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Mpox Cases in Serbia, 2022.
Petar Đurić1,2, Verica Jovanović1,2, Mitra B Drakulović1,2
1National Public Health Institute "Dr. Milan Jovanović Batut", 11000 Belgrade, Serbia.
Infectious Disease Reports
|February 25, 2025
Summary
In Serbia, mpox primarily impacted unvaccinated men who have sex with men (MSM) aged 30-39, particularly in urban areas. Public health efforts should focus on high-risk populations, including those living with HIV.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- The World Health Organization declared the mpox outbreak a Public Health Emergency of International Concern on July 23, 2022.
- Understanding the specific epidemiological and clinical features of mpox in Serbia is crucial for targeted interventions.
Purpose of the Study:
- To characterize the epidemiological and clinical profile of confirmed mpox cases in Serbia during 2022.
- To identify high-risk populations and geographical areas for mpox transmission within Serbia.
Main Methods:
- Utilized the World Health Organization (WHO) mpox case definition for confirmed cases.
- Calculated incidence rates (IRs) and incidence rate ratios (IRRs) stratified by age and NUTS-3 regions.
- Employed 95% confidence intervals (CIs) for robust statistical analysis.
Main Results:
- A total of 43 confirmed mpox cases were reported between June and October 2022.
- All cases were unvaccinated males, with a mean age of 34 years; 72.1% were men who have sex with men (MSM).
- Higher infection rates were observed in Belgrade City compared to South Backa (IRR: 6.03), and 34.9% of cases were co-infected with HIV.
Conclusions:
- Mpox in Serbia predominantly affected unvaccinated MSM aged 30-39 residing in urban settings.
- Individuals living with HIV represented a significant proportion of cases.
- Prioritizing health promotion and vaccine implementation in at-risk populations is essential.
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