{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:00:05Z","timestamp":1780668005868,"version":"3.54.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Security"],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:p>Similar to the early phases of the COVID-19 pandemic, New York City was the national epicenter of the ongoing 2022 mpox (formerly monkeypox) outbreak. Cases quickly began to rise in July 2022, primarily in gay, bisexual, or other men who have sex with men. Tools in the form of a reliable diagnostic test, an effective vaccine, and a viable treatment option have been available from the onset, although logistically complex to roll out. The special pathogens program at NYC Health + Hospitals\/Bellevue, the flagship facility for the largest public hospital system in the United States, collaborated with multiple departments within Bellevue, the hospital system, and the NYC Department of Health and Mental Hygiene, to swiftly establish ambulatory testing, immunizations, patient-centered inpatient care, and outpatient therapeutics. With the ongoing mpox outbreak, hospitals and local health departments must prepare a systemwide response to identify and isolate patients and provide high-quality care. Findings from our experience can help guide institutions in developing a multipronged, comprehensive response to the ongoing mpox outbreak.<\/jats:p>","DOI":"10.1089\/hs.2022.0120","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T11:59:35Z","timestamp":1677758375000},"page":"146-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["The Role of a Tertiary Level Safety Net Hospital in New York City's 2022 Mpox Outbreak"],"prefix":"10.1177","volume":"21","author":[{"given":"Anthony J.","family":"Lo Piccolo","sequence":"first","affiliation":[{"name":"Anthony J. Lo Piccolo, MS, is a Research Coordinator, Division of Infectious Diseases &amp; Immunology, NYU Langone Health, and a Research Coordinator, NYC Health + Hospitals (NYC H+H)\/Bellevue, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wallach","sequence":"additional","affiliation":[{"name":"Andrew Wallach, MD, is Clinical Director and Chief Medical Officer of Ambulatory Care, NYC H+H\/Bellevue, and an Associate Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan D.","family":"McPherson","sequence":"additional","affiliation":[{"name":"Tristan D. McPherson, MD, is Medical Director, Viral Hepatitis Program, New York City Department of Health and Mental Hygiene (NYC DOHMH), and a Clinical Assistant Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ofole","family":"Mgbako","sequence":"additional","affiliation":[{"name":"Ofole Mgbako, MD, is Section Chief of Infectious Diseases, NYC H+H\/Bellevue, and an Assistant Professor, Department of Population Health and Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Fagan","sequence":"additional","affiliation":[{"name":"Ian Fagan, MD, is Medical Director of Inpatient Medicine Units, Division of Hospital Medicine, NYC H+H\/Bellevue, and a Clinical Associate Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Pitts","sequence":"additional","affiliation":[{"name":"Robert A. Pitts, MD, is an Infectious Disease Specialist, Department of Internal Medicine and Infectious Diseases, NYC H+H\/Bellevue, and a Clinical Assistant Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Klinger","sequence":"additional","affiliation":[{"name":"Amanda Klinger, MD, is Associate Medical Director of Special Pathogens Program, Division of Hospital Medicine, NYC H+H\/Bellevue, and a Clinical Assistant Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Foote","sequence":"additional","affiliation":[{"name":"Mary Foote, MD, MPH, is Medical Director, Bureau of Healthcare and Community Readiness, NYC DOHMH, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Elizabeth A. Garcia, PharmD, is Deputy Director of HIV Clinical Technical Assistance, NYC DOHMH, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason E.","family":"Zucker","sequence":"additional","affiliation":[{"name":"Jason E. Zucker, MD, is an Assistant Professor, Department of Medicine, Columbia University, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Chan","sequence":"additional","affiliation":[{"name":"Justin Chan, MD, MPH, is Director of Infection Prevention and Control, NYC H+H\/Bellevue, and an Assistant Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas B.","family":"Bails","sequence":"additional","affiliation":[{"name":"Douglas B. Bails, MD, is Chief of Medical Service, Associate Director of Bedside Skills Team, Division of Hospital Medicine, NYC H+H\/Bellevue, and a Clinical Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel M.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Gabriel M. Cohen, MD, is Chief Medical Informatics Officer, Population Health, Infectious Disease Informatics Liaison, NYC H+H\/Bellevue, and an Assistant Professor, Department of Medicine, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Ann","family":"Tennill","sequence":"additional","affiliation":[{"name":"Patricia Ann Tennill, BSN, is Associate Director of Nursing, NYC H+H\/Bellevue, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia","family":"Wong","sequence":"additional","affiliation":[{"name":"Marcia Wong, MD, is a Medical Epidemiologist, Bureau of Communicable Diseases, NYC DOHMH, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikramjit","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Vikramjit Mukherjee, MD, is Medical Director of Special Pathogens Program, Co-Principal Investigator, National Emerging Special Pathogen Treatment and Education Center, and Director of Medical Intensive Care Unit, NYC H+H\/Bellevue, and an Assistant Professor, NYU Grossman School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"issue":"5","key":"e_1_3_3_2_2","first-page":"593","article-title":"A human infection caused by monkeypox virus in Basankusu Territory, Democratic Republic of the Congo","volume":"46","author":"Ladnyj D","year":"1972","unstructured":"Ladnyj D, , Ziegler P, , Kima E. A human infection caused by monkeypox virus in Basankusu Territory, Democratic Republic of the Congo. Bull World Health Organ. 1972; 46(5):593-597.","journal-title":"Bull World Health Organ"},{"issue":"4","key":"e_1_3_3_3_2","first-page":"459","article-title":"Clinico-epidemiological features of monkeypox patients with an animal or human source of infection","volume":"66","author":"Jeiek Z","year":"1988","unstructured":"Jeiek Z, , Grab B, , Szczeniowski M, , Paluku KM, , Mutombo M. Clinico-epidemiological features of monkeypox patients with an animal or human source of infection. Bull World Health Organ. 1988; 66(4):459-464.","journal-title":"Bull World Health Organ"},{"key":"e_1_3_3_4_2","unstructured":"World Health Organization. Monkeypox. Published May 18 2022. Accessed August8 2022. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/monkeypox"},{"key":"e_1_3_3_5_2","unstructured":"World Health Organization. Monkeypox - United Kingdom of Great Britain and Northern Ireland. Published May 19 2022. Accessed January10 2023. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON381"},{"key":"e_1_3_3_6_2","unstructured":"World Health Organization. Multi-country monkeypox outbreak in non-endemic countries. Published May 21 2022. Accessed January10 2023. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON385"},{"key":"e_1_3_3_7_2","unstructured":"US Centers for Disease Control and Prevention. 2022 Mpox outbreak global map. Updated January 25 2023. Accessed January26 2023. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/response\/2022\/world-map.html"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcpc2201244"},{"key":"e_1_3_3_9_2","unstructured":"US Centers For Disease Control and Prevention. 2022 U.S. map & case count. Updated January 25 2023. Accessed January26 2023. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/response\/2022\/us-map.html"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-5247(22)00183-5"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taac101"},{"key":"e_1_3_3_12_2","unstructured":"New York City Department of Health and Mental Hygiene. Monkeypox (mpox). Accessed February20 2023. https:\/\/www.nyc.gov\/assets\/doh\/downloads\/pdf\/monkeypox\/mpox-response-data-summary.pdf"},{"key":"e_1_3_3_13_2","unstructured":"New York City Department of Health and Mental Hygiene. Monkeypox (mpox). Accessed January10 2023. https:\/\/www1.nyc.gov\/site\/doh\/health\/health-topics\/monkeypox.page"},{"issue":"23","key":"e_1_3_3_14_2","first-page":"220609c","article-title":"Community transmission of monkeypox in the United Kingdom, April to May 2022. Euro Surveill. 2022;27(22):2200422","volume":"27","author":"Vivancos R","year":"2022","unstructured":"Vivancos R, , Anderson C, , Blomquist P, et al. Community transmission of monkeypox in the United Kingdom, April to May 2022. Euro Surveill. 2022;27(22):2200422. Published correction appears in Euro Surveill. 2022; 27(23):220609c.","journal-title":"Published correction appears in Euro Surveill"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2022.27.22.2200421"},{"key":"e_1_3_3_16_2","unstructured":"US Centers For Disease Control and Prevention. Mpox: frequently asked questions. Updated February 2 2023. Accessed February20 2023. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/faq.html"},{"key":"e_1_3_3_17_2","unstructured":"US Centers For Disease Control and Prevention. Mpox: how it spreads. Updated December 8 2022. Accessed January10 2023. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/transmission.html"},{"key":"e_1_3_3_18_2","unstructured":"Perrone M. U.S. to deploy 800 000 additional monkeypox vaccine doses. PBS NewsHour. Published July 27 2022. Accessed August2 2022. https:\/\/www.pbs.org\/newshour\/health\/u-s-to-deploy-800000-additional-monkeypox-vaccine-doses"},{"key":"e_1_3_3_19_2","unstructured":"US Centers for Disease Control and Prevention. Information for healthcare providers: tecovirimat (TPOXX) for treatment of mpox. Updated October 28 2022. Accessed January10 2023. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/obtaining-tecovirimat.html"},{"key":"e_1_3_3_20_2","unstructured":"New York City Department of Health and Mental Hygiene. Health department releases monkeypox vaccination demographic data and launches enhanced community outreach. Published August 18 2022. Accessed January10 2023. https:\/\/www1.nyc.gov\/site\/doh\/about\/press\/pr2022\/health-department-releases-monkeypox-vaccination-demographic-data.page"},{"key":"e_1_3_3_21_2","unstructured":"US Department of Health and Human Services. HHS expanding monkeypox testing capacity to five commercial laboratory companies. Published June 22 2022. Accessed August8 2022. https:\/\/www.hhs.gov\/about\/news\/2022\/06\/22\/hhs-expanding-monkeypox-testing-capacity-five-commercial-laboratory-companies.html"},{"key":"e_1_3_3_22_2","unstructured":"CDC Health Alert Network. Update for clinicians on testing and treatment for monkeypox. Published July 28 2022. Accessed February20 2023. https:\/\/emergency.cdc.gov\/han\/2022\/pdf\/cdc_han_471.pdf"},{"key":"e_1_3_3_23_2","doi-asserted-by":"crossref","unstructured":"Doucleff M. Monkeypox outbreak in U.S. is bigger than the CDC reports. Testing is \u2018abysmal.\u2019 NPR. June 25 2022. https:\/\/www.npr.org\/sections\/health-shots\/2022\/06\/25\/1107416457\/monkeypox-outbreak-in-us","DOI":"10.1097\/01.NURSE.0000904412.04897.d6"},{"key":"e_1_3_3_24_2","unstructured":"NYC Health + Hospitals. Monkeypox disease. Accessed September5 2022. https:\/\/www.nychealthandhospitals.org\/services\/monkeypox-disease\/"},{"key":"e_1_3_3_25_2","unstructured":"National Emerging Special Pathogens Training and Education Center. Newsletter archive. Accessed January10 2023. https:\/\/us15.campaign-archive.com\/home\/?u=ffe37291050b331989539ca56&id=b0ed583c61"},{"key":"e_1_3_3_26_2","unstructured":"New York City Department of Health and Mental Hygiene. Monkeypox (mpox): information for providers. Accessed January26 2023. https:\/\/www1.nyc.gov\/site\/doh\/providers\/health-topics\/monkeypox.page"}],"container-title":["Health Security"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/hs.2022.0120","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/hs.2022.0120","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/hs.2022.0120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:41:02Z","timestamp":1777452062000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/hs.2022.0120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,1]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4,1]]}},"alternative-id":["10.1089\/hs.2022.0120"],"URL":"https:\/\/doi.org\/10.1089\/hs.2022.0120","relation":{},"ISSN":["2326-5094","2326-5108"],"issn-type":[{"value":"2326-5094","type":"print"},{"value":"2326-5108","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,1]]}}}