Mpox Epidemiology and Risk Factors, Nigeria, 2022

To investigate epidemiology of and risk factors for laboratory-confirmed mpox during the 2022 outbreak in Nigeria, we enrolled 265 persons with suspected mpox. A total of 163 (61.5%) were confirmed to have mpox; 137 (84.0%) were adults, 112 (68.7%) male, 143 (87.7%) urban/semi-urban dwellers, 12 (7....

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Bibliographic Details
Published in:	Emerging infectious diseases Vol. 30; no. 9; pp. 1799 - 1808
Main Authors:	Ogoina, Dimie, Dalhat, Mahmmod Muazu, Denue, Ballah Akawu, Okowa, Mildred, Chika-Igwenyi, Nneka Marian, Oiwoh, Sebastine Oseghae, Tobin, Ekaete Alice, Yusuff, Hakeem Abiola, Ojimba, Anastacia Okwudili, Christian, Umenzekwe Chukwudi, Aremu, John-Tunde, Gomerep, Simji Samuel, Habila, Kambai Lalus, Awang, Sati Klein, Adekanmbi, Olukemi, Iroezindu, Michael, Onukak, Asukwo, Falodun, Olanrewaju, Sunday, Mogaji, Johnson, Simon Mafuka, Olaitan, Abimbola, Onyeaghala, Chizaram, Alasia, Datonye, Mmerem, Juliet, Unigwe, Uche, Kwaghe, Vivian, Adeiza, Mukhtar Abdulmajid
Format:	Journal Article
Language:	English
Published:	United States U.S. National Center for Infectious Diseases 01-09-2024 Centers for Disease Control and Prevention
Subjects:	Adolescent Adult Age groups Care and treatment Child Child, Preschool Children Cross-sectional studies Diagnosis Disease control Disease Outbreaks Epidemics Epidemiology Ethics Evaluation Female Gay men Health aspects Health risk assessment Herpes viruses HIV HIV (Viruses) HIV Infections - epidemiology Human immunodeficiency virus Human monkeypox Humans Infant Infections Laboratories Male Medical research Medicine, Experimental Middle Aged Missing data Monkeypox monkeypox virus mpox Mpox (monkeypox) - epidemiology Mpox (monkeypox) - virology Mpox Epidemiology and Risk Factors, Nigeria, 2022 Nigeria - epidemiology Outpatient care facilities predictors Prevalence studies (Epidemiology) Regression analysis Risk Factors Risk taking Sex Sex oriented businesses Sexual Behavior Sexually transmitted diseases STD varicella zoster virus Young Adult Zoonoses Nigeria Africa predictors epidemiology risk factors viruses sexual transmission varicella zoster virus zoonoses Nigeria monkeypox virus animal exposure mpox
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Summary:	To investigate epidemiology of and risk factors for laboratory-confirmed mpox during the 2022 outbreak in Nigeria, we enrolled 265 persons with suspected mpox. A total of 163 (61.5%) were confirmed to have mpox; 137 (84.0%) were adults, 112 (68.7%) male, 143 (87.7%) urban/semi-urban dwellers, 12 (7.4%) self-reported gay men, and 3 (1.8%) female sex workers. Significant risk factors for adults were sexual and nonsexual contact with persons who had mpox, as well as risky sexual behavior. For children, risk factors were close contact with an mpox-positive person and prior animal exposure. Odds of being mpox positive were higher for adults with HIV and lower for those co-infected with varicella zoster virus (VZV). No children were HIV-seropositive; odds of being mpox positive were higher for children with VZV infection. Our findings indicate mpox affects primarily adults in Nigeria, partially driven by sexual activity; childhood cases were driven by close contact, animal exposure, and VZV co-infection.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1080-6040 1080-6059 1080-6059
DOI:	10.3201/eid3009.240135