Table 2. Exposure settings for monkeypox cases, 36 WHO European Region countries, 7 March–23 August 2022 (n = 20,690 cases).
| Variables | Exposure settinga
(n = 3,643 cases reporting at least one setting) |
||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Household | Work | School/nursery | Healthcare | Private party/club with sexual activity | Large event with sexual activity | Large event w/o sexual activity | Bar/restaurant w/o sexual activity | Other | Unknown | Missing | |||||||||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | ||||
| Total cases | 20,690 | 100 | 233 | 100 | 48 | 100 | 0 | 0 | 0 | 0 | 2,530 | 100 | 378 | 100 | 652 | 100 | 199 | 100 | 1,007 | 100 | 1,008 | 100 | 16,129 | 100 | |
| Age group (years) | |||||||||||||||||||||||||
| 0–17 | 41 | 0.2 | 3 | 1.3 | 0 | 0.0 | 0 | 0 | 0 | 0 | 3 | 0.1 | 0 | 0.0 | 1 | 0.2 | 1 | 0.5 | 4 | 0.4 | 3 | 0.3 | 30 | 0.2 | |
| 18–30 | 5,078 | 24.5 | 59 | 25.4 | 18 | 37.5 | 0 | 0 | 0 | 0 | 633 | 25.1 | 82 | 21.8 | 152 | 23.4 | 43 | 21.8 | 243 | 24.2 | 262 | 26.2 | 3,947 | 24.5 | |
| 31–40 | 8,231 | 39.8 | 99 | 42.7 | 18 | 37.5 | 0 | 0 | 0 | 0 | 1,033 | 41.0 | 184 | 48.8 | 290 | 44.7 | 82 | 41.6 | 440 | 43.8 | 438 | 43.8 | 6,323 | 39.3 | |
| 41–50 | 4,970 | 24.0 | 53 | 22.8 | 6 | 12.5 | 0 | 0 | 0 | 0 | 585 | 23.2 | 82 | 21.8 | 154 | 23.7 | 50 | 25.4 | 228 | 22.7 | 229 | 22.9 | 3,907 | 24.3 | |
| 51–60 | 1,882 | 9.1 | 14 | 6.0 | 5 | 10.4 | 0 | 0 | 0 | 0 | 228 | 9.0 | 26 | 6.9 | 48 | 7.4 | 18 | 9.1 | 72 | 7.2 | 59 | 5.9 | 1,521 | 9.4 | |
| > 60 | 442 | 2.1 | 4 | 1.7 | 1 | 2.1 | 0 | 0 | 0 | 0 | 39 | 1.5 | 3 | 0.8 | 4 | 0.6 | 3 | 1.5 | 18 | 1.8 | 10 | 1.0 | 374 | 2.3 | |
| Genderb | |||||||||||||||||||||||||
| Male | 17,685 | 98.7 | 214 | 91.8 | 48 | 100.0 | 0 | 0 | 0 | 0 | 2,512 | 99.3 | 374 | 98.9 | 641 | 98.3 | 192 | 96.5 | 981 | 97.4 | 1,000 | 99.6 | 13,182 | 98.7 | |
| Female | 212 | 1.2 | 18 | 7.7 | 0 | 0.0 | 0 | 0 | 0 | 0 | 18 | 0.7 | 4 | 1.1 | 11 | 1.7 | 7 | 3.5 | 24 | 2.4 | 3 | 0.3 | 161 | 1.2 | |
| Other | 16 | 0.1 | 1 | 0.4 | 0 | 0.0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 2 | 0.2 | 1 | 0.1 | 13 | 0.1 | |
| Sexual orientation | |||||||||||||||||||||||||
| MSM | 8,777 | 75.7 | 172 | 86.0 | 32 | 86.5 | 0 | 0 | 0 | 0 | 2,325 | 97.7 | 339 | 97.7 | 532 | 93.5 | 138 | 88.5 | 868 | 93.0 | 698 | 70.6 | 4,936 | 67.5 | |
| Bisexual | 93 | 0.8 | 12 | 6.0 | 1 | 2.7 | 0 | 0 | 0 | 0 | 21 | 0.9 | 4 | 1.2 | 13 | 2.3 | 5 | 3.2 | 20 | 2.1 | 16 | 1.6 | 35 | 0.5 | |
| Heterosexual | 276 | 2.4 | 14 | 7.0 | 3 | 8.1 | 0 | 0 | 0 | 0 | 30 | 1.3 | 4 | 1.2 | 23 | 4.0 | 13 | 8.3 | 35 | 3.8 | 44 | 4.4 | 147 | 2.0 | |
| Health worker | |||||||||||||||||||||||||
| Yes | 64 | 1.7 | 4 | 2.4 | 0 | 0.0 | 0 | 0 | 0 | 0 | 11 | 1.3 | 5 | 1.8 | 8 | 1.5 | 3 | 1.8 | 29 | 3.6 | 11 | 1.8 | 11 | 0.8 | |
| No | 3,645 | 98.3 | 162 | 97.6 | 46 | 100.0 | 0 | 0 | 0 | 0 | 865 | 98.7 | 270 | 98.2 | 528 | 98.5 | 168 | 98.2 | 787 | 96.4 | 601 | 98.2 | 1,285 | 99.2 | |
| Most likely mode of transmissionc | |||||||||||||||||||||||||
| PTP | 359 | 5.3 | 42 | 21.4 | 6 | 16.2 | 0 | 0 | 0 | 0 | 82 | 5.8 | 6 | 2.0 | 54 | 10.1 | 37 | 98.2 | 70 | 8.1 | 14 | 2.5 | 148 | 3.8 | |
| Sexual | 6,385 | 93.9 | 153 | 78.1 | 30 | 81.1 | 0 | 0 | 0 | 0 | 1,341 | 94.1 | 292 | 97.7 | 475 | 88.8 | 131 | 75.7 | 791 | 91.2 | 547 | 97.2 | 3,698 | 95.3 | |
| Fomite | 11 | 0.2 | 0 | 0.0 | 1 | 2.7 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 3 | 0.3 | 2 | 0.4 | 6 | 0.2 | |
| Otherd | 41 | 0.6 | 1 | 0.5 | 0 | 0.0 | 0 | 0 | 0 | 0 | 2 | 0.1 | 1 | 0.3 | 6 | 1.1 | 5 | 2.9 | 3 | 0.3 | 0 | 0.0 | 28 | 0.7 | |
| Sexual and PTP | 1 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 0.0 | |
MSM: men who have sex with men; PTP: non-sexual person-to-person transmission; w/o: without.
a Possible exposure in the 21 days before symptom onset. Multiple exposures per case possible.
b Gender collected in TESSy as female, male, other (e.g., transgender) or unknown (not shown in table).
c No cases reported ‘most likely mode of transmission’ as zoonotic, occupational healthcare, occupational laboratory, vertical or transfusion.
d Many cases reporting ‘other’ route of transmission, also reported sexual, PTP or fomite transmission and exposure at a bar etc. (see text). Further details were not provided.