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2022–2023 mpox outbreak in Asia

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2022 mpox outbreak in Asia
Spread of disease in Asia as of 29 July 2022
  Confirmed cases reported
DiseaseMpox
Virus strainMonkeypox virus (West African clade)
Index caseIchilov General Hospital, Tel Aviv, Israel
Date20 May 2022 – ongoing (2 years, 7 months, and 2 days)
Confirmed cases162
Suspected cases4
Deaths
1
Territories
14[a]
Suspected cases have not been confirmed by laboratory tests as being due to this strain, although some other strains may have been ruled out.

The 2022 mpox outbreak in Asia is a part of the ongoing outbreak of human mpox caused by the West African clade of the monkeypox virus. The outbreak was reported in Asia on 20 May 2022 when Israel reported a suspected case of mpox, which was confirmed on 21 May. As of 10 August 2022, seven West Asian, three Southeast Asian, three East Asian and one South Asian country, along with Russia, have reported confirmed cases.

As of 10 August 2022, a total of 162 cases were confirmed. Most of them were concentrated in the region of West Asia, with 141 of the total 156 cases (≈90.38%) being reported in the region. Israel alone has reported 114 cases (≈73.07%). Israel reported the first community transmission of the disease on 21 June 2022.

Background

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Mpox (/ˈɛmpɒks/, EM-poks; formerly known as monkeypox)[1] is an infectious viral disease that can occur in humans and other animals. Symptoms include a rash that forms blisters and then crusts over, fever, and swollen lymph nodes. The illness is usually mild, and most infected individuals recover within a few weeks without treatment. The time from exposure to the onset of symptoms ranges from three to seventeen days, and symptoms typically last from two to four weeks. However, cases may be severe, especially in children, pregnant women, or people with suppressed immune systems.[2][3][4]

The disease is caused by the monkeypox virus, a zoonotic virus in the genus Orthopoxvirus. The variola virus, which causes smallpox, is also in this genus.[5] Human-to-human transmission can occur through direct contact with infected skin or body fluids, including sexual contact.[5] People remain infectious from the onset of symptoms until all the lesions have scabbed and healed.[2] The virus may spread from infected animals through handling infected meat or via bites or scratches.[2] Diagnosis can be confirmed by polymerase chain reaction (PCR) testing a lesion for the virus's DNA.[5]

Vaccination is recommended for those at high risk of infection.[5] No vaccine has been developed specifically against mpox, but smallpox vaccines have been found to be effective.[6] There is no specific treatment for the disease, so the aim of treatment is to manage the symptoms and prevent complications.[5][7] Antiviral drugs such as tecovirimat can be used to treat mpox,[5] although their effectiveness has not been proved.[8]

In May 2022, the World Health Organization (WHO) made an emergency announcement of the existence of a multi-country outbreak of mpox, a viral disease then commonly known as "monkeypox".[9] The initial cluster of cases was found in the United Kingdom,[10] where the first case was detected in London on 6 May 2022[11] in a patient with a recent travel history from Nigeria where the disease has been endemic.[12] On 16 May, the UK Health Security Agency (UKHSA) confirmed four new cases with no link to travel to a country where mpox is endemic.[11] Subsequently, cases have been reported from many countries and regions.[13] The outbreak marked the first time mpox had spread widely outside Central and West Africa. The disease had been circulating and evolving in human hosts over several years before the outbreak and was caused by the clade IIb variant of the virus.[14]

On 23 July 2022, the Director-General of WHO, Tedros Adhanom Ghebreyesus, declared the outbreak a public health emergency of international concern (PHEIC), stating that "we have an outbreak that has spread around the world rapidly, through new modes of transmission, about which we understand too little".[15] A global response to the outbreak included public awareness campaigns in order to reduce spread of the disease, and repurposing of smallpox vaccines.[16][17]

Transmission

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Stages of lesion development.

A large portion of those infected were believed to have not recently traveled to areas of Africa where mpox is normally found, such as Nigeria, the Democratic Republic of the Congo as well as central and western Africa. It is believed to be transmitted by close contact with sick people, with extra caution for those individuals with lesions on their skin or genitals, along with their bedding and clothing. The CDC has also stated that individuals should avoid contact and consumption of dead animals such as rats, squirrels, monkeys and apes along with wild game or lotions derived from animals in Africa.[18]

In addition to more common symptoms, such as fever, headache, swollen lymph nodes, and rashes or lesions, some patients have also experienced proctitis, an inflammation of the rectum lining. CDC has also warned clinicians to not rule out mpox in patients with sexually transmitted infections since there have been reports of co-infections with syphilis, gonorrhea, chlamydia, and herpes.[19]

History

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Imported cases before the outbreak

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According to the World Health Organization, imported cases of mpox from Nigeria was detected in Israel and Singapore in September 2018 and May 2019, respectively.[20]

In 2018, an imported case was detected in Israel. A 38-year-old man came from Rivers State, Nigeria in late September. He showed the symptoms of the disease on that month. Later on October the patient sought medical attention at Shaare-Zedek Medical Center in Jerusalem. He was confirmed to be infected with the West African Clade of monkeypox virus that month. All of the patient's contacts were traced and followed up but no virus transmission were detected.[21]

Arrival

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Ichilov General Hospital (in the middle) in Tel Aviv Sourasky Medical Center, where the first case was isolated

As the outbreak was spreading in Europe in the middle of May 2022, the Israeli Health Ministry reported a suspected mpox case in the country on 20 May. The case was confirmed by testing on 21 May, becoming the first case in Israel during the outbreak, which also became the first in Asia.

The 30-year-old man returned from Western Europe and contracted the disease from there. The ministry reported that he was in isolation in the Ichilov General Hospital in Tel Aviv.[22][23]

Cases transited through Asia

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In May and June 2022, two Australians tested positive for mpox in Australia, but before that they stayed in transit in airports for some hours in Southeast Asia.

On 30 May, Thai health authorities confirmed that an Australian who stayed in transit in Suvarnabhumi Airport for two hours that week had tested positive for mpox in Australia.[24]

On 6 June, the Singaporean Ministry of Health announced that a mpox case in New South Wales in Australia stayed in transit in Singapore on 2 June. 13 people who had casual contact were isolated.[25]

Wastewater surveillance

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A study from the Faculty of Medicine, Chulalongkorn University, Thailand led by Dr Dhammika Leshan Wannigama reported Multiple traces of monkeypox virus were detected in non-sewered wastewater with sparse sampling collected from both the Bangkok, Thailand with increasing concentrations from June to August 2022.[26] This is the first dataset related to monkeypox viral DNA in wastewater in Bangkok. Monkeypox viral DNA was first detected in wastewater in the second week of June 2022.[26] From the first week of July, the number of viral DNA copies increased.[26] Sanger sequencing confirmed the identification of the monkeypox virus and its relation to the 2022–2023 mpox outbreak.[26] The same group later released findings from wastewater surveillance in six Southeast Asian countries (Thailand, Lao PDR, Myanmar, Cambodia, Vietnam, and Indonesia), which showed the presence of Monkeypox virus (MPXV) DNA, suggesting local transmission.[27] This information serves as a vital notification for healthcare professionals and aids in the distribution of resources such as testing, vaccines, and treatments in regions with limited resources.[27]

Timeline of cases by country

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Timeline of first confirmed cases by country or territory

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First confirmed mpox cases by country or territory
Date Countries / Territories
21 May 2022  Israel
24 May 2022  United Arab Emirates
15 June 2022  Georgia
20 June 2022  Lebanon Singapore
22 June 2022  South Korea
24 June 2022  Taiwan[b]
30 June 2022  Turkey
12 July 2022  Russia
14 July 2022  India[28] Saudi Arabia
20 July 2022  Qatar
21 July 2022  Thailand
25 July 2022  Japan
29 July 2022  Philippines
2 August 2022  Cyprus
16 August 2022  Iran
19 August 2022  Indonesia
6 September 2022  Hong Kong[c]
16 September 2022  China Jordan Bahrain
3 October 2022  Vietnam
4 November 2022  Sri Lanka[29]

Timeline of suspected cases by country or territory

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Countries listed below had only suspected cases at the time of reporting. Some countries reported confirmed cases after reporting suspected cases (i.e. Turkey). Countries listed several times reported suspected cases again after they discarded suspected cases before.

Timeline of suspected mpox cases by country or territory
Date Countries / Territories
20 May 2022  Israel (confirmed on 21 May)
27 May 2022  Iran (discounted on 4 June)
28 May 2022  Malaysia (discounted on 31 May)
29 May 2022  Afghanistan (discounted between 30 May and 5 June)
1 June 2022  Cambodia (discounted on 2 June)
3 June 2022  India (discounted on 7 June)
4 June 2022  Turkey (discounted on 5 June)
5 June 2022  Georgia (confirmed on 15 June)[30]
7 June 2022  Bangladesh (discounted on 9 June)
9 June 2022  Bangladesh (discounted on 12 June)
16 June 2022  Nepal (discounted on 17 June)[31]
21 June 2022  South Korea (confirmed on 22 June)
8 July 2022  India (discounted on 9 July)
14 July 2022  India (confirmed on 14 July)[28]

Responses

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Several countries have responded to the outbreak. The responses of some of them are listed below.

  •  Bangladesh: On 22 May, the Directorate General of Health Services (DGHS) issued warnings at every port in the country to prevent the spread of mpox. The Directorate spokesperson Nazmul Islam said that the DGHS has asked all air, land and sea ports to be alert. Suspected cases are instructed to be sent to an infectious disease hospital and kept in isolation.[32][33]
  •  China: On 2 June, the Chinese CDC issued a notice quoting the WHO's document with a translation of the original, "Stigmatising people because of a disease is never okay. Anyone can get or pass on mpox, regardless of their sexuality."[34]
  •  India: On 21 May, Union Health Minister Mansukh Mandaviya directed the National Centre for Disease Control and the ICMR to keep a close watch and monitor the situation. The Union Health Ministry has also directed airport and port health officers to be vigilant, according to official sources. They have been instructed to isolate and send samples to the National Institute of Virology of any sick passenger with a travel history to infected countries.[35]
  •  Indonesia: Indonesian health authorities were put on alert when cases of mpox were reported in Australia in May 2022. Mohammad Syahril, ministry spokesperson, urged medical personnel and the country's population to be alert and aware of the symptoms of the disease.[36]
  •  Malaysia: On 27 May 2022, the Malaysian Ministry of Health reactivated the MySejahtera app to provide information and surveillance on mpox.[37]
  •  Philippines: Health Secretary Francisco Duque III said that the Philippines was intensifying its border control measures amid the threat of mpox.[38] The health department stated it is exploring potential sources of mpox vaccines and antivirals.[39][40]
  •  Saudi Arabia: On May 21, the Saudi Ministry of Health stated that they are ready to monitor and investigate cases of mpox, if any occurs. They added that it also has an integrated preventive plan to deal with such cases if they appear, including identifying suspected and confirmed cases.[41]
  •  Taiwan: On 30 May, the Taiwan Centers for Disease Control officially listed mpox as a notifiable infectious disease, and on June 23, mpox was officially upgraded to a second-class notifiable infectious disease, which means that confirmed cases must be notified within 24 hours, and if necessary, isolation treatment may be implemented in designated isolation treatment institutions.[42]
  •  Thailand: On 24 May 2022, the Department of Disease Control (DDC) started screening all overseas passengers from Central African countries and other outbreak countries at international airports.[43] On 26 May 2022, the DDC set up an emergency operations center to monitor the outbreak situation and plan for a possible outbreak in the kingdom.[44] Anutin Charnvirakul, Minister of Public Health, said that the government is seeking a smallpox vaccine from the WHO to bolster the public's immunity in case of a viral outbreak.[45] On 30 May 2022, The local news reported the first case of mpox in the country.[24] The patient was a passenger who was transiting from Europe to Australia via Bangkok. However, the patient's symptoms developed and were diagnosed in Australia. There have been no local cases discovered as of yet.[46]
  •  Vietnam: On May 24, 2022, Vietnam's Ministry of Health asked border localities to increase surveillance to detect possible cases of mpox.[47]

Outbreak by regions and countries

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Western Asia

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Georgia

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Georgia was the first Caucasian and the third Asian and West Asian country to report confirmed cases of mpox. The first case was reported by the Ministry of Health on 15 June 2022.[48]

Israel

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Israel was the first in both Asia and West Asia to report a case.

On 20 May, Israel reported a suspected mpox infected patient who was in isolation in Ichilov Hospital and tested positive on 21 May.[22] On the same day, another suspected case was reported but the case was ruled out the next day, on 22 May.[49]

Israel reported a single case each on 28 May and 7, 9, 15 and 16 June until the authorities reported three cases on 20 June. In a press statement released on 21 June, the ministry stated that one of them was infected locally, confirming community transmission of the disease in Israel. The total reached 9 on that day.[50]

The case figure was updated regularly and press releases were released on the ministry's website whenever cases where reported. But after 21 June, the ministry started to release weekly report of the situation on the website.

On 15 July, Health Minister Nitzan Horowitz announced that 2,000 mpox vaccines will arrive in Israel, adding that he spoke with biotech company Bavarian Nordic CEO Paul Chaplin. He also said that a total of 90 cases were registered till then, and none of them needed hospitalisation.[51]

As of 17 July 2022, 96 confirmed cases were reported in Israel.[52][51]

Lebanon

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On 20 June, the first case of mpox in Lebanon was reported by the National News Agency (NNA) stating the Ministry of Health,[53] thus Lebanon became the fourth country in both Asia and West Asia and the third in the Middle East to report a mpox case.

Saudi Arabia

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On 14 July, the first mpox case was detected in the capital city of Riyadh. The person came from abroad.[54]

Turkey

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United Arab Emirates

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South Asia

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Afghanistan

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Afghanistan provinces in red reported suspected cases of mpox, but cases later tested negative, as of 5 June 2022

On 29 May, the Islamic Republic News Agency and other news agencies reported two suspected cases of mpox who came back from Iran in Nimruz Province citing local newspapers and the Ministry of Health and provincial health authorities.[55][56]

On 30 May, one case was reported in Herat Province.[57]

On 31 May, ministry spokesperson Javid Hazhir denied reports of confirmed cases and stated that suspected cases in Nimruz and Kabul provinces tested negative. He also said that Afghanistan has the capability to test mpox cases.[58]

On 5 June, it was reported that the WHO will give test kits to the Taliban-controlled Ministry of Public Health, as they were lacking kits.[59] Ministry spokesperson stated that suspected cases in Herat, Maidan Wardak and Nangarhar provinces along with other provinces which were stated earlier tested negative and the country is free of mpox.[60]

Bangladesh

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Bangladeshi health authorities declared alert on every ports in the country in mid-May.[32] Shahjalal International Airport in Dhaka was in high alert.[61]

On 7 June, a 32-year-old Turkish citizen was detected with mpox symptoms at the airport while screening. He was taken to the Infectious Diseases Hospital in Dhaka's Mohakhali and isolated.[62][63] Although, on the same day the Ministry of Health and Family Welfare published a press release denying reports of mpox 'confirmed' in a foreigner.[64]

On the next day, the DGHS director stated that he investigated the Turkish citizen himself, and his symptoms were not due to mpox, and he was suffering from a skin disease for a long time.

On 9 June, the suspected case tested negative.[65]

On 10 June, a 60-year-old woman was isolated in Chuadanga after local doctors detected symptoms of mpox on her on 9 June.[66] On the same day, a 42-year-old man who came back from India through Benapole Border Crossing on 3 June, was sent to Jashore Hospital after he showed pox like symptoms.[67] Although, the district civil surgeon said on the next day that he was very probably infected with chickenpox.[citation needed]

On 12 June, the case in Chuandanga was discarded.[68]

Bangladesh was the first country bar shore passes. On late May, Chittagong Seaport authority barred shore passes for all crew unless in the case of an emergency, while signed-off crew will have to undergo health checks.[69]

India

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On 21 May, Union Health Minister Mansukh Mandaviya directed the National Centre for Disease Control and the ICMR to keep a close watch and monitor the situation and directed airport and port health officers to be vigilant. They have been instructed to isolate and send samples to the National Institute of Virology (NIV) of any sick passenger with a travel history to infected countries.[35]

Many other states also responded individually, including Karnataka,[70] Kerala, Madhya Pradesh,[71] Maharashtra,[72] Rajasthan,[73] Tamil Nadu,[74] Uttar Pradesh,[75] and West Bengal.[76]

On 3 June, a sample of a 5-year-old girl of Ghaziabad in Uttar Pradesh who showed some symptoms of mpox were sent to the National Institute of Virology in Pune. The test came back negative on 7 June.[citation needed]

On 14 July, the health minister of Kerala Veena George announced a suspected case in Kerala. The patient was a male who came back from the United Arab Emirates three days earlier.[77] The patient reportedly died on 31 July, making it the first mpox casualty in India.[78]

Southeast Asia

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Philippines

[edit]

Singapore

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On 21 June 2022, Singaporean officials reported that a British flight attendant in the country had tested positive for the virus on 20 June.[79] Singapore was the fifth Asian and first Southeast Asian country to report an mpox case during this outbreak.

On 6 July, Singaporean authorities confirmed the first case of local transmission.[80] One more imported case was reported each on 7 and 8 July 2022, of which both are conveyed to the National Centre for Infectious Diseases (NCID).[citation needed][81]

On 13 July, the Ministry of Health reported another locally transmitted case, taking the total tally to 5. The patient was a 48-year-old British national residing in Singapore and was also warded in the NCID.[82]

Another local case was reported on the next day on 14 July. The patient was a male in his 40s, and was also warded in the NCID.[83]

Thailand

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On 21 July 2022, the Thai health ministry reported the first case of mpox in the country. The patient was a 21-year-old Nigerian who stayed in Phuket before crossing the border into Cambodia and subsequently arrested in Phnom Penh.[84][85] A week later, a second confirmed case was found in Bangkok in a 47-year-old local man who admitted to had engaged in sexual contact with foreign men.[86]

On 3 August, a third confirmed case was reported by the Department of Disease Control. The patient was a 25-year-old German man who arrived in Phuket on July 18 as a tourist.[87] On 5 August, the first confirmed case of a female in the country was announced. The patient was a 22-year-old Thai woman who frequented Bangkok night spots.[88] On 15 August, it was reported that the fifth confirmed mpox patient in the country was a 25-year-old Thai woman returning from Dubai.[89] A study from the Faculty of Medicine, Chulalongkorn University, Thailand led by Dr Dhammika Leshan Wannigama reported  Multiple traces of monkeypox virus were detected in non-sewered wastewater in Thailand with increasing concentrations from June to August 2022.[26]

East Asia

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China

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On 16 September, China reported its first case of mpox in Chongqing municipality.[90]

Japan

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On 25 July, Japan reported its first case of mpox in a man in his 30s. On 28 July, a second case was reported from a man in his 30s. On 5 August, a third case was reported. On 10 August, a fourth case was reported.

South Korea

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On 22 June, South Korea reported its first mpox case.

Taiwan

[edit]

On 24 June 2022, Taiwan reported its first confirmed case of mpox in a 25-year-old Taiwanese man who came back to Taiwan on 16 June after studying in Germany. Domestic transmission of mpox was reported in March 2023, followed by the first Taiwanese death from mpox in November 2023. Taiwan avoided domestic transmission of the disease for fourteen consecutive weeks, until late February 2024.

North Asia (Russia)

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The first mpox case in Russia, and by extension North Asia, was confirmed on 12 July 2022, in a young man who returned from a trip to Europe.[91]

Statistics

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Overview

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This is a table of confirmed and suspected mpox cases in Asian countries during the ongoing 2022–2023 mpox outbreak. It does not include countries where suspected cases were reported but later discarded such as Afghanistan.[58][60]

Cases of mpox by countries of Asia (last updated on 30 August 2024)
Country Confirmed Cases Suspected Cases Total Cases Deaths Last Update First Confirmed Cases Last Confirmed Cases
 Israel 317 317 13 August 2022[52] 21 May 2022[22]
 United Arab Emirates 24 24 13 August 2022[92] 24 May 2022[93]
 Singapore 63 63 13 August 2022[94] 20 June 2022[95]
 India 27 4 31 1 13 August 2022[96] 14 July 2022[28]
 Lebanon 6 6 13 August 2022[97] 20 June 2022[53]
 Saudi Arabia 764 764 13 August 2022[98] 14 July 2022[54]
 Taiwan 340 340 13 August 2022[99] 24 June 2022[100]
 Qatar 5 5 13 August 2022[101] 20 July 2022[101]
 Thailand 805 805 10 13 August 2022[102][84] 21 July 2022[84]
 Japan 248 248 1 13 August 2022[103][104] 25 July 2022[104]
 Georgia 2 2 15 June 2022[48] 15 June 2022[48]
 South Korea 165 165 22 June 2022[105] 22 June 2022[105]
 Turkey 12 12 13 August 2022[106] 30 June 2022[106]
 Russia 4 4 12 July 2022[91] 12 July 2022[91]
 Philippines 10 10 29 July 2022[107] 29 July 2022[107]
 China 2,541 2,541 1 16 September 2022[90] 16 September 2022[90]
 Total 5,333 4 5,337 13

Graphs

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(These graphs excludes the cases reported in Russia)

Total cases of mpox in Asia

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Total confirmed cases by Asian countries

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New confirmed cases of mpox per day

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7-day-average of new cases

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Total confirmed cases by day

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New confirmed cases of mpox per week

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(A week is considered Saturday to Friday here)

Total confirmed cases of mpox by week

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(A week is considered Saturday to Friday here)

Daily cases by subregions

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Total cases by subregions

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See also

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Notes

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  1. ^ Including Russia. All fourteen of them have reported confirmed cases.
  2. ^ Non-member of the United Nations with limited recognition by some UN member states.
  3. ^ Special administrative region of China.

References

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  1. ^ "WHO recommends new name for monkeypox disease" (Press release). World Health Organization (WHO). 28 November 2022. Archived from the original on 1 December 2022. Retrieved 29 November 2022.
  2. ^ a b c "Mpox". World Health Organization (WHO). 17 August 2024. Archived from the original on 19 August 2024. Retrieved 22 August 2024.
  3. ^ "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  4. ^ "Mpox Symptoms". U.S. Centers for Disease Control and Prevention (CDC). 15 March 2024. Archived from the original on 2 April 2024. Retrieved 22 August 2024.
  5. ^ a b c d e f "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  6. ^ Christodoulidou MM, Mabbott NA (1 January 2023). "Efficacy of smallpox vaccines against Mpox infections in humans". Immunotherapy Advances. 3 (1): ltad020. doi:10.1093/immadv/ltad020. PMC 10598838. PMID 37886620.
  7. ^ "Mpox (formerly Monkeypox)". NIH: National Institute of Allergy and Infectious Diseases. 6 December 2022. Archived from the original on 23 May 2023. Retrieved 24 May 2023.
  8. ^ "Patient's Guide to Mpox Treatment with Tecovirimat (TPOXX)". U.S. Centers for Disease Control and Prevention (CDC). 28 November 2022. Archived from the original on 24 May 2023. Retrieved 24 May 2023.
  9. ^ "Multi-country monkeypox outbreak in non-endemic countries". World Health Organization. 21 May 2022. Archived from the original on 22 May 2022. Retrieved 25 May 2022.
  10. ^ "So, Have You Heard About Monkeypox?". The Atlantic. 19 May 2022. Archived from the original on 23 June 2022. Retrieved 2 June 2022.
  11. ^ a b "Monkeypox cases confirmed in England – latest updates". GOV.UK. 6 September 2022. Archived from the original on 16 May 2022. Retrieved 2022-09-25.
  12. ^ "Monkeypox – United Kingdom of Great Britain and Northern Ireland". World Health Organization. 16 May 2022. Archived from the original on 17 May 2022. Retrieved 17 May 2022.
  13. ^ "2022 Mpox Outbreak Global Map | Mpox | Poxvirus | CDC". www.cdc.gov. 2023-09-12. Archived from the original on 1 December 2023. Retrieved 2023-12-01.
  14. ^ Sample, Ian (2 November 2023). "Mpox circulated for five years before global explosion in 2022, research finds". The Guardian. ISSN 0261-3077. Archived from the original on 1 July 2024. Retrieved 1 December 2023.
  15. ^ "WHO Director-General declares the ongoing monkeypox outbreak a Public Health Emergency of International Concern". World Health Organization (WHO). 2022-07-23. Archived from the original on 25 July 2022. Retrieved 2022-08-04.
  16. ^ "Monkeypox – Campaign details". Department of Health and Social Care – Campaign Resource Centre. Archived from the original on 28 May 2023. Retrieved 2023-05-28.
  17. ^ "Protecting you from mpox (monkeypox): information on the smallpox vaccination". GOV.UK. Archived from the original on 28 May 2023. Retrieved 2023-05-28.
  18. ^ Vargas, Ramon Antonio (2022-06-07). "US raises monkeypox alert level but says risk to public remains low". the Guardian. Retrieved 2022-06-09.
  19. ^ "Monkeypox update: Where the outbreak stands now".
  20. ^ "Monkeypox". World Health Organization. Retrieved 4 June 2022.
  21. ^ Erez, Noam; Achdout, Hagit; Milrot, Elad; Schwartz, Yuval; Wiener-Well, Yonit; Paran, Nir; Politi, Boaz; Tamir, Hadas; Israely, Tomer; Weiss, Shay; Beth-Din, Adi; Shifman, Ohad; Israeli, Ofir; Yitzhaki, Shmuel; Shapira, Shmuel C.; Melamed, Sharon; Schwartz, Eli (25 May 2019). "Diagnosis of Imported Monkeypox, Israel, 2018". Emerging Infectious Diseases. 25 (5): 980–983. doi:10.3201/eid2505.190076. PMC 6478227. PMID 30848724.
  22. ^ a b c Efrati, Ido. "Israel Confirms First Case of Monkeypox Virus". Haaretz. Retrieved 5 June 2022.
  23. ^ "Israel, Switzerland report first monkeypox cases as virus spreads". Al Jazeera. Retrieved 2022-06-04.
  24. ^ a b "Thailand reports first case of monkeypox in transit passenger to Australia". ThaiPBS. Retrieved 30 May 2022.
  25. ^ "One monkeypox case transited through S'pore; 13 people in casual contact told to monitor health: MOH". The Straits Times. 6 June 2022. Retrieved 17 June 2022.
  26. ^ a b c d e Wannigama, Dhammika Leshan; Amarasiri, Mohan; Hongsing, Parichart; Hurst, Cameron; Modchang, Charin; Chadsuthi, Sudarat; Anupong, Suparinthon; Phattharapornjaroen, Phatthranit; S.m., Ali Hosseini Rad; Fernandez, Stefan; Huang, Angkana T.; Kueakulpattana, Naris; Tanasatitchai, Chanikan; Vatanaprasan, Porames; Saethang, Thammakorn (2022-10-29). "Multiple traces of monkeypox detected in non-sewered wastewater with sparse sampling from a densely populated metropolitan area in Asia". Science of the Total Environment. 858 (Pt 1): 159816. doi:10.1016/j.scitotenv.2022.159816. ISSN 0048-9697. PMC 9620434. PMID 36461562. S2CID 253255754.
  27. ^ a b Wannigama, Dhammika Leshan; Amarasiri, Mohan; Phattharapornjaroen, Phatthranit; Hurst, Cameron; Modchang, Charin; Chadsuthi, Sudarat; Anupong, Suparinthon; Miyanaga, Kazuhiko; Cui, Longzhu; Thuptimdang, Wanwara; Ali Hosseini Rad, S M; Fernandez, Stefan; Huang, Angkana T; Vatanaprasan, Porames; Jay, Dylan John (July 2023). "Tracing the transmission of mpox through wastewater surveillance in Southeast Asia". Journal of Travel Medicine. 30 (5). doi:10.1093/jtm/taad096. ISSN 1195-1982.
  28. ^ a b c "India reports first monkeypox case from Kerala". Times Now. Retrieved 14 July 2022.
  29. ^ "First Monkeypox patient detected in Sri Lanka". NewsWire. 4 November 2022.
  30. ^ "В соседней Грузии выявлены случаи с подозрением на оспу обезьян". 1news.az (in Russian). Retrieved 2022-06-30.
  31. ^ "Suspected monkeypox case in Nepal confirmed as Leprosy". The Himalayan Times. 17 June 2022. Retrieved 18 June 2022.
  32. ^ a b "Monkeypox: Government put ports on alert". The Business Standard. 21 May 2022. Retrieved 22 May 2022.
  33. ^ "মাঙ্কিপক্স ঠেকাতে বন্দরে বাড়তি সতর্কতা" [Extra precautions at ports to prevent monkeypox]. Bangladesh Pratidin (in Bengali). 22 May 2022. Retrieved 22 May 2022.
  34. ^ "世界卫生组织通报猴痘疫情进展并发布针对特定群体的公共卫生建议" (in Chinese). 2022-06-02. Archived from the original on 21 June 2022. Retrieved 2022-06-03.
  35. ^ a b "Monkeypox outbreak: India to screen arrival for virus signs, isolate sick patients; details here". Zee News. 21 May 2022. Retrieved 22 May 2022.
  36. ^ Loasana, Nina. "Indonesia on alert as monkeypox emerges in Australia". The Jakarta Post. Retrieved 2022-05-29.
  37. ^ Zainuddin, Alifah (2022-05-26). "MySejahtera Reactivated For Monkeypox Surveillance". CodeBlue. Retrieved 2022-05-30.
  38. ^ "Philippines tightens border control amid monkeypox threat". GMA News Online. Archived from the original on 24 May 2022. Retrieved 22 May 2022.
  39. ^ "DOH now exploring sources of monkeypox vaccines, antivirals for possible outbreak". CNN Philippines. 27 May 2022. Archived from the original on 27 May 2022. Retrieved 28 May 2022.
  40. ^ Yang, Angelica Y. (28 May 2022). "No FDA approval yet for monkeypox antivirals — DOH". The Philippine Star. Retrieved 28 May 2022.
  41. ^ "No monkeypox cases detected in Saudi Arabia, health ministry says". Arab News. 2022-05-21. Retrieved 2022-05-31.
  42. ^ "CDC publishes guidelines for monkeypox". taipeitimes.com. 26 June 2022. Retrieved 2022-06-28.
  43. ^ "Anti-Monkeypox measures introduced at Thai airports". Thai PBS. Retrieved 2022-05-31.
  44. ^ "What risk to Thailand as monkeypox spreads across the world?". Thai PBS. Retrieved 2022-05-31.
  45. ^ "Govt seeks monkeypox vaccine". Bangkok Post. Retrieved 2022-05-31.
  46. ^ "12 people being monitored after monkeypox contact". Bangkok Post. Retrieved 2022-06-03.
  47. ^ "Vietnam tightens entry surveillance over fears of Monkeypox". Hanoi Times. Retrieved 2022-05-30.
  48. ^ a b c "В Грузии подтвержден первый случай оспы обезьян" [First case of monkeypox confirmed in Georgia]. m.gazeta.ru (in Russian). 15 June 2022. Retrieved 15 June 2022.
  49. ^ "Israel rules out monkeypox in 2nd patient suspected of having rare disease". Times of Israel. 22 May 2022. Retrieved 13 July 2022.
  50. ^ "שלושה גברים נוספים אובחנו בישראל כחולים באבעבועות הקוף" [Three other men diagnosed with monkeypox in Israel]. Ministry of Health (Israel) (in Hebrew). Retrieved 11 July 2022.
  51. ^ a b "Monkeypox: Israel to acquire 2,000 vaccines - Health Ministry". The Jerusalem Post. 15 July 2022. Retrieved 16 July 2022.
  52. ^ a b "אבעבועות הקוף" [Monkeypox]. Ministry of Health (Israel). Retrieved 6 June 2022.
  53. ^ a b "Lebanon announces first monkeypox case - state news agency". Reuters. 20 June 2022. Retrieved 20 June 2022.
  54. ^ a b "Saudi Arabia Reports First Case of Monkeypox for A Person Coming from Abroad". Saudi Press Agency. 14 July 2022. Retrieved 15 July 2022.
  55. ^ "ثبت دو مورد مشکوک ابتلا به آبله میمون در افغانستان" [2 suspected cases of monkeypox registered in Afghanistan]. Islamic Republic News Agency (in Persian). 29 May 2022. Retrieved 10 June 2022.
  56. ^ "Concerns over the outbreak of monkeypox in Afghanistan". Aamaj News. 30 May 2022. Retrieved 10 June 2022.
  57. ^ "First positive case of monkeypox registered in Afghanistan". Afghan Islamic Press. 30 May 2022. Retrieved 18 June 2022.
  58. ^ a b "IEA denies reports of monkeypox in Afghanistan". Ariana News. 2022-05-31. Retrieved 2022-06-01.
  59. ^ "Afghanistan to receive monkeypox test kits from WHO". Telangana Today. 7 June 2022. Retrieved 10 June 2022.
  60. ^ a b "WHO to provide MoPH kits for monkeypox tests". Pajhwok. 2022-06-06. Retrieved 2022-06-08.
  61. ^ "Dhaka airport on high alert over monkeypox". Dhaka Tribune. 22 May 2022. Retrieved 7 June 2022.
  62. ^ "মাঙ্কিপক্স: শাহজালাল থেকে হাসপাতালে তুরস্কের নাগরিক" [Monkeypox: Turkish citizen taken to hospital from Shahjalal]. Dhaka Tribune. 7 June 2022. Retrieved 7 June 2022.
  63. ^ "Turkish traveler spotted with monkeypox signs at Dhaka airport". Dhaka Tribune. 7 June 2022. Retrieved 10 June 2022.
  64. ^ "Health Ministry dismisses monkeypox reports". Dhaka Tribune. 7 June 2022. Retrieved 10 June 2022.
  65. ^ "মাঙ্কিপক্স নেগেটিভ সেই তুর্কি নাগরিকের" [That Turkish citizen is monkeypox negative]. Dainik Janakantha (in Bengali). 9 June 2022. Retrieved 10 June 2022.
  66. ^ "চুয়াডাঙ্গায় মাঙ্কিপক্স সন্দেহে আইসোলেশনে বৃদ্ধা" [Old woman in Chuadanga isolated after being suspected of monkeypox]. NTV Online (in Bengali). 2022-06-10. Retrieved 2022-06-10.
  67. ^ "India returnee with "monkeypox symptoms" sent to Jashore hospital". The Daily Star. 11 June 2022. Retrieved 11 June 2022.
  68. ^ "'It's not monkeypox'". The Daily Star. 12 June 2022. Retrieved 18 June 2022.
  69. ^ "Bangladesh becomes first nation to bar shore passes over monkeypox fears". Splash247. 2022-05-31. Retrieved 2022-06-07.
  70. ^ "Monkeypox: Karnataka asks districts to step up surveillance". The Hindu. 6 June 2022. ISSN 0971-751X. Retrieved 16 July 2022.
  71. ^ "Bhopal: It is necessary to isolate in chicken pox, monkeypox diseases, health department advisory to CMHOs". Free Press Journal. 4 June 2022. Retrieved 17 July 2022.
  72. ^ "Maharashtra State Directive To Watch Out For Monkeypox". Times of India. 22 May 2022. Retrieved 16 July 2022.
  73. ^ "Monkeypox: Rajasthan health department shares treatment protocol with doctors". Times of India. 6 June 2022. Retrieved 17 July 2022.
  74. ^ "Report symptoms of monkeypox, if any: Tamil Nadu govt to people from African nations". The Economic Times. 28 May 2022. Retrieved 16 July 2022.
  75. ^ "Monkeypox: Uttar Pradesh frames guidelines; doctors to monitor symptoms". Mint. 28 May 2022. Retrieved 17 June 2022.
  76. ^ "Monkeypox outbreak: West Bengal government on alert, issues advisory". Zee News. 27 May 2022. Retrieved 16 July 2022.
  77. ^ "Suspected monkeypox case in Kerala, samples of traveller from UAE sent for testing". Firstpost. 14 July 2022. Retrieved 14 July 2022.
  78. ^ "Youth who died in Kerala's Thrissur succumbed to monkeypox, says health dept after NIV confirms". The Indian Express. 2022-08-01. Retrieved 2022-08-01.
  79. ^ De Wei, Low; Cheok, Melissa; Lee, Danny (22 June 2022). "Singapore Confirms City's First Monkeypox Case in British Flight Attendant". Bloomberg. Retrieved 22 June 2022.
  80. ^ De Wei, Low; Wong, Foster (6 July 2022). "Singapore Confirms Its First Local Case of Monkeypox". Bloomberg. Retrieved 6 July 2022.
  81. ^ "Singapore confirms fourth case of monkeypox infection since June". CNA (TV network). Retrieved 8 July 2022.
  82. ^ Abdullah, Zhaki (14 July 2022). "Second local monkeypox case reported in Singapore". The Straits Times. Retrieved 14 July 2022.
  83. ^ Sian, Hong. "Singapore reports third local case of monkeypox infection". CNA (TV network). Retrieved 14 July 2022.
  84. ^ a b c "Thailand confirms first monkeypox infection". Reuters. 21 July 2022. Retrieved 21 July 2022.
  85. ^ "Nigerian monkeypox patient can stay in Cambodia, says Anutin". Bangkok Post. July 24, 2022. Retrieved 2022-08-24.
  86. ^ "Second monkeypox case found, this time in Bangkok". Bangkok Post. July 28, 2022. Retrieved 2022-08-24.
  87. ^ "Thailand's 3rd monkeypox case found in Phuket". Bangkok Post. August 3, 2022. Retrieved 2022-08-24.
  88. ^ "Thailand's fourth monkeypox case – first woman – confirmed". Thai PBS World. August 5, 2022. Retrieved 2022-08-24.
  89. ^ "Thai woman from Dubai confirmed as 5th monkeypox case in Thailand". nationthailand. 2022-08-15. Retrieved 2022-08-24.
  90. ^ a b c "Mainland China reports first imported monkeypox case". Reuters. 2022-09-16.
  91. ^ a b c "Russia registers first case of monkeypox". Reuters. 12 July 2022. Retrieved 12 July 2022.
  92. ^ "MoHAP announces three new monkeypox cases". Emirates News Agency. Retrieved 24 July 2022.
  93. ^ "MoHAP announces first case of monkeypox in UAE". Retrieved 5 June 2022.
  94. ^ "Monkeypox". Ministry of Health (Singapore). 21 June 2022. Retrieved 16 July 2022.
  95. ^ "Singapore confirms imported case of monkeypox after flight attendant develops fever and rashes". CNA (TV network). Retrieved 21 June 2022.
  96. ^ "Delhi reports first case of Monkeypox today". Mint. 24 July 2022. Retrieved 24 July 2022.
  97. ^ "Lebanon's monkeypox cases reach four". Xinhua News Agency. 22 July 2022. Retrieved 23 July 2022.
  98. ^ "Saudi monkeypox cases rise to 3". Saudi Gazette. 25 July 2022. Retrieved 25 July 2022.
  99. ^ Chen, Chie-ling; Chang, Ming-hsuan; Liu, Kay (12 July 2022). "Taiwan reports second case of monkeypox". Central News Agency. Retrieved 12 July 2022.
  100. ^ "Taiwan confirms first imported case of monkeypox". Reuters. 24 June 2022. Retrieved 24 June 2022.
  101. ^ a b "MOPH Announces the First Case of Monkeypox in Qatar". Ministry of Public Health. 20 July 2022. Retrieved 21 July 2022.
  102. ^ "Thailand detects 2nd case of monkeypox". Xinhua News Agency. Retrieved 28 July 2022.
  103. ^ "Japan confirms second case of monkeypox after man tests positive in Tokyo". The Japan Times. 28 July 2022. Retrieved 28 July 2022.
  104. ^ a b "First case of monkeypox detected in Japan -media". Reuters. 25 July 2022. Retrieved 25 July 2022.
  105. ^ a b "S.Korea reports first confirmed monkeypox case, steps up monitoring". Reuters. Retrieved 22 June 2022.
  106. ^ a b "Turkey records first case of monkeypox - health minister". Reuters. Retrieved 30 June 2022.
  107. ^ a b "Philippines detects first case of monkeypox". Reuters. Retrieved 29 July 2022.
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