MMWR Morb Mortal Wkly Rep. 2022 Nov 4;71(44):1407-1411. doi: 10.15585/mmwr.mm7144a4.
Data on monkeypox in children and adolescents aged <18 years are limited (1,2). During May 17–September 24, 2022, a total of 25,038 monkeypox cases were reported in the United States, primarily among adult gay, bisexual, and other men who have sex with men (3). During this period, CDC and U.S. jurisdictional health departments identified Monkeypox virus (MPXV) infections in 83 persons aged <18 years, accounting for 0.3% of reported cases. Among 28 children aged 0–12 years with monkeypox, 64% were boys, and most had direct skin-to-skin contact with an adult with monkeypox who was caring for the child in a household setting. Among 55 adolescents aged 13–17 years, most were male (89%), and male-to-male sexual contact was the most common presumed exposure route (66%). Most children and adolescents with monkeypox were non-Hispanic Black or African American (Black) (47%) or Hispanic or Latino (Hispanic) (35%). Most (89%) were not hospitalized, none received intensive care unit (ICU)–level care, and none died. Monkeypox in children and adolescents remains rare in the United States. Ensuring equitable access to monkeypox vaccination, testing, and treatment is a critical public health priority. Vaccination for adolescents with risk factors and provision of prevention information for persons with monkeypox caring for children might prevent additional infections.
有关 18 岁以下儿童和青少年猴痘的数据有限（1,2）。2022 年 5 月 17 日至 9 月 24 日，美国共报告了 25038 例猴痘病例，主要发生在成年男同性恋者、双性恋者和其他与男性发生性关系的男性（3）。在此期间，美国疾病控制与预防中心和美国州卫生部门在 83 名年龄<18 岁的人群中发现了猴痘病毒（MPXV）感染，占报告病例的 0.3%。在 28 名年龄为 0-12 岁的患有猴痘的儿童中，64%为男性，大多数与正在家中照顾儿童的猴痘成人有直接的皮肤接触。在 55 名年龄为 13-17 岁的青少年中，大多数为男性（89%），最常见的假定暴露途径是男男性接触（66%）。大多数患有猴痘的儿童和青少年是非西班牙裔黑人或非洲裔美国人（黑人）（47%）或西班牙裔或拉丁裔（西班牙裔）（35%）。大多数（89%）未住院，无人接受重症监护病房（ICU）级别的护理，也无人死亡。在美国，儿童和青少年患猴痘的情况仍然很少见。确保公平获得猴痘疫苗接种、检测和治疗是一个关键的公共卫生优先事项。为有风险因素的青少年接种疫苗，并为照顾儿童的猴痘患者提供预防信息，可能会预防更多的感染。
