Monkeypox: contexto, implicações e desafios para serviços de saúde e vigilância

Macedo, Laylla Ribeiro; Maciel, Ethel Leonor Nóia

doi:10.1590/s2237-96222023000100018

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…Mpox is not classified as a sexually transmitted infection (STI), although it can spread through intimate contact during sexual activity if there is an active skin rash (Sousa et al., 2022). However, there has been a disproportionate number of cases among gay men and other men who have sex with men (MSM), leading the WHO and some national governments to issue specific recommendations for this group (Macedo & Maciel, 2023; Sousa et al., 2022; Vallée, 2023; World Health Organization, 2023). Notably, official guidelines highlight sexual behavior, advocating for a reduction in practices that involve multiple partners, such as group sex and chemsex (Şahin et al., 2023; Sousa et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Santos,

Ribeiro,

Lima

et al. 2024

Public Health Nursing

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ObjectiveTo understand the factors associated with the practice of chemsex among MSM in Brazil, especially during the Mpox health crisis, and to design effective prevention and intervention strategies specifically for this population.DesignA cross‐sectional and analytical study using an electronic survey, conducted from September to December 2022, during the peak of the Mpox outbreak in Brazil.SampleA total of 1452 MSM aged 18 and older.MeasurementsData were collected via the REDCap platform through a survey with 46 questions. These addressed demographic data, sexual affiliations, practices, experiences with Mpox, healthcare service usage, and stigma or fear related to Mpox.ResultsThe prevalence of chemsex was 19.42% (n = 282). Multivariate Poisson modeling indicated a high incidence of chemsex among those diagnosed with Mpox and those involved in high‐risk behaviors. The practice of chemsex was six times higher among those diagnosed with Mpox (95% CI: 4.73–9.10). MSM who engage in bugchasing had a prevalence twice that of the main outcome (95% CI: 1.31–3.16).ConclusionThere is a significant need for targeted interventions for MSM in Brazil, especially given the Mpox outbreak. This study highlights the strong relationships between chemsex, experiences with Mpox, and various sexual behaviors, underscoring the importance of effective public health initiatives.

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Section: Introductionmentioning

confidence: 99%

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Santos,

Ribeiro,

Lima

et al. 2024

Public Health Nursing

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Notified cases of mpox in the city of Rio de Janeiro, Brazil: a descriptive study, 2022

Ribeiro,

D’Oliveira,

Campos

et al. 2024

Epidemiol. Serv. Saúde

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Objective To describe the profile of cases of mpox in the city of Rio de Janeiro between June and November 2022. Methods This was a descriptive study of secondary data obtained from mpox notification forms. Socioeconomic, clinical and spatial data were analyzed. Results Of the 928 cases, 93.7% were male, 85.0% cisgender male, 65.6% homosexual, 41.8% between 30 and 39 years old, and 41.0% were of White race/skin color. A total of 34.5% had immunosuppression due to illness, and 41.9% reported their HIV status as being positive. The most prevalent signs and symptoms were: skin lesions (96.6%), especially with multiple manifestations (67.8%) in the genital region (46.1%), in addition to fever (58.3%), adenomegaly (43.3%) and headache (38.7%). Most notifications occurred in public services (81.3%) and in hospital care (51.3%). Conclusion The study revealed high incidence of mpox, especially among young, cisgender and homosexual men. Most cases were mild, with genital lesions, progressing to cure without hospitalization. Person-to-person transmission was predominant.

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Casos notificados de mpox na cidade do Rio de Janeiro, Brasil: estudo descritivo, 2022

Ribeiro,

D’Oliveira,

Campos

et al. 2024

Epidemiol. Serv. Saúde

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RESUMO Objetivo Descrever o perfil dos casos de mpox na cidade do Rio de Janeiro, entre junho e novembro de 2022. Métodos Estudo descritivo de dados secundários das fichas de notificação de mpox. Foram analisados dados socioeconômicos, clínicos e espaciais. Resultados Dos 928 casos, 93,7% foram do sexo masculino, 85,0% homem cisgênero, 65,6% homossexual, 41,8% entre 30 e 39 anos e 41,0% brancos. Apresentavam imunodepressão por doença 34,5%, e 41,9% informaram sorologia positiva prévia para vírus da imunodeficiência humana. Os sinais e sintomas mais prevalentes foram: lesões cutâneas (96,6%), especialmente com manifestações múltiplas (67,8%) e em região genital (46,1%), além de febre (58,3%), adenomegalia (43,3%) e cefaleia (38,7%). A maioria das notificações ocorreu na rede pública (81,3%) e na atenção hospitalar (51,3%). Conclusão O estudo revelou maior incidência de mpox entre homens cisgênero, autodeclarados de cor branca e homossexual. A maioria dos casos teve apresentação leve evoluindo para cura sem hospitalização.

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Monkeypox: contexto, implicações e desafios para serviços de saúde e vigilância

Cited by 5 publications

References 3 publications

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Notified cases of mpox in the city of Rio de Janeiro, Brazil: a descriptive study, 2022

Casos notificados de mpox na cidade do Rio de Janeiro, Brasil: estudo descritivo, 2022

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