Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022

Since May 2022, mpox has been identified in 108 countries without endemic disease; most cases have been in gay, bisexual, or other men who have sex with men. To determine number of missed cases, we conducted 2 studies during June–September 2022: a prospective serologic survey detecting orthopoxviru...

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Main Authors: Faisal S. Minhaj, Vijay Singh, Stephanie E. Cohen, Michael Townsend, Hyman Scott, John Szumowski, C. Bradley Hare, Pallavi Upadhyay, Jairus Reddy, Barbara Alexander, Nicolle Baird, Terese Navarra, Lalita Priyamvada, Nhien Wynn, William C. Carson, Solomon Odafe, Sarah Anne J. Guagliardo, Emily Sims, Agam K. Rao, Panayampalli S. Satheshkumar, Paul J. Weidle, Christina L. Hutson
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-11-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/11/23-0940_article
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author Faisal S. Minhaj
Vijay Singh
Stephanie E. Cohen
Michael Townsend
Hyman Scott
John Szumowski
C. Bradley Hare
Pallavi Upadhyay
Jairus Reddy
Barbara Alexander
Nicolle Baird
Terese Navarra
Lalita Priyamvada
Nhien Wynn
William C. Carson
Solomon Odafe
Sarah Anne J. Guagliardo
Emily Sims
Agam K. Rao
Panayampalli S. Satheshkumar
Paul J. Weidle
Christina L. Hutson
author_facet Faisal S. Minhaj
Vijay Singh
Stephanie E. Cohen
Michael Townsend
Hyman Scott
John Szumowski
C. Bradley Hare
Pallavi Upadhyay
Jairus Reddy
Barbara Alexander
Nicolle Baird
Terese Navarra
Lalita Priyamvada
Nhien Wynn
William C. Carson
Solomon Odafe
Sarah Anne J. Guagliardo
Emily Sims
Agam K. Rao
Panayampalli S. Satheshkumar
Paul J. Weidle
Christina L. Hutson
author_sort Faisal S. Minhaj
collection DOAJ
description Since May 2022, mpox has been identified in 108 countries without endemic disease; most cases have been in gay, bisexual, or other men who have sex with men. To determine number of missed cases, we conducted 2 studies during June–September 2022: a prospective serologic survey detecting orthopoxvirus antibodies among men who have sex with men in San Francisco, California, and a retrospective monkeypox virus PCR testing of swab specimens submitted for other infectious disease testing among all patients across the United States. The serosurvey of 225 participants (median age 34 years) detected 18 (8.0%) who were orthopoxvirus IgG positive and 3 (1.3%) who were also orthopoxvirus IgM positive. The retrospective PCR study of 1,196 patients (median age 30 years; 54.8% male) detected 67 (5.6%) specimens positive for monkeypox virus. There are likely few undiagnosed cases of mpox in regions where sexual healthcare is accessible and patient and clinician awareness about mpox is increased.
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spelling doaj.art-f61855961cfc4df0adcffba27044933e2023-10-24T12:17:43ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-11-0129112307231410.3201/eid2911.230940Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022Faisal S. MinhajVijay SinghStephanie E. CohenMichael TownsendHyman ScottJohn SzumowskiC. Bradley HarePallavi UpadhyayJairus ReddyBarbara AlexanderNicolle BairdTerese NavarraLalita PriyamvadaNhien WynnWilliam C. CarsonSolomon OdafeSarah Anne J. GuagliardoEmily SimsAgam K. RaoPanayampalli S. SatheshkumarPaul J. WeidleChristina L. Hutson Since May 2022, mpox has been identified in 108 countries without endemic disease; most cases have been in gay, bisexual, or other men who have sex with men. To determine number of missed cases, we conducted 2 studies during June–September 2022: a prospective serologic survey detecting orthopoxvirus antibodies among men who have sex with men in San Francisco, California, and a retrospective monkeypox virus PCR testing of swab specimens submitted for other infectious disease testing among all patients across the United States. The serosurvey of 225 participants (median age 34 years) detected 18 (8.0%) who were orthopoxvirus IgG positive and 3 (1.3%) who were also orthopoxvirus IgM positive. The retrospective PCR study of 1,196 patients (median age 30 years; 54.8% male) detected 67 (5.6%) specimens positive for monkeypox virus. There are likely few undiagnosed cases of mpox in regions where sexual healthcare is accessible and patient and clinician awareness about mpox is increased. https://wwwnc.cdc.gov/eid/article/29/11/23-0940_articleMonkeypox virusMpoxorthopoxvirusIgMPCRundiagnosed
spellingShingle Faisal S. Minhaj
Vijay Singh
Stephanie E. Cohen
Michael Townsend
Hyman Scott
John Szumowski
C. Bradley Hare
Pallavi Upadhyay
Jairus Reddy
Barbara Alexander
Nicolle Baird
Terese Navarra
Lalita Priyamvada
Nhien Wynn
William C. Carson
Solomon Odafe
Sarah Anne J. Guagliardo
Emily Sims
Agam K. Rao
Panayampalli S. Satheshkumar
Paul J. Weidle
Christina L. Hutson
Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
Emerging Infectious Diseases
Monkeypox virus
Mpox
orthopoxvirus
IgM
PCR
undiagnosed
title Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
title_full Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
title_fullStr Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
title_full_unstemmed Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
title_short Prevalence of Undiagnosed Monkeypox Virus Infections during Global Mpox Outbreak, United States, June–September 2022
title_sort prevalence of undiagnosed monkeypox virus infections during global mpox outbreak united states june september 2022
topic Monkeypox virus
Mpox
orthopoxvirus
IgM
PCR
undiagnosed
url https://wwwnc.cdc.gov/eid/article/29/11/23-0940_article
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