Monkeypox, mostly in active homosexual men

Monkeypox

New Microbes and New Infections

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375638/

it is believed that African squirrels and other rodents might be the primary reservoirs

Current epidemiological situation as of 10 October 2022

https://www.gov.uk/government/publications/monkeypox-outbreak-epidemiological-overview/monkeypox-outbreak-epidemiological-overview-11-october-2022

Confirmed cases, 3,523

Highly probable cases, 150

Scotland, 94

Northern Ireland, 34

Wales, 46

England, 3,499

Cases were confirmed in England from 6 May 2022

The outbreak has mainly been in gay, bisexual, and men who have sex with men,

without documented history of travel to endemic countries.

https://www.gov.uk/government/publications/monkeypox-outbreak-technical-briefings/investigation-into-monkeypox-outbreak-in-england-technical-briefing-8

Level 2
Transmission within a defined sub-population.
Out of 3,390 cases with known gender,

99% are men, and there are 45 women.

Nowcast and growth

Incidence remains low.

Multiple factors in reduction

Vaccination, (moderate confidence)

Behavioural modification, (low confidence)

(Reduction in some other sexually transmitted infections)

Route of transmission

Close or sexual contact

Monkeypox virus has been detected in air and environmental samples

(hospital room of infected patients)

No confirmed instances of airborne transmission

Limited household transmission

Assessment (confidence): Transmitting primarily through close or sexual contact (moderate)

Observed clinical severity

No reported deaths in the UK

Morbidity amongst people admitted to hospital, severe pain, secondary bacterial infection

Encephalitis, reported, appears uncommon

US situation

https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html

Confirmed cases, as of 11th October 2022 = 26,778

Vaccinations = 873,552

(as of 4th October)

UK ethnicity data

US Ethnic mix

https://www.medscape.com/viewarticle/982173?src=wnl_edit_tpal&uac=127834AR&impID=4739080&faf=1

Kaiser Family Foundation

https://www.kff.org/racial-equity-and-health-policy/issue-brief/national-data-show-continuing-disparities-in-mpx-monkeypox-cases-and-vaccinations-among-black-and-hispanic-people/

MPX case rates among Black people are over five times those of White people (14.4 vs. 2.6 per 100,000)

Hispanic people account for larger shares of cases compared with their shares of the population

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander