Evidence map›Paper›PMID 41127628›Full record

ReviewOne health (Amsterdam, Netherlands)2025

From forest to frontline: A comprehensive review of Mpox's global leap and viral evolution (2022-2024).

Baylor Akhavan, Abu-Bakr Ahmed, Wilson To, Samir Alkhouri, Kavita Batra

Abstract readReview
In one paragraph

Review in One health (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Baylor AkhavanKirk Kerkorian School of Medicine at UNLV, 625 Shadow Lane, Las Vegas, NV 89106, United States.
Abu-Bakr AhmedKirk Kerkorian School of Medicine at UNLV, 625 Shadow Lane, Las Vegas, NV 89106, United States.
Wilson ToKirk Kerkorian School of Medicine at UNLV, 625 Shadow Lane, Las Vegas, NV 89106, United States.
Samir AlkhouriKirk Kerkorian School of Medicine at UNLV, 625 Shadow Lane, Las Vegas, NV 89106, United States.
Kavita BatraDepartment of Medical Education and Office of Research, Kirk Kerkorian School of Medicine at UNLV, 1701 W. Charleston Blvd., Las Vegas, NV 89106, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since 2022, the global epidemiology of Mpox (MPXV) has transformed, with Clade IIb driving widespread transmission in non-endemic regions and Clade I resurging across Central Africa. Genomic adaptations, such as APOBEC3 mutations, and increasing human-to-human transmission have raised public health alarms. This review synthesizes the latest evidence on Clade I and Clade II MPXV outbreaks from 2022 to 2024, with an emphasis on geographic expansion, demographic disparities, and systemic response gaps. Methods: A comprehensive literature search was conducted between September and December 2024 using PubMed, CDC, WHO, and ECDC databases. Studies were included if they reported primary data on Clade I or Clade II MPXV epidemiology. Gray literature, including public health reports and situation summaries, was also analyzed. Data extraction focused on demographic trends, transmission modes, genomic mutations, and public health responses. Results: Fifty-one sources were reviewed, including 14 peer-reviewed articles and 37 Gy literature reports. Clade IIb accounted for 117,000+ cases across 123 countries, primarily affecting men who have sex with men (MSM). Clade I resurged in the Democratic Republic of the Congo (DRC) with over 19,000 confirmed cases and 975 deaths, disproportionately affecting children under five. APOBEC3-type mutations were linked to increased Clade I transmissibility. International spread of Clade I was reported in the U.S., Europe, and Asia. Diagnostic limitations, especially in the DRC, and gaps in pediatric vaccine access remain major challenges. Conclusion: MPXV's global trajectory now includes sustained transmission of both Clades I and II. Expanded genomic surveillance, pediatric-focused outbreak response, and equitable diagnostic and vaccine access are urgently needed. A One Health approach is essential to address evolving viral behavior and health disparities in endemic and non-endemic regions.

Indexed as

APOBEC3 mutationsClade IClade IIMpox (MPXV)Pediatric mortalityPublic health surveillance

Identifiers

PMID41127628
PMCPMC12538092

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.