2023-09-18-世界卫生组织-Multi-country_outbreak_of_mpox,_External_situation_report_28_–_19_September_2023_19页_1mb

报告摘要

Total Cases: 90,439 laboratory-confirmed mpox cases globally, including 157 deaths (as of 11 Sep 2023).
Recent Increase: From 14 August to 11 September 2023, 1,131 new cases and five new deaths were reported.
Transmission: Primarily human-to-human via sexual contact and other non-sexual routes; sustained community transmission in South-East Asia and Western Pacific regions.
Affected Countries: Cases reported from 115 countries; 22 countries had active transmission within the last 21 days.
High-Risk Locations: Top contributors include the US (30,610 cases), Brazil (10,967 cases), and Spain (7,580 cases), accounting for 82% of global cases.
Demographics: 96.3% of cases are male, mostly adults (median age 34 years); cases in younger individuals are increasing in the Americas.

General Population: Low risk in countries unexposed to mpox historically; moderate risk in historically affected countries and their neighbors.
Specific Groups: Moderate risk for men who have sex with men and sex workers globally, due to higher exposure and associated factors like HIV.

Standing Recommendations: WHO issued long-term guidelines focusing on integration with health systems, surveillance, stigma reduction, research, and equitable access to vaccines/treatments.
Animal Surveillance: WHO is collaborating with Nigeria to study mpox transmission at the human-animal-environment interface to better control outbreaks.

Outbreak transmission remains low in most regions, but cases are rising in some areas, particularly in Europe and the Americas.
The virus continues to spread through sexual networks, affecting marginalized communities disproportionately.
Mpox-related stigma remains a challenge, and long-term control depends on sustained public health measures and research.

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