Intended for healthcare professionals

Rapid response to:


Monkeypox: What do we know about the outbreaks in Europe and North America?

BMJ 2022; 377 doi: (Published 20 May 2022) Cite this as: BMJ 2022;377:o1274

Rapid Response:

Monkeypox: we still don't know about the outbreaks

Dear Editor

We agree that monkeypox is the most pressing issue that has to be addressed right now. We know that the disease is now present in new locations, such as Europe and America [1], and that the number of cases is on the rise. It is necessary to recognize the potential for an outbreak. The disease is a type of zoonotic pox, and human-to-human transmission is a worry [3]. The overview of monkeypox data is quite valuable. On the other hand, we should emphasize "what we don't know yet."

The following are the critical concerns that require immediate examination and research. We have begun to learn more about human-to-human transmission, particularly among homosexuals. There is a thought that viruses can be spread through the air (airborne). Medical professionals in some nations have been warned to be wary of airborne illnesses from possible patients. Vaccines that prevent smallpox directly are also available. In the event of an outbreak, it takes time for development and production to catch up. It may be time to start planning for the traditional smallpox vaccine and looking for a new monkeypox vaccine. For sure, many points are still myths and it is necessary to seek answers.

Pathum Sookaromdee [1]; Viroj Wiwanitkit [2]

1. Private Academic Consultant, Bangkok Thailand
2. Adjunct professor, Joseph Ayobabalola University, Ikeji-Arakeji, Nigeria; Honorary professor, Dr DY Patil University, Pune, India

1. Mahase E. Monkeypox: What do we know about the outbreaks in Europe and North America? BMJ. 2022 May 20;377:o1274. doi: 10.1136/bmj.o1274.
2. Mungmunpuntipantip R, Wiwanitkit V. Re-emerging monkeypox: an old disease to be monitored. Available online at
3. Wiwanitkit S, Wiwanitkit V. Atypical zoonotic pox: Acute merging illness that can be easily forgotten. J Acute Dis2018;: 7:88-89.

Competing interests: No competing interests

23 May 2022
Pathum Sookaromdee
medical scientist
Viroj Wiwanitkit
Private Academic Consultant, Bangkok Thailand
Bangkok, Thailand