Department of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The Third People's Hospital of Shenzhen, Shenzhen, 518112, Guangdong, China.
National Heart & Lung Institute, Faculty of Medicine, Imperial College London, London, UK.
Infect Dis Poverty. 2022 Jul 23;11(1):84. doi: 10.1186/s40249-022-01007-6.
Monkeypox has a very prominent regional epidemic. It has been confined to Western and Central African countries. Sporadic cases found in countries outside Africa generally have a history of sojourn in endemic areas. However, the recent multinational outbreak of monkeypox cases in Europe in early May 2022 has revealed a changing epidemiological trend, those confirmed cases had no sojourn history in endemic areas and with a high proportion of cases involving men who have sex with men (MSM). Among the MSM cases, many of them presented atypical clinical manifestations of monkeypox and with other sexually transmitted diseases co-infection. Combined with the high social interactivity in this community, there is likely a higher risk of monkeypox transmission in this population. Establishing an infectious disease surveillance system, maintaining highly vigilant regarding the transmission of monkeypox in MSM, and responding promptly are necessary and effective measures to contain the outbreak.
猴痘具有非常显著的区域性流行特征。它一直局限于西非和中非国家。在非洲以外国家发现的散发病例通常具有在流行地区逗留的病史。然而，2022 年 5 月初在欧洲发生的猴痘多例跨国暴发，揭示了一种正在变化的流行病学趋势，这些确诊病例没有在流行地区逗留的病史，且涉及大量男男性行为者（MSM）。在 MSM 病例中，许多人表现出猴痘不典型的临床表现，且合并其他性传播疾病感染。结合该群体较高的社会互动性，在该人群中猴痘传播的风险可能更高。建立传染病监测系统，对 MSM 中猴痘的传播保持高度警惕，并及时做出反应，是遏制疫情的必要且有效的措施。
