Emergence of monkeypox: a worldwide public health crisis

Hum Cell. 2023 May;36(3):877-893. doi: 10.1007/s13577-023-00870-1. Epub 2023 Feb 7.

Abstract

The human monkeypox virus (MPV), a zoonotic illness that was hitherto solely prevalent in Central and West Africa, has lately been discovered to infect people all over the world and has become a major threat to global health. Humans unintentionally contract this zoonotic orthopoxvirus, which resembles smallpox, when they come into contact with infected animals. Studies show that the illness can also be transferred through frequent proximity, respiratory droplets, and household linens such as towels and bedding. However, MPV infection does not presently have a specified therapy. Smallpox vaccinations provide cross-protection against MPV because of antigenic similarities. Despite scant knowledge of the genesis, epidemiology, and ecology of the illness, the incidence and geographic distribution of monkeypox outbreaks have grown recently. Polymerase chain reaction technique on lesion specimens can be used to detect MPV. Vaccines like ACAM2000, vaccinia immune globulin intravenous (VIG-IV), and JYNNEOS (brand name: Imvamune or Imvanex) as well as FDA-approved antiviral medications such as brincidofovir (brand name: Tembexa), tecovirimat (brand name: TPOXX or ST-246), and cidofovir (brand name: Vistide) are used as therapeutic medications against MPV. In this overview, we provide an outline of the MPV's morphology, evolution, mechanism, transmission, diagnosis, preventative measures, and therapeutic approaches. This study offers the fundamental information required to prevent and manage any further spread of this emerging virus.

Keywords: Antiviral medications; Monkeypox virus; Orthopoxviruses; Outbreak; Pandemic; Vaccination.

Publication types

  • Review

MeSH terms

  • Animals
  • Cidofovir
  • Global Health
  • Humans
  • Mpox (monkeypox)* / epidemiology
  • Public Health
  • Smallpox* / prevention & control
  • Vaccination

Substances

  • Cidofovir