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

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• Aisling M Vaughan[SUP]1,*[/SUP] , Orlando Cenciarelli[SUP]2,*[/SUP] , Soledad Colombe[SUP]1,3,4[/SUP] , Luís Alves de Sousa[SUP]2[/SUP] , Natalie Fischer[SUP]1,3[/SUP] , Celine M Gossner[SUP]2[/SUP] , Jeff Pires[SUP]1[/SUP] , Giuditta Scardina[SUP]2[/SUP] , Gudrun Aspelund[SUP]5[/SUP] , Margarita Avercenko[SUP]6[/SUP] , Sara Bengtsson[SUP]7[/SUP] , Paula Blomquist[SUP]8[/SUP] , Anna Caraglia[SUP]9[/SUP] , Emilie Chazelle[SUP]10[/SUP] , Orna Cohen[SUP]11[/SUP] , Asuncion Diaz[SUP]12[/SUP] , Christina Dillon[SUP]13[/SUP] , Irina Dontsenko[SUP]14[/SUP] , Katja Kotkavaara[SUP]15[/SUP] , Mario Fafangel[SUP]16[/SUP] , Federica Ferraro[SUP]9[/SUP] , Richard Firth[SUP]17[/SUP] , Jannik Fonager[SUP]18[/SUP] , Christina Frank[SUP]19[/SUP] , Mireia G Carrasco[SUP]20[/SUP] , Kassiani Gkolfinopoulou[SUP]21[/SUP] , Marte Petrikke Grenersen[SUP]22[/SUP] , Bernardo R Guzmán Herrador[SUP]23[/SUP] , Judit Henczkó[SUP]24[/SUP] , Elske Hoornenborg[SUP]25[/SUP] , Derval Igoe[SUP]13[/SUP] , Maja Ilić[SUP]26[/SUP] , Klaus Jansen[SUP]19[/SUP] , Denisa-Georgiana Janță[SUP]27[/SUP] , Tone Bjordal Johansen[SUP]22[/SUP] , Ana Kasradze[SUP]28[/SUP] , Anders Koch[SUP]29[/SUP] , Jan Kyncl[SUP]30[/SUP] , João Vieira Martins[SUP]31[/SUP] , Andrew McAuley[SUP]32[/SUP] , Kassiani Mellou[SUP]33[/SUP] , Zsuzsanna Molnár[SUP]34[/SUP] , Zohar Mor[SUP]35,36[/SUP] , Joël Mossong[SUP]37[/SUP] , Alina Novacek[SUP]38[/SUP] , Hana Orlikova[SUP]30[/SUP] , Iva Pem Novosel[SUP]26[/SUP] , Maria K Rossi[SUP]32[/SUP] , Malgorzata Sadkowska-Todys[SUP]39[/SUP] , Clare Sawyer[SUP]40[/SUP] , Daniela Schmid[SUP]38[/SUP] , Anca Sîrbu[SUP]27[/SUP] , Klara Sondén[SUP]7[/SUP] , Arnaud Tarantola[SUP]41[/SUP] , Margarida Tavares[SUP]42,43,44[/SUP] , Marianna Thordardottir[SUP]5[/SUP] , Veronika Učakar[SUP]16[/SUP] , Catharina Van Ewijk[SUP]45,47[/SUP] , Juta Varjas[SUP]46[/SUP] , Anne Vergison[SUP]37[/SUP] , Roberto Vivancos[SUP]8[/SUP] , Karolina Zakrzewska[SUP]39[/SUP] , Richard Pebody[SUP]1,**[/SUP] , Joana M Haussig[SUP]2,**[/SUP]

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