Monkeypox situation update, as of 27 September 2022

Epidemiological update

Since the start of the monkeypox outbreak and as of 27 September 2022, 20 083 confirmed cases of monkeypox (MPX) have been reported from 29 EU/EEA countries. In total, 58 cases have been reported from three Western Balkan countries and Turkey.

The five countries reporting most cases since the start of the outbreak are: Spain (7 149), France (3 969), Germany (3 607), Netherlands (1 223) and Portugal (851).

The highest cumulative notification rates have been reported in Spain, Luxembourg and Portugal (see the table).

Deaths have been reported from: Spain (2), Belgium (1) and Czechia (1).

Excluding data from the last three weeks, which may be incomplete, the 7-day notification rate during week 36 (05/09–11/09) was the highest in Luxembourg, Spain and Ireland. During this week, decreases in notification rates were reported by 12 countries with the largest decrease in Croatia, Slovakia and Portugal. Increases in notification rates were reported by 10 countries (Austria, Denmark, Finland, Greece, Hungary, Luxembourg, Norway, Poland, Romania and Sweden).

 

Risk assessment

Based on the latest ECDC risk assessment, the overall risk is assessed as moderate for people having multiple sexual partners (including some groups of MSM) and low for the broader population.  

The likelihood of MPX spreading further in networks of people with multiple sexual partners in the EU/EEA is considered high, such as MSM, and the likelihood of MPX spreading among the broader population is assessed as very low. 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.   

MPX case numbers have been decreasing since the end of July. Efforts in risk communication and community engagement, resulting in behavioural changes, together with the end of the summer events season, vaccination and increased immunity levels have been reported as key contributors to this effect.

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

Note: Data presented in this update are compiled from TESSy and official sources.  

More surveillance reports

Geographical distribution of confirmed monkeypox cases in the EU/EEA since the start of the outbreak, and as of 27 September 2022

Geographical distribution of confirmed monkeypox cases in the EU/EEA since the start of the outbreak, and as of 27 September 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 27 September 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 27 September 2022
Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA

Number of confirmed monkeypox cases reported weekly in the EU/EEA, as of 27 September 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA, as of 27 September 2022
Data should be interpreted with caution due to notification delays. Please note, that the data for recent weeks may be incomplete.

Geographical distribution of confirmed monkeypox cases in the EU/EEA, the Western Balkans and Turkey, since the start of the outbreak, and as of 27 September 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 27 September 2022
Geographical distribution of confirmed monkeypox cases in the EU/EEA, the Western Balkans and Turkey

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 27 September 2022

Geographical distribution of confirmed monkeypox cases per 1 000 000 population in the EU/EEA, the Western Balkans and Turkey, as of 27 September 2022
Geographical distribution of confirmed monkeypox cases per 1 00 000 population in EU/EEA, Western Balkans and Turkey.

Number of confirmed monkeypox cases reported weekly in the EU/EEA, the Western Balkans and Turkey, as of 27 September 2022

Number of confirmed monkeypox cases reported weekly in the EU/EEA, the Western Balkans and Turkey, as of 27 September 2022
Data should be interpreted with caution due to notification delays. Please note, that the data for recent weeks may be incomplete.

Table with the summary of monkeypox cases reported by EU/EEA countries, as of 27 September 2022

Country

Total number of cases

Crude notification rate per million population

Notification rate in week 36 (05/09– 11/09)

Change (%) in notification rate between week 36 and 35

Days since the last case

Date of the first reported case

Austria

309

34.6

1.7

6.2

4

18 May 2022

Belgium

770

66.6

1.5

-6.3

7

19 May 2022

Bulgaria

6

0.9

0.1

0

18

23 June 2022

Croatia

29

7.2

0

-100

12

23 June 2022

Cyprus

5

5.6

0

0

32

2 August 2022

Czechia

66

6.2

0.6

-25

12

30 May 2022

Denmark

185

31.7

0.9

28.6

5

22 May 2022

Estonia

11

8.3

0

0

14

28 June 2022

Finland

40

7.2

1.3

160

5

24 May 2022

France

3969

58.7

1.7

-29.2

6

19 May 2022

Germany

3607

43.4

0.4

-55.6

1

20 May 2022

Greece

74

6.9

0.7

133.3

4

23 May 2022

Hungary

77

7.9

0.4

300

11

26 May 2022

Iceland

14

38

0

0

11

13 June 2022

Ireland

183

36.6

2.4

-25

4

31 May 2022

Italy

846

14.3

0.5

-16.7

1

18 May 2022

Latvia

5

2.6

0

0

2

6 June 2022

Liechtenstein

0

0

0

0

0

 

Lithuania

5

1.8

0

0

49

3 August 2022

Luxembourg

55

86.7

3.2

-

19

13 June 2022

Malta

33

63.9

0

0

34

25 May 2022

Netherlands

1223

70

0.9

-35.7

8

19 May 2022

Norway

91

16.9

0.6

50

5

30 May 2022

Poland

188

5

0.4

33.3

5

31 May 2022

Portugal

851

82.6

0.2

-77.8

4

22 April 2022

Romania

40

2.1

0.1

-

4

13 June 2022

Slovakia

14

2.6

0

-100

25

6 July 2022

Slovenia

46

21.8

0.5

-44.4

20

25 May 2022

Spain

7149

150.8

3.1

-24.4

1

13 May 2022

Sweden

192

18.5

1.1

83.3

1

24 May 2022