The sudden appearance of monkeypox outside its endemic regions, in Central and West Africa, surprised the world. Although it was not the first time the virus had broken out elsewhere, the scale of the current health crisis is unprecedented. From the beginning of May to the middle of July, at least 7,665 cases have been reported in the European Union (EU), according to figures compiled by Civio, which is one thousand more cases than the WHO reports. It is the largest outbreak of this virus ever seen in Europe, where few countries were well-prepared.

“No one expected transmission within Europe or the United States, without [a patient] having travelled or their partner or friend having travelled,” says Mar Faraco, president of the Spanish Association of Foreign Health Doctors. For the moment, the most affected countries in the EU are Spain (2,895 cases), Germany (1,859), France (912), the Netherlands (549), and Portugal (515), while the United Kingdom, where the first patients of this outbreak were detected, reported 1,856 cases through mid-July.

“There is much sorrow in prison, disguised as hostility. The sorrow is plainly visible even in the most angry faces.” This message was posted on John McAfee’s personal Twitter account last June. Thirteen days later, the creator of the McAfee antivirus software died in his cell in the Barcelona prison Brians 2, where he had spent eight months in pretrial detention, pending rulings on extradition to the United States on charges of tax evasion and non-payment. McAfee left a note: “Instead of fully living it. I want to control my future, which doesn’t exist.” The autopsy declared his cause of death to be suicide.

In 2020, according to the Council of Europe’s SPACE study (see methodology), 480 people committed suicide in EU member state prisons, of which 172 were in pretrial detention. These people were either awaiting trial or pending the outcome of their appeal; they had not been convicted of any crime. Entering prison, especially before trial, correlates with a higher risk of suicide: in 2020, there were 17.5 suicides per 10,000 people in pretrial detention, double the 8.54 suicides per 10,000 people in the rest of the prison population.