Human Monkeypox: A Comprehensive Narrative Review and Analysis of the Public Health Implications

Microorganisms - Tập 10 Số 8 - Trang 1633
Francesco Di Gennaro1, Nicola Veronese2, Claudia Marotta3, Jae Il Shin4, Ai Koyanagi5,6, Andrea Silenzi3, Mario Antunes7, Annalisa Saracino1, Davide Fiore Bavaro1, Pınar Soysal8, Francesco Vladimiro Segala1, Laurie T. Butler9, Eugenio Milano1, Mario Barbagallo2, Yvonne Barnett9, Christopher N. Parris9, Emanuele Nicastri10, Damiano Pizzol11, Lee Smith12
1Clinic of Infectious Diseases, University of Bari, University Hospital Policlinico, 70121 Bari, Italy
2Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90133, Palermo, Italy
3General Directorate of Health Prevention, Ministry of Health, 00144 Rome, Italy
4Department of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Korea
5ICREA, Passeig Lluis Companys 23, 08010 Barcelona, Spain
6Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, 08010 Barcelona, Spain
7Department of Surgery, Catholic University of Mozambique, Beira 13016, Mozambique
8Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul 34093, Turkey
9Faculty of Science and Engineering, Anglia Ruskin University, Cambridge CB1 1PT, UK
10National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, Via Portuense 292, 00149, Rome, Italy
11Italian Agency for Development Cooperation, 00135 Khartoum, Sudan
12Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, CB1 1PT, UK

Tóm tắt

Recently, numerous cases of monkeypox were reported from several non-endemic countries in Europe, North America, and Oceania, suggesting an unusual and alarming public health issue, particularly considering that the disease is not directly related to human or animal travels. Attention is currently being drawn to this phenomenon since more than 70% of the global population is no longer vaccinated against smallpox. Indeed, the smallpox vaccination also confers some indirect degree of protection against other poxviruses, including monkeypox. We performed a narrative review to describe the existing literature with regard to monkeypox using the MEDLINE, EMBASE, and Scopus databases. This review aims to provide updated evidence of findings on the epidemiology, clinical features, diagnosis, management, and prevention of monkeypox, also considering the concurrent zoonotic pandemic caused by the COVID-19 coronavirus, SARS-CoV-2.

Từ khóa


Tài liệu tham khảo

Petersen, 2019, Human Monkeypox: Epidemiologic and Clinical Characteristics, Diagnosis, and Prevention, Infect. Dis. Clin., 33, 1027

Ogoina, D., Izibewule, J.H., Ogunleye, A., Ederiane, E., Anebonam, U., Neni, A., Oyeyemi, A., Etebu, E.N., and Ihekweazu, C. (2019). The 2017 human monkeypox outbreak in Nigeria-Report of outbreak experience and response in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. PLoS ONE, 14.

Simpson, 2020, Human monkeypox—After 40 years, an unintended consequence of smallpox eradication, Vaccine, 38, 5077, 10.1016/j.vaccine.2020.04.062

Word Health Organization (WHO) (2022, May 30). Multi-Country Monkeypox Outbreak in Non-Endemic Countries, Available online: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON385.

Kozlov, 2022, Monkeypox goes global: Why scientists are on alert, Nature, 606, 15, 10.1038/d41586-022-01421-8

Zumla, 2022, Monkeypox outbreaks outside endemic regions: Scientific and social priorities, Lancet Infect. Dis., 22, 929, 10.1016/S1473-3099(22)00354-1

Petrosillo, 2022, New endemic and pandemic pathologies with interhuman airborne transmission through ear, nose and throat anatomical sites, Acta Otorhinolaryngol. Ital., 42, S5, 10.14639/0392-100X-suppl.1-42-2022-01

Luna, 2022, Phylogenomic analysis of the monkeypox virus (MPXV) 2022 outbreak: Emergence of a novel viral lineage?, Travel Med. Infect. Dis., 49, 102402, 10.1016/j.tmaid.2022.102402

Abrahim, M., Guterres, A., and da Costa Neves, P.C. (2022). The emergence of new lineages of the Monkeypox virus could affect the 2022 outbreak. bioRxiv.

Isidro, J., Borges, V., Pinto, M., Sobral, D., Santos, J.D., Nunes, A., Mixão, V., Ferreira, R., Santos, D., and Duarte, S. (2022). Phylogenomic characterization and signs of microevolution in the 2022 multi-country outbreak of monkeypox virus. Nat. Med.

Babkin, I.V., Babkina, I.N., and Tikunova, N.V. (2022). An Update of Orthopoxvirus Molecular Evolution. Viruses, 14.

Breman, 1980, Human monkeypox, 1970–1979, Bull. World Health Organ., 58, 165

Yong, 2020, Imported Monkeypox, Singapore, Emerg. Infect. Dis., 26, 1826, 10.3201/eid2608.191387

Beer, E.M., and Rao, V.B. (2019). A systematic review of the epidemiology of human monkeypox outbreaks and implications for outbreak strategy. PLoS Negl. Trop. Dis., 13.

Erez, 2019, Diagnosis of Imported Monkeypox, Israel, 2018, Emerg. Infect. Dis., 25, 980, 10.3201/eid2505.190076

Vaughan, 2018, Two cases of monkeypox imported to the United Kingdom, September 2018, Eurosurveillance, 23, 1800509, 10.2807/1560-7917.ES.2018.23.38.1800509

Public Health England (2022, July 06). Monkeypox Cases Confirmed in England—Latest updates, Available online: https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates.

Vaughan, 2020, Human-to-human transmission of monkeypox virus, United Kingdom, October 2018, Emerg. Infect. Dis., 26, 782, 10.3201/eid2604.191164

Moore, M., and Zahra, F. (2022). Monkeypox. StatPearls, StatPearls Publishing.

European Centre for Disease Prevention and Control (ECDC) (2022, July 06). Risk Assessment: Monkeypox Multi-Country Outbreak, Available online: https://www.ecdc.europa.eu/en/publications-data/risk-assessment-monkeypox-multi-country-outbreak.

Hoff, 2017, Evolution of a disease surveillance system: An increase in reporting of human monkeypox disease in the Democratic Republic of the Congo, 2001–2013, Int. J. Trop. Dis. Health, 25, 1, 10.9734/IJTDH/2017/35885

Kugelman, 2014, Genomic variability of monkeypox virus among humans, Democratic Republic of the Congo, Emerg. Infect. Dis., 20, 232, 10.3201/eid2002.130118

Bunge, E.M., Hoet, B., Chen, L., Lienert, F., Weidenthaler, H., Baer, L.R., and Steffen, R. (2022). The changing epidemiology of human monkeypox—A potential threat? A systematic review. PLoS Negl. Trop. Dis., 16.

Nguyen, 2021, Reemergence of human monkeypox and declining population immunity in the context of urbanization, Nigeria, 2017–2020, Emerg. Infect. Dis., 27, 1007, 10.3201/eid2704.203569

Word Health Organitation (WHO) (2022, June 15). Disease Outbreak News, Available online: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON393.

Centre for Disease Control and Prevention (CDC) (2022, June 30). 2022 Monkeypox Outbreak Global Map, Available online: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html.

European Centre for Disease Prevention and Control/WHO Regional Office for Europe (2022, July 06). Monkeypox, Joint Epidemiological overview, Available online: https://monkeypoxreport.ecdc.europa.eu.

Bragazzi, N.L., Kong, J.D., Mahroum, N., Tsigalou, C., Khamisy-Farah, R., Converti, M., and Wu, J. (2022). Epidemiological trends and clinical features of the ongoing monkeypox epidemic: A preliminary pooled data analysis and literature review. J. Med. Virol., Epub ahead of print.

Thornhill, J.P., Barkati, S., Walmsley, S., Rockstroh, J., Antinori, A., Harrison, L.B., Palich, R., Nori, A., Reeves, I., and Habibi, M.S. (2022). Monkeypox Virus Infection in Humans across 16 Countries—April–June 2022. N. Engl. J. Med., Epub ahead of print.

Fuertes, 2022, Frequent detection of monkeypox virus DNA in saliva, semen, and other clinical samples from 12 patients, Barcelona, Spain, May to June 2022, Eurosurveillance, 27, 2200503

Aden, 2022, Rapid Diagnostic Testing for Response to the Monkeypox Outbreak—Laboratory Response Network, United States, 17 May–30 June 2022, MMWR. Morb. Mortal. Wkly. Rep., 71, 904, 10.15585/mmwr.mm7128e1

Wawina-Bokalanga, T., Sklenovska, N., Vanmechelen, B., Bloemen, M., Vergote, V., Laenen, L., Andre, E., Van Ranst, M., Muyembe, J.J.T., and Maes, P. (2022). An accurate and rapid Real-time PCR approach for human Monkeypox virus diagnosis. medRxiv.

Nolen, 2016, Extended Human-to-Human Transmission during a Monkeypox Outbreak in the Democratic Republic of the Congo, Emerg. Infect. Dis., 22, 1014, 10.3201/eid2206.150579

Hutson, 2015, Comparison of Monkeypox Virus Clade Kinetics and Pathology within the Prairie Dog Animal Model Using a Serial Sacrifice Study Design, Biomed Res. Int., 2015, 965710, 10.1155/2015/965710

Mucker, E.M., Chapman, J., Huzella, L.M., Huggins, J.W., Shamblin, J., Robinson, C.G., and Hensley, L.E. (2015). Susceptibility of Marmosets (Callithrix jacchus) to Monkeypox Virus: A Low Dose Prospective Model for Monkeypox and Smallpox Disease. PLoS ONE, 10.

Pachar, 2022, The never ending global emergence of viral zoonoses after COVID-19? The rising concern of monkeypox in Europe, North America and beyond, Travel Med. Infect. Dis., 49, 102362, 10.1016/j.tmaid.2022.102362

Peruzzu, 2022, Monkeypox Genital Lesions, N. Engl. J. Med., 387, 66, 10.1056/NEJMicm2206893

U.S. Food and Drugs (2022, July 05). FDA Approves the First Drug with an Indication for Treatment of Smallpox, Available online: https://www.fda.gov/news-events/press-announcements/fda-approves-first-drug-indication-treatment-smallpox.

EMA (European Medicines Agency) (2022, July 05). Tecovirimat SIGA, Available online: https://www.ema.europa.eu/en/medicines/human/EPAR/tecovirimat-siga.

Adler, 2022, Clinical features and management of human monkeypox: A retrospective observational study in the UK, Lancet Infect. Dis., 22, 1153, 10.1016/S1473-3099(22)00228-6

Parker, 2014, Co-administration of the broad-spectrum antiviral, brincidofovir (CMX001), with smallpox vaccine does not compromise vaccine protection in mice challenged with ectromelia virus, Antivir. Res., 111, 42, 10.1016/j.antiviral.2014.08.003

Hutson, C.L., Kondas, A.V., Mauldin, M.R., Doty, J.B., Grossi, I.M., Morgan, C.N., Ostergaard, S.D., Hughes, C.M., Nakazawa, Y., and Kling, C. (2021). Pharmacokinetics and Efficacy of a Potential Smallpox Therapeutic, Brincidofovir, in a Lethal Monkeypox Virus Animal Model. mSphere, 6.

Rizk, 2022, Prevention and Treatment of Monkeypox, Drugs, 82, 957, 10.1007/s40265-022-01742-y

Ferraro, 2022, Letter to the editor: Multiple introductions of MPX in Italy from different geographic areas, Eurosurveillance, 27, 2200456, 10.2807/1560-7917.ES.2022.27.23.2200456

Antinori, 2022, Epidemiological, clinical and virological characteristics of four cases of monkeypox support transmission through sexual contact, Italy, May 2022, Eurosurveillance, 27, 2200421, 10.2807/1560-7917.ES.2022.27.22.2200421

Minhaj, 2022, Monkeypox outbreak—Nine states, May 2022, MMWR. Morb. Mortal. Wkly. Rep., 71, 764, 10.15585/mmwr.mm7123e1

Daskalakis, D., McClung, R.P., Mena, L., Mermin, J., and Centers for Disease Control and Prevention’s Monkeypox Response Team (2022). Monkeypox: Avoiding the Mistakes of Past Infectious Disease Epidemics. Ann. Intern. Med.

Eckburg, 2004, Human monkeypox: An emerging zoonosis, Lancet Infect. Dis., 4, 15, 10.1016/S1473-3099(03)00856-9

European Centre for Disease Prevention and Control, World Health Organization, and Regional Office for Europe (2022, June 14). Interim Advice for Public Health Authorities on Summer Events during the Monkeypox Outbreak in Europe, 2022, Available online: https://www.ecdc.europa.eu/en/publications-data/interim-advice-public-health-authorities-summer-events-during-monkeypox-outbreak.