Monkeypox (Mpox) requires continued surveillance, vaccines, therapeutics and mitigating strategies.

"Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Rachel Roper reports financial support was provided by East Carolina University. Rachel Roper reports a relationship with East Carolina University that includes: employment and non-financial support. Rachel Roper has patent #Patent No 8202521 issued to East Carolina Univeristy. Roper serves as a reviewer for Vaccine, but not in an editorial role. (R Roper) Tartaglia, James is an employee of Sanofi and holds stock options."

"The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Rachel Roper reports financial support was provided by East Carolina University. Rachel Roper reports a relationship with East Carolina University that includes: employment and non-financial support. Rachel Roper has patent #Patent No 8202521 issued to East Carolina Univeristy. Roper serves as a reviewer for Vaccine, but not in an editorial role. (R Roper) Tartaglia, James is an employee of Sanofi and holds stock options."