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Modelling the potential spread of Clade Ib MPXV in Asian cities.

作者信息

Jin Shihui, Gan Gregory, Endo Akira, Prem Kiesha, Tan Rayner Kay Jin, Lim Jue Tao, Ejima Keisuke, Dickens Borame L

机构信息

Saw Swee Hock School of Public Health, National University of Singapore, Singapore.

Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.

出版信息

BMJ Public Health. 2025 May 12;3(1):e002285. doi: 10.1136/bmjph-2024-002285. eCollection 2025.


DOI:10.1136/bmjph-2024-002285
PMID:40391250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12086938/
Abstract

BACKGROUND: The ongoing 2023-2024 mpox outbreak in several African countries, driven by the novel Clade Ib strain, has resulted in imported cases being reported in Sweden, Thailand and India. The potential high transmissibility of this new strain and shifts in transmission modes may make territories in Asia, which were minimally affected by previous mpox waves, susceptible to community-wide transmission following importation. While this highlights the importance of early preparedness, current knowledge of the virus's transmission dynamics remains too limited to effectively inform policymaking and resource planning. METHODS: A compartmental model was constructed to characterise potential mpox transmission dynamics. Importation-triggered outbreaks were simulated in 37 Asian cities under scenarios with one, three and five initial local infections. The impacts of various non-pharmaceutical interventions (NPIs), including isolation and quarantine, were projected and compared. FINDINGS: Our simulations revealed substantial disparities in outbreak sizes among the 37 Asian cities with large-scale outbreaks expected in territories with a high proportion of sexually active individuals at risk or low immunity from smallpox vaccination. Total case counts in 1 year following initial local infections would increase linearly with initial infection size. In the scenario with three initial local infections, up to 340 cases per million residents were expected without interventions. Isolation for diagnosed cases was projected to lower the outbreak size by 43.8% (IQR: 42.7-44.5%), 67.8% (IQR: 66.5-68.9%), 80.8% (IQR: 79.5-82.0%) and 88.0% (IQR: 86.8-89.1%) when it reduced interpersonal contacts by 25%, 50%, 75% and 100%, respectively. Quarantining close contacts would contribute to a further decrease in cases of up to 22 percentage points over 1 year. INTERPRETATION: A potential mpox outbreak in an Asian setting could be alleviated through strong surveillance and a timely response from stakeholders. NPIs are recommended for outbreak management due to their demonstrated effectiveness and practicability.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/1f636e2df47f/bmjph-3-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/c7853af7c500/bmjph-3-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/b61de14fdeed/bmjph-3-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/0429ff2a650f/bmjph-3-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/d0a8c3a01944/bmjph-3-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/1f636e2df47f/bmjph-3-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/c7853af7c500/bmjph-3-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/b61de14fdeed/bmjph-3-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/0429ff2a650f/bmjph-3-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/d0a8c3a01944/bmjph-3-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a113/12086938/1f636e2df47f/bmjph-3-1-g005.jpg

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引用本文的文献

[1]
First documented human case of mpox: Implications for global surveillance, public health and policy.

J Taibah Univ Med Sci. 2025-7-4

本文引用的文献

[1]
Vaccine failure mode determines population-level impact of vaccination campaigns during epidemics.

J R Soc Interface. 2025-2

[2]
The worsening mpox outbreak in Africa: a call to action.

Lancet Infect Dis. 2024-11

[3]
WHO Director-General declares mpox outbreak a public health emergency of international concern.

Saudi Med J. 2024-8

[4]
Clinical and laboratory predictors of mpox severity and duration: an Italian multicentre cohort study (mpox-Icona).

EBioMedicine. 2024-9

[5]
The Resurgence of Mpox in Africa.

JAMA. 2024-10-1

[6]
Sustained human outbreak of a new MPXV clade I lineage in eastern Democratic Republic of the Congo.

Nat Med. 2024-10

[7]
Receptiveness to monkeypox vaccines and public health communication strategies among gay, bisexual and other men who have sex with men in Singapore: cross-sectional quantitative and qualitative insights.

Sex Transm Infect. 2024-8-19

[8]
Clade I-Associated Mpox Cases Associated with Sexual Contact, the Democratic Republic of the Congo.

Emerg Infect Dis. 2024-1

[9]
Evaluation of Cross-Immunity to the Mpox Virus Due to Historic Smallpox Vaccination.

Vaccines (Basel). 2023-9-28

[10]
Mpox respiratory transmission: the state of the evidence.

Lancet Microbe. 2023-4

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