Live attenuated virus vaccines have been generated by several strategies, including cold-adapted live attenuated influenza vaccines (CAIVs), codon-deoptimized virus, premature termination codon-harboring virus, hyper-interferon-sensitive virus and viral-protein-altered virus 1-12 . However, current attenuation strategies are often accompanied by decrease or loss of safety, efficacy or productivity 1,[13][14][15][16] . In addition, immune escape due to rapid viral evolution poses a further challenge for traditional influenza vaccines 1,13 . Thus, there is an urgent need for new vaccine approaches that could enable the generation of safer and more effective live vaccines in a simpler way 2 .

The 2022 monkeypox outbreak outside Africa is ongoing. Cases have been reported in Hong Kong and Chongqing, China. In order to better prevent and control the potential spread of monkeypox virus in China, the development of sensitive and reliable detection commercial kits is imminent. This correspondence reviews the existing laboratory assays and related technologies for nucleic acid (PCR) and serological assays for the diagnosis of monkeypox virus to provide reference for the management and decision-making departments. Due to the serological cross-reactivity of orthopoxviruses, PCR is the laboratory test of choice to confirm monkeypox virus infection. We recommend a dual-target PCR approach in which one assay targets a conserved sequence of the Orthopoxvirus genus and the other targets a monkeypox virus specific sequence.