Challenges in the treatment and prevention of monkeypox infection; A comprehensive review

Acta Trop. 2023 Sep:245:106960. doi: 10.1016/j.actatropica.2023.106960. Epub 2023 Jun 3.

Abstract

Human monkeypox (HMPX) is a zoonotic disease, literally meaning that it can be passed on from animals (non-primate) to human (primate). All the reported and recorded cases have been traced back either to international travel or import of African animals. In the Unites states, sporadic monkeypox cases have been reported in specific over the past 50 years, starting its first identification in the Democratic Republic of the Congo (D.R.C.) in 1970. Due to its extreme versatility, this disease poses threat as a serious public health issue that needs to be monitored, researched and prevented. Data indicate that prior immunization with the smallpox vaccine is beneficial and may provide protection against the monkeypox virus. JYNNEOSTM is a live viral vaccine that has been approved to improve clinical manifestations of the infection. On the other hand, public ignorance about safety precaution towards monkeypox post-COVID is another challenge that needs to be overcome in tackling HMPX as a possible re-emergent infection. This review is a collation of the epidemiology, etiology, transmission, clinical features and treatment of human monkeypox (HMPX).

Keywords: Brincidofovir; Cidofovir; Epidemiology; Human monkeypox; Pathogenesis; Tecovirimat; Zoonotic.

Publication types

  • Review

MeSH terms

  • Animals
  • COVID-19*
  • Humans
  • Monkeypox virus
  • Mpox (monkeypox)* / epidemiology
  • Mpox (monkeypox)* / prevention & control
  • Smallpox Vaccine*
  • Zoonoses / epidemiology
  • Zoonoses / prevention & control

Substances

  • Smallpox Vaccine