A shift from travel-associated cases to autochthonous transmission with Berlin as epicentre of the monkeypox outbreak in Germany, May to June 2022

Author:

Selb Regina1ORCID,Werber Dirk2ORCID,Falkenhorst Gerhard3,Steffen Gyde1,Lachmann Raskit3ORCID,Ruscher Claudia2,McFarland Sarah2,Bartel Alexander2ORCID,Hemmers Lukas452ORCID,Koppe Uwe1,Stark Klaus3,Bremer Viviane1,Jansen Klaus1,

Affiliation:

1. Unit 'HIV/AIDS, STI and Blood-borne Infections', Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany

2. State Office for Health and Social Affairs (SOHSA), Unit for Surveillance and Epidemiology of Infectious Diseases, Berlin, Germany

3. Unit 'Gastrointestinal Infections, Zoonoses and Tropical Infections', Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany

4. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

5. Postgraduate Training in Applied Epidemiology (PAE) Unit 'Infectious Disease Epidemiology, Crisis Management, Outbreak Investigations and Training Programmes, Focal Point for the Public Health Service', Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany

Abstract

By 22 June 2022, 521 cases of monkeypox were notified in Germany. The median age was 38 years (IQR: 32–44); all cases were men. In Berlin, where 69% of all cases occurred, almost all were men who have sex with men. Monkeypox virus likely circulated unrecognised in Berlin before early May. Since mid-May, we observed a shift from travel-associated infections to mainly autochthonous transmission that predominantly took place in Berlin, often in association with visits to clubs and parties.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference12 articles.

1. World Health Organization (WHO). Multi-country monkeypox outbreak in non-endemic countries: Update. Geneva: WHO. [Accessed: 22 June 2022]. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON388

2. Robert Koch Institute (RKI). Falldefinition Affenpocken (Affenpockenvirus). Berlin: RKI (2022). Available from: https://www.rki.de/DE/Content/InfAZ/A/Affenpocken/Falldefinition.pdf

3. European Centre for Disease Prevention and Control (ECDC)/World Health Organization Regional Office for Europe (WHO/Europe). Monkeypox, Joint Epidemiological Overview, 17 June 2022. https://monkeypoxreport.ecdc.europa.eu/

4. Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022.;Perez Duque;Euro Surveill,2022

5. Community transmission of monkeypox in the United Kingdom, April to May 2022.;Vivancos;Euro Surveill,2022

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