Monkeypox Outbreak — Nine States, May 2022

Details

• Personal Author:
  Minhaj, Faisal S. ; Ogale, Yasmin P. ; Whitehill, Florence ; Schultz, Jordan ; Foote, Mary ; Davidson, Whitni ; Hughes, Christine M. ; Wilkins, Kimberly ; Bachmann, Laura ; Chatelain, Ryan ; Donnelly, Marisa A. P. ; Mendoza, Rafael ; Downes, Barbara L. ; Roskosky, Mellisa ; Barnes, Meghan ; Gallagher, Glen R. ; Basgoz, Nesli ; Ruiz, Victoria ; Kyaw, Nang Thu Thu ; Feldpausch, Amanda ; Valderrama, Amy ; Alvarado-Ramy, Francisco ; Dowell, Chad H. ; Chow, Catherine C. ; Li, Yu ; Quilter, Laura ; Brooks, John ; Daskalakis, Demetre C. ; McClung, R. Paul ; Petersen, Brett W. ; Damon, Inger ; Hutson, Christina ; McQuiston, Jennifer ; Rao, Agam K. ; Belay, Ermias ; McCollum, Andrea M.
• Corporate Authors:
  CDC Monkeypox Response Team 2022 ; Centers for Disease Control and Prevention (U.S.)Epidemic Intelligence Service. ; National Center for Emerging and Zoonotic Infectious Diseases (U.S.)Division of High Consequence Pathogens and Pathology. ; National Center for HIV, Viral Hepatitis, STD, and TB Prevention (U.S.)Division of STD Prevention. ; Massachusetts. Department of Public Health. ; New York (N.Y.). Department of Health and Mental Hygiene. Bureau of Sexually Transmitted Infections. ; Salt Lake County (Utah). Health Department. ; Florida. Department of Health. ; Fairfax County (VA). Health Department. ; Public Health – Seattle & King County. ; Colorado. Department of Public Health and Environment. ; Massachusetts General Hospital. ; Georgia. Department of Health. ; National Center for Emerging and Zoonotic Infectious Diseases (U.S.)Division of Healthcare Quality Promotion. ; National Center of Emerging Zoonotic Infectious Diseases (U.S.)Division of Global Migration and Quarantine. ; National Institute for Occupational Safety and Health. ; Center for Global Health (U.S.)Division of Global Health Protection. ; National Center for HIV, Viral Hepatitis, STD, and TB Prevention (U.S.)Division of HIV Prevention.
• Description:
  What is already known about this topic? Monkeypox, a rare disease caused by infection with Monkeypox Virus, is endemic in several Central and West African countries. Cases in persons outside Africa are often linked to international travel or imported animals.
  
  What is added by this report? CDC is tracking multiple reported U.S. monkeypox cases, and monitoring cases in persons in countries without endemic monkeypox and with no known travel links to an endemic area; current Epidemiology suggests person-to-person community spread.
  
  What are the implications for public health practice? CDC urges health departments, clinicians, and the public to remain vigilant, institute appropriate infection Prevention and control measures, and notify public health authorities of suspected cases to reduce disease spread.
  
  On May 17, 2022, the Massachusetts Department of Public Health (MDPH) Laboratory Response Network (LRN) laboratory confirmed the presence of orthopoxVirus DNA via real-time polymerase chain reaction (PCR) from lesion swabs obtained from a Massachusetts resident. OrthopoxViruses include Monkeypox Virus, the causative agent of monkeypox. Subsequent real-time PCR tTesting at CDC on May 18 confirmed that the patient was infected with the West African clade of Monkeypox Virus. Since then, confirmed cases* have been reported by nine states. In addition, 28 countries and territories,† none of which has endemic monkeypox, have reported laboratory-confirmed cases. On May 17, CDC, in coordination with state and local jurisdictions, initiated an emergency response to identify, monitor, and investigate additional monkeypox cases in the United States This response has included releasing a Health Alert Network (HAN) Health Advisory, developing interim public health and clinical recommendations, releasing guidance for LRN tTesting, hosting clinician and public health partner outreach calls, disseminating health communication messages to the public, developing protocols for use and release of medical countermeasures, and facilitating delivery of vaccine postexposure prophylaxis (PEP) and antivirals that have been stockpiled by the U.S. government for preparedness and response purposes. On May 19, a call center was established to provide guidance to states for the evaluation of possible cases of monkeypox, including recommendations for clinical Diagnosis and orthopoxVirus tTesting. The call center also gathers information about possible cases to identify interjurisdictional linkages. As of May 31, this investigation has identified 17§ cases in the United States; most cases (16) were diagnosed in persons who identify as gay, bisexual, or men who have sex with men (MSM). Ongoing investigation suggests person-to-person community Transmission, and CDC urges health departments, clinicians, and the public to remain vigilant, institute appropriate infection Prevention and control measures, and notify public health authorities of suspected cases to reduce disease spread. Public health authorities are identifying cases and conducting investigations to determine possible sources and prevent further spread. This activity was reviewed by CDC and conducted consistent with applicable federal law and CDC policy.¶
  
  Suggested citation for this article: Minhaj FS, Ogale YP, Whitehill F, et al. Monkeypox Outbreak — Nine States, May 2022. MMWR Morb Mortal Wkly Rep. ePub: 3 June 2022. mm7123e1.htm?s_cid=mm7123e1_w
  
  mm7123e1-H.pdf
  
  
• Subjects:
  Disease Outbreaks Monkeypox Virus Mpox (monkeypox)
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2022; v. 71 Early Release
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Document Type:
  Journal Article
• Place as Subject:
  California ; Colorado ; Florida ; Georgia ; Massachusetts ; New York ; Utah ; Virginia ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• Volume:
  71
• NIOSHTIC Number:
  nn:20065343
• Collection(s):
  National Institute for Occupational Safety and Health Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:1abfe57e9796cf238c5d922096b6b4f62ae091121912880ca6e0c6de1040779ffe2f75ae1654bdcbeecb2abf90d1d50328081e42db8efe6b00f3fe88cc97fc65
• Download URL:
  https://stacks.cdc.gov/view/cdc/118016/cdc_118016_DS1.pdf
• File Type:
  [PDF - 263.40 KB ]