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. 2022 Sep;27(36):2200620.
doi: 10.2807/1560-7917.ES.2022.27.36.2200620.

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

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

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

Aisling M Vaughan et al. Euro Surveill. 2022 Sep.

Abstract

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.

Keywords: European Region; MPX; Monkeypox; orthopoxvirus; outbreak.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Geographical distribution of monkeypox cases reported through The European Surveillance System (TESSy) by 36 WHO European Region countries, 7 March–23 August 2022 (n = 20,690 cases)
Figure 2
Figure 2
Distribution of reported and nowcasted cases of monkeypox by date of onset of symptoms, 36 WHO European Region countries in order of decreasing incidence, 7 March (week 10)–23 August (week 34) 2022
See this image and copyright information in PMC

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