eprintid: 10176045 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/17/60/45 datestamp: 2023-08-31 11:30:18 lastmod: 2023-08-31 11:30:18 status_changed: 2023-08-31 11:30:18 type: article metadata_visibility: show sword_depositor: 699 creators_name: Murayama, Hiroaki creators_name: Pearson, Carl AB creators_name: Abbott, Sam creators_name: Miura, Fuminari creators_name: Jung, Sung-mok creators_name: Fearon, Elizabeth creators_name: Funk, Sebastian creators_name: Endo, Akira title: Accumulation of Immunity in Heavy-Tailed Sexual Contact Networks Shapes Mpox Outbreak Sizes ispublished: inpress divisions: UCL divisions: B02 divisions: D01 keywords: Science & Technology, Life Sciences & Biomedicine, Immunology, Infectious Diseases, Microbiology, depletion of susceptibles, heavy-tailed network, herd immunity, men who have sex with men, mpox note: © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. abstract: Many countries affected by the global outbreak of mpox in 2022 have observed a decline in cases. Our mathematical model accounting for heavy-tailed sexual partnership distributions suggests that mpox epidemics can hit the infection-derived herd immunity threshold and begin to decline with less than 1% of sexually active MSM population infected regardless of interventions or behavioural changes. Consistently, we found that many countries and US states experienced an epidemic peak with cumulative cases of around 0.1-0.5% of MSM population. The observed decline in cases may not necessarily be attributable to interventions or behavioural changes primarily. date: 2023-07-04 date_type: published publisher: OXFORD UNIV PRESS INC official_url: https://doi.org/10.1093/infdis/jiad254 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2038714 doi: 10.1093/infdis/jiad254 medium: Print-Electronic pii: 7218978 lyricists_name: Fearon, Elizabeth lyricists_id: EMFEA55 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner funding_acknowledgements: [Japan Society for the Promotion of Science (JSPS) Overseas Research Fellowships]; 22K17329 [JSPS]; 20J00793 [JSPS]; [foundation for the Fusion of Science and Technology]; JPMJPR22R3 [Japan Science and Technology Agency Precursory Research for Embryonic Science and Technology]; 210758/Z/18/Z [Wellcome Trust]; 800176 [Innovative Medicines Initiative 2 joint undertaking]; [European Union]; [European Federation of Pharmaceutical Industries and Associations (EFPIA)]; 200-2016-91781 [Centers for Disease Control and Prevention SHEPheRD]; MR/S020462/1 [Medical Research Council, United Kingdom Research and Innovation] full_text_status: public publication: The Journal of Infectious Diseases article_number: jiad254 pages: 5 event_location: United States issn: 0022-1899 citation: Murayama, Hiroaki; Pearson, Carl AB; Abbott, Sam; Miura, Fuminari; Jung, Sung-mok; Fearon, Elizabeth; Funk, Sebastian; Murayama, Hiroaki; Pearson, Carl AB; Abbott, Sam; Miura, Fuminari; Jung, Sung-mok; Fearon, Elizabeth; Funk, Sebastian; Endo, Akira; - view fewer <#> (2023) Accumulation of Immunity in Heavy-Tailed Sexual Contact Networks Shapes Mpox Outbreak Sizes. The Journal of Infectious Diseases , Article jiad254. 10.1093/infdis/jiad254 <https://doi.org/10.1093/infdis%2Fjiad254>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10176045/1/jiad254.pdf