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A Position Statement on Mpox as a Sexually Transmitted Disease
Lao-Tzu Allan-Blitz1, Monica Gandhi2,3, Paul Adamson4
1Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, USA.
Summary
Mpox virus is primarily transmitted sexually, posing a global public health risk. Recognizing mpox as a sexually transmitted disease aids targeted interventions like vaccination and education.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- The mpox virus outbreak declared an international public health emergency.
- Evidence suggests a strong link between sexual activity and mpox transmission.
- Mpox virus has been detected in sexual fluids and shown to be infectious.
Purpose of the Study:
- To analyze the evidence linking sexual activity to mpox transmission.
- To determine if mpox should be classified as a sexually transmitted disease (STD).
- To inform public health strategies for managing the mpox outbreak.
Main Methods:
- Review of existing reports and scientific literature on mpox cases.
- Analysis of associations between sexual practices and mpox infection.
- Examination of virus presence in sexual fluids and lesion distribution.
Main Results:
- A temporal association between sexual activity and mpox outbreaks was observed.
- Specific sexual practices correlated with lesion development locations.
- Mpox virus was isolated from sexual fluids, confirming infectiousness.
- Anogenital lesions were frequent, suggesting direct sexual transmission.
Conclusions:
- Mpox is predominantly transmitted through sexual contact.
- Classifying mpox as a sexually transmitted disease is supported by evidence.
- This classification can enhance public health interventions and awareness campaigns.
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