Situation Report on Monkeypox Multi-Country Outbreak Response - Region of the Americas. N.7 -3 March 2023

In the Region of the Americas, as of 24 February 2023 (16:00 EST), there are a total of 58,578 confirmed cases of mpox (Table 1, Figure 2) were reported from 31 countries and territories, including 76 deaths in: United States of America (34), Brazil (15), Peru (15), Mexico (4), Chile (2), Ecuador (3), Argentina (2), and Cuba (1), reported from 31 (Table 1, Annex 1, Figure 3). In the last 4 weeks (28 January – 24 February 2023), 607 additional mpox cases were reported from 16 countries and territories, including 9 deaths in Ecuador (1) and United States (8). Eight countries in the Region account for 97% of confirmed cases: United States of America, Brazil, Colombia, Mexico, Peru, Canada, Chile, and Argentina – listed by total number of cases in decrease order (Figure 4). The number of new weekly reported cases in EW 7 compared to EW 6 of 2023 (% variation) decreased by 55%.

PAHO/WHO has received an anonymized line list from Member States regarding 57,801 cases. Of these, 51,160 cases had sex information available, of which 48,651 (96%) were male; 57,524 cases had age information, which ranged from 0 to 95 years old (median 33 years, mean 35 years) and 736 confirmed cases aged 17 years or younger were reported by 13 countries, including 45 cases among infants (<1 year-old); 55,645 cases reported dates of symptom onset in 2022, and 816 cases reported dates of symptom onset in 2023, ranging from 01 January to 19 February 2023. Of 14,324 cases with available information on history of reported travel, 12,933 (90%) reported no recent travel. Among 34,548 confirmed cases with hospitalization information, 3,164 (7%) were hospitalized (including for isolation purposes) (Table 2). Of 2,278 confirmed cases reported among women, 37 are pregnant. One hundred and sixty-five of the cases among women required hospitalization (including for isolation purposes), 13 of these were pregnant.