Global Mpox transmission and stigma: addressing barriers in afected communities

Abstract

The ongoing mpox outbreak, characterized by the ongoing global circulation of clade II mpox since 2022, has disproportionately impacted marginalized communities and underscores the importance of addressing both the epidemiological aspects and the societal impact of the disease on afected communities. This article examines mpox transmission dynamics globally, with a focus on populations whose proactive health-seeking behaviors have enabled early identifcation of cases. Yet, these communities also face stigma rooted in homophobia, racism, and misinformation, which hampers healthcare access and fuels discrimination. This stigma results in delayed care-seeking and barriers to efective public health interventions. The article advocates for continuous monitoring, adaptive public health strategies, and anti-stigma eforts to ensure that afected populations receive the support they need. While mpox primarily spreads through close contact, including sexual contact, the article highlights regional diferences in framing and addresses misconceptions.