Evidence map›Paper›PMID 35640830›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Increased outbreaks of monkeypox highlight gaps in actual disease burden in Sub-Saharan Africa and in animal reservoirs.

Najmul Haider, Javier Guitian, David Simons, Danny Asogun, Rashid Ansumana, Isobella Honeyborne, Thirumalaisamy P Velavan, Francine Ntoumi, Sofia R Valdoleiros, Eskild Petersen and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
    Review
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  13. Medicinal chemistry (Shariqah (United Arab Emirates)) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 10 countries.

Najmul HaiderThe Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, United Kingdom. Electronic address: nhaider@rvc.ac.uk.
Javier GuitianThe Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, United Kingdom. Electronic address: JGuitian@RVC.AC.UK.
David SimonsThe Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, United Kingdom. Electronic address: dsimons19@rvc.ac.uk.
Danny AsogunIrrua Specialized Teaching Hospital, Irrua, Nigeria. Electronic address: asogun2001@yahoo.com.
Rashid AnsumanaSchool of Community Health Science, Njala University, Bo Campus, Sierra Leone. Electronic address: r.ansumana@njala.edu.sl.
Isobella HoneyborneDivision of Infection and Immunity, Centre for Clinical Microbiology, University College London, United Kingdom. Electronic address: i.honeyborne@ucl.ac.uk.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. Electronic address: velavan@medizin.uni-tuebingen.de.
Francine NtoumiInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Congolese Foundation for Medical Research, Brazzaville, Republic of Congo. Electronic address: ffntoumi@hotmail.com.
Sofia R ValdoleirosInfectious Diseases Department, Centro Hospitalar Universitário de São João, Porto, Portugal; European Society for Clinical Microbiology and Infectious Diseases, Basel, Switzerland. Electronic address: sofia.valdoleiros@chsj.min-saude.pt.
Eskild PetersenEuropean Society for Clinical Microbiology and Infectious Diseases, Basel, Switzerland; Institute for Clinical Medicine, Aarhus University, Aarhus, Denmark. Electronic address: eskild.petersen@gmail.com.
Richard KockThe Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, United Kingdom. Electronic address: rkock@rvc.ac.uk.
Alimuddin ZumlaDivision of Infection and Immunity, Centre for Clinical Microbiology, University College London, United Kingdom; NIHR-BRC, University College London Hospitals, London, United Kingdom. Electronic address: a.zumla@ucl.ac.uk.
University of London · GBAarhus University · DKFondation Congolaise Pour La Recherche Médicale · CGHospital de São João · PTInstitute of Infection and Immunity · CAIrrua Specialist Teaching Hospital · NGNjala University · SLUCL Biomedical Research Centre · GBVietnamese - German Center of Excellence in Medical Research · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We explain research gaps on Monkeypox (MPX) virus epidemiology in endemic countries and present hypotheses for the recent increase of MPX cases in West Africa as a possible explanation for the current epidemic in Europe, America, and Australia. The detection of >400 MPX cases in less than a month in May 2022, across many countries underscores the epidemic potential of MPX in humans and demonstrates several important research gaps. First, the true burden of MPX in West and Central Africa is poorly understood, although it is critical for prevention and control of future outbreaks. Second, the diversity and extent of the animal reservoir remain unknown. We hypothesize that the synanthropic rodent population has increased in recent years in Africa leading to more human-rodent interactions and thus increased transmission of MPXV. We further hypothesise that nearly 45 years after the end of routine smallpox vaccination, the larger and more interconnected immune-naïve population has crossed a threshold resulting in more sustainable human-to-human transmission of MPXV. The current epidemic in the Western World is possibly a consequence of increased local transmission of MPXV in Africa. A new estimation of the basic and effective reproduction rate (R

Indexed as

Mpox, MonkeypoxAfrica, CentralAnimalsCost of IllnessDisease OutbreaksHumansMonkeypox virusRodentiaMonkeypox virusMPXNigeriaoutbreaksReservoirssmallpox vaccineWest Africa

Identifiers

PMID35640830
PMCPMC9534138
OpenAlexW4281793926

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.