Evolution of monkeypox in Europe

Monkeypox (MPX) is a zoonotic disease and is currently the most prevalent orthopoxviral infection in humans after the eradication of smallpox and the cessation of universal smallpox vaccination. In endemic areas, monkeypox virus (MPXV) probably circulates among a number of mammals, although there is no known reservoir. Occasional spill-over events to humans generate outbreaks. MPXV is transmitted to humans through bite or direct contact with an infected animal’s blood, meat, bodily fluids, or cutaneous/mucosal lesions.

This report presents an update of MPX confirmed cases in the European Union/European Economic Area (EU/EEA) and worldwide. Cases detected in the EU/EEA have been reported according to the ECDC case definition  and are obtained through screening of official websites. Cases reported from outside the EU/EEA are collected through screening of official websites and media sources.

A table with the latest update of confirmed cases is shown below:

Joint ECDC-WHO Regional Office for Europe Monkeypox Surveillance Bulletin
Country/Area	Number of cases identified through IHR and official public sources	Number of cases reported through TESSy
Spain	7405	7405
France	4104	4104
United Kingdom	3720	3673
Germany	3672	3671
Netherlands	1248	1248
Portugal	948	942
Italy	917	917
Belgium	789	789
Switzerland	546	546
Austria	326	326
Israel	262	230
Sweden	220	220
Ireland	217	217
Poland	213	213
Denmark	191	191
Norway	93	93
Greece	85	85
Hungary	80	80
Czechia	70	70
Luxembourg	57	57
Slovenia	47	47
Romania	45	45
Finland	42	42
Serbia	40	40
Malta	33	33
Croatia	29	29
Iceland	16	16
Slovakia	14	14
Türkiye	12	12
Estonia	11	11
Bosnia and Herzegovina	9	9
Gibraltar	6	5
Bulgaria	6	6
Latvia	6	6
Cyprus	5	5
Lithuania	5	5
Ukraine	5	5
Andorra	4	4
Monaco	3	0
Georgia	2	2
Russian Federation	2	0
Montenegro	2	0
Republic of Moldova	2	2
Greenland	2	0
San Marino	1	1
Total	25512	25416

Geographical distribution of confirmed PMX cases in EU/EEA countries

The countries with the highest number of infections are the Spain, France, UK and Germany.

More information

Monkeypox Surveillance Bulletin

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16/06/22

As of 15 June, a total of 1 160 confirmed cases of monkeypox have been reported from 22 EU/EEA countries. Most cases have been found in young men, and where sexual orientation is known, almost all patients are men who have sex with men. There have been no deaths. The clinical presentation is generally described to be mild, with most cases presenting with lesions on the genitalia or peri-genital area, indicating that transmission likely occurred by close physical contact during sexual activities.

Number of confirmed cases by country, EU/EEA, as of 15 June 2022

Geographical distribution of confirmed cases of MPX in EU/EEA countries, as of 15 June 2022

Worldwide update

As of 15 June 2022, 724 confirmed cases of monkeypox have been reported from 13 non-EU/EEA countries: United Kingdom (470), Canada (112), United States (72), Switzerland (20), Australia (13), United Arab Emirates (13), Argentina (5), Ghana (5), Mexico (5), Israel (4), Brazil (3), Morocco (1) and Venezuela (1).

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Risk assessment: Monkeypox multi-country outbreak

Source: European Centre for Disease Prevention and Control – News