Belgium: 2022 Monkeypox cases - 1 death reported

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Monkey pox (MPX)
Epidemiological situation on June 21, 2022

Context

Monkeypox (MPX) is caused by the monkeypox virus (MPXV), which belongs
to the orthopoxvirus family (which also includes the smallpox virus). So far,
the disease occurred mainly in the forest regions of Central Africa and
Western, with sporadic cases in other countries linked to travel to these
regions. Since the beginning of May 2022, however, the disease has spread in
Europe and beyond, with infections occurring primarily in men with
sexual contact with men (MSM), but not exclusively.

Epidemiology in Belgium

As of June 21, 2022, a total of 77 confirmed cases and one probable case of Monkeypox have been
reported by regional administrations/governments in Belgium. These are 43 cases in
Flanders (55%), 36 cases in Brussels (36%) and 7 cases in Wallonia (9%).

The figure below shows the breakdown by region and over time. The first reported case
reported experiencing symptoms on May 10, and the last reported case (for which
information is available) on June 18. If the date of onset of symptoms is unknown, the
date of diagnosis or notification is used.
...
All cases are male, 20 to 62 years old.

Symptom information is known for 74 people (95%). All Patients
had a rash, and 77% of them also had
general symptoms (fever, general malaise, swollen lymph nodes, ...). The injuries
cutaneous are mainly in the anal-genital region (n = 56, 76%). Four of 76
persons (5%) for whom the information is known were hospitalized, three due to
treatment (one of them had an underlying immune deficiency), and a
nobody because home isolation was not possible.

The presumed mode of transmission of the virus (information known for 59 people) was
mainly through sexual contact between men (95%). Three people reported no
sexual contact, for which the transmission could have taken place from person to person, by a
close contact other than sexual. Droplet transmission also cannot be
excluded.

Information on location or suspected source of infection was obtained for 57
people. Among these was participation in a major event where there was
one sexual contact for 30 people (53%), in Belgium or abroad. another spring
possible (such as a sex sauna, a party or a trip with a case) has been identified for
23 people (40%). For one person, contamination likely occurred
at home (via the partner). For three patients, no specific source of infection could
be identified by investigation.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.

...
https://epidemio.wiv-isp.be/ID/Docum...1062022_FR.pdf

https://epidemio.wiv-isp.be/ID/Pages/MonkeyPox.aspx

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Monkey pox (MPX)
Epidemiological situation on June 28, 2022

Context

Monkeypox (MPX) is caused by the monkeypox virus (MPXV), which belongs
to the orthopoxvirus family (which also includes the smallpox virus). So far,
the disease occurred mainly in the forest regions of Central Africa and
Western, with sporadic cases in other countries linked to travel to these
regions. Since the beginning of May 2022, however, the disease has spread in
Europe and beyond, with infections occurring primarily in men with
sexual contact with men (MSM), but not exclusively.

Epidemiology in Belgium

As of June 28, 2022, a total of 117 confirmed cases and one probable case of Monkeypox have been
reported by regional administrations/governments in Belgium. These are 70 cases in
Flanders (60%), 38 cases in Brussels (32%) and 9 cases in Wallonia (8%).

The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on June 21. Whether
date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases are male, 20 to 62 years old.

Symptom information is known for 112 people (96%). Almost every
patients (99%) presented with a rash, and 75% of them also presented with
general symptoms (fever, general malaise, swollen lymph nodes, etc.). The
Skin lesions are mainly in the anal-genital region (n=86, 77%). Six of 116
people (6%) for whom the information is known were hospitalized, four in
reason for treatment (one of them had an underlying immune deficiency), a
person because home isolation was not possible and one why the reason
of hospitalization was not provided.

The presumed mode of transmission of the virus (information known for 93 people) was
mainly through sexual contact between men (97%).

Information on the presumed location or context of infection was obtained for 90
people. Among these was the participation in a major event where there was
one sexual contact for 38 people (53%), in Belgium or abroad. Another context
possible with sexual intercourse (such as a sexual sauna or other private place) has been identified
for 45 people (50%), while attending a party or other unrelated activity
was reported for 7 people (8%). In the latter context, transmission has
person-to-person, through close contact other than sexual. Transmission
by droplets also cannot be excluded.

It should be noted that the collection and interpretation of this data is limited by the fact that
very sensitive information.

...

https://epidemio.wiv-isp.be/ID/Documents/Monkeypox/MPX_Update_28062022_FR.pdf

https://epidemio.wiv-isp.be/ID/Pages/MonkeyPox.aspx

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Monkey pox (MPX)

Epidemiological situation on July 5, 2022

Context

Monkeypox (MPX) is caused by the monkeypox virus (MPXV), which belongs
to the orthopoxvirus family (which also includes the smallpox virus). So far,
the disease occurred mainly in the forest regions of Central Africa and
Western, with sporadic cases in other countries linked to travel to these
regions. Since the beginning of May 2022, however, the disease has spread in
Europe and beyond, with infections occurring primarily in men with
sexual contact with men (MSM), but not exclusively.

Epidemiology in Belgium

As of July 5, 2022, a total of 168 confirmed cases and one probable case of Monkeypox have been
reported by regional administrations/governments in Belgium. These are 92 cases in
Flanders (54%), 64 cases in Brussels (38%) and 13 cases in Wallonia (8%).

The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on July 1. Whether
date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases are male, 20 to 62 years old.

Symptom information is known for 163 people (96%). Almost every
patients (98%) presented with a rash, and 71% of them also presented with
general symptoms such as fever, general malaise, swollen lymph nodes, ....

The skin lesions are mainly in the anal-genital region (n = 124, 75%). Twelve
of the 168 people (7%) for whom the information is known were hospitalized, 8 in
reason for treatment (1 had an underlying immune deficiency), 1
person because home isolation was not possible and 3 why the reason for
hospitalization was not specified.

The presumed mode of transmission of the virus (information known for 164 people) was
mainly through sexual contact between men (96%).

Information on where the suspected context of infection was obtained for 135
people. Among these was participation in a major event where there was
sexual contact for 39 people (42%), in Belgium or abroad. another context
possible with sexual relations (such as a sex sauna or other private place) has been identified
for 30 people (50%), while attending a party or other unrelated activity
Sexual contact was reported for 7 people (8%). In the latter context, transmission has
could have taken place from person to person, through close contact other than sexual. a transmission
by droplets cannot be ruled out either.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.
...

https://epidemio.wiv-isp.be/ID/Documents/Monkeypox/MPX_Update_05072022_FR.pdf

https://epidemio.wiv-isp.be/ID/Pages/MonkeyPox.aspx

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Monkey pox (MPX)

Epidemiological situation on July 12, 2022
...
As of July 12, 2022, a total of 224 confirmed cases and one probable case of Monkeypox have been
reported by regional administrations/governments in Belgium. These are 125 cases in
Flanders (55%), 64 cases in Brussels (34%) and 13 cases in Wallonia (11%).
The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on July 1. Whether
date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases are men, aged 20 to 65.

Symptom information is known for 211 people (94%). Almost every
patients (93%) presented with a rash, and 72% of them also presented with
general symptoms such as fever, general malaise, swollen lymph nodes, ....

Skin lesions are mainly in the anal-genital region (n = 152, 72%). Seventeen
of the 214 people (8%) for whom the information is known were hospitalized,
12 due to treatment (1 had an underlying immune deficiency),
2 person because isolation at home was not possible and 3 because the reason for
hospitalization was not specified.

The presumed mode of transmission of the virus (information known for 179 people) was
mainly through sexual contact between men (95%).

Information on where the suspected background of infection was obtained for 189
people. Among these was participation in a major event where there was
one sexual contact for 40 people (21%), in Belgium or abroad. Another possible
context with sexual intercourse (such as a sexual sauna or other private place) was
identified for 38 people (20%), while participation in a party or other non-sexual activity
was reported for 11 people (6%). In the latter context, the transmission may have taken
place from person to person, through close contact other than sexual. Droplet transmission
cannot be excluded either.

It should be noted that the collection and interpretation of this data is limited by the fact that
very sensitive information.
...

https://epidemio.wiv-isp.be/ID/Docum...2072022_FR.pdf

https://epidemio.wiv-isp.be/ID/Pages/MonkeyPox.aspx

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Monkey pox: Belgium buys 30,000 vaccines from a Danish firm

yesterday at 11:16

Public Health Minister Frank Vandenbroucke on Saturday signed a contract with the Danish pharmaceutical firm Bavarian Nordic for the purchase of 30,000 vaccines against the monkeypox virus , he said in a statement on Saturday.

These vaccines should be provided from the fall, starting with a first delivery of 10,000 doses.

Purchased bilaterally, these vaccines are in addition to the more than 3,000 doses that the Federal government has received from the European Union, and which can be administered in nine reference centers in the country, to people who have had unprotected contact at high risk with an infected person.
...

224 confirmed cases Belgium

With the purchase of 30,000 3rd generation Jynneos vaccines, some 15,000 additional people will be able to be protected, including people at high risk of HIV and who are on preventive treatment (PrEP), as well as care providers in reference centers . But an opinion from the Superior Health Council is still necessary.

“ Awareness is raised as much as possible, but the numbers continue to climb and we must be well prepared. As soon as we receive the additional doses, hopefully in the fall, we can invite more people at risk to be vaccinated ”, said Frank Vandenbroucke (Vooruit).

According to the latest figures from Sciensano, a total of 224 confirmed cases and one probable case of monkeypox have been reported , mostly men between the ages of 20 and 65.

https://www.rtbf.be/article/variole-du-singe-la-belgique-achete-30000-vaccins-a-une-firme-danoise-11032409

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Source: https://www.brusselstimes.com/belgiu...g-to-sciensano

Monkeypox: 311 confirmed cases in Belgium, according to Sciensano
Wednesday, 20 July 2022
By Abby Stetina

Health institute Sciensano released the latest figures on monkeypox cases in Belgium, with 311 total confirmed cases and one probable case.

Sciensano collects this data from regional governments or administrations in Belgium. These include 179 cases in Flanders (57%), 98 cases in the Brussels capital region (31%) and 35 cases in Wallonia (11%)...

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Monkey pox (MPX)
Epidemiological situation on July 19, 2022
...
Epidemiology in Belgium

As of July 18, 2022, a total of 311 confirmed cases and one probable case of Monkeypox have been
reported by regional administrations/governments in Belgium. These are 179 cases in
Flanders (57%), 98 cases in Brussels (31%) and 35 cases in Wallonia (11%).
The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on July 12.
If date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases are men, aged 20 to 65.

Symptom information is known for 275 people (88%). Almost every
patients (97%) presented with a rash, and 74% of them also presented with
general symptoms such as fever, general malaise, swollen lymph nodes, ....
The skin lesions are mainly in the anal-genital region (n = 202, 75%). Twenty
of the 284 people (7%) for whom the information is known were hospitalized, 15 in
reason for treatment (1 had an underlying immune deficiency), 2
people because isolation at home was not possible and 3 why the reason for
hospitalization was not specified.

The presumed mode of transmission of the virus (information known for 244 people) was
mainly through sexual contact between men (94%).

Information on where the suspected context of infection was obtained for 226
people. Among these was participation in a major event where there was
sexual contact for 48 people (21%), in Belgium or abroad. Another possible
context with sexual intercourse (such as a sexual sauna or other private place)
was identified for 54 people (17%), while participation in a party or other activity
without sexual intercourse was reported for 17 people (6%). In the latter context,
the transmission could take place from person to person, through very close contact,
but not sexual.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.

...

https://epidemio.wiv-isp.be/ID/Docum...9072022_FR.pdf

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Monkey pox (MPX)
Epidemiological situation on July 26, 2022
...

Epidemiology in Belgium

As of July 25, 2022, a total of 393 confirmed cases of Monkeypox have been reported by
regional administrations/governments in Belgium. These are 218 cases in Flanders (55%),
133 cases in Brussels (34%) and 42 cases in Wallonia (11%).

The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on July 19.
If date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases for which the sex is known (n=391, 99%) are male, aged 20
at 71 years old.

Symptom information is known for 342 individuals (87%). Almost all
patients (96%) presented with skin lesions, which were mainly in the
anal-genital region (n = 240, 70%). About three-quarters of people (72%) had
general symptoms such as fever, general malaise, swollen glands
lymphatics, ..... Twenty-one of the 363 people (6%) for whom the information is
known were hospitalized, 15 due to the treatment (one of them had a disorder
underlying immune system), two because home isolation was not possible, and four
for which the reason was unknown. There are no deaths.

Based on current data on presumptive transmission (n=295), it appears that the
virus is mainly transmitted by sexual contact between men (92%).
Less than a quarter (n=91, 23%) of all cases were able to identify a specific contact with a
another confirmed case.

Most people (n=340, 86%) had some idea of where the alleged context where
the infection was transmitted. Sexual contacts in the private context were most often
mentioned (n = 149, 44%). About one in five people (n=54, 16%) have participated in a
major national or foreign event, during which there was sexual contact. The
sex saunas or other places facilitating sexual contact were identified by 65 men
(19%). Attending a party or other activity without sex has been reported for
17 people (6%). In the latter context, transmission may have taken place from person to
person, through very close but non-sexual contact.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.
...

https://epidemio.wiv-isp.be/ID/Documents/Monkeypox/MPX_Update_26072022_FR.pdf

https://epidemio.wiv-isp.be/ID/Pages/MonkeyPox.aspx

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Monkey pox (MPX)
Epidemiological situation as of August 2, 2022
...

Epidemiology in Belgium

As of August 1, 2022, a total of 482 confirmed cases of Monkeypox have been reported by
regional administrations/governments in Belgium. These are 261 cases in Flanders (54%),
172 cases in Brussels (36%) and 49 cases in Wallonia (10%).

The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on July 23.

If date of onset of symptoms is unknown, date of diagnosis or notification
is used.

...
All cases for which the sex is known (n=391, 99%) are male, aged 16
at 71 years old.

Symptom information is known for 425 individuals (88%). Almost all
patients (96%) presented with skin lesions, which were mainly in the
anal-genital region (n = 292, 69%). About three-quarters of people (72%) had
general symptoms such as fever, general malaise, swollen glands
lymphatics, ..... Twenty-eight of the 423 people (7%) for whom the information is known
were hospitalized, 21 due to treatment (one had an immune disorder
underlying), two because home isolation was not possible, and five for which
the reason was unknown. There are no deaths.

Based on current data on presumptive transmission (n = 353), it appears that the
virus is mainly transmitted by sexual contact between men (91%).

Less than a quarter (n=102, 21%) of all cases were able to identify a specific contact with a
another confirmed case.

Most people for whom information is available (343/407, 84%) had
an idea of where the suspected context where the infection was transmitted. sexual contact
in the private context were mentioned most often (176/343, 51%). About one
one in five (n=63, 18%) participated in a major national or international event,
in which there was sexual contact. Sex saunas or other places that facilitate
sexual contacts were identified by 77 men (22%). Participation in a party or other
activity without sexual intercourse was reported for 23 people (6%). In this last
context, transmission could have taken place from person to person, through very close contact,
but not sexual.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.

...

https://epidemio.wiv-isp.be/ID/Documents/Monkeypox/MPX_Update_02082022_FR.pdf

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Monkey pox: a first minor contaminated in Belgium

A first minor was infected with monkeypox in Belgium, reports De Standaard on Wednesday based on information from Sciensano. He is a 16 year old young man. He was not taken to hospital....

https://www.rtbf.be/article/variole-...gique-11042425

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Monkey pox (MPX)
Epidemiological situation as of August 9, 2022
...

Epidemiology in Belgium

As of August 8, 2022, a total of 546 confirmed cases of Monkeypox have been reported by
regional administrations/governments in Belgium. These are 304 cases in Flanders (56%),
187 cases in Brussels (34%) and 55 cases in Wallonia (10%).

The figure below shows the breakdown by region and over time. The last reported case
(for which information is available) reported experiencing symptoms on August 2. Whether
date of onset of symptoms is unknown, date of diagnosis or notification
is used.
...
All cases where sex is known (n=540, 99%) are male, age 16
at 71 years old.

Symptom information is known for 484 individuals (89%). Almost all
patients (96%) presented with skin lesions, which were mainly in the
anal-genital region (n = 329, 67%). About 66% had general symptoms
such as fever, general malaise, 30% swollen lymph nodes, ..... Twenty-eight
of the 455 people (9%) for whom the information is known were hospitalized, 21 in
reason for treatment (one had an underlying immune disorder), two because
that home isolation was not possible, and five that the reason was unknown.
There are no deaths.

Based on current data on presumptive transmission (n = 418), it appears that the
virus is mainly transmitted by sexual contact between men (94%).

Less than a quarter (n=119, 28%) of all cases were able to identify a specific contact with a
another confirmed case.

Most people for whom information is available (395/473, 84%) had
an idea of where the suspected context where the infection was transmitted. sexual contact
in the private context were mentioned most often (189/395, 48%). About one
one in six (n=65, 16%) participated in a major national or international event,
during which there was sexual contact. Sex saunas or other places that facilitate
sexual contacts were identified by 94 men (24%). Participation in a party or other
activity without sexual intercourse was reported for 24 people (6%). In this last
context, transmission could have taken place from person to person, through very close contact,
but not sexual.

Note that the collection and interpretation of this data is limited by the fact that it is
very sensitive information.
...

https://epidemio.wiv-isp.be/ID/Documents/Monkeypox/MPX_Update_09082022_FR.pdf

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