Eurosurv. A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022

[tetano]

• Aisling M Vaughan^1,* , Orlando Cenciarelli^2,* , Soledad Colombe^1,3,4 , Luís Alves de Sousa² , Natalie Fischer^1,3 , Celine M Gossner² , Jeff Pires¹ , Giuditta Scardina² , Gudrun Aspelund⁵ , Margarita Avercenko⁶ , Sara Bengtsson⁷ , Paula Blomquist⁸ , Anna Caraglia⁹ , Emilie Chazelle¹⁰ , Orna Cohen¹¹ , Asuncion Diaz¹² , Christina Dillon¹³ , Irina Dontsenko¹⁴ , Katja Kotkavaara¹⁵ , Mario Fafangel¹⁶ , Federica Ferraro⁹ , Richard Firth¹⁷ , Jannik Fonager¹⁸ , Christina Frank¹⁹ , Mireia G Carrasco²⁰ , Kassiani Gkolfinopoulou²¹ , Marte Petrikke Grenersen²² , Bernardo R Guzmán Herrador²³ , Judit Henczkó²⁴ , Elske Hoornenborg²⁵ , Derval Igoe¹³ , Maja Ilić²⁶ , Klaus Jansen¹⁹ , Denisa-Georgiana Janță²⁷ , Tone Bjordal Johansen²² , Ana Kasradze²⁸ , Anders Koch²⁹ , Jan Kyncl³⁰ , João Vieira Martins³¹ , Andrew McAuley³² , Kassiani Mellou³³ , Zsuzsanna Molnár³⁴ , Zohar Mor^35,36 , Joël Mossong³⁷ , Alina Novacek³⁸ , Hana Orlikova³⁰ , Iva Pem Novosel²⁶ , Maria K Rossi³² , Malgorzata Sadkowska-Todys³⁹ , Clare Sawyer⁴⁰ , Daniela Schmid³⁸ , Anca Sîrbu²⁷ , Klara Sondén⁷ , Arnaud Tarantola⁴¹ , Margarida Tavares^42,43,44 , Marianna Thordardottir⁵ , Veronika Učakar¹⁶ , Catharina Van Ewijk^45,47 , Juta Varjas⁴⁶ , Anne Vergison³⁷ , Roberto Vivancos⁸ , Karolina Zakrzewska³⁹ , Richard Pebody^1,** , Joana M Haussig^2,**

Following the report of a non-travel-associated cluster of monkeypox cases by the United Kingdom in May 2022, 41 countries across the WHO European Region have reported 21,098 cases and two deaths by 23 August 2022. Nowcasting suggests a plateauing in case notifications. Most cases (97%) are MSM, with atypical rash-illness presentation. Spread is mainly through close contact during sexual activities. Few cases are reported among women and children. Targeted interventions of at-risk groups are needed to stop further transmission.

https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2022.27.36.2200620#html_fulltext