2022–2023 Mpox Outbreak In Asia
   HOME

TheInfoList



OR:

The 2022 mpox outbreak in Asia is a part of the ongoing outbreak of human mpox caused by the West African clade of the
monkeypox virus ''Monkeypox virus'' (MPV, MPXV, or hMPXV) is a species of double-stranded DNA virus that causes monkeypox in humans and other mammals. Monkeypox virus is a zoonotic virus belonging to the '' orthopoxvirus'' genus, making it closely related to th ...
. The outbreak was reported in
Asia Asia (, ) is one of the world's most notable geographical regions, which is either considered a continent in its own right or a subcontinent of Eurasia, which shares the continental landmass of Afro-Eurasia with Africa. Asia covers an ...
on 20 May 2022 when
Israel Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
reported a suspected case of mpox, which was confirmed on 21 May. seven
West Asia Western Asia, West Asia, or Southwest Asia, is the westernmost subregion of the larger geographical region of Asia, as defined by some academics, UN bodies and other institutions. It is almost entirely a part of the Middle East, and includes A ...
n, three
Southeast Asia Southeast Asia, also spelled South East Asia and South-East Asia, and also known as Southeastern Asia, South-eastern Asia or SEA, is the geographical United Nations geoscheme for Asia#South-eastern Asia, south-eastern region of Asia, consistin ...
n, three
East Asia East Asia is the eastern region of Asia, which is defined in both geographical and ethno-cultural terms. The modern states of East Asia include China, Japan, Mongolia, North Korea, South Korea, and Taiwan. China, North Korea, South Korea ...
n and one
South Asia South Asia is the southern subregion of Asia, which is defined in both geographical and ethno-cultural terms. The region consists of the countries of Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka.;;;;; ...
n country, along with
Russia Russia (, , ), or the Russian Federation, is a transcontinental country spanning Eastern Europe and Northern Asia. It is the largest country in the world, with its internationally recognised territory covering , and encompassing one-eigh ...
, have reported confirmed cases. a total of 162 cases were confirmed. Most of them were concentrated in the region of West Asia, with 141 of the total 156 cases (≈90.38%) being reported in the region. Israel alone has reported 114 cases (≈73.07%). Israel reported the first community transmission of the disease on 21 June 2022.


Background


Transmission

A large portion of those infected were believed to have not recently traveled to areas of Africa where mpox is normally found, such as
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
, the
Democratic Republic of the Congo The Democratic Republic of the Congo (french: République démocratique du Congo (RDC), colloquially "La RDC" ), informally Congo-Kinshasa, DR Congo, the DRC, the DROC, or the Congo, and formerly and also colloquially Zaire, is a country in ...
as well as
central Central is an adjective usually referring to being in the center of some place or (mathematical) object. Central may also refer to: Directions and generalised locations * Central Africa, a region in the centre of Africa continent, also known a ...
and
western Africa West Africa or Western Africa is the westernmost region of Africa. The United Nations defines Western Africa as the 16 countries of Benin, Burkina Faso, Cape Verde, The Gambia, Ghana, Guinea, Guinea-Bissau, Ivory Coast, Liberia, Mali, Mauri ...
. It is believed to be transmitted by close contact with sick people, with extra caution for those individuals with
lesion A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classif ...
s on their skin or genitals, along with their bedding and clothing. The CDC has also stated that individuals should avoid contact and consumption of dead animals such as rats, squirrels, monkeys and apes along with wild game or lotions derived from animals in Africa. In addition to more common symptoms, such as fever, headache, swollen lymph nodes, and rashes or lesions, some patients have also experienced
proctitis Proctitis is an inflammation of the anus and the lining of the rectum, affecting only the last 6 inches of the rectum. Signs and symptoms A common symptom is a continual urge to have a bowel movement—the rectum could feel full or have const ...
, an inflammation of the rectum lining. CDC has also warned clinicians to not rule out mpox in patients with sexually transmitted infections since there have been reports of co-infections with syphilis,
gonorrhea Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium '' Neisseria gonorrhoeae''. Infection may involve the genitals, mouth, or rectum. Infected men may experience pain or burning with ...
,
chlamydia Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium '' Chlamydia trachomatis''. Most people who are infected have no symptoms. When symptoms do appear they may occur only several w ...
, and
herpes Herpes simplex is a viral infection caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold ...
.


History


Imported cases before the outbreak

According to the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
, imported cases of mpox from
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
was detected in
Israel Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
and
Singapore Singapore (), officially the Republic of Singapore, is a sovereign island country and city-state in maritime Southeast Asia. It lies about one degree of latitude () north of the equator, off the southern tip of the Malay Peninsula, borde ...
in September 2018 and May 2019, respectively. In 2018, an imported case was detected in Israel. A 38-year-old man came from
Rivers State Rivers State, also known as Rivers, is a state in the Niger Delta region of southern Nigeria (Old Eastern Region). Formed in 1967, when it was split from the former Eastern Region, Rivers State borders include: Imo to the north, Abia and Akwa I ...
,
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
in late September. He showed the symptoms of the disease on that month. Later on October the patient sought medical attention at Shaare-Zedek Medical Center in
Jerusalem Jerusalem (; he, יְרוּשָׁלַיִם ; ar, القُدس ) (combining the Biblical and common usage Arabic names); grc, Ἱερουσαλήμ/Ἰεροσόλυμα, Hierousalḗm/Hierosóluma; hy, Երուսաղեմ, Erusałēm. i ...
. He was confirmed to be infected with the West African Clade of
monkeypox virus ''Monkeypox virus'' (MPV, MPXV, or hMPXV) is a species of double-stranded DNA virus that causes monkeypox in humans and other mammals. Monkeypox virus is a zoonotic virus belonging to the '' orthopoxvirus'' genus, making it closely related to th ...
that month. All of the patient's contacts were traced and followed up but no virus transmission were detected.


Arrival

As the outbreak was spreading in Europe in the middle of May 2022, the
Israeli Health Ministry The Ministry of Health ( he, מִשְׂרַד הַבְּרִיאוּת, translit. ''Misrad HaBri'ut'') is a ministry in the Israeli government, responsible for formulating health policies. The ministry plans, supervises, licenses, and coordinates ...
reported a suspected mpox case in the country on 20 May. The case was confirmed by testing on 21 May, becoming the first case in Israel during the outbreak, which also became the first in Asia. The 30-year-old man returned from
Western Europe Western Europe is the western region of Europe. The region's countries and territories vary depending on context. The concept of "the West" appeared in Europe in juxtaposition to "the East" and originally applied to the ancient Mediterranean ...
and contracted the disease from there. The ministry reported that he was in isolation in the Ichilov General Hospital in
Tel Aviv Tel Aviv-Yafo ( he, תֵּל־אָבִיב-יָפוֹ, translit=Tēl-ʾĀvīv-Yāfō ; ar, تَلّ أَبِيب – يَافَا, translit=Tall ʾAbīb-Yāfā, links=no), often referred to as just Tel Aviv, is the most populous city in the G ...
.


Cases transited through Asia

In May and June 2022, two Australians tested positive for mpox in Australia, but before that they stayed in transit in airports for some hours in
Southeast Asia Southeast Asia, also spelled South East Asia and South-East Asia, and also known as Southeastern Asia, South-eastern Asia or SEA, is the geographical United Nations geoscheme for Asia#South-eastern Asia, south-eastern region of Asia, consistin ...
. On 30 May, Thai health authorities confirmed that an Australian who stayed in transit in Suvarnabhumi Airport for two hours that week had tested positive for mpox in Australia. On 6 June, the Singaporean Ministry of Health announced that a mpox case in
New South Wales ) , nickname = , image_map = New South Wales in Australia.svg , map_caption = Location of New South Wales in AustraliaCoordinates: , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , es ...
in Australia stayed in transit in Singapore on 2 June. 13 people who had casual contact were isolated.


Wastewater surveillance

A study from the Faculty of Medicine, Chulalongkorn University, Thailand led by Dr Dhammika Leshan Wannigama reported Multiple traces of monkeypox virus were detected in non-sewered wastewater with sparse sampling collected from both the Bangkok, Thailand with increasing concentrations from June to August 2022. This is the first dataset related to monkeypox viral DNA in wastewater in Bangkok. Monkeypox viral DNA was first detected in wastewater in the second week of June 2022. From the first week of July, the number of viral DNA copies increased. Sanger sequencing confirmed the identification of the monkeypox virus and its relation to the 2022–2023 mpox outbreak. The same group later released findings from wastewater surveillance in six Southeast Asian countries (Thailand, Lao PDR, Myanmar, Cambodia, Vietnam, and Indonesia), which showed the presence of Monkeypox virus (MPXV) DNA, suggesting local transmission. This information serves as a vital notification for healthcare professionals and aids in the distribution of resources such as testing, vaccines, and treatments in regions with limited resources.


Timeline of cases by country


Timeline of first confirmed cases by country or territory


Timeline of suspected cases by country or territory

''Countries listed below had only suspected cases at the time of reporting. Some countries reported confirmed cases after reporting suspected cases (i.e.
Turkey Turkey ( tr, Türkiye ), officially the Republic of Türkiye ( tr, Türkiye Cumhuriyeti, links=no ), is a list of transcontinental countries, transcontinental country located mainly on the Anatolia, Anatolian Peninsula in Western Asia, with ...
). Countries listed several times reported suspected cases again after they discarded suspected cases before.''


Responses

Several countries have responded to the outbreak. The responses of some of them are listed below. *: On 22 May, the
Directorate General of Health Services Directorate General of Health Services () is a Bangladesh government directorate under the Ministry of Health and Family Welfare responsible for health services in Bangladesh. History DGHS was established as directorate in 1978. It was upgraded ...
(DGHS) issued warnings at every port in the country to prevent the spread of mpox. The Directorate spokesperson Nazmul Islam said that the DGHS has asked all air, land and sea ports to be alert. Suspected cases are instructed to be sent to an infectious disease hospital and kept in isolation. *: On 2 June, the Chinese CDC issued a notice quoting the WHO's document with a translation of the original, "Stigmatising people because of a disease is never okay. Anyone can get or pass on mpox, regardless of their sexuality." *: On 21 May, Union Health Minister
Mansukh Mandaviya Mansukh Laxmanbhai Mandaviya (born 1 June 1972) is an Indian politician currently serving as the Minister of Health and Family Welfare and Chemicals and Fertilizers of India. He is also a Rajya Sabha member from Gujarat. Early life Mansu ...
directed the
National Centre for Disease Control The National Centre for Disease Control (previously known as the National Institute of Communicable Diseases) is an institute under the Indian Directorate General of Health Services, Ministry of Health and Family Welfare. It was established in J ...
and the
ICMR The Indian Council of Medical Research (ICMR), the apex body in India for the formulation, coordination and promotion of biomedical research, is one of the oldest and largest medical research bodies in the world. The ICMR is funded by the Gove ...
to keep a close watch and monitor the situation. The Union Health Ministry has also directed airport and port health officers to be vigilant, according to official sources. They have been instructed to isolate and send samples to the
National Institute of Virology The National Institute of Virology in Pune, India is an Indian virology research institute and part of the Indian Council of Medical Research (ICMR). It was previously known as 'Virus Research Centre' and was founded in collaboration with the ...
of any sick passenger with a travel history to infected countries. *: Indonesian health authorities were put on alert when cases of mpox were reported in Australia in May 2022. Mohammad Syahril, ministry spokesperson, urged medical personnel and the country's population to be alert and aware of the symptoms of the disease. *: On 27 May 2022, the Malaysian Ministry of Health reactivated the
MySejahtera MySejahtera is a mobile application developed by Entomo Malaysia (formerly KPISoft Malaysia) and the Government of Malaysia to manage the COVID-19 outbreak in Malaysia. It can be used to conduct contact tracing, self-quarantine, and also book CO ...
app to provide information and surveillance on mpox. *: Health Secretary
Francisco Duque III Francisco Tiongson Duque III (; born February 13, 1957) is a Filipino physician and government official who served as Secretary of Health in the Cabinet of President Rodrigo Duterte from 2017 to 2022, a position he had previously held from 2005 ...
said that the Philippines was intensifying its border control measures amid the threat of mpox. The health department stated it is exploring potential sources of mpox vaccines and antivirals. *: On May 21, the Saudi
Ministry of Health Ministry of Health may refer to: Note: Italics indicate now-defunct ministries. * Ministry of Health (Argentina) * Ministry of Health (Armenia) * Australia: ** Ministry of Health (New South Wales) * Ministry of Health (The Bahamas) * Ministry of ...
stated that they are ready to monitor and investigate cases of mpox, if any occurs. They added that it also has an integrated preventive plan to deal with such cases if they appear, including identifying suspected and confirmed cases. *: On 30 May, the Taiwan Centers for Disease Control officially listed mpox as a notifiable infectious disease, and on June 23, mpox was officially upgraded to a second-class notifiable infectious disease, which means that confirmed cases must be notified within 24 hours, and if necessary, isolation treatment may be implemented in designated isolation treatment institutions. *: On 24 May 2022, the Department of Disease Control (DDC) started screening all overseas passengers from
Central Africa Central Africa is a subregion of the African continent comprising various countries according to different definitions. Angola, Burundi, the Central African Republic, Chad, the Democratic Republic of the Congo, the Republic of the Congo, E ...
n countries and other outbreak countries at international airports. On 26 May 2022, the DDC set up an emergency operations center to monitor the outbreak situation and plan for a possible outbreak in the kingdom.
Anutin Charnvirakul Anutin Charnvirakul ( th, อนุทิน ชาญวีรกูล, ; born 13 September 1966 in Bangkok) is a Thai politician. , he is a Deputy Prime Minister of Thailand and is also the Minister of Public Health. Notably, he is the promin ...
,
Minister of Public Health The Minister for Public Health and Women's Health is a junior ministerial post in the Scottish Government. The minister is not a member of the Scottish Cabinet, however, they report to the Cabinet Secretary for NHS Recovery, Health and Social Care ...
, said that the government is seeking a smallpox vaccine from the WHO to bolster the public's immunity in case of a viral outbreak. On 30 May 2022, The local news reported the first case of mpox in the country. The patient was a passenger who was transiting from Europe to Australia via Bangkok. However, the patient's symptoms developed and were diagnosed in Australia. There have been no local cases discovered as of yet. *: On May 24, 2022, Vietnam's Ministry of Health asked border localities to increase surveillance to detect possible cases of mpox.


Outbreak by regions and countries


Western Asia


Georgia

Georgia was the first
Caucasian Caucasian may refer to: Anthropology *Anything from the Caucasus region ** ** ** ''Caucasian Exarchate'' (1917–1920), an ecclesiastical exarchate of the Russian Orthodox Church in the Caucasus region * * * Languages * Northwest Caucasian l ...
and the third Asian and West Asian country to report confirmed cases of mpox. The first case was reported by the
Ministry of Health Ministry of Health may refer to: Note: Italics indicate now-defunct ministries. * Ministry of Health (Argentina) * Ministry of Health (Armenia) * Australia: ** Ministry of Health (New South Wales) * Ministry of Health (The Bahamas) * Ministry of ...
on 15 June 2022.


Israel

Israel Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
was the first in both Asia and West Asia to report a case. On 20 May, Israel reported a suspected mpox infected patient who was in isolation in
Ichilov Hospital Tel Aviv Sourasky Medical Center ( he, המרכז הרפואי תל אביב ע"ש סוראסקי; commonly referred to as Ichilov Hospital) is the main hospital complex serving Tel Aviv, Israel and its metropolitan area and the second-largest ho ...
and tested positive on 21 May. On the same day, another suspected case was reported but the case was ruled out the next day, on 22 May. Israel reported a single case each on 28 May and 7, 9, 15 and 16 June until the authorities reported three cases on 20 June. In a press statement released on 21 June, the ministry stated that one of them was infected locally, confirming
community transmission In medicine, public health, and biology, transmission is the passing of a pathogen causing communicable disease from an infected host individual or group to a particular individual or group, regardless of whether the other individual was previous ...
of the disease in Israel. The total reached 9 on that day. The case figure was updated regularly and press releases were released on the
ministry Ministry may refer to: Government * Ministry (collective executive), the complete body of government ministers under the leadership of a prime minister * Ministry (government department), a department of a government Religion * Christian m ...
's website whenever cases where reported. But after 21 June, the ministry started to release weekly report of the situation on the website. On 15 July,
Health Minister A health minister is the member of a country's government typically responsible for protecting and promoting public health and providing welfare and other social security services. Some governments have separate ministers for mental health. ...
Nitzan Horowitz Nitzan Horowitz ( he, נִצָּן הוֹרוֹבִיץ; Transliterated: ; born 24 February 1965) is an politician and former journalist serving as Minister of Health since 2021. He is currently leader of Meretz. He previously was the chief U. ...
announced that 2,000 mpox vaccines will arrive in Israel, adding that he spoke with biotech company
Bavarian Nordic Bavarian Nordic A/S is a fully integrated biotechnology company focused on the development, manufacturing and commercialization of vaccines for infectious diseases and cancer immunotherapies. The company is headquartered in Hellerup, Denmark, wit ...
CEO Paul Chaplin. He also said that a total of 90 cases were registered till then, and none of them needed hospitalisation. As of 17 July 2022, 96 confirmed cases were reported in Israel.


Lebanon

On 20 June, the first case of mpox in Lebanon was reported by the National News Agency (NNA) stating the Ministry of Health, thus Lebanon became the fourth country in both Asia and West Asia and the third in the Middle East to report a mpox case.


Saudi Arabia

On 14 July, the first mpox case was detected in the capital city of
Riyadh Riyadh (, ar, الرياض, 'ar-Riyāḍ, Literal translation, lit.: 'The Gardens' Najdi Arabic, Najdi pronunciation: ), formerly known as Hajr al-Yamamah, is the capital and largest city of Saudi Arabia. It is also the capital of the Riyad ...
. The person came from abroad.


Turkey


United Arab Emirates


South Asia


Afghanistan

On 29 May, the
Islamic Republic News Agency The Islamic Republic News Agency ( fa, خبرگزاری جمهوری اسلامی, ''Xebergâzari-ye Jimhuri-ye Eslâmi-ye''), or IRNA, is the official news agency of the Islamic Republic of Iran. Founded on 13 November 1934 as Pars News Agency ...
and other news agencies reported two suspected cases of mpox who came back from
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkm ...
in Nimruz Province citing local newspapers and the Ministry of Public Health (Afghanistan), Ministry of Health and provincial health authorities. On 30 May, one case was reported in Herat Province. On 31 May, ministry spokesperson Javid Hazhir denied reports of confirmed cases and stated that suspected cases in Nimruz Province, Nimruz and Kabul Province, Kabul provinces tested negative. He also said that Afghanistan has the capability to test mpox cases. On 5 June, it was reported that the World Health Organization, WHO will give test kits to the Taliban-controlled Ministry of Public Health (Afghanistan), Ministry of Public Health, as they were lacking kits. Ministry spokesperson stated that suspected cases in Herat Province, Herat, Maidan Wardak Province, Maidan Wardak and Nangarhar Province, Nangarhar provinces along with other provinces which were stated earlier tested negative and the country is free of mpox.


Bangladesh

Bangladeshi health authorities declared alert on every ports in the country in mid-May. Shahjalal International Airport in Dhaka was in high alert. On 7 June, a 32-year-old Turkish citizen was detected with mpox symptoms at the airport while screening. He was taken to the Infectious Diseases Hospital in Dhaka's Mohakhali and isolated. Although, on the same day the Ministry of Health and Family Welfare (Bangladesh), Ministry of Health and Family Welfare published a press release denying reports of mpox 'confirmed' in a foreigner. On the next day, the Directorate General of Health Services, DGHS director stated that he investigated the Turkish citizen himself, and his symptoms were not due to mpox, and he was suffering from a skin disease for a long time. On 9 June, the suspected case tested negative. On 10 June, a 60-year-old woman was isolated in Chuadanga after local doctors detected symptoms of mpox on her on 9 June. On the same day, a 42-year-old man who came back from India through Benapole Border Crossing on 3 June, was sent to Jessore, Jashore Hospital after he showed pox like symptoms. Although, the district civil surgeon said on the next day that he was very probably infected with chickenpox. On 12 June, the case in Chuandanga was discarded. Bangladesh was the first country bar shore passes. On late May, Port of Chittagong, Chittagong Seaport authority barred shore passes for all crew unless in the case of an emergency, while signed-off crew will have to undergo health checks.


India

On 21 May, Union Ministry of Health and Family Welfare, Health Minister
Mansukh Mandaviya Mansukh Laxmanbhai Mandaviya (born 1 June 1972) is an Indian politician currently serving as the Minister of Health and Family Welfare and Chemicals and Fertilizers of India. He is also a Rajya Sabha member from Gujarat. Early life Mansu ...
directed the
National Centre for Disease Control The National Centre for Disease Control (previously known as the National Institute of Communicable Diseases) is an institute under the Indian Directorate General of Health Services, Ministry of Health and Family Welfare. It was established in J ...
and the
ICMR The Indian Council of Medical Research (ICMR), the apex body in India for the formulation, coordination and promotion of biomedical research, is one of the oldest and largest medical research bodies in the world. The ICMR is funded by the Gove ...
to keep a close watch and monitor the situation and directed airport and port health officers to be vigilant. They have been instructed to isolate and send samples to the National Institute of Virology, National Institute of Virology (NIV) of any sick passenger with a travel history to infected countries. Many other states also responded individually, including Karnataka, Kerala, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Uttar Pradesh, and West Bengal. On 3 June, a sample of a 5-year-old girl of Ghaziabad district, Ghaziabad in Uttar Pradesh who showed some symptoms of mpox were sent to the
National Institute of Virology The National Institute of Virology in Pune, India is an Indian virology research institute and part of the Indian Council of Medical Research (ICMR). It was previously known as 'Virus Research Centre' and was founded in collaboration with the ...
in Pune. The test came back negative on 7 June. On 14 July, the health minister of Kerala Veena George announced a suspected case in Kerala. The patient was a male who came back from the United Arab Emirates three days earlier. The patient reportedly died on 31 July, making it the first mpox casualty in India.


Southeast Asia


Philippines


Singapore

On 21 June 2022, Singaporean officials reported that a British flight attendant in the country had tested positive for the virus on 20 June. Singapore was the fifth Asian and first Southeast Asian country to report an mpox case during this outbreak. On 6 July, Singaporean authorities confirmed the first case of local transmission. One more imported case was reported each on 7 and 8 July 2022, of which both are conveyed to the National Centre for Infectious Diseases, National Centre for Infectious Diseases (NCID). On 13 July, the Ministry of Health (Singapore), Ministry of Health reported another locally transmitted case, taking the total tally to 5. The patient was a 48-year-old British national residing in Singapore and was also warded in the NCID. Another local case was reported on the next day on 14 July. The patient was a male in his 40s, and was also warded in the NCID.


Thailand

On 21 July 2022, the Ministry of Public Health (Thailand), Thai health ministry reported the first case of mpox in the country. The patient was a 21-year-old
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
n who stayed in Phuket province, Phuket before crossing the border into Cambodia and subsequently arrested in Phnom Penh. A week later, a second confirmed case was found in Bangkok in a 47-year-old local man who admitted to had engaged in sexual contact with foreign men. On 3 August, a third confirmed case was reported by the Department of Disease Control (Thailand), Department of Disease Control. The patient was a 25-year-old German man who arrived in Phuket on July 18 as a tourist. On 5 August, the first confirmed case of a female in the country was announced. The patient was a 22-year-old Thai woman who frequented Bangkok night spots. On 15 August, it was reported that the fifth confirmed mpox patient in the country was a 25-year-old Thai woman returning from Dubai. A study from the Faculty of Medicine, Chulalongkorn University, Thailand led by Dr Dhammika Leshan Wannigama reported  Multiple traces of monkeypox virus were detected in non-sewered wastewater in Thailand with increasing concentrations from June to August 2022.


East Asia


China

On 16 September, China reported its first case of mpox in Chongqing municipality.


Japan

On 25 July, Japan reported its first case of mpox in a man in his 30s. On 28 July, a second case was reported from a man in his 30s. On 5 August, a third case was reported. On 10 August, a fourth case was reported.


South Korea

On 22 June, South Korea reported its first mpox case.


Taiwan

On 24 June 2022, Taiwan reported its first confirmed case of mpox in a 25-year-old Taiwanese man who came back to Taiwan on 16 June after studying in Germany. Domestic transmission of mpox was reported in March 2023, followed by the first Taiwanese death from mpox in November 2023. Taiwan avoided domestic transmission of the disease for fourteen consecutive weeks, until late February 2024.


North Asia (Russia)

The first mpox case in Russia, and by extension North Asia, was confirmed on 12 July 2022, in a young man who returned from a trip to Europe.


Statistics


Overview

This is a table of confirmed and suspected mpox cases in Asian countries during the ongoing 2022–2023 mpox outbreak. It does not include countries where suspected cases were reported but later discarded such as Afghanistan.


Graphs

''(These graphs excludes the cases reported in Russia)''


Total cases of mpox in Asia


Total confirmed cases by Asian countries


New confirmed cases of mpox per day


7-day-average of new cases


Total confirmed cases by day


New confirmed cases of mpox per week

''(A week is considered Saturday to Friday here)''


Total confirmed cases of mpox by week

''(A week is considered Saturday to Friday here)''


Daily cases by subregions


Total cases by subregions


See also

*2022–2023 mpox outbreak *Timeline of the 2022–2023 mpox outbreak *Mpox in Nigeria *Mpox in the Democratic Republic of the Congo *2022–2023 mpox outbreak in Europe ** 2022–2023 mpox outbreak in France ** 2022–2023 mpox outbreak in Germany ** 2022–2023 mpox outbreak in the Netherlands ** 2022–2023 mpox outbreak in Portugal ** 2022–2023 mpox outbreak in Spain ** 2022–2023 mpox outbreak in the United Kingdom *2022–2023 mpox outbreak in Canada *2022–2023 mpox outbreak in Peru *2022–2023 mpox outbreak in South Africa *2022–2023 mpox outbreak in the United States


Notes


References


External links

{{DEFAULTSORT:2022-2023 mpox outbreak in Asia 2022–2023 mpox outbreak, Asia 2022 disasters in Asia, Mpox