Smallpox of the monkey: age, sex, region … The profile of the cases identified in France

Nearly 900 cases of monkeypox have been reported worldwide this Friday, including 51 in France. In detail by region, there are 37 in Île-de-France, 6 in Occitanie, 4 in Auvergne – Rhône-Alpes, 2 in Normandy, 1 in the Hauts-de-France and 1 in Center-Val de Loire . This assessment, communicated by Santé publique France, will inevitably increase given the fact that suspicious cases are being investigated. On Wednesday, only 33 patients were counted.

For the first time, the health agency also unveiled many profile elements this Friday night. 43 of the 45 cases identified on Thursday could be investigated. These are only men, aged between 22 and 63 years. Two of them are immunocompromised, one was hospitalized, but none died.

The majority (but not all) of these patients are men who have sex with men, “without direct contact with people returning from an endemic area” in Africa. 22 of them had traveled abroad before the onset of their symptoms, but the naked majority are unable to say who infected them.

Anyone can be affected

This information is consistent with that observed abroad. Of the 190 cases identified in the UK on Wednesday, 87% are between 20 and 49 years old and at least 111 are gay or bisexual (and have been to bars, saunas and gay dating apps).

Regarding age, those over 50 are a priori protected against monkeypox since many of them have been vaccinated against “classic” smallpox, eradicated in the late 1970s. However, this vaccine provides a kind of protection. “Cross”. When it comes to sexual orientation, multiple elements (multiple cluster randomness, more responsive screening, more risky behaviors, etc.) may explain why gays and bisexuals are more affected.

However, health authorities agree that anyone, regardless of sexual orientation, can be affected. In the current state of knowledge, transmission is essential through close contact, especially when having sex.

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