Canada

World Health Organization update on monkeypox

TORONTO – HEALTH – Toronto Public Health continues to monitor monkeypox activity in Toronto. As of June 3, 2022 at 3 pm there are: 8 positive cases, 10 negative cases and 6 cases are under investigation for this virus.

There are 3 new laboratory confirmed cases since the last update.

The World Health Organization says that from 13 May 2022 to 2 June 2022, 780 laboratory-confirmed cases of monkeypox have been reported or identified by the WHO from 27 Member States in four WHO regions that are not endemic to the monkeypox. Epidemiological studies are ongoing. Most of the cases reported so far have been presented through sexual health or other health services in primary or secondary health care facilities and involved mainly, but not exclusively, men who have sex with men (MSM).

While the West African virus has been identified by case studies so far, most confirmed cases with travel history report travel to countries in Europe and North America, not West or Central Africa, where the monkeypox virus is endemic. Confirmation of smallpox in people who have not traveled to an endemic area is atypical, and even one case of smallpox in a non-endemic country is considered an outbreak. Although most cases are not related to travel from endemic areas, Member States also report a small number of cases of Nigerian travelers, as previously observed.

The sudden and unexpected appearance of monkeypox simultaneously in several non-endemic countries suggests that there may have been an undetected transmission for some unknown period of time, followed by recent events with an amplifier.

The WHO assesses global risk as moderate, given that this is the first time that many cases and groups of monkeypox have been reported simultaneously in non-endemic and endemic countries in many different WHO geographical areas.

The WHO continues to receive up-to-date information on the situation in endemic countries.

Description of the hearth

As of June 2, 2022, 780 laboratory-confirmed cases had been reported to the WHO under the International Health Regulations (IHR) or identified by the WHO from official public sources in 27 non-endemic countries in four WHO regions. This represents an increase of 523 laboratory-confirmed cases (+ 203%) since the May 29 epidemic news, when a total of 257 cases were reported. As of June 2, 2022, there are no deaths related to the current monkeypox epidemic in non-endemic countries, but deaths and deaths continue to be reported by endemic countries.

As investigations continue, preliminary data from polymerase chain reaction (PCR) analyzes show that strains of monkeypox virus found in Europe and other non-endemic areas belong to the West African pile.

Figure 1 and Table 1 show the geographical distribution of monkeypox cases reported or identified by the WHO between 13 May and 2 June 2022 in non-endemic countries. The majority of cases (n = 688; 88%) were reported by the WHO European Region (20 countries). Confirmed cases were also reported from the Americas region (n = 80; 10%), the Eastern Mediterranean region (n = 9; 1%) and the Western Pacific region (n = 3; <1%).

The number of cases varies as more information becomes available on a daily basis and data is verified by the WHO in accordance with IHR regulations.