Monkeypox 2022 global epidemiology; Report 2022-09-01

From the Global.health team (info@global.health) • Permalink

Summary

The Monkeypox 2022 outbreak has to date been detected in 110 countries (either confirmed or suspected cases), with 104 confirming transmission, 6 countries continuing to have suspected cases only, and 32 countries having discarded cases that were suspected, out of which 10 have only discarded cases. Overall there are 51002 confirmed and 2589 suspected cases (as of 2022-09-01; Figure 1A). Since 2022-08-30, 884 new confirmed cases have been reported, and 1 new country has been added to the list (El Salvador) (Figure 1B).

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Figure 1: A) Number of confirmed cases per country. Lines show reported travel history between countries.
B) Number of cumulative confirmed cases and number of countries who have reported confirmed cases.
Country Confirmed % difference in cases compared to last week
United States 18308 10
Spain 6543 4
Brazil 4876 17
France 3539 23
Germany 3467 2
England 3257 2
Peru 1496 19
Canada 1228 1
Netherlands 1160 2
Portugal 846 4
Italy 760 6
Belgium 706 5
Colombia 582 113
Mexico 504 30
Switzerland 469 8
Chile 344 27
Austria 265 13
Israel 239 11
Denmark 175 3
Nigeria 172 0
Democratic Republic Of The Congo 163 0
Sweden 157 1
Ireland 144 12
Argentina 133 84
Poland 130 7
Australia 121 17
Puerto Rico 110 22
Scotland 85 8
Norway 80 3
Bolivia 79 61
Hungary 70 9
Greece 56 3
Ghana 56 19
Luxembourg 53 12
Ecuador 51 45
Czech Republic 48 17
Wales 44 0
Slovenia 43 0
Romania 36 2
Malta 31 0
Serbia 31 0
Northern Ireland 27 0
Croatia 26 4
Finland 22 0
Singapore 16 0
United Arab Emirates 16 0
Iceland 12 0
Slovakia 12 0
Turkey 11 0
India 10 0
Panama 10 25
Estonia 10 0
Dominican Republic 9 0
Central African Republic 8 0
Saudi Arabia 8 14
Cameroon 7 0
Thailand 7 40
Lebanon 6 0
Guatemala 6 50
Martinique 6 200
Gibraltar 6 0
South Africa 5 0
Jamaica 5 25
Lithuania 5 0
Cyprus 5 25
Andorra 4 0
Bulgaria 4 0
New Zealand 4 0
Uruguay 4 33
Latvia 4 0
Japan 4 0
Philippines 4 0
Honduras 4 33
Republic of Congo 3 0
Morocco 3 200
Bosnia And Herzegovina 3 0
Taiwan 3 0
Costa Rica 3 0
Qatar 3 0
Benin 3 0
Venezuela 3 0
Monaco 3 0
Aruba 2 100
Sudan 2 0
Bahamas 2 0
Montenegro 2 0
Georgia 2 0
Greenland 2 0
Guyana 2 100
Liberia 2 0
Moldova 2 0
Curaçao 1 0
Cuba 1 0
South Korea 1 0
Saint Martin (French part) 1 0
Russia 1 0
Bermuda 1 0
Indonesia 1 0
Barbados 1 0
Iran 1 0
New Caledonia 1 0
Guadeloupe 1 0

Table 1: Number of confirmed cases by country (highest to lowest) and percentage change since last week.

Of the 51002 number of confirmed cases, 237 reported travel history. For 132 cases, travel history location was unknown.

The mean delay between confirmation and entry of suspected case was 5.56 days (median 3 days) and varied by country (n = 1005 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
Figure 2: Delay to confirmation by country. Link to figure

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 782, where we consider a genomic sequence to be related to the current outbreak if it was reported in 2022 with Clade IIb. 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
Figure 3: Number of sequences (downloaded via Nextstrain) and confirmed cases. Link to figure

The age and gender ratio is shown in Figure 4. 98 percent of cases (for which there was an entry for gender) are described as male. The mean age of confirmed cases is 41.

graph: Age and gender distribution
Figure 4: Age and gender distribution of monkeypox confirmed cases in 2022. 3% of confirmed cases include sufficient metadata to be included in this figure. Of these cases, 94% include reported age ranges that span multiple age categories. Under such circumstances, counts are evenly distributed among the categories that capture the reported age range. Link to figure

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