4.Learning from the past: the history of human monkeypox and the atypical multi-country outbreak in 2022.
Chinese Journal of Contemporary Pediatrics 2022;24(7):717-727
In 2022, the outbreak of human monkeypox (HMPX) occurred in many non-endemic countries. World Health Organization (WHO) assesses that this outbreak is "atypical". The history of monkeypox and HMPX must be reviewed to clearly recognize the "typical" outbreaks to fully understand this comment. Therefore, this paper reviews the epidemiological history of monkeypox, especially HMPX, and discusses and analyzes the atypical manifestations and the possible causes of the present outbreak based on the recent views of WHO, other organizations/institutions, and experts. The text describes the thought-provoking history of the interaction between the monkeypox virus and the human being in the past 64 years, and provides various information and views on the outbreak of HMPX, which is helpful to understand risk assessment and the potential impact of this outbreak on clinical and public health in future.
Animals
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Disease Outbreaks
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Humans
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Monkeypox/epidemiology*
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Monkeypox virus
6.Monkeypox virus infection.
Zhi-jing ZHAO ; Xie-En LIU ; Hui ZHUANG
Chinese Journal of Epidemiology 2003;24(7):623-624
7.A grave concern for the prevalence of monkeypox virus.
Zhao Min FENG ; Yang PAN ; Da HUO ; Ying SHEN ; Quan Yi WANG
Chinese Journal of Preventive Medicine 2022;56(10):1411-1415
Monkeypox is a zoonosis caused by monkeypox virus. Monkeypox virus belongs to the Orthopoxviruses genus in the Poxviridae family, which is regarded as the most important Orthopoxvirus infection in human beings after the extinction of smallpox. Since the first human monkeypox case was reported in the Democratic Republic of the Congo in 1970, monkeypox has become endemic in Central and West African. From May 6 to July 15, 2022, monkeypox has broken out in many countries. Monkeypox cases have been detected in 62 countries and regions. Moreover, human to human transmission has occurred and attracted high global attention. Monkeypox virus has been discovered for more than 60 years, but the understanding and research of its natural host, epidemiological characteristics and treatment are still relatively limited. Therefore, this study analyzes the epidemic situation, the possible causes of the outbreak and the future key research directions, and puts forward countermeasures to provide scientific basis for the prevention and control of monkeypox.
Animals
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Humans
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Monkeypox virus
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Monkeypox/epidemiology*
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Prevalence
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Poxviridae Infections/epidemiology*
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Zoonoses
8.Unusual global outbreak of monkeypox: what should we do?
Miaojin ZHU ; Jia JI ; Danrong SHI ; Xiangyun LU ; Baohong WANG ; Nanping WU ; Jie WU ; Hangping YAO ; Lanjuan LI
Frontiers of Medicine 2022;16(4):507-517
Recently, monkeypox has become a global concern amid the ongoing COVID-19 pandemic. Monkeypox is an acute rash zoonosis caused by the monkeypox virus, which was previously concentrated in Africa. The re-emergence of this pathogen seems unusual on account of outbreaks in multiple nonendemic countries and the incline to spread from person to person. We need to revisit this virus to prevent the epidemic from getting worse. In this review, we comprehensively summarize studies on monkeypox, including its epidemiology, biological characteristics, pathogenesis, and clinical characteristics, as well as therapeutics and vaccines, highlighting its unusual outbreak attributed to the transformation of transmission. We also analyze the present situation and put forward countermeasures from both clinical and scientific research to address it.
COVID-19
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Disease Outbreaks/prevention & control*
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Humans
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Monkeypox/epidemiology*
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Monkeypox virus
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Pandemics/prevention & control*
9.Global monkeypox outbreak 2022: First case series in Singapore.
Xuan Qi KOH ; Martin Tze Wei CHIO ; Mingjuan TAN ; Yee Sin LEO ; Roy Kum Wah CHAN
Annals of the Academy of Medicine, Singapore 2022;51(8):462-472
Monkeypox is a global health emergency. Prior to 2022, there were few reports of monkeypox outside of endemic countries, which were mostly travel-related. Since May 2022, an exponential increase in monkeypox infections in previously non-endemic countries has been reported. Unlike previous outbreaks of monkeypox, which were zoonotically transmitted and presented with generalised vesicular eruptions after prodromal symptoms, cases of the current outbreak feature significant travel and sexual history, and atypical localised genital eruptions with unpredictable onset relative to viral prodrome-like symptoms. We summarise the 15 Singapore cases reported to date as of August 2022, and highlight salient clinical clues that may aid physicians in narrowing the broad differential diagnosis of an acute vesicular genital eruption. Although research into vaccination and antiviral strategies is ongoing, monkeypox is currently conservatively managed. Clinical vigilance and a high index of suspicion are required to facilitate early detection and isolation of cases to contain transmission in Singapore.
Disease Outbreaks
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Humans
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Monkeypox/epidemiology*
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Singapore/epidemiology*
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Travel-Related Illness
10.Epidemiological characteristics and research progress of monkeypox in 2022.
Chun Xiao LIAO ; Bo WANG ; Jun LYU ; Li Ming LI
Chinese Journal of Epidemiology 2023;44(3):486-490
Monkeypox is a zoonosis caused by monkeypox virus. Monkeypox was endemic mainly in central and western Africa in the past. Since May 7, 2022, monkeypox outbreaks have been reported in many non-epidemic countries and regions around the world. As of December 25, 2022, monkeypox cases have been detected in 110 countries and areas. Moreover, human to human transmission, especially among men who have sex with men, has aroused high global concern. The incidence, transmission route and clinical characteristics of monkeypox in 2022 seemed different from those in the past. Therefore, this paper summarizes the progress in research of the changes of epidemiological characteristics of monkeypox, the clinical characteristics of monkeypox and its prevention and treatment to provide scientific evidence for the prevention and control of monkeypox.
Male
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Animals
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Humans
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Monkeypox/epidemiology*
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Homosexuality, Male
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Sexual and Gender Minorities
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Zoonoses
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Disease Outbreaks