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2022–2023 mpox outbreak in the Republic of Ireland

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2022 mpox outbreak in the Republic of Ireland
DiseaseMpox
Virus strainMonkeypox virus (Clade II)
LocationRepublic of Ireland
Arrival date27 May 2022 (2 years, 5 months and 2 days ago).[1]
DateAs of 7 February 2024
Confirmed cases244[2][3]
Hospitalised cases20 (total)[4]
Deaths
0[5][6]
Fatality rate0%
Government website
https://www.hpsc.ie/a-z/zoonotic/monkeypox/

The 2022-2023 mpox outbreak in the Republic of Ireland is part of the larger ongoing global outbreak of human mpox caused by Clade II of the monkeypox virus. The first case in the Republic was confirmed on 27 May 2022.[7]

Background

[edit]

Mpox (/ˈɛmpɒks/, EM-poks; formerly known as monkeypox)[8] is an infectious viral disease that can occur in humans and other animals. Symptoms include a rash that forms blisters and then crusts over, fever, and swollen lymph nodes. The illness is usually mild, and most infected individuals recover within a few weeks without treatment. The time from exposure to the onset of symptoms ranges from three to seventeen days, and symptoms typically last from two to four weeks. However, cases may be severe, especially in children, pregnant women, or people with suppressed immune systems.[9][10][11]

The disease is caused by the monkeypox virus, a zoonotic virus in the genus Orthopoxvirus. The variola virus, which causes smallpox, is also in this genus.[12] Human-to-human transmission can occur through direct contact with infected skin or body fluids, including sexual contact.[12] People remain infectious from the onset of symptoms until all the lesions have scabbed and healed.[9] The virus may spread from infected animals through handling infected meat or via bites or scratches.[9] Diagnosis can be confirmed by polymerase chain reaction (PCR) testing a lesion for the virus's DNA.[12]

Vaccination is recommended for those at high risk of infection.[12] No vaccine has been developed specifically against mpox, but smallpox vaccines have been found to be effective.[13] There is no specific treatment for the disease, so the aim of treatment is to manage the symptoms and prevent complications.[12][14] Antiviral drugs such as tecovirimat can be used to treat mpox,[12] although their effectiveness has not been proved.[15]

Transmission

[edit]
Stages of lesion development.

A large portion of those infected were believed to have not recently traveled to areas of Africa where mpox is normally found, such as Nigeria, the Democratic Republic of the Congo as well as central and western Africa. It is believed to be transmitted by close contact with sick people, with extra caution for those individuals with lesions on their skin or genitals, along with their bedding and clothing. The CDC has also stated that individuals should avoid contact and consumption of dead animals such as rats, squirrels, monkeys and apes along with wild game or lotions derived from animals in Africa.[16]

In addition to more common symptoms, such as fever, headache, swollen lymph nodes, and rashes or lesions, some patients have also experienced proctitis, an inflammation of the rectum lining. CDC has also warned clinicians to not rule out mpox in patients with sexually transmitted infections since there have been reports of co-infections with syphilis, gonorrhea, chlamydia, and herpes.[17]

Statistics

[edit]

As of 28 June 2023, the Health Protection Surveillance Centre (HPSC) had been notified of 228 cases of mpox, no deaths have been recorded so far.[18]

Age profile of confirmed mpox cases as of 28 June 2023[19]
Age Cases
0–18
1
19–24
9
25–34
96
35–44
77
45–54
28
55–64
14
65+
3

Median age: 35; Mean age: 37;

Sex of confirmed mpox cases as of 28 June 2023[20]
Gender Number of cases (%)
Male
226(99.12%)
Female
2(0.88%)
Unknown
0(0%)

Total = 228

Sexual orientation of confirmed mpox cases as of 28 June 2023[21]
Gender Number of cases (%)
gbMSM
205(89.91%)
Other
3(1.32%)
Unknown
20(8.77%)

Total = 228

Timeline

[edit]
Mpox cases in Republic of Ireland  ()
     Deaths        Confirmed cases
2022202220232023
MayMayJunJunJulJulAugAugSepSepOctOctNovNovDecDec
JanJanFebFebMarMarAprAprMayMayJunJun
Last 15 daysLast 15 days
Date
Cases (rise)
Deaths (rise)
2022-05-27
1(n.a.)
2022-05-27
1(=)
2022-05-28
1(=)
2022-05-29
1(=)
2022-05-30
2(+1)
2022-05-31
2(=)
2022-06-01
4(+2)
2022-06-02
6(+2)
2022-06-03
6(=)
2022-06-04
6(=)
2022-06-05
6(=)
2022-06-06
6(=)
2022-06-07
6(=)
2022-06-08
6(=)
2022-06-09
9(+3)
2022-06-10
9(=)
2022-06-11
9(=)
2022-06-12
9(=)
2022-06-13
9(=)
2022-06-14
9(=)
2022-06-15
9(=)
2022-06-16
14(+5)
2022-06-17
14(=)
2022-06-18
14(=)
2022-06-19
14(=)
2022-06-20
14(=)
2022-06-21
14(=)
2022-06-22
14(=)
2022-06-23
28(+14)
2022-06-24
28(=)
2022-06-25
28(=)
2022-06-26
28(=)
2022-06-27
28(=)
2022-06-28
28(=)
2022-06-29
28(=)
2022-06-30
39(+11)
2022-07-01
39(=)
2022-07-02
39(=)
2022-07-03
39(=)
2022-07-04
39(=)
2022-07-05
39(=)
2022-07-06
44(+5)
2022-07-07
44(=)
2022-07-08
44(=)
2022-07-09
44(=)
2022-07-10
44(=)
2022-07-11
44(=)
2022-07-12
44(=)
2022-07-13
54(+10)
2022-07-14
54(=)
2022-07-15
54(=)
2022-07-16
54(=)
2022-07-17
54(=)
2022-07-18
54(=)
2022-07-19
54(=)
2022-07-20
69(+15)
2022-07-21
69(=)
2022-07-22
69(=)
2022-07-23
69(=)
2022-07-24
69(=)
2022-07-25
69(=)
2022-07-26
69(=)
2022-07-27
85(+16)
2022-07-28
85(=)
2022-07-29
85(=)
2022-07-30
85(=)
2022-07-31
85(=)
2022-08-01
85(=)
2022-08-02
85(=)
2022-08-03
97(+12)
2022-08-04
97(=)
2022-08-05
97(=)
2022-08-06
97(=)
2022-08-07
97(=)
2022-08-08
97(=)
2022-08-09
97(=)
2022-08-10
101(+4)
2022-08-11
101(=)
2022-08-12
101(=)
2022-08-13
101(=)
2022-08-14
101(=)
2022-08-15
101(=)
2022-08-16
101(=)
2022-08-17
113(+12)
2022-08-18
113(=)
2022-08-19
113(=)
2022-08-20
113(=)
2022-08-21
113(=)
2022-08-22
113(=)
2022-08-23
113(=)
2022-08-24
126(+13)
2022-08-25
126(=)
2022-08-26
126(=)
2022-08-27
126(=)
2022-08-28
126(=)
2022-08-29
126(=)
2022-08-30
126(=)
2022-08-31
144(+18)
2022-09-01
144(=)
2022-09-02
144(=)
2022-09-03
144(=)
2022-09-04
144(=)
2022-09-05
144(=)
2022-09-06
144(=)
2022-09-07
160(+16)
2022-09-08
160(=)
2022-09-09
160(=)
2022-09-10
160(=)
2022-09-11
160(=)
2022-09-12
160(=)
2022-09-13
160(=)
2022-09-14
173(+13)
2022-09-15
173(=)
2022-09-16
173(=)
2022-09-17
173(=)
2022-09-18
173(=)
2022-09-19
173(=)
2022-09-20
173(=)
2022-09-21
177(+4)
2022-09-22
177(=)
2022-09-23
177(=)
2022-09-24
177(=)
2022-09-25
177(=)
2022-09-26
177(=)
2022-09-27
177(=)
2022-09-28
183(+6)
2022-09-29
183(=)
2022-09-30
183(=)
2022-10-01
183(=)
2022-10-02
183(=)
2022-10-03
183(=)
2022-10-04
194(+11)
2022-10-05
194(=)
2022-10-06
194(=)
2022-10-07
194(=)
2022-10-08
194(=)
2022-10-09
194(=)
2022-10-10
194(=)
2022-10-11
194(=)
2022-10-12
198(+4)
2022-10-13
198(=)
2022-10-14
198(=)
2022-10-15
198(=)
2022-10-16
198(=)
2022-10-17
198(=)
2022-10-18
198(=)
2022-10-19
200(+2)
2022-10-20
200(=)
2022-10-21
200(=)
2022-10-22
200(=)
2022-10-23
200(=)
2022-10-24
200(=)
2022-10-25
200(=)
2022-10-26
206(+6)
2022-10-27
206(=)
2022-10-28
206(=)
2022-10-29
206(=)
2022-10-30
206(=)
2022-10-31
206(=)
2022-11-01
206(=)
2022-11-02
207(+1)
2022-11-03
207(=)
2022-11-04
207(=)
2022-11-05
207(=)
2022-11-06
207(=)
2022-11-07
207(=)
2022-11-08
207(=)
2022-11-09
210(+3)
2022-11-10
210(=)
2022-11-11
210(=)
2022-11-12
210(=)
2022-11-13
210(=)
2022-11-14
210(=)
2022-11-15
210(=)
2022-11-16
214(+4)
2022-11-17
214(=)
2022-11-18
214(=)
2022-11-19
214(=)
2022-11-20
214(=)
2022-11-21
214(=)
2022-11-22
214(=)
2022-11-23
217(+3)
2022-11-24
217(=)
2022-11-25
217(=)
2022-11-26
217(=)
2022-11-27
217(=)
2022-11-28
217(=)
2022-11-29
217(=)
2022-11-30
220(+3)
2022-12-01
220(=)
2022-12-02
220(=)
2022-12-03
220(=)
2022-12-04
220(=)
2022-12-05
220(=)
2022-12-06
220(=)
2022-12-07
223(+3)
2022-12-08
223(=)
2022-12-09
223(=)
2022-12-10
223(=)
2022-12-11
223(=)
2022-12-12
223(=)
2022-12-13
223(=)
2022-12-14
225(+2)
2022-12-15
225(=)
2022-12-16
225(=)
2022-12-17
225(=)
2022-12-18
225(=)
2022-12-19
225(=)
2022-12-19
225(=)
2022-12-20
225(=)
2022-12-21
225(=)
2022-12-22
225(=)
2022-12-23
225(=)
2022-12-24
225(=)
2022-12-25
225(=)
2022-12-26
225(=)
2022-12-27
225(=)
2022-12-28
225(=)
2022-12-29
225(=)
2022-12-30
225(=)
2022-12-31
225(=)
2023-01-01
225(=)
2023-01-02
225(=)
2023-01-03
225(=)
2023-01-04
227(+2)
2023-01-05
227(=)
2023-01-06
227(=)
2023-01-07
227(=)
2023-01-08
227(=)
2023-01-09
227(=)
2023-01-10
227(=)
2023-01-11
227(=)
2023-01-12
227(=)
2023-01-13
227(=)
2023-01-14
227(=)
2023-01-15
227(=)
2023-01-16
227(=)
2023-01-17
227(=)
2023-01-18
227(=)
2023-01-19
227(=)
2023-01-20
227(=)
2023-01-21
227(=)
2023-01-22
227(=)
2023-01-23
227(=)
2023-01-24
227(=)
2023-01-25
228(+1)
2023-01-26
228(=)
2023-01-27
228(=)
2023-01-28
228(=)
2023-01-29
228(=)
2023-01-30
228(=)
2023-01-31
228(=)
2023-02-01
228(=)
2023-02-02
228(=)
2023-02-03
228(=)
2023-02-04
228(=)
2023-02-05
228(=)
2023-02-06
228(=)
2023-02-07
228(=)
2023-02-08
228(=)
2023-02-09
228(=)
2023-02-10
228(=)
2023-02-11
228(=)
2023-02-12
228(=)
2023-02-13
228(=)
2023-02-14
228(=)
2023-02-15
228(=)
2023-02-16
228(=)
2023-02-17
228(=)
2023-02-18
228(=)
2023-02-19
228(=)
2023-02-20
228(=)
2023-02-21
228(=)
2023-02-22
228(=)
2023-02-23
228(=)
2023-02-24
228(=)
2023-02-25
228(=)
2023-02-26
228(=)
2023-02-27
228(=)
2023-02-28
228(=)
2023-03-01
228(=)
2023-03-02
228(=)
2023-03-03
228(=)
2023-03-04
228(=)
2023-03-05
228(=)
2023-03-06
228(=)
2023-03-07
228(=)
2023-03-08
228(=)
2023-03-09
228(=)
2023-03-10
228(=)
2023-03-11
228(=)
2023-03-12
228(=)
2023-03-13
228(=)
2023-03-14
228(=)
2023-03-15
228(=)
2023-03-16
228(=)
2023-03-17
228(=)
2023-03-18
228(=)
2023-03-19
228(=)
2023-03-20
228(=)
2023-03-21
228(=)
2023-03-22
228(=)
2023-03-23
228(=)
2023-03-24
228(=)
2023-03-25
228(=)
2023-03-26
228(=)
2023-03-27
228(=)
2023-03-28
228(=)
2023-03-29
228(=)
2023-03-30
228(=)
2023-03-31
228(=)
2023-04-01
228(=)
2023-04-02
228(=)
2023-04-03
228(=)
2023-04-04
228(=)
2023-04-05
228(=)
2023-04-06
228(=)
2023-04-07
228(=)
2023-04-08
228(=)
2023-04-09
228(=)
2023-04-10
228(=)
2023-04-11
228(=)
2023-04-12
228(=)
2023-04-13
228(=)
2023-04-14
228(=)
2023-04-15
228(=)
2023-04-16
228(=)
2023-04-17
228(=)
2023-04-18
228(=)
2023-04-19
228(=)
2023-04-20
228(=)
2023-04-21
228(=)
2023-04-22
228(=)
2023-04-23
228(=)
2023-04-24
228(=)
2023-04-25
228(=)
2023-04-26
228(=)
2023-04-27
228(=)
2023-04-28
2023-04-29
228(n.a.)
2023-04-30
228(=)
2023-05-01
228(=)
2023-05-02
228(=)
2023-05-03
228(=)
2023-05-04
228(=)
2023-05-05
228(=)
2023-05-06
228(=)
2023-05-07
228(=)
2023-05-08
228(=)
2023-05-09
228(=)
2023-05-10
228(=)
2023-05-11
228(=)
2023-05-12
228(=)
2023-05-13
228(=)
2023-05-14
228(=)
2023-05-15
228(=)
2023-05-16
228(=)
2023-05-17
228(=)
2023-05-18
228(=)
2023-05-19
228(=)
2023-05-20
228(=)
2023-05-21
228(=)
2023-05-22
228(=)
2023-05-23
228(=)
2023-05-24
228(=)
2023-05-25
228(=)
2023-05-26
228(=)
2023-05-27
228(=)
2023-05-28
228(=)
2023-05-29
228(=)
2023-05-30
228(=)
2023-05-31
228(=)
2023-06-01
228(=)
2023-06-02
228(=)
2023-06-03
228(=)
2023-06-04
228(=)
2023-06-05
228(=)
2023-06-06
228(=)
2023-06-07
228(=)
2023-06-08
228(=)
2023-06-09
228(=)
2023-06-10
228(=)
2023-06-11
228(=)
2023-06-12
228(=)
2023-06-13
228(=)
2023-06-14
228(=)
2023-06-15
228(=)
2023-06-16
228(=)
2023-06-17
228(=)
2023-06-18
228(=)
2023-06-19
228(=)
2023-06-20
228(=)
2023-06-21
228(=)
2023-06-22
228(=)
2023-06-23
228(=)
2023-06-24
228(=)
2023-06-25
228(=)
2023-06-26
228(=)
2023-06-27
228(=)
2023-06-28
228(=)

See also

[edit]

Notes

[edit]

References

[edit]
  1. ^ Hogan, Laura (28 May 2022). "First case of monkeypox confirmed in Ireland". RTÉ News. Retrieved 5 September 2022.
  2. ^ "Epidemiology of monkeypox in Ireland". 28 June 2023. Retrieved 28 June 2023.
  3. ^ "2022 monkeypox outbreak global map". cdc.gov. 28 June 2023. Retrieved 28 June 2023.
  4. ^ "Epidemiology of monkeypox in Ireland". 28 June 2023. Retrieved 28 June 2023.
  5. ^ "Epidemiology of human monkeypox in Ireland". 28 June 2023. Retrieved 28 June 2023.
  6. ^ "2022 monkeypox outbreak global map". cdc.gov. 28 June 2023. Retrieved 28 June 2023.
  7. ^ Hogan, Laura (28 May 2022). "First case of monkeypox confirmed in Ireland". RTÉ News. Retrieved 5 September 2022.
  8. ^ "WHO recommends new name for monkeypox disease" (Press release). World Health Organization (WHO). 28 November 2022. Archived from the original on 1 December 2022. Retrieved 29 November 2022.
  9. ^ a b c "Mpox". World Health Organization (WHO). 17 August 2024. Archived from the original on 19 August 2024. Retrieved 22 August 2024.
  10. ^ "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  11. ^ "Mpox Symptoms". U.S. Centers for Disease Control and Prevention (CDC). 15 March 2024. Archived from the original on 2 April 2024. Retrieved 22 August 2024.
  12. ^ a b c d e f "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  13. ^ Christodoulidou MM, Mabbott NA (1 January 2023). "Efficacy of smallpox vaccines against Mpox infections in humans". Immunotherapy Advances. 3 (1): ltad020. doi:10.1093/immadv/ltad020. PMC 10598838. PMID 37886620.
  14. ^ "Mpox (formerly Monkeypox)". NIH: National Institute of Allergy and Infectious Diseases. 6 December 2022. Archived from the original on 23 May 2023. Retrieved 24 May 2023.
  15. ^ "Patient's Guide to Mpox Treatment with Tecovirimat (TPOXX)". U.S. Centers for Disease Control and Prevention (CDC). 28 November 2022. Archived from the original on 24 May 2023. Retrieved 24 May 2023.
  16. ^ Vargas, Ramon Antonio (2022-06-07). "US raises monkeypox alert level but says risk to public remains low". the Guardian. Retrieved 2022-06-09.
  17. ^ "Monkeypox update: Where the outbreak stands now".
  18. ^ "Epidemiology of human monkeypox in Ireland". 28 June 2023. Archived from the original on 5 July 2022. Retrieved 28 June 2023.
  19. ^ "Epidemiology of human monkeypox in Ireland". 28 June 2023. Archived from the original on 5 July 2022. Retrieved 28 June 2023.
  20. ^ "Epidemiology of human monkeypox in Ireland". 28 June 2023. Archived from the original on 5 July 2022. Retrieved 28 June 2023.
  21. ^ "Epidemiology of human monkeypox in Ireland". 28 June 2023. Archived from the original on 5 July 2022. Retrieved 28 June 2023.