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Monkeypox: A Comprehensive Review
Authors:Harapan Harapan  Youdiil Ophinni  Dewi Megawati  Andri Frediansyah  Sukamto S. Mamada  Mirnawati Salampe  Talha Bin Emran  Wira Winardi  Raisha Fathima  Salin Sirinam  Pichamon Sittikul  Ana M. Stoian  Firzan Nainu  Malik Sallam
Abstract:
The 2022 multi-country monkeypox outbreak in humans has brought new public health adversity on top of the ongoing coronavirus disease 2019 (COVID-19) pandemic. The disease has spread to 104 countries throughout six continents of the world, with the highest burden in North America and Europe. The etiologic agent, monkeypox virus (MPXV), has been known since 1959 after isolation from infected monkeys, and virulence among humans has been reported since the 1970s, mainly in endemic countries in West and Central Africa. However, the disease has re-emerged in 2022 at an unprecedented pace, with particular concern on its human-to-human transmissibility and community spread in non-endemic regions. As a mitigation effort, healthcare workers, public health policymakers, and the general public worldwide need to be well-informed on this relatively neglected viral disease. Here, we provide a comprehensive and up-to-date overview of monkeypox, including the following aspects: epidemiology, etiology, pathogenesis, clinical features, diagnosis, and management. In addition, the current review discusses the preventive and control measures, the latest vaccine developments, and the future research areas in this re-emerging viral disease that was declared as a public health emergency of international concern.
Keywords:public health   emergency   international concern   zoonosis   emerging viral infectious diseases   epidemic   vaccination   prevention
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