1. Short #MPXV thread, based on data from @WHO_Europe & @ECDC:
The Euro #monkeypox outbreak continues to grow. Of +5200 cases reported here, 29 were women — which seems to be an increase. 15 health workers among cases; not clear if exposure was on the job.
monkeypoxreport.ecdc.europa.eu
2. This may not be new-new, but I haven't noticed this previously: @WHO has pushed back the date on its case definition for suspected #monkeypox cases. They'd previously said March 15; now saying since Jan. 1. Suggests they believe the outbreak started earlier.
3. These regular #monkeypox updates from @WHO_Europe & @ECDC_EU contain really useful information, like this breakdown of symptomology among cases.
4. I don't know what to make of the #monkeypox epicurve in the report, however. It's based on date of notification, not symptom onset. Don't think one can read into this a decline in transmission; expert opinion welcomed.
5. Adding to this #MPXV 🧵 with material from a new @WHO update.
WHO says to date there doesn't appear to be sustained transmission outside networks of men who have sex with men.

cdn.who.int/media/docs/def…
6. @WHO reports #MPXV cases globally; it no longer reports on the outbreak outside of endemic countries as a distinct entity.
It reports that as of July 4, 6027 confirmed cases of #monkeypox were reported this year; 3 of those people died.
7. The 3 #monkeypox deaths @WHO reports were in endemic countries: Nigeria (1) & Central African Republic (2).
The global deaths in 2022 are actually higher: the latest epi report from Nigeria lists 3 deaths as of July 3. ncdc.gov.ng/diseases/sitre…
8. The preponderance of #monkeypox infections globally this year have been in men; you can barely spot the female cases in this graph, which is based on data from 4397 of 6207 confirmed cases.
9. @WHO reports that to date 25 health workers have been among this year's #monkeypox cases. It's not clear if they were infected at work, though occupational exposure cannot be ruled out in at least some cases.

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More from @HelenBranswell

Jul 1
1. A #MPXV 🧵
The director of @WHO_Europe issued a stark warning today about the state of the #monkeypox outbreak. Case counts have tripled in Europe in the past 2 weeks, @hans_kluge said.
who.int/europe/news/it…
2. @hans_kluge also noted while the majority of cases are still men who have sex with men, infections are being reported outside of that demographic. There is no reason #monkeypox will restrict itself to spread within a single group. Given the opportunity to transmit, it will.
3. @hans_kluge appeared to predict the #monkeypox outbreak will be declared a public health emergency of international concern sometime soon. An expert committee met last week & advised against declaring a #PHEIC for now.
Read 9 tweets
Jun 23
1. #ACIP is talking #monkeypox right now. Gonna try to live tweet.
This is the prior history in the US with #MPXV.
2. "Everything changed in May of 2022," @CDCgov's Agam Rao tells #ACIP.
3. The US #monkeypox case total is up to 176, @CDCgov says. There is some local transmission occurring, Rao said.
Read 18 tweets
Jun 18
1. #MPXV 🧵
@WHO has issued an update on the #monkeypox situation. In it they announce they're no longer going to report cases from the outbreak outside of Africa; rather, they're going to report all reported cases of/deaths from MPX together.
2. The rationale is clear: why should #MPXV cases in some countries be treated differently — treated as if they are more important — than #monkeypox cases in other countries? Makes sense & is just.
3. On the other hand, will this make it harder to track the outbreak? Isn't it possible there may be differences in cases that are caused by continuous human-2-human spread rather than animal-2-human events where spread stops after 1 or a few cases? Even if this is a DNA virus?
Read 9 tweets
Jun 17
1. Short #flu 🧵
Looks like flu activity in the US is finally declining pretty much nationwide. @CDCgov says it is moving to the shortened FluView format next week, the one it uses in the off-season. Typically is does that from May-Sept, but this year has been different.
2. A child died from #flu last week, the 29th of the 2021-22 flu season. That's a low number compared to pre-Covid years, but as this chart shows, flu has been making a return after its early Covid hiatus. That's bad news for kids and their families.
3. Even though @CDCgov says #flu activity is decreasing, +2000 people were hospitalized for flu last week. In mid-June,
Read 4 tweets
Jun 13
1. Short 🧵 on #PediatricHepatitis of unknown origin in kids.
@ECDC_EU & @WHO_Europe put out an update today on cases in Europe.
There've been 402 cases in 20 countries. 87 of those children have needed ICU care & 17 got liver transplants. ecdc.europa.eu/en/hepatitis/j… Image
2. Last week @WHO said it had been notified of 700 cases of #PediatricHepatitis globally & at least 10 deaths.
In Europe, 1 child has died. 78% of the children are under the age of 5. Image
3. The @ECDC_EU / @WHO_Europe update on #PediatricHepatitis has an epicurve that shows either date of onset of illness or hospitalization, depending on what info is available. It urges caution in trying to interpret what looks like a recent decline in new cases. Image
Read 4 tweets
Jun 10
1. A short #flu thread, being that it's Friday. So weird to be tweeting about flu in June.
@CDCgov says flu activity is increasing in some parts of the country, but on average, this sort of late season surge seems to be slowing. Finally.
2. Nevada, New Mexico (since early April!), Florida & DC seem to have quite a bit of #flu. But other places are really quieting down, notably in the NE.
3. Three more children have died from #flu, with the deaths occurring in mid-to-late May. The pediatric death toll for the season stands at 28.
Read 4 tweets

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