The Rise of Mpox in a Post-Smallpox World

Reports of mpox are rising in Africa where the disease is endemic and in new countries where the disease has not been previously seen. The 2022 global outbreak of clade II mpox and an ongoing outbreak of the more lethal clade I mpox highlight the pandemic potential for monkeypox virus. Waning popul...

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Main Authors: Jennifer H. McQuiston, Andrea McCollum, Athalia Christie, Fernando Torres, Jonathan Mermin, Daniel B. Jernigan, Christina L. Hutson
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2025-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/31/1/24-1230_article
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author Jennifer H. McQuiston
Andrea McCollum
Athalia Christie
Fernando Torres
Jonathan Mermin
Daniel B. Jernigan
Christina L. Hutson
author_facet Jennifer H. McQuiston
Andrea McCollum
Athalia Christie
Fernando Torres
Jonathan Mermin
Daniel B. Jernigan
Christina L. Hutson
author_sort Jennifer H. McQuiston
collection DOAJ
description Reports of mpox are rising in Africa where the disease is endemic and in new countries where the disease has not been previously seen. The 2022 global outbreak of clade II mpox and an ongoing outbreak of the more lethal clade I mpox highlight the pandemic potential for monkeypox virus. Waning population immunity after the cessation of routine immunization for smallpox plays a key role in the changing epidemiologic patterns of mpox. Sustained human-to-human transmission of mpox is occurring widely in the context of insufficient population immunity, fueling genetic mutations that affect the accuracy of some diagnostic tests and that could lead to changing virulence. Additional research should address complex challenges for control of mpox, including improved diagnostics and medical countermeasures. The availability of vaccines should be expanded not only for outbreak response but also for broader routine use for persons in mpox-endemic countries.
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publishDate 2025-01-01
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series Emerging Infectious Diseases
spelling doaj-art-4b4c6c77e3064125accbc692f6d0ed2f2025-08-20T01:59:52ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592025-01-01311273110.3201/eid3101.241230The Rise of Mpox in a Post-Smallpox WorldJennifer H. McQuistonAndrea McCollumAthalia ChristieFernando TorresJonathan MerminDaniel B. JerniganChristina L. Hutson Reports of mpox are rising in Africa where the disease is endemic and in new countries where the disease has not been previously seen. The 2022 global outbreak of clade II mpox and an ongoing outbreak of the more lethal clade I mpox highlight the pandemic potential for monkeypox virus. Waning population immunity after the cessation of routine immunization for smallpox plays a key role in the changing epidemiologic patterns of mpox. Sustained human-to-human transmission of mpox is occurring widely in the context of insufficient population immunity, fueling genetic mutations that affect the accuracy of some diagnostic tests and that could lead to changing virulence. Additional research should address complex challenges for control of mpox, including improved diagnostics and medical countermeasures. The availability of vaccines should be expanded not only for outbreak response but also for broader routine use for persons in mpox-endemic countries. https://wwwnc.cdc.gov/eid/article/31/1/24-1230_articlempoxmonkeypox virussmallpoxoutbreakorthopox vaccinevaccines
spellingShingle Jennifer H. McQuiston
Andrea McCollum
Athalia Christie
Fernando Torres
Jonathan Mermin
Daniel B. Jernigan
Christina L. Hutson
The Rise of Mpox in a Post-Smallpox World
Emerging Infectious Diseases
mpox
monkeypox virus
smallpox
outbreak
orthopox vaccine
vaccines
title The Rise of Mpox in a Post-Smallpox World
title_full The Rise of Mpox in a Post-Smallpox World
title_fullStr The Rise of Mpox in a Post-Smallpox World
title_full_unstemmed The Rise of Mpox in a Post-Smallpox World
title_short The Rise of Mpox in a Post-Smallpox World
title_sort rise of mpox in a post smallpox world
topic mpox
monkeypox virus
smallpox
outbreak
orthopox vaccine
vaccines
url https://wwwnc.cdc.gov/eid/article/31/1/24-1230_article
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