Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022

In Los Angeles County, California, USA, public health surveillance identified 118 mpox cases among persons experiencing homelessness (PEH) during July–September 2022. Age and sex were similar for mpox case-patients among PEH and in the general population. Seventy-one (60%) PEH mpox case-patients we...

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Main Authors: Hannah K. Brosnan, Karen W. Yeh, Padma S. Jones, Sohum Gokhale, Dalia Regos-Stewart, Hang Tran, Kathleen Poortinga, Phoebe Danza, Rebecca Fisher, Lauren E. Finn, Chelsea Foo, Alicia H. Chang
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-06-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/6/23-0021_article
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author Hannah K. Brosnan
Karen W. Yeh
Padma S. Jones
Sohum Gokhale
Dalia Regos-Stewart
Hang Tran
Kathleen Poortinga
Phoebe Danza
Rebecca Fisher
Lauren E. Finn
Chelsea Foo
Alicia H. Chang
author_facet Hannah K. Brosnan
Karen W. Yeh
Padma S. Jones
Sohum Gokhale
Dalia Regos-Stewart
Hang Tran
Kathleen Poortinga
Phoebe Danza
Rebecca Fisher
Lauren E. Finn
Chelsea Foo
Alicia H. Chang
author_sort Hannah K. Brosnan
collection DOAJ
description In Los Angeles County, California, USA, public health surveillance identified 118 mpox cases among persons experiencing homelessness (PEH) during July–September 2022. Age and sex were similar for mpox case-patients among PEH and in the general population. Seventy-one (60%) PEH mpox case-patients were living with HIV, 35 (49%) of them virally suppressed. Hospitalization was required for 21% of case-patients because of severe disease. Sexual contact was likely the primary mode of transmission; 84% of patients reported sexual contact <3 weeks before symptom onset. PEH case-patients lived in shelters, encampments, cars, or on the street, or stayed briefly with friends or family (couch surfed). Some case-patients stayed at multiple locations during the 3-week incubation period. Public health follow-up and contact tracing detected no secondary mpox cases among PEH in congregate shelters or encampments. Equitable efforts should continue to identify, treat, and prevent mpox among PEH, who often experience severe disease.
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spelling doaj.art-01517ff795ac471cb9e12cf184c8e4472023-05-19T12:22:56ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-06-012961109111610.3201/eid2906.230021Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022Hannah K. BrosnanKaren W. YehPadma S. JonesSohum GokhaleDalia Regos-StewartHang TranKathleen PoortingaPhoebe DanzaRebecca FisherLauren E. FinnChelsea FooAlicia H. Chang In Los Angeles County, California, USA, public health surveillance identified 118 mpox cases among persons experiencing homelessness (PEH) during July–September 2022. Age and sex were similar for mpox case-patients among PEH and in the general population. Seventy-one (60%) PEH mpox case-patients were living with HIV, 35 (49%) of them virally suppressed. Hospitalization was required for 21% of case-patients because of severe disease. Sexual contact was likely the primary mode of transmission; 84% of patients reported sexual contact <3 weeks before symptom onset. PEH case-patients lived in shelters, encampments, cars, or on the street, or stayed briefly with friends or family (couch surfed). Some case-patients stayed at multiple locations during the 3-week incubation period. Public health follow-up and contact tracing detected no secondary mpox cases among PEH in congregate shelters or encampments. Equitable efforts should continue to identify, treat, and prevent mpox among PEH, who often experience severe disease. https://wwwnc.cdc.gov/eid/article/29/6/23-0021_articleMpoxhomelessnesssurveillancevirusessexually transmitted infectionsunderlying health conditions
spellingShingle Hannah K. Brosnan
Karen W. Yeh
Padma S. Jones
Sohum Gokhale
Dalia Regos-Stewart
Hang Tran
Kathleen Poortinga
Phoebe Danza
Rebecca Fisher
Lauren E. Finn
Chelsea Foo
Alicia H. Chang
Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
Emerging Infectious Diseases
Mpox
homelessness
surveillance
viruses
sexually transmitted infections
underlying health conditions
title Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
title_full Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
title_fullStr Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
title_full_unstemmed Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
title_short Epidemiologic Characteristics of Mpox among People Experiencing Homelessness, Los Angeles County, California, USA, 2022
title_sort epidemiologic characteristics of mpox among people experiencing homelessness los angeles county california usa 2022
topic Mpox
homelessness
surveillance
viruses
sexually transmitted infections
underlying health conditions
url https://wwwnc.cdc.gov/eid/article/29/6/23-0021_article
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