Lessons From the Mpox Response

Daskalakis, Demetre; Romanik, Nikki; Jha, Ashish K.

doi:10.1001/jama.2023.27868

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Vaccines administered by CHDs were provided free of charge to the client and, in some counties, made available outside nightclubs and at social venues or community events. That strategy leveraged lessons learned from HIV prevention programs, including making services available to persons who would most benefit, where they most likely would be, and when they would most likely be comfortable ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

“…When the global mpox epidemic emerged in 2022, and transmission among MSM was quickly recognized, investigation methods in the United States (e.g., questionnaires and case interviews) rapidly aligned to methods typically used for STIs and HIV ( 36 ). In Florida, methods included using experienced disease intervention specialists (DISs) who have advanced skills in eliciting sensitive details regarding sexual history.…”

Section: Discussionmentioning

confidence: 99%

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Concurrent Outbreaks of Hepatitis A, Invasive Meningococcal Disease, and Mpox, Florida, USA, 2021–2022

Doyle,

Gumke,

Stanek

et al. 2024

Emerg. Infect. Dis.

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In 2022, concurrent outbreaks of hepatitis A, invasive meningococcal disease (IMD), and mpox were identified in Florida, USA, primarily among men who have sex with men. The hepatitis A outbreak (153 cases) was associated with hepatitis A virus genotype IA. The IMD outbreak (44 cases) was associated with Neisseria meningitidis serogroup C, sequence type 11, clonal complex 11. The mpox outbreak in Florida (2,845 cases) was part of a global epidemic. The hepatitis A and IMD outbreaks were concentrated in Central Florida and peaked during March–June, whereas mpox cases were more heavily concentrated in South Florida and had peak incidence in August. HIV infection was more common (52%) among mpox cases than among hepatitis A (21%) or IMD (34%) cases. Where feasible, vaccination against hepatitis A, meningococcal disease, and mpox should be encouraged among at-risk groups and offered along with program services that target those groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Concurrent Outbreaks of Hepatitis A, Invasive Meningococcal Disease, and Mpox, Florida, USA, 2021–2022

Doyle,

Gumke,

Stanek

et al. 2024

Emerg. Infect. Dis.

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show abstract

“…Respondent preferences for message execution included accessibility to all people with varied communication needs; delivery through multiple avenues online and offline; with layered tiers of information to avoid over- or under -communication. In the United States, dissemination of information through locally recognised trusted messengers was pertinent to the successful mpox response and stigma reduction [ 47 ]. The engagement of community organisations when designing public health messaging has proven to be especially essential when working in a context of mistrust between communities, outbreak responders, and government [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Community led health promotion to counter stigma and increase trust amongst priority populations: lessons from the 2022–2023 UK mpox outbreak

Biesty,

Hemingway,

Woolgar

et al. 2024

BMC Public Health

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Background Stigma, lack of trust in authorities, and poor knowledge can prevent health-seeking behaviour, worsen physical and mental health, and undermine efforts to control transmission during disease outbreaks. These factors are particularly salient with diseases such as mpox, for which 96% of cases in the 2022–2023 UK outbreak were identified among gay, bisexual, queer and men who have sex with men (MSM). This study explored stigma and health-seeking behaviour in Liverpool through the lens of the recent mpox outbreak. Methods Primary sources of data were interviews with national and regional key informants involved in the mpox response, and participatory workshops with priority populations. Workshop recruitment targeted Grindr users (geosocial dating/hookup app) and at risk MSM; immigrant, black and ethnic minority MSM; and male sex workers in Liverpool. Data were analysed using a deductive framework approach, building on the Health Stigma and Discrimination Framework. Results Key informant interviews (n = 11) and five workshops (n = 15) were conducted. There were prevalent reports of anticipated and experienced stigma due to mpox public health messaging alongside high demand and uptake of the mpox vaccine and regular attendance at sexual health clinics. Respondents believed the limited impact of stigma on health-seeking behaviour was due to actions by the LGBTQ + community, the third sector, and local sexual health clinics. Key informants from the LGBTQ + community and primary healthcare felt their collective action to tackle mpox was undermined by central public health authorities citing under-resourcing; a reliance on goodwill; poor communication; and tokenistic engagement. Mpox communication was further challenged by a lack of evidence on disease transmission and risk. This challenge was exacerbated by the impact of the COVID-19 pandemic on the scientific community, public perceptions of infectious disease, and trust in public health authorities. Conclusions The LGBTQ + community and local sexual health clinics took crucial actions to counter stigma and support health seeking behaviour during the 2022–2023 UK mpox outbreak. Lessons from rights based and inclusive community-led approaches during outbreaks should be heeded in the UK, working towards more meaningful and timely collaboration between affected communities, primary healthcare, and regional and national public health authorities.

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Case 16-2024: A 20-Year-Old Man with a Pustular Rash

Daskalakis,

Heller,

Shenoy

et al. 2024

N Engl J Med

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Lessons From the Mpox Response

Abstract: This Viewpoint discusses 3 key lessons from the mpox response that can help better manage infectious disease outbreaks in the future.

Cited by 5 publications

References 7 publications

Concurrent Outbreaks of Hepatitis A, Invasive Meningococcal Disease, and Mpox, Florida, USA, 2021–2022

Concurrent Outbreaks of Hepatitis A, Invasive Meningococcal Disease, and Mpox, Florida, USA, 2021–2022

Community led health promotion to counter stigma and increase trust amongst priority populations: lessons from the 2022–2023 UK mpox outbreak

Case 16-2024: A 20-Year-Old Man with a Pustular Rash

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