Monkeypox 2022 global epidemiology; Report 2022-07-18
From the Global.health team (info@global.health) • Permalink
Summary
The Monkeypox 2022 outbreak has to date been detected in 76 countries (either confirmed or suspected cases), with 66 confirming transmission, 7 countries continuing to have suspected cases only, and 30 countries having discarded cases that were suspected, out of which 13 have only discarded cases. Overall there are 12261 confirmed and 37 suspected cases (as of 2022-07-18; Figure 1A). Since 2022-07-14, 1133 new confirmed cases have been reported, and 1 new country has been added to the list (Saudi Arabia) (Figure 1B).
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![graph: Travel history and confirmed cases](figures/travel-history.png)
Country | Confirmed | % difference in cases compared to last week |
---|---|---|
Spain | 2835 | 39 |
Germany | 1859 | 24 |
England | 1778 | 19 |
United States | 1464 | 85 |
France | 908 | 25 |
Netherlands | 549 | 36 |
Portugal | 515 | 8 |
Canada | 478 | 27 |
Italy | 339 | 32 |
Brazil | 310 | 79 |
Belgium | 224 | 33 |
Switzerland | 198 | 41 |
Israel | 88 | 49 |
Austria | 83 | 33 |
Sweden | 58 | 34 |
Peru | 55 | 205 |
Ireland | 54 | 22 |
Scotland | 46 | 12 |
Norway | 37 | 48 |
Denmark | 37 | 105 |
Australia | 33 | 65 |
Mexico | 27 | 145 |
Hungary | 24 | 0 |
Poland | 22 | 83 |
Wales | 20 | 11 |
Slovenia | 19 | 5 |
Ghana | 18 | 0 |
Chile | 16 | 23 |
Romania | 16 | 14 |
Greece | 13 | 18 |
Finland | 13 | 30 |
United Arab Emirates | 13 | 0 |
Northern Ireland | 12 | 9 |
Argentina | 12 | 100 |
Czech Republic | 12 | 50 |
Malta | 9 | 125 |
Colombia | 7 | 40 |
Iceland | 6 | 0 |
Puerto Rico | 6 | 500 |
Singapore | 6 | 50 |
Luxembourg | 6 | 100 |
South Africa | 3 | 50 |
Croatia | 3 | 200 |
Benin | 3 | 0 |
Bulgaria | 3 | 0 |
Taiwan | 2 | 100 |
Latvia | 2 | 0 |
Morocco | 1 | 0 |
Slovakia | 1 | 0 |
Dominican Republic | 1 | 0 |
Gibraltar | 1 | 0 |
South Korea | 1 | 0 |
Lebanon | 1 | 0 |
Serbia | 1 | 0 |
Ecuador | 1 | 0 |
Estonia | 1 | 0 |
Turkey | 1 | 0 |
Jamaica | 1 | 0 |
Georgia | 1 | 0 |
Venezuela | 1 | 0 |
Panama | 1 | 0 |
Table 1: Number of confirmed cases by country (highest to lowest) and percentage change since last week.
Of the 12261 number of confirmed cases, 170 reported travel history. For 92 cases, travel history location was unknown.
The mean delay between confirmation and entry of suspected case was 3.48 days (median 2 days) and varied by country (n = 779 total number of cases where the dates of suspected and confirmed was known; Figure 2). Most countries do not report suspected cases.
![graph: Delay to confirmation by country](figures/delay-to-confirmation.png)
Genomic data is being reported via multiple open source repositories. In order to support ongoing genomic surveillance and improve representativeness of genomic sequences we here plot the relationship between number of genomic sequences vs. number of confirmed cases (Figure 3). The (combined) number of genomic sequences of the current outbreak is 374, where we consider a genomic sequence to be related to the current outbreak if it was reported from May 2022 onwards. The country with the highest number of genomic sequences reported is Germany. A comparison between the number of genomes and number of confirmed cases is below (Figure 3).
![graph: Number of sequences from Nextstrain and confirmed cases](figures/genomics.png)
The age and gender ratio is shown in Figure 4. 99 percent of cases (for which there was an entry for
gender) are described as male. The mean age of confirmed cases is 41.
Data accessibility and reproducibility: All data used in this report are available from: https://github.com/globaldothealth/monkeypox. Should you identify any issues or have questions please raise an issue on GitHub or write to us: info@global.health. Latest data can be downloaded from here: https://github.com/globaldothealth/monkeypox/blob/main/latest.csv
Please see a description of the data curation process here: https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00359-0/fulltext