Urban and Rural Mpox Incidence Among Persons Aged 15-64 Years - United States, May 10-December 31, 2022.

Autor: Zelaya CE; CDC Mpox Emergency Response Team., Smith BP; CDC Mpox Emergency Response Team., Riser AP; CDC Mpox Emergency Response Team., Hong J; CDC Mpox Emergency Response Team., Distler S; CDC Mpox Emergency Response Team., O'Connor S; CDC Mpox Emergency Response Team., Belay E; CDC Mpox Emergency Response Team., Shoeb M; CDC Mpox Emergency Response Team., Waltenburg MA; CDC Mpox Emergency Response Team., Negron ME; CDC Mpox Emergency Response Team., Ellington S; CDC Mpox Emergency Response Team.
Jazyk: angličtina
Zdroj: MMWR. Morbidity and mortality weekly report [MMWR Morb Mortal Wkly Rep] 2023 May 26; Vol. 72 (21), pp. 574-578. Date of Electronic Publication: 2023 May 26.
DOI: 10.15585/mmwr.mm7221a2
Abstrakt: During May 10-December 31, 2022, a total of 29,980 confirmed and probable † U.S. monkeypox (mpox) cases were reported to CDC, predominantly in cisgender adult men reporting recent same-gender sexual partners (1). Urban-rural differences in health (2) and diagnosis of HIV (3,4) and other sexually transmitted infections (5) are well documented nationally. This report describes urban-rural differences in mpox incidence (cases per 100,000 population) among persons aged 15-64 years, by gender and race and ethnicity. Urbanicity was assessed using the 2013 National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties (2). Substantial differences in incidence by urbanicity, gender, and race and ethnicity were observed; most (71.0%) cases occurred in persons residing in large central urban areas. Among the cases in large central urban areas, most (95.7%) were in cisgender men. The overall incidence of mpox in the United States was 13.5 per 100,000 persons aged 15-64 years and peaked in August in both urban and rural areas. Among cisgender men, incidence in rural areas was approximately 4% that in large central urban areas (risk ratio [RR] = 0.04). Among cisgender women, incidence in rural areas was approximately 11% that in large central urban areas (RR = 0.11). In both urban and rural areas, incidence among non-Hispanic Black or African American (Black) and Hispanic or Latino (Hispanic) persons was consistently higher than that among non-Hispanic White (White) persons; RRs between Black and White persons were highest in rural areas. Support and maintenance of mpox surveillance and prevention efforts including vaccinations should focus on urban areas with the highest incidence of mpox during the 2022 outbreak; however, surveillance and prevention efforts should include all genders, persons of color, and persons residing in both urban and rural areas who are at increased risk for mpox.
Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Siobhán O’Connor reports patent applications for kits and methods for determining physiologic levels, ranges of hemoglobin, and disease state, unrelated to the current work. No other potential conflicts of interest were disclosed.
Databáze: MEDLINE
Externí odkaz: