{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:11:49Z","timestamp":1777921909537,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"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":["LGBT Health"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:p>In mid-2022, an mpox outbreak occurred in the United States and more than 100 countries, disproportionately affecting men who have sex with men (MSM). Initially, the U.S. public health system failed to deploy tests, treatment, and vaccines effectively. Key federal policy changes in August 2022, along with risk reduction among many MSM, led to a steady reduction in new diagnoses by December 2022. Mpox outbreaks occurred among MSM in Chicago and France in May 2023, and vaccination rates remain low. This perspective analyzes the U.S. response to the 2022 outbreak, and it identifies the lessons learned that may guide mpox management moving forward.<\/jats:p>","DOI":"10.1089\/lgbt.2022.0274","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T15:03:42Z","timestamp":1690902222000},"page":"489-495","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Lessons Learned from the U.S. Public Health Response to the 2022 mpox Outbreak"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0236-2841","authenticated-orcid":false,"given":"Sean","family":"Cahill","sequence":"first","affiliation":[{"name":"Health Policy Research, The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."},{"name":"Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA."},{"name":"Department of Health Sciences, Bouve College of Health Sciences, Northeastern University, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Centers for Disease Control and Prevention. Past U.S. Cases and Outbreaks. Atlanta GA; 2022. Available from: https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/outbreak\/us-outbreaks.html [Last accessed: December7 2022]."},{"key":"e_1_3_6_3_2","unstructured":"Centers for Disease Control and Prevention. 2022 U.S. Map & Case Count. Atlanta GA; 2023. Available from: https:\/\/www.cdc.gov\/poxvirus\/mpox\/response\/2022\/us-map.html [Last accessed: April14 2023]."},{"key":"e_1_3_6_4_2","unstructured":"Centers for Disease Control and Prevention. 2022 Mpox Outbreak Global Map. Atlanta GA; 2023. Table 1. 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A Risky Monkeypox Vaccine Is Looking Better All the Time: The administration's newest vaccine Hail Mary may not be enough to fix the U.S.'s monkeypox immunization problems. The Atlantic: Boston MA; 2022. Available from: https:\/\/www.theatlantic.com\/health\/archive\/2022\/08\/monkeypox-vaccine-jynneos-intradermal-injection-acam2000\/671220\/ [Last accessed: December7 2022]."},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.06.075"},{"key":"e_1_3_6_24_2","unstructured":"Centers for Disease Control and Prevention. Clinical Considerations for Treatment and Prophylaxis of Monkeypox Virus Infection in People with HIV. Atlanta GA; 2022. Available from: https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/people-with-HIV.html [Last accessed: September8 2022]."},{"key":"e_1_3_6_25_2","unstructured":"Messerly M Mahr K. White House strategy for monkeypox vaccines causing \u2018chaos out in the field.\u2019 Politico: Arlington VA; 2022. 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Available from: https:\/\/www.washingtonpost.com\/health\/2022\/08\/04\/monkeypox-public-health-emergency-united-states-becerra\/ [Last accessed: December7 2022]."},{"key":"e_1_3_6_40_2","unstructured":"World Health Organization. Mpox (monkeypox) Key Facts. 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