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

Aisling M. Vaughan; Orlando Cenciarelli; Soledad Colombe; Luís Alves de Sousa; Natalie Fischer; Celine M. Gossner; Jeff Pires; Giuditta Scardina; Gudrun Aspelund; Margarita Avercenko; Sara Bengtsson; Paula Blomquist; Anna Caraglia; Emilie Chazelle; Orna Cohen; Asuncion Diaz; Christina Dillon; Irina Dontsenko; Katja Kotkavaara; Mario Fafangel; Federica Ferraro; Richard Firth; Jannik Fonager; Christina Frank; Mireia G. Carrasco; Kassiani Gkolfinopoulou; Marte Petrikke Grenersen; Bernardo R. Guzmán Herrador; Judit Henczkó; Elske Hoornenborg; Derval Igoe; Maja Ilić; Klaus Jansen; Denisa Georgiana Janță; Tone Bjordal Johansen; Ana Kasradze; Anders Koch; Jan Kyncl; João Vieira Martins; Andrew McAuley; Kassiani Mellou; Zsuzsanna Molnár; Zohar Mor; Joël Mossong; Alina Novacek; Hana Orlikova; Iva Pem Novosel; Maria K. Rossi; Malgorzata Sadkowska-Todys; Clare Sawyer; Daniela Schmid; Anca Sîrbu; Klara Sondén; Arnaud Tarantola; Margarida Tavares; Marianna Thordardottir; Veronika Učakar; Catharina Van Ewijk; Juta Varjas; Anne Vergison; Roberto Vivancos; Karolina Zakrzewska; Richard Pebody; Joana M. Haussig

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, Orlando Cenciarelli, Soledad Colombe, Luís Alves de Sousa, Natalie Fischer, Celine M. Gossner, Jeff Pires, Giuditta Scardina, Gudrun Aspelund, Margarita Avercenko, Sara Bengtsson, Paula Blomquist, Anna Caraglia, Emilie Chazelle, Orna Cohen, Asuncion Diaz, Christina Dillon, Irina Dontsenko, Katja Kotkavaara, Mario FafangelFederica Ferraro, Richard Firth, Jannik Fonager, Christina Frank, Mireia G. Carrasco, Kassiani Gkolfinopoulou, Marte Petrikke Grenersen, Bernardo R. Guzmán Herrador, Judit Henczkó, Elske Hoornenborg, Derval Igoe, Maja Ilić, Klaus Jansen, Denisa Georgiana Janță, Tone Bjordal Johansen, Ana Kasradze, Anders Koch, Jan Kyncl, João Vieira Martins, Andrew McAuley, Kassiani Mellou, Zsuzsanna Molnár, Zohar Mor, Joël Mossong, Alina Novacek, Hana Orlikova, Iva Pem Novosel, Maria K. Rossi, Malgorzata Sadkowska-Todys, Clare Sawyer, Daniela Schmid, Anca Sîrbu, Klara Sondén, Arnaud Tarantola, Margarida Tavares, Marianna Thordardottir, Veronika Učakar, Catharina Van Ewijk, Juta Varjas, Anne Vergison, Roberto Vivancos, Karolina Zakrzewska, Richard Pebody, Joana M. Haussig

UK Health Security Agency

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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.

Original language	English
Journal	Eurosurveillance
Volume	27
Issue number	36
DOIs	https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620
Publication status	Accepted/In press - 8 Sept 2022

Bibliographical note

Funding Information: The authors affiliated with the World Health Organization (WHO) are alone responsible for the views expressed in this publication and they do not necessarily represent the decisions or policies of the WHO. The co-author is a fellow of the ECDC Fellowship Programme, supported financially by the European Centre for Disease Prevention and Control (ECDC). The views and opinions expressed herein do not state or reflect those of ECDC. ECDC is not responsible for the data and information collation and analysis and cannot be held liable for conclusions or opinions drawn.

Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence and indicate if changes were made.

Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2022.

Citation: : Vaughan Aisling M, Cenciarelli Orlando, Colombe Soledad, Alves de Sousa Luís, Fischer Natalie, Gossner Celine M, Pires Jeff, Scardina Giuditta, Aspelund Gudrun, Avercenko Margarita, Bengtsson Sara, Blomquist Paula, Caraglia Anna, Chazelle Emilie, Cohen Orna, Diaz Asuncion, Dillon Christina, Dontsenko Irina, Kotkavaara Katja, Fafangel Mario, Ferraro Federica, Firth Richard, Fonager Jannik, Frank Christina, Carrasco Mireia G, Gkolfinopoulou Kassiani, Grenersen Marte Petrikke, Guzmán Herrador Bernardo R, Henczkó Judit, Hoornenborg Elske, Igoe Derval, Ilić Maja, Jansen Klaus, Janță Denisa-Georgiana, Johansen Tone Bjordal, Kasradze Ana, Koch Anders, Kyncl Jan, Martins João Vieira, McAuley Andrew, Mellou Kassiani, Molnár Zsuzsanna, Mor Zohar, Mossong Joël, Novacek Alina, Orlikova Hana, Pem Novosel Iva, Rossi Maria K, Sadkowska-Todys Malgorzata, Sawyer Clare, Schmid Daniela, Sîrbu Anca, Sondén Klara, Tarantola Arnaud, Tavares Margarida, Thordardottir Marianna, Učakar Veronika, Van Ewijk Catharina, Varjas Juta, Vergison Anne, Vivancos Roberto, Zakrzewska Karolina, Pebody Richard, Haussig Joana M. A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022. Euro Surveill. 2022;27(36):pii=2200620. https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

DOI: https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

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Vaughan, A. M., Cenciarelli, O., Colombe, S., Alves de Sousa, L., Fischer, N., Gossner, C. M., Pires, J., Scardina, G., Aspelund, G., Avercenko, M., Bengtsson, S., Blomquist, P., Caraglia, A., Chazelle, E., Cohen, O., Diaz, A., Dillon, C., Dontsenko, I., Kotkavaara, K., ... Haussig, J. M. (Accepted/In press). A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022. Eurosurveillance, 27(36). https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

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

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.",

author = "Vaughan, {Aisling M.} and Orlando Cenciarelli and Soledad Colombe and {Alves de Sousa}, Lu{\'i}s and Natalie Fischer and Gossner, {Celine M.} and Jeff Pires and Giuditta Scardina and Gudrun Aspelund and Margarita Avercenko and Sara Bengtsson and Paula Blomquist and Anna Caraglia and Emilie Chazelle and Orna Cohen and Asuncion Diaz and Christina Dillon and Irina Dontsenko and Katja Kotkavaara and Mario Fafangel and Federica Ferraro and Richard Firth and Jannik Fonager and Christina Frank and Carrasco, {Mireia G.} and Kassiani Gkolfinopoulou and Grenersen, {Marte Petrikke} and {Guzm{\'a}n Herrador}, {Bernardo R.} and Judit Henczk{\'o} and Elske Hoornenborg and Derval Igoe and Maja Ili{\'c} and Klaus Jansen and Janț{\u a}, {Denisa Georgiana} and Johansen, {Tone Bjordal} and Ana Kasradze and Anders Koch and Jan Kyncl and Martins, {Jo{\~a}o Vieira} and Andrew McAuley and Kassiani Mellou and Zsuzsanna Moln{\'a}r and Zohar Mor and Jo{\"e}l Mossong and Alina Novacek and Hana Orlikova and {Pem Novosel}, Iva and Rossi, {Maria K.} and Malgorzata Sadkowska-Todys and Clare Sawyer and Daniela Schmid and Anca S{\^i}rbu and Klara Sond{\'e}n and Arnaud Tarantola and Margarida Tavares and Marianna Thordardottir and Veronika U{\v c}akar and {Van Ewijk}, Catharina and Juta Varjas and Anne Vergison and Roberto Vivancos and Karolina Zakrzewska and Richard Pebody and Haussig, {Joana M.}",

note = "Funding Information: The authors affiliated with the World Health Organization (WHO) are alone responsible for the views expressed in this publication and they do not necessarily represent the decisions or policies of the WHO. The co-author is a fellow of the ECDC Fellowship Programme, supported financially by the European Centre for Disease Prevention and Control (ECDC). The views and opinions expressed herein do not state or reflect those of ECDC. ECDC is not responsible for the data and information collation and analysis and cannot be held liable for conclusions or opinions drawn. Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence and indicate if changes were made. Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2022. Citation: : Vaughan Aisling M, Cenciarelli Orlando, Colombe Soledad, Alves de Sousa Lu{\'i}s, Fischer Natalie, Gossner Celine M, Pires Jeff, Scardina Giuditta, Aspelund Gudrun, Avercenko Margarita, Bengtsson Sara, Blomquist Paula, Caraglia Anna, Chazelle Emilie, Cohen Orna, Diaz Asuncion, Dillon Christina, Dontsenko Irina, Kotkavaara Katja, Fafangel Mario, Ferraro Federica, Firth Richard, Fonager Jannik, Frank Christina, Carrasco Mireia G, Gkolfinopoulou Kassiani, Grenersen Marte Petrikke, Guzm{\'a}n Herrador Bernardo R, Henczk{\'o} Judit, Hoornenborg Elske, Igoe Derval, Ili{\'c} Maja, Jansen Klaus, Janț{\u a} Denisa-Georgiana, Johansen Tone Bjordal, Kasradze Ana, Koch Anders, Kyncl Jan, Martins Jo{\~a}o Vieira, McAuley Andrew, Mellou Kassiani, Moln{\'a}r Zsuzsanna, Mor Zohar, Mossong Jo{\"e}l, Novacek Alina, Orlikova Hana, Pem Novosel Iva, Rossi Maria K, Sadkowska-Todys Malgorzata, Sawyer Clare, Schmid Daniela, S{\^i}rbu Anca, Sond{\'e}n Klara, Tarantola Arnaud, Tavares Margarida, Thordardottir Marianna, U{\v c}akar Veronika, Van Ewijk Catharina, Varjas Juta, Vergison Anne, Vivancos Roberto, Zakrzewska Karolina, Pebody Richard, Haussig Joana M. A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022. Euro Surveill. 2022;27(36):pii=2200620. https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620 DOI: https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620",

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Vaughan, AM, Cenciarelli, O, Colombe, S, Alves de Sousa, L, Fischer, N, Gossner, CM, Pires, J, Scardina, G, Aspelund, G, Avercenko, M, Bengtsson, S, Blomquist, P, Caraglia, A, Chazelle, E, Cohen, O, Diaz, A, Dillon, C, Dontsenko, I, Kotkavaara, K, Fafangel, M, Ferraro, F, Firth, R, Fonager, J, Frank, C, Carrasco, MG, Gkolfinopoulou, K, Grenersen, MP, Guzmán Herrador, BR, Henczkó, J, Hoornenborg, E, Igoe, D, Ilić, M, Jansen, K, Janță, DG, Johansen, TB, Kasradze, A, Koch, A, Kyncl, J, Martins, JV, McAuley, A, Mellou, K, Molnár, Z, Mor, Z, Mossong, J, Novacek, A, Orlikova, H, Pem Novosel, I, Rossi, MK, Sadkowska-Todys, M, Sawyer, C, Schmid, D, Sîrbu, A, Sondén, K, Tarantola, A, Tavares, M, Thordardottir, M, Učakar, V, Van Ewijk, C, Varjas, J, Vergison, A, Vivancos, R, Zakrzewska, K, Pebody, R & Haussig, JM 2202, 'A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022', Eurosurveillance, vol. 27, no. 36. https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

TY - JOUR

T1 - A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022

AU - Vaughan, Aisling M.

AU - Cenciarelli, Orlando

AU - Colombe, Soledad

AU - Alves de Sousa, Luís

AU - Fischer, Natalie

AU - Gossner, Celine M.

AU - Pires, Jeff

AU - Scardina, Giuditta

AU - Aspelund, Gudrun

AU - Avercenko, Margarita

AU - Bengtsson, Sara

AU - Blomquist, Paula

AU - Caraglia, Anna

AU - Chazelle, Emilie

AU - Cohen, Orna

AU - Diaz, Asuncion

AU - Dillon, Christina

AU - Dontsenko, Irina

AU - Kotkavaara, Katja

AU - Fafangel, Mario

AU - Ferraro, Federica

AU - Firth, Richard

AU - Fonager, Jannik

AU - Frank, Christina

AU - Carrasco, Mireia G.

AU - Gkolfinopoulou, Kassiani

AU - Grenersen, Marte Petrikke

AU - Guzmán Herrador, Bernardo R.

AU - Henczkó, Judit

AU - Hoornenborg, Elske

AU - Igoe, Derval

AU - Ilić, Maja

AU - Jansen, Klaus

AU - Janță, Denisa Georgiana

AU - Johansen, Tone Bjordal

AU - Kasradze, Ana

AU - Koch, Anders

AU - Kyncl, Jan

AU - Martins, João Vieira

AU - McAuley, Andrew

AU - Mellou, Kassiani

AU - Molnár, Zsuzsanna

AU - Mor, Zohar

AU - Mossong, Joël

AU - Novacek, Alina

AU - Orlikova, Hana

AU - Pem Novosel, Iva

AU - Rossi, Maria K.

AU - Sadkowska-Todys, Malgorzata

AU - Sawyer, Clare

AU - Schmid, Daniela

AU - Sîrbu, Anca

AU - Sondén, Klara

AU - Tarantola, Arnaud

AU - Tavares, Margarida

AU - Thordardottir, Marianna

AU - Učakar, Veronika

AU - Van Ewijk, Catharina

AU - Varjas, Juta

AU - Vergison, Anne

AU - Vivancos, Roberto

AU - Zakrzewska, Karolina

AU - Pebody, Richard

AU - Haussig, Joana M.

N1 - Funding Information: The authors affiliated with the World Health Organization (WHO) are alone responsible for the views expressed in this publication and they do not necessarily represent the decisions or policies of the WHO. The co-author is a fellow of the ECDC Fellowship Programme, supported financially by the European Centre for Disease Prevention and Control (ECDC). The views and opinions expressed herein do not state or reflect those of ECDC. ECDC is not responsible for the data and information collation and analysis and cannot be held liable for conclusions or opinions drawn. Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence and indicate if changes were made. Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2022. Citation: : Vaughan Aisling M, Cenciarelli Orlando, Colombe Soledad, Alves de Sousa Luís, Fischer Natalie, Gossner Celine M, Pires Jeff, Scardina Giuditta, Aspelund Gudrun, Avercenko Margarita, Bengtsson Sara, Blomquist Paula, Caraglia Anna, Chazelle Emilie, Cohen Orna, Diaz Asuncion, Dillon Christina, Dontsenko Irina, Kotkavaara Katja, Fafangel Mario, Ferraro Federica, Firth Richard, Fonager Jannik, Frank Christina, Carrasco Mireia G, Gkolfinopoulou Kassiani, Grenersen Marte Petrikke, Guzmán Herrador Bernardo R, Henczkó Judit, Hoornenborg Elske, Igoe Derval, Ilić Maja, Jansen Klaus, Janță Denisa-Georgiana, Johansen Tone Bjordal, Kasradze Ana, Koch Anders, Kyncl Jan, Martins João Vieira, McAuley Andrew, Mellou Kassiani, Molnár Zsuzsanna, Mor Zohar, Mossong Joël, Novacek Alina, Orlikova Hana, Pem Novosel Iva, Rossi Maria K, Sadkowska-Todys Malgorzata, Sawyer Clare, Schmid Daniela, Sîrbu Anca, Sondén Klara, Tarantola Arnaud, Tavares Margarida, Thordardottir Marianna, Učakar Veronika, Van Ewijk Catharina, Varjas Juta, Vergison Anne, Vivancos Roberto, Zakrzewska Karolina, Pebody Richard, Haussig Joana M. A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022. Euro Surveill. 2022;27(36):pii=2200620. https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620 DOI: https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

PY - 2022/9/8

Y1 - 2022/9/8

N2 - 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.

AB - 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.

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U2 - 10.2807/1560-7917.ES.2022.27.36.2200620

DO - 10.2807/1560-7917.ES.2022.27.36.2200620

M3 - Article

C2 - 36082686

AN - SCOPUS:85137559514

SN - 1025-496X

VL - 27

JO - Eurosurveillance

JF - Eurosurveillance

IS - 36

ER -

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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