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Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022
- Mariana Perez Duque1,* , Sofia Ribeiro1,2,* , João Vieira Martins1 , Pedro Casaca1 , Pedro Pinto Leite1 , Margarida Tavares3,4,5,6 , Kamal Mansinho7,8 , Luís Miguel Duque9,10 , Cândida Fernandes11 , Rita Cordeiro12 , Maria José Borrego12 , Ana Pelerito12 , Isabel Lopes de Carvalho12 , Sofia Núncio12 , Vera Manageiro12,13 , Corrado Minetti12,13 , Jorge Machado12 , Joana M Haussig14 , Roberto Croci14 , Gianfranco Spiteri14 , Ana Sofia Casal15 , Diana Mendes16 , Tiago Souto17 , Sara Pocinho17 , Teresa Fernandes15 , Ana Firme17 , Paula Vasconcelos17 , Graça Freitas18
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View Affiliations Hide AffiliationsAffiliations: 1 Directorate of Information and Analysis, Directorate-General of Health, Lisbon, Portugal 2 ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Solna, Sweden 3 National Plan Sexually Transmitted Infections and HIV, Directorate-General of Health, Lisbon, Portugal 4 Department of infections, Department of Infectious Diseases, Centro Hospitalar Universitário de São João, Porto, Portugal 5 EPI Unit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal 6 University of Porto Medical School, Porto, Portugal 7 Infectious Diseases and Tropical Medicine Service, Centro Hospitalar Lisboa Ocidental, EPE/Hospital de Egas Moniz, Lisbon, Portugal 8 Hygiene and Tropical Medicine Institute/NOVA University of Lisbon, Lisbon, Portugal 9 Hospital Garcia de Orta, Almada, Portugal 10 CheckpointLX, Grupo de Ativistas em Tratamentos (GAT), Lisbon, Portugal 11 Sexual Transmitted Diseases Clinic, Dermatovenereology Department, Centro Hospitalar e Universitário de Lisboa Central, Lisbon, Portugal 12 Department of Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal 13 ECDC Fellowship Programme, Public Health Microbiology path (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Solna, Sweden 14 European Centre for Disease Prevention and Control (ECDC), Solna, Sweden 15 Directorate of Health Promotion and Disease Prevention, Directorate-General of Health, Lisbon, Portugal 16 Division for Communication and Public Relations, Directorate-General of Health, Lisbon, Portugal 17 Support Unit of National Health Authority and the Emergency Management in Public Health, Public Health Emergencies Operations Centre, Directorate-General of Health, Lisbon, Portugal 18 National Health Authority, Directorate-General of Health, Lisbon, Portugal* These authors contributed equally to this article and share first authorship.Correspondence:Mariana Perez Duquemduque arsnorte.min-saude.pt
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Citation style for this article: Perez Duque Mariana, Ribeiro Sofia, Martins João Vieira, Casaca Pedro, Leite Pedro Pinto, Tavares Margarida, Mansinho Kamal, Duque Luís Miguel, Fernandes Cândida, Cordeiro Rita, Borrego Maria José, Pelerito Ana, de Carvalho Isabel Lopes, Núncio Sofia, Manageiro Vera, Minetti Corrado, Machado Jorge, Haussig Joana M, Croci Roberto, Spiteri Gianfranco, Casal Ana Sofia, Mendes Diana, Souto Tiago, Pocinho Sara, Fernandes Teresa, Firme Ana, Vasconcelos Paula, Freitas Graça. Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022. Euro Surveill. 2022;27(22):pii=2200424. https://doi.org/10.2807/1560-7917.ES.2022.27.22.2200424 Received: 28 May 2022; Accepted: 02 Jun 2022
Abstract
Up to 27 May 2022, Portugal has detected 96 confirmed cases of monkeypox. We describe 27 confirmed cases (median age: 33 years (range: 22–51); all males), with an earliest symptom onset date of 29 April. Almost all cases (n = 25) live in the Lisbon and Tagus Valley health region. Most cases were neither part of identified transmission chains, nor linked to travel or had contact with symptomatic persons or with animals, suggesting the possible previously undetected spread of monkeypox.
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