Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024

Aisling M Vaughan; Mohammed Afzal; Priyanka Nannapaneni; Mathias Leroy; Xanthi Andrianou; Jeffrey Pires; Silvia Funke; Celine Roman; Juliana Reyes-Uruena; Stephan Aberle; Aristos Aristodimou; Gudrun Aspelund; Kirsty F Bennet; Antra Bormane; Anna Caraglia; Hannah Charles; Emilie Chazelle; Iva Christova; Orna Cohen; Costas Constantinou; Simon Couvreur; Asuncion Diaz; Kateřina Fabiánová; Federica Ferraro; Marte Petrikke Grenersen; Eva Grilc; Tuula Hannila-Handelberg; Anne Kathrine Hvass; Derval Igoe; Klaus Jansen; Denisa Janță; Styliani Kaoustou; Anders Koch; Mirjana Lana Kosanovic Licina; Stefka Krumova; Anton Labutin; Raskit Lachmann; Amaryl Lecompte; Rémi Lefrançois; Viktorija Leitena; Kirsi Liitsola; Ivan Mlinarić; Zohar Mor; Martha Neary; Alina Novacek; Magnus Wenstøp Øgle; Hana Orlíková; Kalliopi Papadima; Moa Rehn; Malgorzata Sadkowska-Todys; Anca Sîrbu; Klara Sondén; Berta Suárez; Marianna Thordardottir; Paula Vasconcelos; Joao Vieira Martins; Karolina Zakrzewska; Marc-Alain Widdowson; Céline M Gossner

doi:10.2807/1560-7917.ES.2024.29.27.2400330

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Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024
Aisling M Vaughan^1,* , Mohammed Afzal^2,* , Priyanka Nannapaneni² , Mathias Leroy¹ , Xanthi Andrianou² , Jeffrey Pires¹ , Silvia Funke² , Celine Roman¹ , Juliana Reyes-Uruena² , Stephan Aberle³ , Aristos Aristodimou⁴ , Gudrun Aspelund⁵ , Kirsty F Bennet⁶ , Antra Bormane⁷ , Anna Caraglia⁸ , Hannah Charles⁶ , Emilie Chazelle⁹ , Iva Christova¹⁰ , Orna Cohen¹¹ , Costas Constantinou⁴ , Simon Couvreur¹² , Asuncion Diaz¹³ , Kateřina Fabiánová¹⁴ , Federica Ferraro⁸ , Marte Petrikke Grenersen¹⁵ , Eva Grilc¹⁶ , Tuula Hannila-Handelberg¹⁷ , Anne Kathrine Hvass¹⁸ , Derval Igoe¹⁹ , Klaus Jansen²⁰ , Denisa Janță²¹ , Styliani Kaoustou²² , Anders Koch^18,23 , Mirjana Lana Kosanovic Licina²⁴ , Stefka Krumova¹⁰ , Anton Labutin²⁵ , Raskit Lachmann²⁰ , Amaryl Lecompte¹² , Rémi Lefrançois²⁶ , Viktorija Leitena⁷ , Kirsi Liitsola¹⁷ , Ivan Mlinarić²⁷ , Zohar Mor^11,28 , Martha Neary²⁹ , Alina Novacek³⁰ , Magnus Wenstøp Øgle¹⁵ , Hana Orlíková^14,31 , Kalliopi Papadima²² , Moa Rehn³² , Malgorzata Sadkowska-Todys³³ , Anca Sîrbu²¹ , Klara Sondén³² , Berta Suárez³⁴ , Marianna Thordardottir⁵ , Paula Vasconcelos³⁵ , Joao Vieira Martins³⁶ , Karolina Zakrzewska³³ , Marc-Alain Widdowson^1,** , Céline M Gossner^2,**
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Affiliations: ¹ World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark ² European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden ³ Medical University of Vienna, Centre for Virology, Vienna, Austria ⁴ Medical and Public Health Services, Nicosia, Cyprus ⁵ Centre for Health Security and Communicable Disease Control, Directorate of Health, Reykjavik, Iceland ⁶ United Kingdom Health Security Agency, London, United Kingdom ⁷ Center for Disease Prevention and Control of Latvia, Department of Infectious Diseases Risk Analysis and Prevention, Riga, Latvia ⁸ Ministry of Health, Rome, Italy ⁹ Santé publique France, the French National Public Health Agency, Saint-Maurice, France ¹⁰ National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria ¹¹ Division of Epidemiology, Ministry of Health, Jerusalem, Israel ¹² Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium ¹³ National Centre of Epidemiology, CIBER in Infectious Diseases (CIBERINFEC), Carlos III Health Institute, Madrid, Spain ¹⁴ National Institute of Public Health, Centre for Epidemiology and Microbiology, Department of Infectious Disease Epidemiology, Prague, Czechia ¹⁵ Norwegian Institute of Public Health (NIPH), Oslo, Norway ¹⁶ NIJZ (NIPH), Centre for Communicable Diseases, Ljubljana, Slovenia ¹⁷ Finnish Institute for Health and Welfare, Helsinki, Finland ¹⁸ Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark ¹⁹ HSE Public Health: National Health Protection Office, Dublin, Ireland ²⁰ Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany ²¹ National Institute of Public Health, Bucharest, Romania ²² Directorate of Epidemiological Surveillance and Intervention for Communicable Diseases, National Public Health Organization, Marousi, Greece ²³ Department of Infectious Diseases, Rigshospitalet University Hospital, Copenhagen, Denmark ²⁴ Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia ²⁵ Swiss Federal Office of Public Health, Bern, Switzerland ²⁶ Santé publique France, the French National Public Health Agency, Saint-Denis, France ²⁷ Croatian Institute of Public Health, Division for Epidemiology of Communicable Diseases, Zagreb, Croatia ²⁸ School of Health Sciences, Ashkelon Academic College, Ashkelon, Israel ²⁹ HSE Health Protection Surveillance Centre, Dublin, Ireland ³⁰ Austrian Agency for Health and Food Safety, Vienna, Austria ³¹ Department of Epidemiology and Biostatistics, Third Faculty of Medicine, Charles University, Prague, Czechia ³² Public Health Agency of Sweden (PHAS), Solna, Sweden ³³ National Institute of Public Health NIH - National Research Institute, Warsaw, Poland ³⁴ Coordinating Centre for Health Alerts and Emergencies (CCAES), Directorate General of Public Health, Ministry of Health, Madrid, Spain ³⁵ Public Health Emergency Centre, Directorate-General of Health (DGS), Lisbon, Portugal ³⁶ Directorate of Information and Analysis, Directorate-General of Health, Lisbon, Portugal ^* These authors contributed equally as first authors ^** These authors contributed equally as last authors

Correspondence:
Aisling M. Vaughan
vaughana who.int
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Citation style for this article: Vaughan Aisling M, Afzal Mohammed, Nannapaneni Priyanka, Leroy Mathias, Andrianou Xanthi, Pires Jeffrey, Funke Silvia, Roman Celine, Reyes-Uruena Juliana, Aberle Stephan, Aristodimou Aristos, Aspelund Gudrun, Bennet Kirsty F, Bormane Antra, Caraglia Anna, Charles Hannah, Chazelle Emilie, Christova Iva, Cohen Orna, Constantinou Costas, Couvreur Simon, Diaz Asuncion, Fabiánová Kateřina, Ferraro Federica, Grenersen Marte Petrikke, Grilc Eva, Hannila-Handelberg Tuula, Hvass Anne Kathrine, Igoe Derval, Jansen Klaus, Janță Denisa, Kaoustou Styliani, Koch Anders, Kosanovic Licina Mirjana Lana, Krumova Stefka, Labutin Anton, Lachmann Raskit, Lecompte Amaryl, Lefrançois Rémi, Leitena Viktorija, Liitsola Kirsi, Mlinarić Ivan, Mor Zohar, Neary Martha, Novacek Alina, Øgle Magnus Wenstøp, Orlíková Hana, Papadima Kalliopi, Rehn Moa, Sadkowska-Todys Malgorzata, Sîrbu Anca, Sondén Klara, Suárez Berta, Thordardottir Marianna, Vasconcelos Paula, Vieira Martins Joao, Zakrzewska Karolina, Widdowson Marc-Alain, Gossner Céline M. Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024. Euro Surveill. 2024;29(27):pii=2400330. https://doi.org/10.2807/1560-7917.ES.2024.29.27.2400330 Received: 30 May 2024; Accepted: 04 Jul 2024

Abstract

During the summer of 2023, the European Region experienced a limited resurgence of mpox cases following the substantial outbreak in 2022. This increase was characterised by asynchronous and bimodal increases, with countries experiencing peaks at different times. The demographic profile of cases during the resurgence was largely consistent with those reported previously. All available sequences from the European Region belonged to clade IIb. Sustained efforts are crucial to control and eventually eliminate mpox in the European Region.

This work is licensed under a Creative Commons Attribution 4.0 International License.

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Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024

Citation style for this article: <a href="/search?value1=Aisling+M+Vaughan&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vaughan Aisling M</a>, <a href="/search?value1=Mohammed+Afzal&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Afzal Mohammed</a>, <a href="/search?value1=Priyanka+Nannapaneni&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nannapaneni Priyanka</a>, <a href="/search?value1=Mathias+Leroy&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Leroy Mathias</a>, <a href="/search?value1=Xanthi+Andrianou&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Andrianou Xanthi</a>, <a href="/search?value1=Jeffrey+Pires&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pires Jeffrey</a>, <a href="/search?value1=Silvia+Funke&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Funke Silvia</a>, <a href="/search?value1=Celine+Roman&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Roman Celine</a>, <a href="/search?value1=Juliana+Reyes-Uruena&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Reyes-Uruena Juliana</a>, <a href="/search?value1=Stephan+Aberle&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Aberle Stephan</a>, <a href="/search?value1=Aristos+Aristodimou&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Aristodimou Aristos</a>, <a href="/search?value1=Gudrun+Aspelund&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Aspelund Gudrun</a>, <a href="/search?value1=Kirsty+F+Bennet&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bennet Kirsty F</a>, <a href="/search?value1=Antra+Bormane&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bormane Antra</a>, <a href="/search?value1=Anna+Caraglia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Caraglia Anna</a>, <a href="/search?value1=Hannah+Charles&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Charles 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Federica</a>, <a href="/search?value1=Marte+Petrikke+Grenersen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Grenersen Marte Petrikke</a>, <a href="/search?value1=Eva+Grilc&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Grilc Eva</a>, <a href="/search?value1=Tuula+Hannila-Handelberg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hannila-Handelberg Tuula</a>, <a href="/search?value1=Anne+Kathrine+Hvass&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hvass Anne Kathrine</a>, <a href="/search?value1=Derval+Igoe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Igoe Derval</a>, <a href="/search?value1=Klaus+Jansen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jansen Klaus</a>, <a href="/search?value1=Denisa+Jan%C8%9B%C4%83&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Janță Denisa</a>, <a href="/search?value1=Styliani+Kaoustou&option1=author&noRedirect=true" 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Paula</a>, <a href="/search?value1=Joao+Vieira+Martins&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vieira Martins Joao</a>, <a href="/search?value1=Karolina+Zakrzewska&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zakrzewska Karolina</a>, <a href="/search?value1=Marc-Alain+Widdowson&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Widdowson Marc-Alain</a>, <a href="/search?value1=C%C3%A9line+M+Gossner&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gossner Céline M</a>. Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024. <a href="/content/ecdc">Euro Surveill.</a> 2024;29(27):pii=2400330. <a href="https://doi.org/10.2807/1560-7917.ES.2024.29.27.2400330" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2024.29.27.2400330</a> Received: 30 May 2024;   Accepted: 04 Jul 2024

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