A twentieth death linked to mpox was recorded on July 22, 2026. The victim was a 48-year-old woman who died in Vavatenina. The death toll milestone was reached this week, thirty-two weeks after the start of the mpox epidemic in Madagascar, from mid-December 2025 to the thirtieth week of 2026. During this period, a total of 4,656 reported cases were recorded, including 3,048 confirmed cases following 4,197 tests performed, representing a positivity rate of 72.62%. According to the latest mpox epidemic situation report in Madagascar released yesterday, the latest confirmed cases as of July 23, 2026 number 26, located respectively in the districts of Toamasina I (16), Antsiranana I (3), Tolagnaro (3), Fenoarivo Atsinanana (2), Brickaville (1), and Toamasina II (1). The districts of Toamasina I, Tolagnaro, and Antsiranana I lead the list of districts with the highest number of confirmed cases over the past four weeks. Recoveries currently total 2,145, with the latest 31 recorded on July 23, 2026. To prevent severe cases among vulnerable persons who have contracted mpox, health authorities continue to recommend vaccination, while the general public is urged to remain vigilant regarding possible initial cases or suspected mpox, which should immediately be reported to the nearest health centers to receive appropriate treatment as soon as possible and avoid progression to severe disease.