Monkeypox situation update, as of 11 August 2022

Since the start of the monkeypox outbreak and as of 11 August 2022, 14 843 confirmed cases of monkeypox (MPX) have been reported from 29 EU/EEA countries: Spain (5 270), Germany (3 063), France (2 601), Netherlands (1 002), Portugal (710), Italy (599), Belgium (546), Austria (195), Denmark (135), Sweden (123), Ireland (101), Poland (85), Norway (66), Hungary (51), Greece (48), Slovenia (41), Luxembourg (39), Romania (31), Malta (30), Czechia (29), Finland (22), Croatia (12), Iceland (11), Estonia (9), Slovakia (9), Lithuania (5), Bulgaria (4), Cyprus (3) and Latvia (3).

Two deaths have been reported from Spain.

Since the start of the monkeypox outbreak and as of 11 August 2022, the following Western Balkan countries have reported confirmed cases of monkeypox: Serbia (23), Bosnia and Herzegovina (1) and Montenegro (1). In addition, five cases have been reported from Turkey.

Since the start of the outbreak, ECDC provides updates for EU/EEA countries, the Western Balkans and Turkey twice a week (Tuesdays and Fridays), with the number of MPX cases reported to The European Surveillance System (TESSy) or collected through ECDC’s epidemic intelligence from official public sources.

In the current outbreak in non-endemic countries, cases of MPX have been identified primarily among groups of men who have sex with men (MSM) aged 18–50 years of age. Based on the latest ECDC risk assessment, the likelihood of MPX spreading further in networks of people with multiple sexual partners in the EU/EEA is considered high, and the likelihood of MPX spreading among the broader population is assessed as very low. Although a few severe cases have recently been reported (including encephalitis), the impact of the disease remains low for most cases. The overall risk is therefore assessed as moderate for people having multiple sexual partners (including some groups of MSM) and low for the broader population. Early diagnosis, isolation, effective contact tracing, and targeted vaccination strategies are key to the effective control of this outbreak. It is essential to underpin all response measures with strong risk communication and community engagement efforts, as well as raising awareness among health professionals.

ECDC closely monitors the MPX epidemiological situation and will review the level of risk according to the evolution of the outbreak indicators.

Disclaimer: Data presented in this update are compiled from TESSy and official sources. Databases with larger number of monkeypox cases reported for each country are selected. In this update, countries for which TESSy data were used are: Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, Czechia, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Romania, Slovenia, Spain and Sweden. For the rest of the countries, data were included from the epidemic intelligence database.

ECDC and the World Health Organization Regional Office for Europe (WHO/Europe) provide weekly updates for the countries of the WHO European Region. Please refer to the Joint ECDC-WHO Regional Office for Europe Monkeypox Surveillance Bulletin.

For MPX cases worldwide, please refer to WHO’s surveillance report.

Geographical distribution of confirmed monkeypox cases in the EU/EEA since the start of the outbreak and as of 11 August 2022

Geographical distribution of confirmed monkeypox cases in the EU/EEA since the start of the outbreak, and as of 11 August 2022
Geographical distribution of confirmed monkeypox cases in the EU/EEA

Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA since the start of the outbreak and as of 11 August 2022

Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA since the start of the outbreak, and as of 11 August 2022
Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA

Number of confirmed monkeypox cases reported daily in the EU/EEA as of 11 August 2022

Number of confirmed monkeypox cases reported daily in the EU/EEA, as of 11 August 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA as of 11 August 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA as of 8 August 2022
Data should be interpreted with caution due to notification delay. Please note, that the data for the latest week is incomplete.

Geographical distribution of confirmed monkeypox cases in the EU/EEA, Western Balkans and Turkey, since the start of the outbreak and as of 11 August 2022

Geographical distribution of confirmed monkeypox cases in the EU/EEA, the Western Balkans and Turkey, since the start of the outbreak and as of 11 August 2022

Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA, Western Balkans and Turkey since the start of the outbreak and as of 11 August 2022

Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA, the Western Balkans and Turkey, since the start of the outbreak and as of 11 August 2022

Number of confirmed monkeypox cases reported daily in the EU/EEA, Western Balkans and Turkey, as of 11 August 2022

Number of confirmed monkeypox cases reported daily in the EU/EEA, the Western Balkans and Turkey, as of 11 August 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA, Western Balkans and Turkey, as of 11 August 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA, the Western Balkans and Turkey, as of 11 August 2022
Data should be interpreted with caution due to notification delay. Please note, that the data for the latest week is incomplete.

Table with the summary of monkeypox cases reported by EU/EEA countries, as of 11 August 2022

Country

Total number cases

Crude rate per million population

Number cases last 7 days

7-day change (%)

Time since last case (days)

Date first reported case

Austria

195

21.8

32

19.6

0

18 May 2022

Belgium

546

47.2

5

0.9

6

19 May 2022

Bulgaria

4

0.6

0

0.0

20

23 June 2022

Croatia

12

3.0

0

0.0

10

23 June 2022

Cyprus

3

3.3

2

200.0

5

2 August 2022

Czechia

29

2.7

1

3.6

6

30 May 2022

Denmark

135

23.1

27

25.0

0

18 May 2022

Estonia

9

6.8

1

12.5

6

28 June 2022

Finland

22

4.0

0

0.0

7

3 June 2022

France

2 601

38.4

97

3.9

3

19 May 2022

Germany

3 063

36.8

224

7.9

1

21 May 2022

Greece

48

4.5

4

9.1

3

23 May 2022

Hungary

51

5.2

0

0.0

10

26 May 2022

Iceland

11

29.8

0

0.0

12

13 June 2022

Ireland

101

20.2

1

1.0

6

31 May 2022

Italy

599

10.1

16

2.7

3

9 May 2022

Latvia

3

1.6

0

0.0

23

6 June 2022

Liechtenstein

0

0.0

0

 

 

 

Lithuania

5

1.8

2

66.7

2

3 August 2022

Luxembourg

39

61.4

5

14.7

2

13 June 2022

Malta

30

58.1

0

0.0

7

25 May 2022

Netherlands

1 002

57.3

6

0.6

5

19 May 2022

Norway

66

12.2

2

3.1

2

5 April 2022

Poland

85

2.2

3

3.7

5

31 May 2022

Portugal

710

68.9

0

0.0

8

18 May 2022

Romania

31

1.6

4

14.8

3

13 June 2022

Slovakia

9

1.6

1

12.5

2

6 July 2022

Slovenia

41

19.4

6

17.1

2

24 May 2022

Spain

5 270

111.2

90

1.7

2

9 May 2022

Sweden

123

11.9

7

6.0

3

24 May 2022

 

Page last updated 12 Aug 2022