Mpox is a disease caused by infection with a virus. The first human case of mpox was recorded in 1970, in what is now the Democratic Republic of Congo.
People with mpox often get a rash that may be located on the hands, feet, chest, face or mouth or near the genitals and the anus. Other symptoms can include fever, chills, swollen lymph nodes, exhaustion, muscle aches and backache, headache and respiratory symptoms.
The mpox virus can spread through close, personal contact including direct skin-to-skin contact with mpox rash or scabs or contact with saliva, upper respiratory secretions and bodily fluids or lesions. Pregnant people with mpox can pass the virus to the fetus during pregnancy or to the newborn during and after birth. The virus can also spread though contact with contaminated materials like clothing, towels or bedding.
There are two subtypes of the virus that causes mpox: clade I and clade II. Clade I can cause more severe illness and deaths. In response to the spread of mpox caused by the clade I virus in multiple African countries, the World Health Organization declared a public health emergency of international concern in August 2024. Clade II, which usually causes less severe infections, is the virus type that caused a global outbreak of mpox in 2022-2023.
There is no treatment specifically for mpox. But because the viruses that cause mpox and smallpox are closely related, drugs and vaccines developed to treat and protect against smallpox may be effective for mpox. Vaccination is an important tool in preventing the spread of mpox.
Useful Information and Resources
For the Public
For Clinicians
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Centers for Disease Control and Prevention
- Mpox Updates for Clinicians: First Reported Case of Clade I Mpox in the United States (Dec. 5, 2024)
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First Case of Clade I Mpox Diagnosed in the United States (CDC HAN Update, Nov. 18, 2024)
- Prevention Strategies for Mpox, including Vaccinating People at Risk via Sexual Exposure, for U.S. Travelers Visiting Countries with Clade I Mpox Outbreaks (CDC HAN Update, Sept. 23, 2024)
- Mpox Caused by Human-to-Human Transmission of Monkeypox Virus in the Democratic Republic of the Congo with Spread to Neighboring Countries (CDC HAN Update, Aug. 7, 2024)
- Notes from the Field: Clade II Mpox Surveillance Update — United States, October 2023–April 2024 (CDC, MMWR, May 23, 2024)
- U.S. Preparedness and Response to Increasing Clade I Mpox Cases in the Democratic Republic of the Congo — United States, 2024 (CDC, MMWR, May 16, 2024)
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Vaccination
- ASPR/CDC Mpox Vaccination Operational Planning Guide - HHS Mpox Vaccination Program (June 2024)
- Health Resources and Services Administration: Mpox FAQs
- Monkeypox Virus Infections After 2 Preexposure Doses of Jynneos Vaccine — United States, May 2022–May 2024 (CDC, MMWR, May 23, 2024)
- Estimated Effectiveness of Jynneos Vaccine in Preventing Mpox: A Multijurisdictional Case-Control Study — United States, Aug. 19, 2022–March 31, 2023 (CDC, MMWR, May 19, 2023)
- Effectiveness of Jynneos Vaccine Against Diagnosed Mpox Infection — New York, 2022 (CDC, MMWR, May 19, 2023)
- CDC: Mpox Vaccination
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Treatment
- Interim Clinical Treatment Considerations for Severe Manifestations of Mpox — United States, February 2023 (CDC, MMWR, March 3, 2023)
- CDC: Clinical Considerations for Pain Management
- CDC: Dear Colleague Letter on Pain Control
- NIH: The Antiviral Tecovirimat Is Safe but Did Not Improve Clade I Mpox Resolution in Democratic Republic of the Congo
- National STD Curriculum Mpox Clinical Guide
- A5418 Clinical Trial Study of Tecovirimat for Human Monkeypox Virus (STOMP)
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Department of Health and Human Services/National Institutes of Health Guidelines
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Key Populations
- People With HIV, Children and Adolescents and People Who Are Pregnant or Breastfeeding (CDC HAN Update, July 30, 2022)
- CDC: Clinical Considerations for Treatment and Prophylaxis of Mpox in People Who Are Immunocompromised
- CDC: Clinical Considerations for Mpox in Children and Adolescents
- CDC: Clinical Considerations for Mpox in People Who Are Pregnant or Breastfeeding
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Infection Prevention & Control