Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review

Starting from mid-May 2022, cases of human monkeypox started to rise in several non-endemic countries. By mid-July, more than 17000 confirmed/suspect cases have been reported by at least 82 countries worldwide, with a regular incremental trend. In order to contain the disease diffusion, risk evaluat...

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Main Authors: Maria Rosaria Capobianchi, Antonino Di Caro, Chiara Piubelli, Antonio Mori, Zeno Bisoffi, Concetta Castilletti
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.1005955/full
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author Maria Rosaria Capobianchi
Maria Rosaria Capobianchi
Antonino Di Caro
Antonino Di Caro
Chiara Piubelli
Antonio Mori
Zeno Bisoffi
Concetta Castilletti
author_facet Maria Rosaria Capobianchi
Maria Rosaria Capobianchi
Antonino Di Caro
Antonino Di Caro
Chiara Piubelli
Antonio Mori
Zeno Bisoffi
Concetta Castilletti
author_sort Maria Rosaria Capobianchi
collection DOAJ
description Starting from mid-May 2022, cases of human monkeypox started to rise in several non-endemic countries. By mid-July, more than 17000 confirmed/suspect cases have been reported by at least 82 countries worldwide, with a regular incremental trend. In order to contain the disease diffusion, risk evaluation is crucial to undertake informed decisions and effective communication campaigns. However, since orthopoxvirus infections so far have attracted low attention, due to the eradication of smallpox 40 years ago, and to the confinement of human monkeypox almost exclusively to endemic areas, several unresolved issues concerning natural history, ecology and pathogenesis remain. To this respect, we identified some open questions and reviewed the relevant literature on monkeypoxvirus and/or related orthopoxviruses. The results will be discussed in the perspective of their relevance to public health decisions, particularly those related to non-pharmacological interventions.
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spelling doaj.art-753a5ce2415f43ffae79cd28cdab88a72022-12-22T04:03:25ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-09-011210.3389/fcimb.2022.10059551005955Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature reviewMaria Rosaria Capobianchi0Maria Rosaria Capobianchi1Antonino Di Caro2Antonino Di Caro3Chiara Piubelli4Antonio Mori5Zeno Bisoffi6Concetta Castilletti7Department of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalySaint Camillus International Medical University, Rome, ItalyDepartment of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalySaint Camillus International Medical University, Rome, ItalyDepartment of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalyDepartment of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalyDepartment of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalyDepartment of Infectious Tropical Diseases and Microbiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore-Don Calabria Hospital, Verona, ItalyStarting from mid-May 2022, cases of human monkeypox started to rise in several non-endemic countries. By mid-July, more than 17000 confirmed/suspect cases have been reported by at least 82 countries worldwide, with a regular incremental trend. In order to contain the disease diffusion, risk evaluation is crucial to undertake informed decisions and effective communication campaigns. However, since orthopoxvirus infections so far have attracted low attention, due to the eradication of smallpox 40 years ago, and to the confinement of human monkeypox almost exclusively to endemic areas, several unresolved issues concerning natural history, ecology and pathogenesis remain. To this respect, we identified some open questions and reviewed the relevant literature on monkeypoxvirus and/or related orthopoxviruses. The results will be discussed in the perspective of their relevance to public health decisions, particularly those related to non-pharmacological interventions.https://www.frontiersin.org/articles/10.3389/fcimb.2022.1005955/fullmonkeypoxprevention measuresseroepidemiologysubclinical infectionanimal reservoirspillover
spellingShingle Maria Rosaria Capobianchi
Maria Rosaria Capobianchi
Antonino Di Caro
Antonino Di Caro
Chiara Piubelli
Antonio Mori
Zeno Bisoffi
Concetta Castilletti
Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
Frontiers in Cellular and Infection Microbiology
monkeypox
prevention measures
seroepidemiology
subclinical infection
animal reservoir
spillover
title Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
title_full Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
title_fullStr Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
title_full_unstemmed Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
title_short Monkeypox 2022 outbreak in non-endemic countries: Open questions relevant for public health, nonpharmacological intervention and literature review
title_sort monkeypox 2022 outbreak in non endemic countries open questions relevant for public health nonpharmacological intervention and literature review
topic monkeypox
prevention measures
seroepidemiology
subclinical infection
animal reservoir
spillover
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.1005955/full
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