Keywords
MPX
Smallpox
Disinformation
How to Cite
Abstract
This study analyzes the prevalence and spatial aspects of Monkeypox (MPX) in Rio Grande do Sul, considering the public health emergency declared by the World Health Organization in July 2022 and its relation to the high incidence of the disease in gay men and other men who have sex with men (MSM). Data were provided by the Rio Grande do Sul State Health Department via the Access to Information Law and revealed an incidence rate 53 times higher in MSM populations compared to heterosexual people and 48 times higher compared to bisexual people. In addition, MPX disproportionately affects Black and Brown people, with an incidence rate three times higher than the White population. Spatial analysis of the disease demonstrated its concentration in metropolitan areas. It is suggested that disseminating evidence-based information is essential to avoid stigmatization of these groups and that ring vaccination is crucial to prevent the endemic spread of the disease. It is concluded that Black and Brown gay men and MSM are at the highest risk for MPX, and preventive actions should be implemented to protect these vulnerable groups, avoid disease spread and ensure health equity.
References
AYRES, J. R. C. M.; FRANÇA-JR, I.; CALAZANS, G. J.; SALETTI-FILHO, H. C. Vulnerabilidade e prevenção em tempos de AIDS. In: Barbosa RM & Parker R (orgs.). Sexualidades pelo Avesso: Direitos, identidades e poder. São Paulo/Rio de Janeiro: Editora 34/IMS-UERJ. 1999.
BELOQUI, J. A. Risco relativo para Aids de homens homo/bissexuais em relação aos heterossexuais. Revista de Saúde Pública, v. 42, n. 3, p. 437-42. 2008. https://doi.org/10.1590/S0034-89102008000300007
BOING, A. C.; DONALÍSIO, M. R.; ARAÚJO, T. M. D.; MURARO, A. P.; ORELLANA, J. D. Y.; MACIEL, E. L. Monkeypox: o que estamos esperando para agir? Revista Brasileira de Epidemiologia, v. 25. 2022. https://doi.org/10.1590/1980-549720220020.2
BRASIL. Boletim epidemiológico de hiv e aids. Ministério da Saúde. 78p. Brasília, DF. 2022. Disponível em: https://www.gov.br/saude/pt-br/assuntos/noticias/2022/dezembro/arquivos/boletim_hiv_aids_-2022_internet_24-11_finalizado.pdf. Acesso em: 19 dez. 2022.
CANAVESE, D.; POLIDORO, M.; SIGNORELLI, M.C.; MORETTI-PIRES, R. O.; PARKER, R.; TERTO-JR, V. Pela urgente e definitiva inclusão dos campos de identidade de gênero e orientação sexual nos sistemas de informação em saúde do SUS: o que podemos aprender com o surto de monkeypox? Ciência & Saúde Coletiva, v. 27, n. 11, 2022 https://doi.org/10.1590/1413-812320222711.12902022
CDC – CENTERS FOR DISEASE CONTROL AND PREVENTION. 2022 MPOX Outbreak Global Map. 2023a. Disponível em: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html. Acesso em: 12 dez. 2023.
CDC – CENTERS FOR DISEASE CONTROL AND PREVENTION. 2022 MPOX Mpox Cases by Age and Gender and Race/Ethnicity. 2023b. Disponível em: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html. Acesso em: 12 jan. 2023.
CIMERMAN, S.; CHEBABO, A.; CUNHA, C.; BARBOSA, A. N.; RODRÍGUEZ-MORALES, A. J. Human monkeypox preparedness in Latin America - Are we ready for the next viral zoonotic disease outbreak after COVID-19? The Brazilian Journal of Infectious Diseases, v. 26, n. 3. 2022. https://doi.org/10.1016/j.bjid.2022.102372
CLARO, I. M.; ROMANO, C. M.; CANDIDO, D.; LIMA, E. L.; LINDOSO, J.; RAMUNDO, M. S.; MOREIRA, F.; BARRA, L.; BORGES, L.; MEDEIROS, L. A.; TOMISHIGE, M.; MOUTINHO, T.; SILVA, A.; RODRIGUES, C.; AZEVEDO, L.; VILLAS-BOAS, L. S.; SILVA, C.; COLETTI, T. M.; MANULI, E. R.; O'TOOLE, A.; SABINO, E. C. Shotgun metagenomic sequencing of the first case of monkeypox virus in Brazil. Revista do Instituto de Medicina Tropical de São Paulo, v. 64, n. 48. 2022. https://doi.org/10.1590/S1678-9946202264048
GONSALVES, G.S., MAYER, K. & BEYRER, C. Déjà vu All Over Again? Emergent Monkeypox, Delayed Responses, and Stigmatized Populations. Journal of Urban Health, n. 99, 603–606. 2022. https://doi.org/10.1007/s11524-022-00671-1
JEZEK, Z. GROMYKO, A. I.; SZCZENIOWSKI, M. V. Human monkeypox. Journal of Hygiene, Epidemiology, Microbiology, and Immunology. v. 27, n. 1, 1983.
KHATRI, G.; KHATTAK, Z. E.; BUTT, M. H.; ULLAH, I. Monkeypox Is Not a Sexually Transmitted Disease: A Public Health Concern and Avoidance of Myths. Disaster Med Public Health Prep. First View. 2022. https://doi.org/10.1017/dmp.2022.237
KNAUTH, D. R.; HENTGES, B.; MACEDO, J. L.; PILECCO, F. B.; TEIXEIRA, L. B.; LEAL, A. F. O diagnóstico do HIV/aids em homens heterossexuais: a surpresa permanece mesmo após mais de 30 anos de epidemia. Cadernos de Saúde Pública, Vol. 36, n. 6. 2020. https://doi.org/10.1590/0102-311X00170118
LAUMANN, E. O.; GAGNON, J. H.; MICHAEL, R. The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press. 1994.
LIGON, B. K. Monkeypox: A review of the history and emergence in the Western hemisphere. Seminars in Pediatric Infectious Diseases, V. 15, Issue 4, p. 280-287, 2004. https://doi.org/10.1053/j.spid.2004.09.001.
LIMA, E. L.; BARRA, L.; BORGES, L.; MEDEIROS, L. A.; TOMISHIGE, M.; SANTOS, L.; SILVA, A.; RODRIGUES, C.; AZEVEDO, L.; VILLAS-BOAS, L. S.; SILVA, C.; COLETTI, T. M.; MANULI, E. R.; CLARO, I. M.; ROMANO, C. M.; RAMUNDO, M. S.; MOUTINHO, T.; SABINO, E. C.; LINDOSO, J.; FIGUEIREDO-MELLO, C. First case report of monkeypox in Brazil: clinical manifestations and differential diagnosis with sexually transmitted infections. Revista do Instituto de Medicina Tropical de São Paulo, v. 64, n. 54, 2022. https://doi.org/10.1590/S1678-9946202264054
MANDJA, B. A.; HANDSCHUMACHER, P.; BOMPANGUE, D.; GONZALEZ, J. P.; MUYEMBE, J. J.; SAULEAU, E. A.; MAUNY, F. Environmental Drivers of Monkeypox Transmission in the Democratic Republic of the Congo. EcoHealth, 2022. https://doi.org/10.1007/s10393-022-01610-x
MARTÍNEZ, J. I.; MONTALBÁN, E. G.; BUENO, S. J.; MARTÍNEZ, F. M.; JULIÁ, A. N.; DÍAZ, J. S. Monkeypox Outbreak Predominantly Affecting Men Who Have Sex with Men, Madrid, Spain, 26 April to 16 June 2022. Eurosurveillance, v. 27. https://doi.org/10.2807/1560-7917.ES.2022.27.27.2200471
MINISTÉRIO DA SAÚDE. Definição de caso de Monkeypox. 2022. Disponível em: https://www.gov.br/saude/pt-br/composicao/svs/resposta-a-emergencias/sala-de-situacao-de-saude/sala-de-situacao-de-monkeypox/definicao-de-caso. Acesso em: 30 Jan. de 2023.
NSOESIE, E. O.; VU, E. Monkeypox: Where are the racial disparities? The Lancet Regional Health: Americas, v. 17, 2023. https://doi.org/10.1016/j.lana.2022.100372
PAPARINI, S.; WHITACRE, R.; SMUK, M.; THORNHILL, J.; MWENDERA, C.; STRACHAN, S.; NUTLAND, W.; ORKIN, C. Public understanding and awareness of and response to monkeypox virus outbreak: A cross-sectional survey of the most affected communities in the United Kingdom during the 2022 public health emergency. HIV Medicine. 2022. https://doi.org/10.1111/hiv.13430
PEREIRA, G. F. M., SHIMIZU, H. E., BERMUDEZ, X. P., & HAMANN, E. M. Epidemiologia do HIV e aids no estado do Rio Grande do Sul, 1980-2015. Epidemiologia E Serviços De Saúde, v. 27, n. 4, 2018. https://doi.org/10.5123/S1679-49742018000400004
POLIDORO, M.; KAUSS, B.; CANAVESE, D. Geografias Gays do Rio Grande do Sul. Confins (Paris), v. 51, n. 51, 2021. https://doi.org/10.4000/confins.38624
REGIC – Rede de Influência das Cidades. REGIC 2018 – Cidades (arquivo tabular). 2018. Disponível em: https://geoftp.ibge.gov.br/organizacao_do_territorio/divisao_regional/regioes_de_influencia_das_cidades/Regioes_de_influencia_das_cidades_2018_Resultados_definitivos/base_tabular/REGIC2018_Cidades_v2.xlsx. Acesso em: 26 Jan. 2023.
RODRIGUEZ-DIAZ, C. E.; CROWLEY, J. S.; SANTIAGO-RIVERA, Y.; MILLETT, G. A. From COVID-19 to Monkeypox: Unlearned Lessons for Black, Latino, and Other Men With HIV Who Have Sex With Men. American Journal of Public Health, v. 112, n. 11, 2022. https://doi.org/10.2105/AJPH.2022.307093
SHCHELKUNOV, S. N.; TOTMENIN, A. V.; SAFRONOV, P. F.; MIKHEEV, M. V.; GUTOROV, V. V.; RYAZANKINA, O. I.; PETROV, N. A.; BABKIN, I. V.; UVAROVA, E. A.; SANDAKHCHIEV, L. S.; SISLER, J. R.; ESPOSITO, J. J.; DAMON, I. K.; JAHRLING, P. B.; MOSS, B. Analysis of the monkeypox virus genome. Virology, v. 297, n. 2, 2002. https://doi.org/10.1006/viro.2002.1446
UNITED NATIONS. Monkeypox: UNAIDS 'concerned' about stigmatizing language against LGTBI people. UN News: Global perspectives, Human stories. 2022. Disponível em: https://news.un.org/en/story/2022/05/1118762. Acesso em: 25 Jan. de 2023.
PARKER, S.; NUARA, A.; BULLER, R. M.; SCHULTZ, D. A. Human monkeypox: an emerging zoonotic disease. Future microbiology, v. 2, n. 1, 2007. https://doi.org/10.2217/17460913.2.1.17
PASCOM, A. R. P.; SOUZA, I. N.; KRUMMENAUER, A.; DUARTE, M. M. S.; SALLAS, J.; ROHLFS, D. B.; PEREIRA, G. M.; MEDEIROS, A. C.; MIRANDA, A. E. . Características epidemiológicas e clínicas dos casos de monkeypox no Brasil em 2022: estudo transversal. Epidemiologia e Serviços de Saúde, v. 31, n. 3 2022. https://doi.org/10.1590/S2237-96222022000300036
ROTHENBURG, S.; YANG, Z.; BEARD, P.; SAWYER, S. L.; TITANJI, B.; GONSALVES, G.; KINDRACHUK, J. Monkeypox emergency: Urgent questions and perspectives. Cell, v. 185, n. 18, 2022. https://doi.org/10.1016/j.cell.2022.08.002
THRASHER, S. W. Monkeypox is a sexually transmitted infection, and knowing that can help protect people. Scientific American. 2022. Disponível em: https://www.scientificamerican.com/article/monkeypox-is-a-sexually-transmitted-infection-and-knowing-that-can-help-protect-people/. Acesso em: 1 Fev. de 2023.
UKHSA - United Kingdom Health Security Agency. Monkeypox cases confirmed in England – latest updates. London: UKHSA; 2022. Disponível em: https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates. Acesso em: 12 Dez. 2022.
UNAIDS – Programa Conjunto das Nações Unidas para a AIDS. Guia de Terminologia do UNAIDS. 2017. Disponível em: https://unaids.org.br/wp-content/uploads/2017/09/WEB_2017_07_12_GuiaTerminologia_UNAIDS_HD.pdf. Acesso em: 31 Jan. 2022.
WHITMEE, S; HAINES, A; BEYRER, C. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation. Lancet Commission on planetary health, v. 386, 2015. https://doi.org/10.1016/S0140-6736(15)60901-1
VIVANCOS, R.; ANDERSON, C.; BLOMQUIST, P.; BALASEGARAM, S.; BELL, A.; BISHOP L. Community transmission of monkeypox in the United Kingdom, April to May 2022. Eurosurveillance, v. 27, n. 22, 2022. https://doi.org/10.2807/1560-7917.ES.2022.27.22.2200422
WHO - WORLD HEALTH ORGANIZATION. Meeting of the International Health Regulations (2005) Emergency Committee regarding the multi-country monkeypox outbreak - June 25 2022. 2022. Disponível em: https://www.who.int/news/item/25-06-2022-meeting-of-the-international-health-regulations-(2005)-emergency-committee--regarding-the-multi-country-monkeypox-outbreak. Acesso em: 9 Set. 2022.
WHO – WORLD HEALTH ORGANIZATION. WHO Director-General declares the ongoing monkeypox outbreak a Public Health Emergency of International Concer – July 22, 2022. 2022. Disponível em: https://www.who.int/europe/news/item/23-07-2022-who-director-general-declares-the-ongoing-monkeypox-outbreak-a-public-health-event-of-international-concern. Acesso em: 10 Dez. 2022.
YINKA-OGUNLEYE, A.; ARUNA, O.; DALHAT, M.; OGOINA, D.; MCCOLLUM, A.; Y., DISU, I.; MAMADU, A.; AKINPELU, A.; AHMAD, J.; BURGA, A.; NDORERAHO, E.; NKUNZIMANA, L.; MANNEH, A.; MOHAMMED, O.; ADEOYE, D.; TOM-ABA, B.; SILENOU, O.; IPADEOLA, M.; SALEH, P.S. Outbreak of human monkeypox in Nigeria in 2017–18: a clinical and epidemiological report. Lancet Infectious Diseases, v. 19, n. 8. 2019. https://doi.org/10.1016/S1473-3099(19)30294-4
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