Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022.

Autor:	Iñigo Martínez J; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Gil Montalbán E; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Jiménez Bueno S; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Martín Martínez F; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Nieto Juliá A; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Sánchez Díaz J; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., García Marín N; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Córdoba Deorador E; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Nunziata Forte A; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Alonso García M; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Humanes Navarro AM; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Montero Morales L; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Domínguez Rodríguez MJ; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Carbajo Ariza M; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Díaz García LM; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Mata Pariente N; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Rumayor Zarzuelo M; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Velasco Rodríguez MJ; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Aragón Peña A; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Rodríguez Baena E; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Miguel Benito Á; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Pérez Meixeira A; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Ordobás Gavín M; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Lopaz Pérez MÁ; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain., Arce Arnáez A; Directorate General of Public Health, Regional Ministry of Health of Madrid, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [Euro Surveill] 2022 Jul; Vol. 27 (27).
DOI:	10.2807/1560-7917.ES.2022.27.27.2200471
Abstrakt:	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.
Databáze:	MEDLINE
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