Likewise, although most cases to date have occurred among gay, bisexual, and other men who have sex with men, any patient with rash consistent with monkeypox should be considered for testing. Clinicians should test patients with rash consistent with monkeypox, † regardless of whether the rash is disseminated or was preceded by prodrome. Public health efforts should prioritize gay, bisexual, and other men who have sex with men, who are currently disproportionately affected, for prevention and testing, while addressing equity, minimizing stigma, and maintaining vigilance for transmission in other populations. CDC and other federal, state, and local agencies have implemented response efforts to expand testing, treatment, and vaccination. Compared with historical reports of monkeypox in areas with endemic disease, currently reported outbreak-associated cases are less likely to have a prodrome and more likely to have genital involvement. Data suggest that widespread community transmission of monkeypox has disproportionately affected gay, bisexual, and other men who have sex with men and racial and ethnic minority groups. Forty-two percent of persons with monkeypox with available data did not report the typical prodrome as their first symptom, and 46% reported one or more genital lesions during their illness 41% had HIV infection. Among the 88% of cases with available data, 41% were among non-Hispanic White (White) persons, 28% among Hispanic or Latino (Hispanic) persons, and 26% among non-Hispanic Black or African American (Black) persons. Among these, 99% of cases were among men among men with available information, 94% reported male-to-male sexual or close intimate contact during the 3 weeks before symptom onset. Among 2,891 cases reported in the United States through July 22 by 43 states, Puerto Rico, and the District of Columbia (DC), CDC received case report forms for 1,195 (41%) cases by July 27. monkeypox case), CDC and health departments implemented enhanced monkeypox case detection and reporting. monkeypox outbreak, which began on May 17, to be a public health emergency ( 1, 2). Department of Health and Human Services declared the U.S. Monkeypox, a zoonotic infection caused by an orthopoxvirus, is endemic in parts of Africa. Negrón, DVM, PhD 2,* CDC Multinational Monkeypox Response Team ( View author affiliations) View suggested citation
Oster, MD 2 Athalia Christie, DrPH 2 Jennifer McQuiston, DVM 2 Andrea M. Johnson, MPH 11 Emma Ortega, MPHTM 12 Lori Saathoff-Huber, MPH 17 Anam Syed, MPH 5 Aprielle Wills, MPH 3 Bridget J. Jones, PhD 29 ,30 Brooklyn White, MPH 31 Ryan Chatelain, MPH 32 Mia Russo Sarah Gillani, MPH 16 Ethan Bornstein, MD 1 ,8 Stephen L. Black, MD 4 Erik Kopping, PhD 3 ,25 Irene Ruberto, PhD 26 Angela Maxted, DVM, PhD 27 Anuj Sharma, MPH 5 Kara Tarter, MPH 28 Sydney A. Sievers, MPH 22 Melissa Marzan-Rodriguez, DrPH 23 Marco Tori, MD 1 ,24 Stephanie R. Berns, MPH 19 Lauren Milroy, MPH 20 Haley Blake, MPH 21 Maria M. Mangla, PhD 16 Dana Perella, MPH 6 Arti Barnes, MD 17 Scott Hughes, PhD 3 Jayne Griffith, MPH 18 Abby L. Davis, MPH 9 Jinlene Chen, MD 10 Tiffany Henderson, MPH 11 Katherine Murphy, MPH 12 Meghan Barnes, MSPH 13 Brandi Hopkins, MPH 14 Mary-Margaret A. Newman, DVM 7 Hillary Spencer, MD 1 ,4 Amanda Feldpausch, DVM 5 Kelly Cogswell, MPH 8 Kenneth R. Kerins, VMD 4 Jessica Pavlick, DrPH 5 Lenore Asbel, MD 6 Addie Crawley, MPH 3 Alexandra P.
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