Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022
Author:
Iñigo Martínez Jesús1, Gil Montalbán Elisa1, Jiménez Bueno Susana1, Martín Martínez Fernando1, Nieto Juliá Alba1, Sánchez Díaz Jesús1, García Marín Natividad1, Córdoba Deorador Esther1, Nunziata Forte Antonio1, Alonso García Marcos1, Humanes Navarro Ana María1, Montero Morales Laura1, Domínguez Rodríguez María José1, Carbajo Ariza Manuel1, Díaz García Luis Miguel1, Mata Pariente Nelva1, Rumayor Zarzuelo Mercedes1, Velasco Rodríguez Manuel José1, Aragón Peña Andrés1, Rodríguez Baena Elena1, Miguel Benito Ángel1, Pérez Meixeira Ana1, Ordobás Gavín María1, Lopaz Pérez María Ángeles1, Arce Arnáez Araceli1
Affiliation:
1. Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain
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.
Publisher
European Centre for Disease Control and Prevention (ECDC)
Subject
Virology,Public Health, Environmental and Occupational Health,Epidemiology
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