HIV and Sexually Transmitted Infections Among Persons with Monkeypox — Eight U.S. Jurisdictions, May 17–July 22, 2022

Abstract

and city or county jurisdictions independently funded for HIV surveillance: California (including Los Angeles County and San Francisco), District of Columbia, Georgia, Illinois (including Chicago), and New York (excluding New York City).preventive care should be routinely offered to persons evaluated for monkeypox, with linkage to HIV care or HIV preexposure prophylaxis (PrEP) as appropriate.Eight health departments matched probable and confirmed cases of monkeypox † diagnosed through July 22, 2022, and occurring among persons aged ≥18 years, to local HIV and STI surveillance data using individually established methods that included various personal identifiers (e.g., name, † https://www.cdc.gov/poxvirus/monkeypox/clinicians/case-definition.html INSIDE

Monkeypox Vaccine Hesitancy in French Men Having Sex with Men with PrEP or Living with HIV in France

“…Since March 2020, the world has been faced with the burden of the COVID-19 pandemic, which is now coupled with MPXV for a specific population, that is especially MSM people [ 12 , 22 ]. In the United States, most MPXV cases have occurred among MSM who have a higher prevalence of HIV and STIs than the general population [ 22 ]. MPXV infection most often begins with a fever, which is frequently high and accompanied by headaches, body aches and asthenia.…”

High monkeypox vaccine acceptance among male users of smartphone-based online gay-dating apps in Europe, 30 July to 12 August 2022

“…Such an association with an existing healthcare engagement was also found in a United States study, which showed a higher vaccination rate among MSM on HIV PrEP or who were recently tested for STIs [ 14 ]. Increasing HIV prevalence among MPX cases over time suggests that MPX might be increasingly transmitted among networks of persons with HIV infection [ 15 ]. The prioritisation of people linked with healthcare might be beneficial, especially with the current shortage of vaccines, as they are easier to reach and might be an important group in transmission dynamics.…”

Clusters of Rapid HIV Transmission Among Gay, Bisexual, and Other Men Who Have Sex with Men — United States, 2018–2021

“…Many MSM face barriers to accessing HIV services because of stigma, homophobia, racism, xenophobia, poverty, and limitations in health insurance †††† ( 1 , 2 ). Successful response interventions should aim to eliminate these barriers, quickly close service gaps, and address existing and emerging syndemics affecting MSM, including sexually transmitted infections and monkeypox ( 9 ). When mobilized effectively, strategies that engage communities, improve prevention services, and strengthen linkage to care can address the needs of persons in HIV clusters.…”