Evidence map›Paper›PMID 39951482›Full record

ArticlePLOS global public health2025

International healthcare workers' experiences and perceptions of the 2022 multi-country mpox outbreak.

Vanessa Apea, Boghuma K Titanji, Francesca H Dakin, Rosalie Hayes, Melanie Smuk, Habiba Kawu, Laura Waters, Itsik Levy, Daniel R Kuritzkes, Monica Gandhi and 14 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
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

24 authors.

Vanessa ApeaSHARE Collaborative, Queen Mary University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-0533-8292
Boghuma K TitanjiDivision of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0000-0002-6881-2764
Francesca H DakinNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Rosalie HayesSHARE Collaborative, Queen Mary University of London, London, United Kingdom.ORCID https://orcid.org/0000-0003-4046-4101
Melanie SmukSHARE Collaborative, Queen Mary University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1594-1458
Habiba KawuSHARE Collaborative, Queen Mary University of London, London, United Kingdom.
Laura WatersUniversity College London Hospitals, NHS Foundation Trust, London, United Kingdom.
Itsik LevyInfectious Disease Unit, Sheba Medical Center, Ramat Gan, Israel.ORCID https://orcid.org/0000-0003-4716-1293
Daniel R KuritzkesBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Monica GandhiDepartment of Medicine, University of California, San Francisco, California, United States of America.
Jürgen RockstrohUniversity of Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0003-2858-3888
Mauro SchechterDepartamento de Doenças Infecciosas e Parasitárias, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Martin HoltCentre for Social Research in Health, University of New South Wales, Sydney, Australia.
Romain PalichTropical Medicine and Infectious Disease Department, Pitié-Salpêtrière Hospital, Paris, France.
Claudia P CortesFaculty of Medicine, Universidad de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0001-9101-9783
Silvia NozzaDivision of Infectious Diseases, S. Raffaele University Hospital IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0002-2673-2731
Cristina MussiniUniversity of Modena and Reggio Emilia, Modena, Italy.
Alexandra CalmyDivision of Infectious Diseases, HIV/AIDS Unit, Geneva University Hospitals, Geneva, Switzerland.
Brenda E Crabtree-RamirezDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico.
José L BlancoInfectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.
Sanjay BhaganiHIV services, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, United Kingdom.
Claire DewsnapSexual Health Sheffield, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Chloe OrkinSHARE Collaborative, Queen Mary University of London, London, United Kingdom.
Mpox SHARE-NET Writing Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In May 2022, the most widespread outbreak of sustained transmission of mpox outside of countries historically affected countries in Western and Central Africa occurred. We aimed to examine the personal and clinical experiences of international healthcare workers (HCWs) during this public health emergency. We conducted an international cross-sectional survey study between August and October 2022, examining the experiences and perceptions of HCWs clinically involved in the 2022 mpox response. Respondents were recruited via an international network of sexual health and HIV clinicians responding to mpox and promoted through clinical associations and social media. Survey domains included: clinical workload; preparedness; training and support at work; psychological well-being and vaccination. 725 multi-national healthcare workers across 41 countries were included in the analysis. 91% were physicians specialised in Sexual Health or Infectious Diseases; with 34% (n = 247) of all respondents involved in mpox policy. A substantial proportion of respondents (n = 296, 41%) reported working longer hours during the mpox outbreak, with no concomitant removal of other clinical responsibilities. 30% (n = 218) of respondents reported that they had never heard of mpox before the outbreak and over 25% of the respondents reported that they had misdiagnosed someone initially. This culminated in a high prevalence of moral distress at thirty percent. Less than 9% of HCWs in the region of the Caribbean, Central America and South America had been offered a vaccine as compared to almost one-third in the other regions. Where offered, there were high levels of uptake across all regions. The findings highlight a critical need for addressing the profound gaps in HCW knowledge about re-emerging diseases with pandemic potential. Strengthening the resilience of global health systems and prioritising internationally coordinated approaches to global vaccine deployment is imperative.

Identifiers

PMID39951482
PMCPMC11828417

What OpenQuestion holds

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Registered trials

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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.