Mpox in children and adolescents and contact follow-up in school settings in greater Paris, France, May 2022 to July 2023
BackgroundDuring the 2022 mpox outbreak in Europe, primarily affecting men who have sex with men, a limited number of cases among children and adolescents were identified. Paediatric cases from outbreaks in endemic countries have been associated with a higher likelihood of severe illness. Detailed c...
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| Veröffentlicht in: | Euro surveillance : bulletin européen sur les maladies transmissibles 2024-05, Vol.29 (21), p.1 |
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| creator | Reques, Laura Mercuriali, Lilas Silué, Yassoungo Chazelle, Emilie Spaccaferri, Guillaume Velter, Annie Mailles, Alexandra Frange, Pierre Tarantola, Arnaud |
| description | BackgroundDuring the 2022 mpox outbreak in Europe, primarily affecting men who have sex with men, a limited number of cases among children and adolescents were identified. Paediatric cases from outbreaks in endemic countries have been associated with a higher likelihood of severe illness. Detailed clinical case descriptions and interventions in school settings before 2022 are limited.AimTo describe clinical characteristics of mpox cases among children ( |
| doi_str_mv | 10.2807/1560-7917.ES.2024.29.21.2300555 |
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Paediatric cases from outbreaks in endemic countries have been associated with a higher likelihood of severe illness. Detailed clinical case descriptions and interventions in school settings before 2022 are limited.AimTo describe clinical characteristics of mpox cases among children (< 15 years) and adolescents (15-17 years) in the greater Paris area in France, and infection control measures in schools.MethodsWe describe all notified laboratory-confirmed and non-laboratory-confirmed cases among children and adolescents identified from May 2022 to July 2023, including demographic and clinical characterisation and infection control measures in school settings, i.e. contact tracing, contact vaccination, secondary attack rate and post-exposure vaccination uptake.ResultsNineteen cases were notified (13 children, 6 adolescents). Four adolescent cases reported sexual contact before symptom onset. Ten child cases were secondary cases of adult patients; three cases were cryptic, with vesicles on hands, arms and/or legs and one case additionally presented with genitoanal lesions. Five cases attended school during their infectious period, with 160 at-risk contacts identified, and one secondary case. Five at-risk contacts were vaccinated following exposure.ConclusionCases among children and adolescents are infrequent but require a careful approach to identify the source of infection and ensure infection control measures. We advocate a 'contact warning' strategy vs 'contact tracing' in order to prevent alarm and stigma. Low post-exposure vaccination rates are expected.</description><identifier>ISSN: 1560-7917</identifier><identifier>ISSN: 1025-496X</identifier><identifier>EISSN: 1560-7917</identifier><identifier>DOI: 10.2807/1560-7917.ES.2024.29.21.2300555</identifier><identifier>PMID: 38785093</identifier><language>eng</language><publisher>Sweden: Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</publisher><subject>Adolescent ; Child ; Childrens health ; Contact Tracing ; Disease Outbreaks - prevention & control ; Epidemics ; Female ; Follow-Up Studies ; Homosexuality, Male - statistics & numerical data ; Humans ; Male ; Meningococcal Infections - epidemiology ; Meningococcal Infections - prevention & control ; Mpox ; Mpox (monkeypox) ; Paris - epidemiology ; Pediatrics ; Schools ; Teenagers ; Vaccination - statistics & numerical data</subject><ispartof>Euro surveillance : bulletin européen sur les maladies transmissibles, 2024-05, Vol.29 (21), p.1</ispartof><rights>Copyright Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) May 23, 2024</rights><rights>This article is copyright of the authors or their affiliated institutions, 2024. 2024 The authors or their affiliated institutions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c408t-d8d92369eb6670669e76837183783c2dac4dbcf66e33994dac214a2904796e253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11128737/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11128737/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38785093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reques, Laura</creatorcontrib><creatorcontrib>Mercuriali, Lilas</creatorcontrib><creatorcontrib>Silué, Yassoungo</creatorcontrib><creatorcontrib>Chazelle, Emilie</creatorcontrib><creatorcontrib>Spaccaferri, Guillaume</creatorcontrib><creatorcontrib>Velter, Annie</creatorcontrib><creatorcontrib>Mailles, Alexandra</creatorcontrib><creatorcontrib>Frange, Pierre</creatorcontrib><creatorcontrib>Tarantola, Arnaud</creatorcontrib><title>Mpox in children and adolescents and contact follow-up in school settings in greater Paris, France, May 2022 to July 2023</title><title>Euro surveillance : bulletin européen sur les maladies transmissibles</title><addtitle>Euro Surveill</addtitle><description>BackgroundDuring the 2022 mpox outbreak in Europe, primarily affecting men who have sex with men, a limited number of cases among children and adolescents were identified. Paediatric cases from outbreaks in endemic countries have been associated with a higher likelihood of severe illness. Detailed clinical case descriptions and interventions in school settings before 2022 are limited.AimTo describe clinical characteristics of mpox cases among children (< 15 years) and adolescents (15-17 years) in the greater Paris area in France, and infection control measures in schools.MethodsWe describe all notified laboratory-confirmed and non-laboratory-confirmed cases among children and adolescents identified from May 2022 to July 2023, including demographic and clinical characterisation and infection control measures in school settings, i.e. contact tracing, contact vaccination, secondary attack rate and post-exposure vaccination uptake.ResultsNineteen cases were notified (13 children, 6 adolescents). Four adolescent cases reported sexual contact before symptom onset. Ten child cases were secondary cases of adult patients; three cases were cryptic, with vesicles on hands, arms and/or legs and one case additionally presented with genitoanal lesions. Five cases attended school during their infectious period, with 160 at-risk contacts identified, and one secondary case. Five at-risk contacts were vaccinated following exposure.ConclusionCases among children and adolescents are infrequent but require a careful approach to identify the source of infection and ensure infection control measures. We advocate a 'contact warning' strategy vs 'contact tracing' in order to prevent alarm and stigma. Low post-exposure vaccination rates are expected.</description><subject>Adolescent</subject><subject>Child</subject><subject>Childrens health</subject><subject>Contact Tracing</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Epidemics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Meningococcal Infections - epidemiology</subject><subject>Meningococcal Infections - prevention & control</subject><subject>Mpox</subject><subject>Mpox (monkeypox)</subject><subject>Paris - epidemiology</subject><subject>Pediatrics</subject><subject>Schools</subject><subject>Teenagers</subject><subject>Vaccination - statistics & numerical data</subject><issn>1560-7917</issn><issn>1025-496X</issn><issn>1560-7917</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdtOGzEQhi1UxKl9BWSJi3LBLj7s-nBVIRTaIhCVaK8tx-skixw7tb20eXu8NI0CF5Znxv_8mvEHwGeMaiIQv8QtQxWXmNeTx5og0tRE1gTXhCLUtu0eONoqPuzEh-A4pSeEGookOQCHVHDRIkmPwPp-Ff7C3kOz6F0XrYfad1B3wdlkrM_pNTfBZ20ynAXnwp9qWI0dySxCcDDZnHs_T2NpHq3ONsIfOvbpAt5E7Y29gPd6DcuwBOYAbwf3mtCPYH-mXbKfNvcJ-HUz-Xn9rbp7-Pr9-uquMg0SuepEJwll0k4Z44iVgDNBOS5HUEM6bZpuamaMWUqlbEpOcKOJRA2XzJKWnoAv_3xXw3Rpu3GpqJ1axX6p41oF3au3L75fqHl4VhhjIjjlxeF84xDD78GmrJZ9-RzntLdhSIoihqhALRVFevZO-hSG6Mt-RdVKWYDInZFMDClFO9tOg5EaOauRnBrJqcmjGjkrIhXBasO5OJzuLrXt_w-WvgCNSaMt</recordid><startdate>20240523</startdate><enddate>20240523</enddate><creator>Reques, Laura</creator><creator>Mercuriali, Lilas</creator><creator>Silué, Yassoungo</creator><creator>Chazelle, Emilie</creator><creator>Spaccaferri, Guillaume</creator><creator>Velter, Annie</creator><creator>Mailles, Alexandra</creator><creator>Frange, Pierre</creator><creator>Tarantola, Arnaud</creator><general>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</general><general>European Centre for Disease Prevention and Control (ECDC)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240523</creationdate><title>Mpox in children and adolescents and contact follow-up in school settings in greater Paris, France, May 2022 to July 2023</title><author>Reques, Laura ; Mercuriali, Lilas ; Silué, Yassoungo ; Chazelle, Emilie ; Spaccaferri, Guillaume ; Velter, Annie ; Mailles, Alexandra ; Frange, Pierre ; Tarantola, Arnaud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-d8d92369eb6670669e76837183783c2dac4dbcf66e33994dac214a2904796e253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Childrens health</topic><topic>Contact Tracing</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Epidemics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Meningococcal Infections - epidemiology</topic><topic>Meningococcal Infections - prevention & control</topic><topic>Mpox</topic><topic>Mpox (monkeypox)</topic><topic>Paris - epidemiology</topic><topic>Pediatrics</topic><topic>Schools</topic><topic>Teenagers</topic><topic>Vaccination - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reques, Laura</creatorcontrib><creatorcontrib>Mercuriali, Lilas</creatorcontrib><creatorcontrib>Silué, Yassoungo</creatorcontrib><creatorcontrib>Chazelle, Emilie</creatorcontrib><creatorcontrib>Spaccaferri, Guillaume</creatorcontrib><creatorcontrib>Velter, Annie</creatorcontrib><creatorcontrib>Mailles, Alexandra</creatorcontrib><creatorcontrib>Frange, Pierre</creatorcontrib><creatorcontrib>Tarantola, Arnaud</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reques, Laura</au><au>Mercuriali, Lilas</au><au>Silué, Yassoungo</au><au>Chazelle, Emilie</au><au>Spaccaferri, Guillaume</au><au>Velter, Annie</au><au>Mailles, Alexandra</au><au>Frange, Pierre</au><au>Tarantola, Arnaud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mpox in children and adolescents and contact follow-up in school settings in greater Paris, France, May 2022 to July 2023</atitle><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle><addtitle>Euro Surveill</addtitle><date>2024-05-23</date><risdate>2024</risdate><volume>29</volume><issue>21</issue><spage>1</spage><pages>1-</pages><issn>1560-7917</issn><issn>1025-496X</issn><eissn>1560-7917</eissn><abstract>BackgroundDuring the 2022 mpox outbreak in Europe, primarily affecting men who have sex with men, a limited number of cases among children and adolescents were identified. Paediatric cases from outbreaks in endemic countries have been associated with a higher likelihood of severe illness. Detailed clinical case descriptions and interventions in school settings before 2022 are limited.AimTo describe clinical characteristics of mpox cases among children (< 15 years) and adolescents (15-17 years) in the greater Paris area in France, and infection control measures in schools.MethodsWe describe all notified laboratory-confirmed and non-laboratory-confirmed cases among children and adolescents identified from May 2022 to July 2023, including demographic and clinical characterisation and infection control measures in school settings, i.e. contact tracing, contact vaccination, secondary attack rate and post-exposure vaccination uptake.ResultsNineteen cases were notified (13 children, 6 adolescents). Four adolescent cases reported sexual contact before symptom onset. Ten child cases were secondary cases of adult patients; three cases were cryptic, with vesicles on hands, arms and/or legs and one case additionally presented with genitoanal lesions. Five cases attended school during their infectious period, with 160 at-risk contacts identified, and one secondary case. Five at-risk contacts were vaccinated following exposure.ConclusionCases among children and adolescents are infrequent but require a careful approach to identify the source of infection and ensure infection control measures. We advocate a 'contact warning' strategy vs 'contact tracing' in order to prevent alarm and stigma. Low post-exposure vaccination rates are expected.</abstract><cop>Sweden</cop><pub>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</pub><pmid>38785093</pmid><doi>10.2807/1560-7917.ES.2024.29.21.2300555</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Euro surveillance : bulletin européen sur les maladies transmissibles, 2024-05, Vol.29 (21), p.1 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adolescent Child Childrens health Contact Tracing Disease Outbreaks - prevention & control Epidemics Female Follow-Up Studies Homosexuality, Male - statistics & numerical data Humans Male Meningococcal Infections - epidemiology Meningococcal Infections - prevention & control Mpox Mpox (monkeypox) Paris - epidemiology Pediatrics Schools Teenagers Vaccination - statistics & numerical data |
| title | Mpox in children and adolescents and contact follow-up in school settings in greater Paris, France, May 2022 to July 2023 |
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