Modeling vaccination and control strategies for outbreaks of monkeypox at gatherings

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creativework.keywords - en
control
gatherings
modeling
monkeypox
ring vaccination
testing
vaccination strategy
dc.contributor.author
Yuan, Pei
Yi, Tan
Yang, Liu
Aruffo, Elena
Ogden, Nicholas H.
Bélair, Jacques
Arino, Julien
Heffernan, Jane
Watmough, James
Carabin, Hélène
Zhu, Huaiping
dc.date.accessioned
2023-11-28T20:21:01Z
dc.date.available
2023-11-28T20:21:01Z
dc.date.issued
2022-11-25
dc.description.abstract - en
BACKGROUND: The monkeypox outbreak in non-endemic countries in recent months has led the World Health Organization (WHO) to declare a public health emergency of international concern (PHEIC). It is thought that festivals, parties, and other gatherings may have contributed to the outbreak. METHODS: We considered a hypothetical metropolitan city and modeled the transmission of the monkeypox virus in humans in a high-risk group (HRG) and a low-risk group (LRG) using a Susceptible-Exposed-Infectious-Recovered (SEIR) model and incorporated gathering events. Model simulations assessed how the vaccination strategies combined with other public health measures can contribute to mitigating or halting outbreaks from mass gathering events. RESULTS: The risk of a monkeypox outbreak was high when mass gathering events occurred in the absence of public health control measures. However, the outbreaks were controlled by isolating cases and vaccinating their close contacts. Furthermore, contact tracing, vaccinating, and isolating close contacts, if they can be implemented, were more effective for the containment of monkeypox transmission during summer gatherings than a broad vaccination campaign among HRG, when accounting for the low vaccination coverage in the overall population, and the time needed for the development of the immune responses. Reducing the number of attendees and effective contacts during the gathering could also prevent a burgeoning outbreak, as could restricting attendance through vaccination requirements. CONCLUSION: Monkeypox outbreaks following mass gatherings can be made less likely with some restrictions on either the number and density of attendees in the gathering or vaccination requirements. The ring vaccination strategy inoculating close contacts of confirmed cases may not be enough to prevent potential outbreaks; however, mass gatherings can be rendered less risky if that strategy is combined with public health measures, including identifying and isolating cases and contact tracing. Compliance with the community and promotion of awareness are also indispensable to containing the outbreak.
dc.identifier.citation
Yuan P, Tan Y, Yang L, Aruffo E, Ogden NH, Bélair J, Arino J, Heffernan J, Watmough J, Carabin H, Zhu H. Modeling vaccination and control strategies for outbreaks of monkeypox at gatherings. Front Public Health. 2022 Nov 25;10:1026489. doi: 10.3389/fpubh.2022.1026489.
dc.identifier.doi
https://doi.org/10.3389/fpubh.2022.1026489
dc.identifier.issn
2296-2565
dc.identifier.pubmedID
36504958
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/1325
dc.language.iso
en
dc.publisher
Frontiers in Public Health
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
Modeling vaccination and control strategies for outbreaks of monkeypox at gatherings
dc.type - en
Article
dc.type - fr
Article
local.article.journaltitle
Frontiers in Public Health
local.peerreview - en
Yes
local.peerreview - fr
Oui
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