Table 1.
Transportation routes and duration of travel for symptomatic mpox patients, 2018–21, ordered by origin and date of arrival at destination
| Destination | Transportation type | Estimated trip duration | Estimated contacts investigated | Reference | |
|---|---|---|---|---|---|
| Case 1 (Sept 2, 2018) | |||||
| Abuja, Nigeria | London, UK | Flight | 8 h 55 m | ∼41* | Vaughan et al (2018)32 |
| London, UK | Cornwall, UK | Train | 5 h 20 m | NR | .. |
| Case 2 (Sept 4, 2018) | |||||
| Lagos, Nigeria | Paris, France | Flight | 8 h 20 m | ∼41* | Vaughan et al (2018)32 |
| Paris, France | Manchester, UK (assumed)† | Flight | 1 hr 15m | ∼41* | .. |
| Case 3 (July 8–9, 2021) | |||||
| Lagos, Nigeria | Atlanta, GA, USA | Flight‡ | 13 h 2 m | 144§ | Rao et al (2022)37 |
| Atlanta, GA, USA | Dallas, TX, USA | Flight‡ | 2 h 14 m | 5 | .. |
| Dallas, TX, USA | Dallas, TX, USA | Car | NR | 1 | .. |
| Dallas, TX, USA | Dallas, TX, USA | Car | NR | 1 | .. |
| Case 4 (November, 2021) | |||||
| Lagos, Nigeria | Maryland, USA | Flight‡ | 13 h 55 m | 9 | (Kreuze M, Centers for Disease Control and Prevention, personal communication) |
| Maryland, USA | Maryland, USA | Car | NR | 8 | .. |
No transmission was identified in any of the contact investigations. NR=not reported.
*
Assumptions: each row has two sets of three seats; people sitting on both sides of the aisle were contacted.
†
Based on the location of Blackpool Teaching Hospital.
‡
Masks worn on flights.
§
Those investigated included flight crew, close exposures, and far exposures who could have used the toilets.