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Understanding the infection severity and epidemiological characteristics of mpox in the UK

Author

Listed:
  • Thomas Ward

    (UK Health Security Agency, Data Analytics & Surveillance)

  • Christopher E. Overton

    (UK Health Security Agency, Data Analytics & Surveillance
    Department of Mathematical Sciences, University of Liverpool)

  • Robert S. Paton

    (UK Health Security Agency, Data Analytics & Surveillance)

  • Rachel Christie

    (UK Health Security Agency, Data Analytics & Surveillance)

  • Fergus Cumming

    (UK Health Security Agency, Data Analytics & Surveillance)

  • Martyn Fyles

    (UK Health Security Agency, Data Analytics & Surveillance)

Abstract

In May 2022, individuals infected with the monkeypox virus were detected in the UK without clear travel links to endemic areas. Understanding the clinical characteristics and infection severity of mpox is necessary for effective public health policy. The study period of this paper, from the 1st June 2022 to 30th September 2022, included 3,375 individuals that tested positive for the monkeypox virus. The posterior mean times from infection to hospital admission and length of hospital stay were 14.89 days (95% Credible Intervals (CrI): 13.60, 16.32) and 7.07 days (95% CrI: 6.07, 8.23), respectively. We estimated the modelled Infection Hospitalisation Risk to be 4.13% (95% CrI: 3.04, 5.02), compared to the overall sample Case Hospitalisation Risk (CHR) of 5.10% (95% CrI: 4.38, 5.86). The overall sample CHR was estimated to be 17.86% (95% CrI: 6.06, 33.11) for females and 4.99% (95% CrI: 4.27, 5.75) for males. A notable difference was observed between the CHRs that were estimated for each sex, which may be indicative of increased infection severity in females or a considerably lower infection ascertainment rate. It was estimated that 74.65% (95% CrI: 55.78, 86.85) of infections with the monkeypox virus in the UK were captured over the outbreak.

Suggested Citation

  • Thomas Ward & Christopher E. Overton & Robert S. Paton & Rachel Christie & Fergus Cumming & Martyn Fyles, 2024. "Understanding the infection severity and epidemiological characteristics of mpox in the UK," Nature Communications, Nature, vol. 15(1), pages 1-12, December.
  • Handle: RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-45110-8
    DOI: 10.1038/s41467-024-45110-8
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    References listed on IDEAS

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    1. Tim K. Tsang & Can Wang & Bingyi Yang & Simon Cauchemez & Benjamin J. Cowling, 2021. "Using secondary cases to characterize the severity of an emerging or re-emerging infection," Nature Communications, Nature, vol. 12(1), pages 1-13, December.
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