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Human monkeypox - After 40 years, an unintended consequence of smallpox eradication
Karl Simpson1, David Heymann2, Colin S Brown3
1JKS Bioscience Limited, 2 Midanbury Court, 44 Midanbury Lane, Southampton SO18 4HF, UK.
Vaccine
|May 18, 2020
Summary
Smallpox eradication has left most of the global population vulnerable to monkeypox, a re-emerging orthopox virus. Research is needed to understand its changing epidemiology and control strategies.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Smallpox eradication by the WHO led to decreased vaccination, leaving over 70% of the global population susceptible to smallpox and related orthopox viruses.
- Monkeypox is a re-emerging zoonotic disease, endemic in sub-Saharan Africa, with changing human epidemiology and documented international spread through animal trade and travelers.
- The cessation of smallpox vaccination may have created an epidemiological niche for emergent or re-emergent orthopox viruses like monkeypox.
Purpose of the Study:
- To review available data on monkeypox and related orthopox viruses.
- To identify critical research gaps concerning monkeypox.
- To discuss optimal disease control strategies for monkeypox.
Main Methods:
- An ad-hoc expert meeting was convened at Chatham House, London in June 2019.
- Experts reviewed existing data on orthopox virus epidemiology and evolution.
- Discussions focused on identifying research needs and control measures.
Main Results:
- Identified key research gaps in understanding monkeypox.
- Highlighted the need for better comprehension of orthopox virus genomic evolution and epidemiology.
- Stressed the importance of in-field genomic diagnostics and effective disease control strategies.
Conclusions:
- Monkeypox represents a significant public health concern due to waning smallpox immunity.
- Further research is crucial for understanding monkeypox evolution, diagnostics, and control.
- New generation vaccines and antivirals may play a role in future monkeypox management.
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