Countries with the highest number of Monkeypox cases by November 2022.
Current Pandemic in the World: Monkeypox from Past to Present
This systematic review traces monkeypox from its 1970 identification to the 2022 global outbreak, declared a public health emergency. It synthesizes transmission routes, clinical signs, risk groups, and diagnostic approaches, including RT-PCR and virus-specific kits. It discusses the lower mutation capacity of poxviruses, differences between West and Central African clades, and the roles of smallpox vaccines (ACAM2000, JYNNEOS) and antivirals such as tecovirimat. The authors emphasize early detection, infection control, destigmatization, and international cooperation, especially in resource-limited African regions.
Key Findings
The review finds that monkeypox re-emerged in May 2022, reaching 78,000 cases by November, predominantly among men (98%, mean age 41). Transmission occurs via animal contact, respiratory droplets, bodily fluids, skin lesions, and close physical/sexual contact; mother-to-fetus transmission is possible. The West African clade is less virulent than the Central African clade. Clinical features include fever, lymphadenopathy, and a rash progressing from macules to pustules; complications include secondary infections, bronchopneumonia, encephalitis, and corneal infection. Mortality is 1-10%, higher in children (~15%) and HIV-positive individuals. Diagnosis relies on RT-PCR, with kits from Bio Perfectus, Creative Biogene, Altona, and Runmei for confirmation. Prevention includes ACAM2000 and JYNNEOS vaccines; tecovirimat is the preferred antiviral, targeting VP37. The authors stress early detection, risk-group monitoring, and destigmatization.
Contribution
Creative Biogene Biotechnology is cited as one of the commercial suppliers of monkeypox virus-specific diagnostic kits, alongside Bio Perfectus and others, after broader orthopoxvirus detection. The article does not report any direct research, experimental, or authorship contribution by Creative Biogene; its role is limited to being a referenced diagnostic product source.