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Abstract

Up to 22 June 2022, 508 confirmed cases of monkeypox (MPX) have been reported in the Madrid region of Spain, 99% are men (n = 503) with a median age of 35 years (range: 18–67). In this ongoing outbreak, 427 cases (84.1%) reported condomless sex or sex with multiple partners within the 21 days before onset of symptoms, who were predominantly men who have sex with men (MSM) (n = 397; 93%). Both the location of the rash, mainly in the anogenital and perineal area, as well as the presence of inguinal lymphadenopathy suggest that close physical contact during sexual activity played a key role in transmission. Several cases reported being at a sauna in the city of Madrid (n = 34) or a mass event held on the Spanish island of Gran Canaria (n = 27), activities which may represent a conducive environment for MPX virus spread, with many private parties also playing an important role. Because of the rapid implementation of MPX surveillance in Madrid, one of the largest outbreaks reported outside Africa was identified. To minimise transmission, we continue to actively work with LGBTIQ+ groups and associations, with the aim of raising awareness among people at risk and encouraging them to adopt preventive measures.

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2022-07-07
2024-12-23
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Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Jes%C3%BAs+I%C3%B1igo+Mart%C3%ADnez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Iñigo Martínez Jesús</a>, <a href="/search?value1=Elisa+Gil+Montalb%C3%A1n&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gil Montalbán Elisa</a>, <a href="/search?value1=Susana+Jim%C3%A9nez+Bueno&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jiménez Bueno Susana</a>, <a href="/search?value1=Fernando+Mart%C3%ADn+Mart%C3%ADnez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Martín Martínez Fernando</a>, <a href="/search?value1=Alba+Nieto+Juli%C3%A1&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nieto Juliá Alba</a>, <a href="/search?value1=Jes%C3%BAs+S%C3%A1nchez+D%C3%ADaz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sánchez Díaz Jesús</a>, <a href="/search?value1=Natividad+Garc%C3%ADa+Mar%C3%ADn&option1=author&noRedirect=true" class="nonDisambigAuthorLink">García Marín Natividad</a>, <a href="/search?value1=Esther+C%C3%B3rdoba+Deorador&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Córdoba Deorador Esther</a>, <a href="/search?value1=Antonio+Nunziata+Forte&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nunziata Forte Antonio</a>, <a href="/search?value1=Marcos+Alonso+Garc%C3%ADa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Alonso García Marcos</a>, <a href="/search?value1=Ana+Mar%C3%ADa+Humanes+Navarro&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Humanes Navarro Ana María</a>, <a href="/search?value1=Laura+Montero+Morales&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Montero Morales Laura</a>, <a href="/search?value1=Mar%C3%ADa+Jos%C3%A9+Dom%C3%ADnguez+Rodr%C3%ADguez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Domínguez Rodríguez María José</a>, <a href="/search?value1=Manuel+Carbajo+Ariza&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Carbajo Ariza Manuel</a>, <a href="/search?value1=Luis+Miguel+D%C3%ADaz+Garc%C3%ADa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Díaz García Luis Miguel</a>, <a href="/search?value1=Nelva+Mata+Pariente&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mata Pariente Nelva</a>, <a href="/search?value1=Mercedes+Rumayor+Zarzuelo&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rumayor Zarzuelo Mercedes</a>, <a href="/search?value1=Manuel+Jos%C3%A9+Velasco+Rodr%C3%ADguez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Velasco Rodríguez Manuel José</a>, <a href="/search?value1=Andr%C3%A9s+Arag%C3%B3n+Pe%C3%B1a&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Aragón Peña Andrés</a>, <a href="/search?value1=Elena+Rodr%C3%ADguez+Baena&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rodríguez Baena Elena</a>, <a href="/search?value1=%C3%81ngel+Miguel+Benito&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Miguel Benito Ángel</a>, <a href="/search?value1=Ana+P%C3%A9rez+Meixeira&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pérez Meixeira Ana</a>, <a href="/search?value1=Mar%C3%ADa+Ordob%C3%A1s+Gav%C3%ADn&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ordobás Gavín María</a>, <a href="/search?value1=Mar%C3%ADa+%C3%81ngeles+Lopaz+P%C3%A9rez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lopaz Pérez María Ángeles</a>, <a href="/search?value1=Araceli+Arce+Arn%C3%A1ez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Arce Arnáez Araceli</a></span>. Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(27):pii=2200471. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.27.2200471" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.27.2200471</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 10 Jun 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 04 Jul 2022 </span> </p>
/content/10.2807/1560-7917.ES.2022.27.27.2200471
/content/10.2807/1560-7917.ES.2022.27.27.2200471
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