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. 2023 May 26;72(21):574–578. doi: 10.15585/mmwr.mm7221a2

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All material in the MMWR Series is in the public domain and may be used and reprinted without permission; citation as to source, however, is appreciated.

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The figure is two line graphs illustrating mpox incidence among persons aged 15–64 years, by gender, race and ethnicity, and urban-rural classification of county of residence in the United States during May 10–December 31, 2022. — Mpox incidence* among persons aged 15–64 years, by gender^† (A), race and ethnicity^§ (B), and urban-rural classification^¶ of county of residence — United States, May 10–December 31, 2022

* Cases per 100,000 population. Risk was calculated by using summed case counts and population size (persons aged 15–64 years) by gender and race and ethnicity and each level of urban-rural classification, multiplied by 100,000.

^† Methods for collecting gender information are not standardized across all jurisdictions. When self-reported gender was missing, current sex or sex assigned at birth was used, and gender identity was presumed to be cisgender. Among the 29,311 cases reported in 2022, 238 cases were missing data on gender (i.e., gender, sex, and sex assigned at birth). Among cases reported in cisgender men (27,726), 129 were missing information on county of residence, and risk for cisgender men was calculated from a total of 27,597 mpox cases among cisgender men. Among cases reported in cisgender women (822), two were missing information on county of residence, and incidence among cisgender women was calculated from a total of 820 mpox cases.

^§ All persons who reported Hispanic or Latino (Hispanic) ethnicity, regardless of race, were categorized as Hispanic. Persons who did not report ethnicity as Hispanic (including missing ethnicity) were categorized as non-Hispanic and reported race in the following categories: American Indian or Alaska Native, Asian, Black or African American (Black), Native Hawaiian or other Pacific Islander, White, and multiple races (more than one race category selected) or other race. This figure includes Black, Hispanic, and White racial and ethnic groups; incidence in all other groups was unreliable because of small sample sizes and were not included (https://stacks.cdc.gov/view/cdc/128433). Persons with missing data on ethnicity and race were categorized as missing or unknown. Among the 29,311 cases reported in 2022, 1,727 cases were missing data on race and ethnicity. Incidences among Black, Hispanic, and White persons were calculated using 9,151, 8,500, and 8,500 cases, respectively, because of the number of cases missing information on county of residence (20 of 9,171 [Black], 26 of 8,526 [Hispanic], and 29 of 8,079 [White]).

^¶ Urban-rural classification of county of residence is based on the 2013 National Center for Health Statistics Urban-Rural Classification Scheme for Counties. The two nonmetro categories were combined into one rural (i.e., nonmetropolitan) category.