Episode Details

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

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