiology and phylogenomic characterization of the Clade IIb C.1 Mpox outbreak in Phnom Penh,

Currently interpreted as supporting evidence for 13 tracked assessments.

T2https://pubmed.ncbi.nlm.nih.gov/41575511/supports
Apr 13, 2026
9 Mpox deaths, 25 cases reported across Sindh province, Pakistan. Dunya News, April 15 2026. The

Currently interpreted as supporting evidence for 11 tracked assessments.

T2https://dunyanews.tv/en/Pakistan/mpox-sindh-deaths-casessupports
Apr 16, 2026
Pakistan Sindh Mpox Update — Apr 14 2026 (Sindh Health Department, via The Nation Pakistan, Apr

This report is recorded in the evidence trail but is not yet linked to a tracked assessment.

T2https://www.nation.com.pk/16-Apr-2026/mpox-update-25-confirmed-cases-9-deaths-reported-sindhneutral
Apr 20, 2026

Integrity anchor

Brier 0.202

19 resolved novel pathogen detection predictions.

Mirror replication is delayed on 1 of 3 tables. Showing last replicated data.