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A systematic review on environmental perspectives of monkeypox virus

  • Sara Hemati and Fazel Mohammadi-Moghadam EMAIL logo
Published/Copyright: January 2, 2023

Abstract

Monkeypox (MPX) is one of the common infections between humans and animals that caused by a virus belonging to the Orthopoxvirus genus. The Monkeypox virus (MPXV) outbreak is a global crisis triggered by environmental factors (virus, wastewater, surface, air) and amplified by the decisions of government officials and communities. The aim of this systematic review is to describe the environmental perspectives of MPXV with emphasis on risk assessment to prevent and control a new pandemic. Five online databases including Web of Science, PubMed, Scopus, Science Direct and Google Scholar were searched from 1990 to October 2022. Among 120 records, after the screening, four studies were included in the systematic review. The systematic review revealed that the possibility of MPXV transmission through wastewater, air, and the contaminated surfaces is a significant concern and its detection and destroying will play a major role in controlling the spread of the virus. Poxviruses have a high environmental stability, but are sensitive to all common chemical disinfectants. In conclusion, this study revealed that the environmental surveillance can be used as a complementary tool for detecting pathogens circulation in communities. This implies that the monitoring of environmental perspectives of MPXV can provide new awareness into virus transmission routes as well as the role of stakeholders and public health policies in MPXV risk management.


Corresponding author: Fazel Mohammadi-Moghadam, Department of Environmental Health Engineering, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran, Phone: +98 383 3336712, Fax: +98 383 3334678, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The conducted research is not related to either human or animal use. The authors herewith confirm that all research reviewed complies with all the relevant national regulations, institutional policies, and was performed in accordance with the tenets of the Helsinki Declaration, and has been approved with the authors’ institutional review board or equivalent committee.

No Author and year Region Type of environment Sample size Sampling site Detection method # of positive MPXV DNA, %
1 Morgan et al. (2022) USA Surface 31 MPXV patient home PCRa 28 (90.32)
2 Atkinson et al. (2022) UK Surface 42 Residence occupied by MPXV patient RT-qPCRb 37 (88.09)
3 De Jonge et al. (2022) Netherlands Wastewater 108 Airport WWTPc, Municipal WWTP RT-qPCR 45 (41.66)
4 Gould et al. (2022) UK Air 20 Patient rooms in hospital qPCRd 5 (25)
4 Gould et al. (2022) UK Surface 60 Patient rooms in hospital qPCRd 56 (93.33)

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Supplementary Material

The article contains supplementary material (https://doi.org/10.1515/reveh-2022-0221).


Received: 2022-11-05
Accepted: 2022-12-20
Published Online: 2023-01-02
Published in Print: 2024-06-25

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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