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

Vaughan, Aisling M; Cenciarelli, Orlando; Colombe, Soledad; Alves de Sousa, Luís; Fischer, Natalie; Gossner, Celine M; Pires, Jeff; Scardina, Giuditta; Aspelund, Gudrun; Avercenko, Margarita; +54 more... 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; (2022) A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022. Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 27 (36). ISSN 1025-496X DOI: https://doi.org/10.2807/1560-7917.ES.2022.27.36.2200620

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.