A large multi-country outbreak of monkeypox across 41 countries in the WHO European Region, 7 March to 23 August 2022
Vaughan, Aisling M.
Cenciarelli, Orlando
Colombe, Soledad
de Sousa, Luís Alves
Fischer, Natalie
Gossner, Celine M.
Pires, Jeff
Scardina, Giuditta
Aspelund, Gudrun
Avercenko, Margarita
Bengtsson, Sara
Blomquist, Paula
Caraglia, Anna
Chazelle, Emilie
Cohen, Orna
Diaz, Asuncion
Dillon, Christina
Dontsenko, Irina
Kotkavaara, Katja
Fafangel, Mario
Ferraro, Federica
Firth, Richard
Fonager, Jannik
Frank, Christina
Carrasco, Mireia G.
Gkolfinopoulou, Kassiani
Grenersen, Marte Petrikke
Guzmán Herrador, Bernardo R.
Henczkó, Judit
Hoornenburg, Elske
Igoe, Derval
Ilić, Maja
Jansen, Klaus
Jantă, Denisa-Georgiana
Johansen, Tone Bjordal
Kasradze, Ana
Koch, Anders
Kyncl, Jan
Martins, João Vieira
McAuley, Andrew
Mellou, Kassiani
Molnár, Zsuzsanna
Mor, Zohar
Mossong, Joël
Novacek, Alina
Orlikova, Hana
Novosel, Iva Pem
Rossi, Maria K.
Sadkowska-Todys, Malgorzata
Sawyer, Clare
Schmid, Daniela
Sîrbu, Anca
Sondén, Klara
Tarantola, Arnaud
Tavares, Margarida
Thordardottir, Marianna
Učakar, Veronika
van Ewijk, Catharina
Varjas, Juta
Vergison, Anne
Vivancos, Roberto
Zakrzewska, Karolina
Pebody, Richard
Haussig, Joana M.
Following the report of a non-travel-associated cluster of monkeypox cases by the United Kingdom in May 2022, 41 countries across the WHO European Region have reported 21,098 cases and two deaths by 23 August 2022. Nowcasting suggests a plateauing in case notifications. Most cases (97%) are MSM, with atypical rash-illness presentation. Spread is mainly through close contact during sexual activities. Few cases are reported among women and children. Targeted interventions of at-risk groups are needed to stop further transmission.
