Evidence map›Paper›PMID 39052719›Full record

ArticleThe Journal of infectious diseases2024

The Fading of the Mpox Outbreak Among Men Who Have Sex With Men: A Mathematical Modelling Study.

Maria Xiridou, Fuminari Miura, Philippe Adam, Eline Op de Coul, John de Wit, Jacco Wallinga

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. Rapid spread of MPXV clade Ib with high genetic relatedness among men who have sex with men, Berlin, Germany, week 50 2025 up to week 10 2026.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  7. Article
  8. Review
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  13. Relationship dynamics and behavioral adaptations in the control of the 2022 mpox epidemic.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Strength and weakness of disease-induced herd immunity in networks.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Modelling international spread of clade IIb mpox on the Asian continent.Bulletin of the World Health Organization · 2025
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  20. Review
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

6 authors.

Maria XiridouCentre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.ORCID 0000-0002-5257-4503
Fuminari MiuraCentre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
Philippe AdamCentre for Social Research in Health, University of New South Wales, Sydney, Australia.
Eline Op de CoulCentre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
John de WitCentre for Social Research in Health, University of New South Wales, Sydney, Australia.
Jacco WallingaCentre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.

Funding

for the Promotion of Science 20J00793Japan Society for the Promotion of Science
6 · The paper itself

Abstract

backgroundIn the Netherlands, the number of mpox cases started declining before mpox vaccination was initiated. Most cases were men who have sex with men (MSM). We investigated whether the decline in mpox could be attributed to infection-induced immunity or behavioral adaptations.

methodsWe developed a transmission model and accounted for possible behavioral adaptations: fewer casual partners and shorter time until MSM with mpox refrain from sexual contacts.

resultsWithout behavioral adaptations, the peak in modelled cases matched observations, but the decline was less steep than observed. With behavioral adaptations in the model, we found a decline of 16%-18% in numbers of casual partners in June and 13%-22% in July 2022. Model results showed a halving of the time before refraining from sex. When mpox vaccination started, 57% of MSM with very high sexual activity in the model had been infected. Model scenarios revealed that the outbreak could have waned by November 2022 even without vaccination.

conclusionsThe limited duration of the mpox outbreak in the Netherlands can be ascribed primarily to infection-induced immunity among MSM with high sexual activity levels. The decline was accelerated by behavioral adaptations. Immunity among those most sexually active is essential to impede mpox resurgence.

Indexed as

Disease OutbreaksHomosexuality, MaleModels, TheoreticalSexual BehaviorAdultHumansMaleMpox, MonkeypoxNetherlandsSexual PartnersVaccinationimmunitymathematical modelmen who have sex with menmonkeypoxmpoxMSMsexual behaviorvaccination

Identifiers

PMID39052719
PMCPMC11272055

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.