Possible Undetected Mpox Infection Among Persons Accessing Homeless Services and Staying in Encampments - San Francisco, California, October-November 2022
Monkeypox (mpox) is a disease caused by an Orthopoxvirus. The 2022 multinational outbreak, which began in May 2022, has spread primarily by close skin-to-skin contact, including through sexual contact. Persons experiencing homelessness have been disproportionately affected by severe mpox (1). Howeve...
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| Veröffentlicht in: | MMWR. Morbidity and mortality weekly report 2023-03, Vol.72 (9), p.227-231 |
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| creator | Waddell, Caroline J Filardo, Thomas D Prasad, Namrata Pellegrini, Jr, Gerald J Persad, Neela Carson, William C Navarra, Terese Townsend, Michael B Satheshkumar, Panayampalli S Lowe, David Borne, Deborah Janssen, Julia Okoye, Nnenna Bejarano, Anamaría Marx, Grace E Mosites, Emily |
| description | Monkeypox (mpox) is a disease caused by an Orthopoxvirus. The 2022 multinational outbreak, which began in May 2022, has spread primarily by close skin-to-skin contact, including through sexual contact. Persons experiencing homelessness have been disproportionately affected by severe mpox (1). However, mpox prevalence and transmission pathways among persons experiencing homelessness are not known, and persons experiencing homelessness have not been specifically recommended to receive mpox vaccine during the 2022 outbreak (2,3). During October 25-November 3, 2022, a CDC field team conducted an orthopoxvirus seroprevalence survey among persons accessing homeless services or staying in encampments, shelters, or permanent supportive housing in San Francisco, California that had noted at least one case of mpox or served populations at risk. During field team visits to 16 unique sites, 209 participants completed a 15-minute survey and provided a blood specimen. Among 80 participants aged |
| doi_str_mv | 10.15585/mmwr.mm7209a3 |
| format | Article |
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The 2022 multinational outbreak, which began in May 2022, has spread primarily by close skin-to-skin contact, including through sexual contact. Persons experiencing homelessness have been disproportionately affected by severe mpox (1). However, mpox prevalence and transmission pathways among persons experiencing homelessness are not known, and persons experiencing homelessness have not been specifically recommended to receive mpox vaccine during the 2022 outbreak (2,3). During October 25-November 3, 2022, a CDC field team conducted an orthopoxvirus seroprevalence survey among persons accessing homeless services or staying in encampments, shelters, or permanent supportive housing in San Francisco, California that had noted at least one case of mpox or served populations at risk. During field team visits to 16 unique sites, 209 participants completed a 15-minute survey and provided a blood specimen. Among 80 participants aged <50 years who did not report smallpox or mpox vaccination or previous mpox infection, two (2.5%) had detectable antiorthopoxvirus immunoglobulin (Ig) G antibody. Among 73 participants who did not report mpox vaccination or previous mpox infection and who were tested for IgM, one (1.4%) had detectable antiorthopoxvirus IgM. Together, these results suggest that three possible undetected mpox infections occurred among a sample of persons experiencing homelessness, highlighting the need to ensure that community outreach and prevention interventions, such as vaccination, are accessible to this population.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>DOI: 10.15585/mmwr.mm7209a3</identifier><identifier>PMID: 36862591</identifier><language>eng</language><publisher>United States: U.S. Government Printing Office</publisher><subject>Full Report ; Health aspects ; Hispanic people ; Homeless people ; Homeless services ; Homelessness ; Humans ; Ill-Housed Persons ; Immunoglobulin G ; Immunoglobulin M ; Infections ; Mpox ; Mpox (monkeypox) ; Outbreaks ; Phlebotomy ; Public health ; San Francisco - epidemiology ; Seroepidemiologic Studies ; Serology ; Sex industry ; Smallpox ; Smallpox Vaccine ; Surveys ; Transgender persons ; Vaccination ; Vaccines</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2023-03, Vol.72 (9), p.227-231</ispartof><rights>COPYRIGHT 2023 U.S. Government Printing Office</rights><rights>Published 2023. This article is a U.S. Government work and is in the public domain in the USA.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-6dfcdf077bf8278464f6a285af8c6e0a45f6d68418fc7c6a4316eac15bb2a4b63</citedby><cites>FETCH-LOGICAL-c553t-6dfcdf077bf8278464f6a285af8c6e0a45f6d68418fc7c6a4316eac15bb2a4b63</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/PMC9997666/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9997666/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36862591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waddell, Caroline J</creatorcontrib><creatorcontrib>Filardo, Thomas D</creatorcontrib><creatorcontrib>Prasad, Namrata</creatorcontrib><creatorcontrib>Pellegrini, Jr, Gerald J</creatorcontrib><creatorcontrib>Persad, Neela</creatorcontrib><creatorcontrib>Carson, William C</creatorcontrib><creatorcontrib>Navarra, Terese</creatorcontrib><creatorcontrib>Townsend, Michael B</creatorcontrib><creatorcontrib>Satheshkumar, Panayampalli S</creatorcontrib><creatorcontrib>Lowe, David</creatorcontrib><creatorcontrib>Borne, Deborah</creatorcontrib><creatorcontrib>Janssen, Julia</creatorcontrib><creatorcontrib>Okoye, Nnenna</creatorcontrib><creatorcontrib>Bejarano, Anamaría</creatorcontrib><creatorcontrib>Marx, Grace E</creatorcontrib><creatorcontrib>Mosites, Emily</creatorcontrib><title>Possible Undetected Mpox Infection Among Persons Accessing Homeless Services and Staying in Encampments - San Francisco, California, October-November 2022</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>Monkeypox (mpox) is a disease caused by an Orthopoxvirus. The 2022 multinational outbreak, which began in May 2022, has spread primarily by close skin-to-skin contact, including through sexual contact. Persons experiencing homelessness have been disproportionately affected by severe mpox (1). However, mpox prevalence and transmission pathways among persons experiencing homelessness are not known, and persons experiencing homelessness have not been specifically recommended to receive mpox vaccine during the 2022 outbreak (2,3). During October 25-November 3, 2022, a CDC field team conducted an orthopoxvirus seroprevalence survey among persons accessing homeless services or staying in encampments, shelters, or permanent supportive housing in San Francisco, California that had noted at least one case of mpox or served populations at risk. During field team visits to 16 unique sites, 209 participants completed a 15-minute survey and provided a blood specimen. Among 80 participants aged <50 years who did not report smallpox or mpox vaccination or previous mpox infection, two (2.5%) had detectable antiorthopoxvirus immunoglobulin (Ig) G antibody. Among 73 participants who did not report mpox vaccination or previous mpox infection and who were tested for IgM, one (1.4%) had detectable antiorthopoxvirus IgM. Together, these results suggest that three possible undetected mpox infections occurred among a sample of persons experiencing homelessness, highlighting the need to ensure that community outreach and prevention interventions, such as vaccination, are accessible to this population.</description><subject>Full Report</subject><subject>Health aspects</subject><subject>Hispanic people</subject><subject>Homeless people</subject><subject>Homeless services</subject><subject>Homelessness</subject><subject>Humans</subject><subject>Ill-Housed Persons</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin M</subject><subject>Infections</subject><subject>Mpox</subject><subject>Mpox (monkeypox)</subject><subject>Outbreaks</subject><subject>Phlebotomy</subject><subject>Public health</subject><subject>San Francisco - epidemiology</subject><subject>Seroepidemiologic Studies</subject><subject>Serology</subject><subject>Sex industry</subject><subject>Smallpox</subject><subject>Smallpox Vaccine</subject><subject>Surveys</subject><subject>Transgender persons</subject><subject>Vaccination</subject><subject>Vaccines</subject><issn>0149-2195</issn><issn>1545-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkt9vFCEQx4nR2LP66qMhmhgfuufCLuzui8nl0tom1TY5m_hGWHa4wyxwhb1r-6_418r2V1pz8MAwfGYYhi9C70k-JYzV7Ku1V2FqbUXzRhYv0ISwkmU1J79foklOyiajpGF76E2Mf_JxFPlrtFfwmlPWkAn6e-5jNG0P-MJ1MIAaoMM_1v4anziddsY7PLPeLfE5hOhdxDOlIIUkz7G30CcbLyBsTfJi6Tq8GOTNeGocPnRK2rUFN0Sc4YV0-ChIp0xU_gDPZW-0D87IA3ymBt9CyH76LdhkYJpT-ha90rKP8O5-3UcXR4e_5sfZ6dn3k_nsNFOMFUPGO606nVdVq2ta1SUvNZe0ZlLXikMuS6Z5x-uS1FpVisuyIBykIqxtqSxbXuyjb3d515vWQqdSuUH2Yh2MleFGeGnE8xNnVmLpt6JpmorzMcHH-wTBX24gDiLA2ochilQP5VVT0BH68h9kUx-g76UDv7lFCR__Kk_opzt0KXsQxmmfrlUjLmZVSWiRHlslKttBLcFBqtE70Ca5n_HTHXyaHVijdgZ8fhKwAtkPq-j7zaiJuDOzCklMAfRj70gublUqRpWKB5WmgA9PO_6IP8iy-Acgu-Qs</recordid><startdate>20230303</startdate><enddate>20230303</enddate><creator>Waddell, Caroline J</creator><creator>Filardo, Thomas D</creator><creator>Prasad, Namrata</creator><creator>Pellegrini, Jr, Gerald J</creator><creator>Persad, Neela</creator><creator>Carson, William C</creator><creator>Navarra, Terese</creator><creator>Townsend, Michael B</creator><creator>Satheshkumar, Panayampalli S</creator><creator>Lowe, David</creator><creator>Borne, Deborah</creator><creator>Janssen, Julia</creator><creator>Okoye, Nnenna</creator><creator>Bejarano, Anamaría</creator><creator>Marx, Grace E</creator><creator>Mosites, Emily</creator><general>U.S. Government Printing Office</general><general>U.S. Center for Disease Control</general><general>Centers for Disease Control and Prevention</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>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88F</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>5PM</scope></search><sort><creationdate>20230303</creationdate><title>Possible Undetected Mpox Infection Among Persons Accessing Homeless Services and Staying in Encampments - 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Morbidity and mortality weekly report</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waddell, Caroline J</au><au>Filardo, Thomas D</au><au>Prasad, Namrata</au><au>Pellegrini, Jr, Gerald J</au><au>Persad, Neela</au><au>Carson, William C</au><au>Navarra, Terese</au><au>Townsend, Michael B</au><au>Satheshkumar, Panayampalli S</au><au>Lowe, David</au><au>Borne, Deborah</au><au>Janssen, Julia</au><au>Okoye, Nnenna</au><au>Bejarano, Anamaría</au><au>Marx, Grace E</au><au>Mosites, Emily</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Possible Undetected Mpox Infection Among Persons Accessing Homeless Services and Staying in Encampments - San Francisco, California, October-November 2022</atitle><jtitle>MMWR. Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2023-03-03</date><risdate>2023</risdate><volume>72</volume><issue>9</issue><spage>227</spage><epage>231</epage><pages>227-231</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>Monkeypox (mpox) is a disease caused by an Orthopoxvirus. The 2022 multinational outbreak, which began in May 2022, has spread primarily by close skin-to-skin contact, including through sexual contact. Persons experiencing homelessness have been disproportionately affected by severe mpox (1). However, mpox prevalence and transmission pathways among persons experiencing homelessness are not known, and persons experiencing homelessness have not been specifically recommended to receive mpox vaccine during the 2022 outbreak (2,3). During October 25-November 3, 2022, a CDC field team conducted an orthopoxvirus seroprevalence survey among persons accessing homeless services or staying in encampments, shelters, or permanent supportive housing in San Francisco, California that had noted at least one case of mpox or served populations at risk. During field team visits to 16 unique sites, 209 participants completed a 15-minute survey and provided a blood specimen. Among 80 participants aged <50 years who did not report smallpox or mpox vaccination or previous mpox infection, two (2.5%) had detectable antiorthopoxvirus immunoglobulin (Ig) G antibody. Among 73 participants who did not report mpox vaccination or previous mpox infection and who were tested for IgM, one (1.4%) had detectable antiorthopoxvirus IgM. Together, these results suggest that three possible undetected mpox infections occurred among a sample of persons experiencing homelessness, highlighting the need to ensure that community outreach and prevention interventions, such as vaccination, are accessible to this population.</abstract><cop>United States</cop><pub>U.S. Government Printing Office</pub><pmid>36862591</pmid><doi>10.15585/mmwr.mm7209a3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | MMWR. Morbidity and mortality weekly report, 2023-03, Vol.72 (9), p.227-231 |
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| source | MEDLINE; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Full Report Health aspects Hispanic people Homeless people Homeless services Homelessness Humans Ill-Housed Persons Immunoglobulin G Immunoglobulin M Infections Mpox Mpox (monkeypox) Outbreaks Phlebotomy Public health San Francisco - epidemiology Seroepidemiologic Studies Serology Sex industry Smallpox Smallpox Vaccine Surveys Transgender persons Vaccination Vaccines |
| title | Possible Undetected Mpox Infection Among Persons Accessing Homeless Services and Staying in Encampments - San Francisco, California, October-November 2022 |
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