{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:27:56Z","timestamp":1760146076856,"version":"build-2065373602"},"reference-count":30,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:00Z","timestamp":1727913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>During responses to outbreaks, the collection and analysis of data on employed case patients\u2019 industry and occupation are necessary to better understand the relationship between work and health outcomes. The occurrence of mpox by occupation and industry has not previously been assessed in the context of the 2022 outbreak. We analyzed employment data from 2548 mpox cases reported to the U.S. Centers for Disease Control and Prevention from surveillance systems in seven U.S. jurisdictions and population-based reference data on employment patterns from the U.S. Bureau of Labor Statistics to describe the differential proportionate distribution of cases across occupation and industry groups using the proportionate morbidity ratio. In gender-specific analyses, we found that men employed in certain occupations and industries had a higher relative risk of mpox than others. While occupational transmission cannot be ruled out, it is more likely that individuals with personal and behavioral risk factors for mpox were more likely to work in these occupations and industries. This analysis provides an example of collecting and analyzing occupation and industry data in case reports to understand possible differences in risk by occupation and industry in infectious disease outbreak investigation and help inform resource allocation, messaging, and response.<\/jats:p>","DOI":"10.3390\/ijerph21101317","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T03:36:03Z","timestamp":1727926563000},"page":"1317","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of Mpox by Occupation and Industry in Seven U.S. Jurisdictions, May 2022\u2013March 2023"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4662-7813","authenticated-orcid":false,"given":"Matthew R.","family":"Groenewold","sequence":"first","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5100-8422","authenticated-orcid":false,"given":"Marie A.","family":"de Perio","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4279-9028","authenticated-orcid":false,"given":"Kyle M.","family":"Moller","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, GA 30345, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Bui","sequence":"additional","affiliation":[{"name":"California Department for Public Health, Richmond, CA 94804, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla","family":"Saadeh","sequence":"additional","affiliation":[{"name":"California Department for Public Health, Richmond, CA 94804, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Still","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC 20002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ie","family":"Meh","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC 20002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antionette","family":"Lavender","sequence":"additional","affiliation":[{"name":"Georgia Department of Public Health, Atlanta, GA 30334, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Soliva","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA 02130, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Fields","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA 02130, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandi","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA 02130, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela K.","family":"Laramie","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA 02130, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Harrington","sequence":"additional","affiliation":[{"name":"Michigan Department of Health and Human Services, Lansing, MI 48909, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen","family":"Stout","sequence":"additional","affiliation":[{"name":"Michigan Department of Health and Human Services, Lansing, MI 48909, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1505-7287","authenticated-orcid":false,"given":"Cheri","family":"Levenson","sequence":"additional","affiliation":[{"name":"Washington State Department of Health, Tumwater, WA 98501, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Collin R.","family":"Morris","sequence":"additional","affiliation":[{"name":"Wisconsin Department of Health Services, Madison, WI 53703, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul D.","family":"Creswell","sequence":"additional","affiliation":[{"name":"Wisconsin Department of Health Services, Madison, WI 53703, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4716-7468","authenticated-orcid":false,"given":"Hannah E.","family":"Segaloff","sequence":"additional","affiliation":[{"name":"Wisconsin Department of Health Services, Madison, WI 53703, USA"},{"name":"Centers for Disease Control and Prevention, Atlanta, GA 30329, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J.","family":"Somerville","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-0255","authenticated-orcid":false,"given":"Chad H.","family":"Dowell","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, GA 30345, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0601-1494","authenticated-orcid":false,"given":"Lisa J.","family":"Delaney","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, GA 30345, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,3]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2024, February 11). 2022-23 Mpox (Monkeypox) Outbreak: Global Trends. 25 January 2024. 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Dis."},{"key":"ref_5","unstructured":"Centers for Disease Control and Prevention (2024, February 19). Mpox: Case Reporting Recommendations for Health Departments. 1 September 2023, Available online: https:\/\/www.cdc.gov\/mpox\/php\/case-reporting\/."},{"key":"ref_6","unstructured":"Centers for Disease Control and Prevention (2024, February 19). Welcome to the NIOSH Industry and Occupation Computerized Coding System (NIOCCS). 13 December 2022, Available online: https:\/\/csams.cdc.gov\/nioccs\/."},{"key":"ref_7","unstructured":"US Census Bureau (2024, February 19). Industry and Occupation Classification. 8 October 2021, Available online: https:\/\/www.census.gov\/programs-surveys\/cps\/technical-documentation\/methodology\/industry-and-occupation-classification.html."},{"key":"ref_8","unstructured":"Governing (2024, February 19). 2021 Military Active Duty Personnel, Civilians by State. 1 February 2022, Available online: https:\/\/www.governing.com\/now\/2021-military-active-duty-personnel-civilians-by-state."},{"key":"ref_9","first-page":"03","article-title":"A shortcut method for calculating the 95 per cent confidence interval of the standardized mortality ratio","volume":"15","author":"Vandenbroucke","year":"1982","journal-title":"Am. J. Epidemiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.15585\/mmwr.mm7132e3","article-title":"Epidemiologic and Clinical Characteristics of Monkeypox Cases\u2014United States, 17 May\u201322 July 2022","volume":"71","author":"Philpott","year":"2022","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.15585\/mmwr.mm7145a4","article-title":"Epidemiologic Features of the Monkeypox Outbreak and the Public Health Response\u2014United States, 17 May\u20136 October2022","volume":"71","author":"Kava","year":"2022","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1136\/jech.56.8.588","article-title":"A glossary for multilevel analysis","volume":"56","year":"2002","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_13","unstructured":"Centers for Disease Control and Prevention (2024, February 19). 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Dis."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1007\/s15010-023-01989-x","article-title":"A case of occupational transmission of mpox","volume":"51","author":"Migaud","year":"2023","journal-title":"Infection"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.antiviral.2018.11.004","article-title":"Vaccinating against monkeypox in the Democratic Republic of the Congo","volume":"162","author":"Petersen","year":"2019","journal-title":"Antivir. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.15585\/mmwr.mm7138e2","article-title":"Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients\u2014Colorado, 2022","volume":"71","author":"Marshall","year":"2022","journal-title":"MMWR Morb. Mortal. Wkly. 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Mycol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1317\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:09:45Z","timestamp":1760112585000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,3]]},"references-count":30,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["ijerph21101317"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21101317","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2024,10,3]]}}}