The World Health Organization is weighing an official name change for monkeypox, in light of concerns about stigma and racism surrounding the virus that has infected almost 1,300 people in more than two dozen countries. More than 30 international scientists said last week that the monkeypox label is discriminatory and stigmatising, and there’s an “urgent” need to rename it. The current name does not fit with WHO guidelines that recommend avoiding geographic regions and animal names, a spokesperson said. The proposal echoes a similar controversy that erupted when the WHO moved quickly to rename Sars-CoV-2 after people around the world referred to it as the China or Wuhan virus in the absence of an official designation. The actual animal source of monkeypox, which has been found in a wide variety of mammals, remains unknown. “In the context of the current global outbreak, continued reference to, and nomenclature of this virus being African is not only inaccurate but is also discriminatory and stigmatising,” the scientists’ group said in a letter online. The WHO is consulting experts in orthopoxviruses – the family to which monkeypox belongs – on more appropriate names, a spokesperson said. Other disease names that run counter to the guidelines include swine flu, according to joint recommendations from the WHO, the World Organisation for Animal Health and the Food and Agriculture Organisation of the United Nations. More disease threats to come after Covid-19 and monkeypox Naming diseases “should be done with the aim to minimise the negative impact”, the spokesperson said in an email, “and avoid causing offence to any cultural, social, national, regional, professional or ethnic groups”. Monkeypox has been endemic in west and central Africa for decades, but cases have primarily been associated with spillover from animals, rather than human-to-human transmission. In past outbreaks outside African countries, such as in the US in 2003, cases were linked to contact with animals carrying the virus or travel to regions where it is endemic. While it is still unclear how monkeypox entered humans in the current outbreak, the virus has been spreading through close, intimate contact – a change from earlier episodes. Other groups have warned of stigma in communication about monkeypox. In late May, the Foreign Press Association of Africa asked Western media to stop using photos of black people to highlight what the condition looks like in stories about the US or UK. In the weeks since, scientists have also raised the point that the lesions patients are presenting with in this current outbreak have, in many cases, been distinct from what has been historically documented in Africa. “As any other disease, it can occur in any region in the world and afflict anyone, regardless of race or ethnicity,” the group wrote. “As such, we believe that no race or skin complexion should be the face of this disease.” Scientists at the WHO and other institutions have pointed out that there has been little international attention to the virus until it spread to countries outside Africa. Every monkeypox case “should be treated with the same attention and sense of urgency as the ones now in European countries and North America”, the group of 30 scientists said in their letter last week.