Skip to main content
Log in

A Rapid Environmental Scan of South Florida HIV Organizations’ Mpox Messaging During the August 2022 Peak of the U.S. Outbreak

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

The 2022 outbreak of mpox disproportionately impacted men who have sex with men and people living with HIV. As such, HIV organizations were uniquely situated to reach populations affected by mpox. However, the extent to which these organizations pivoted to address mpox, and what form mpox messaging took, is unknown. We conducted a rapid environmental scan of 29 HIV or sexual health organizations to assess the frequency and content of mpox messaging in August 2022, the peak of the mpox outbreak in Miami, FL. Approximately half of the organizations provided mpox messaging, most of which was accurate. Only 5% of the messages were in Spanish and 4% in Spanish and Haitian Creole. Our findings suggest HIV organizations’ pivot to mpox messaging may have been delayed overall and in reaching Spanish- and Haitian Creole-speaking communities. Results could inform modifications to mpox messaging campaigns and future outbreaks that disproportionately affect minoritized communities.

Resumen

El brote de la viruela del mono en 2022 afectó desproporcionadamente a hombres que tienen relaciones sexuales con hombres y personas que viven con el VIH. Como tal, las organizaciones dedicadas al VIH estaban en una posición única para llegar a las poblaciones afectadas por la viruela del mono. Sin embargo, no se sabe en qué medida estas organizaciones cambiaron su enfoque para abordar la viruela del mono y qué forma tomó la mensajería sobre a la viruela del mono. Realizamos un escaneo ambiental rápido de 29 organizaciones de VIH o salud sexual para evaluar la frecuencia y el contenido de la mensajería sobre la viruela del mono en agosto de 2022, en el pico del brote de la viruela del mono en Miami, Florida. Aproximadamente la mitad de las organizaciones proporcionaron mensajería sobre la viruela del mono, la mayoría de la cual era precisa. Solo el 5% de los mensajes estaban en español y el 4% en español y criollo haitiano. Nuestros hallazgos sugieren que el cambio de enfoque de las organizaciones de VIH hacia la mensajería sobre la viruela del mono puede haber sido en general demorado y que no llegó adecuadamente a las comunidades de habla hispana y criollo haitiano. Los resultados podrían informar modificaciones en las campañas de mensajería sobre la viruela del mono y en futuros brotes que afecten desproporcionadamente a comunidades minorizadas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. McCollum AM, Damon IK. Human Monkeypox. Clin Infect Dis. 2014;58(2):260–7. https://doi.org/10.1093/cid/cit703.

    Article  PubMed  Google Scholar 

  2. CDC, Monkeypox in the U.S., Centers for Disease Control and Prevention. 2022. https://www.cdc.gov/poxvirus/monkeypox/about.html Accessed 16 Aug 2022.

  3. Cho CT, Wenner HA. Monkeypox virus. Bacteriol Rev. 1973;37(1):1–18. https://doi.org/10.1128/br.37.1.1-18.1973.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Guidance for Tecovirimat Use, CDC. (2022).

  5. Rao AK, et al. Use of JYNNEOS (smallpox and monkeypox vaccine, live, Nonreplicating) for preexposure vaccination of persons at risk for occupational exposure to orthopoxviruses: recommendations of the advisory committee on immunization practices — United States, 2022. Morb Mortal Wkly Rep. 2022;71(22):734–42. https://doi.org/10.15585/mmwr.mm7122e1.

    Article  CAS  Google Scholar 

  6. Guarner J, del Rio C, Malani PN. Monkeypox in 2022—what clinicians need to know. JAMA. 2022;328(2):139–40. https://doi.org/10.1001/jama.2022.10802.

    Article  CAS  PubMed  Google Scholar 

  7. Nuzzo JB, Borio LL, Gostin LO. The WHO declaration of monkeypox as a global public health emergency. JAMA. 2022;328(7):615–7. https://doi.org/10.1001/jama.2022.12513.

    Article  PubMed  Google Scholar 

  8. Isidro J, et al. Phylogenomic characterization and signs of microevolution in the 2022 multi-country outbreak of monkeypox virus. Nat Med. 2022;28(8):8. https://doi.org/10.1038/s41591-022-01907-y.

    Article  CAS  Google Scholar 

  9. Early data show racial disparities in monkeypox cases, KFF. 2022. https://www.kff.org/policy-watch/early-data-show-racial-disparities-in-monkeypox-cases/ Accessed 18 Aug 2022.

  10. Daskalakis D, McClung RP, Mena L, Mermin J. Monkeypox: avoiding the mistakes of past infectious disease epidemics. Ann Intern Med. 2022;175(8):1177–8. https://doi.org/10.7326/M22-1748.

    Article  PubMed  Google Scholar 

  11. Rodriguez-Diaz CE, Crowley JS, Santiago-Rivera Y, Millett GA. From COVID-19 to monkeypox: unlearned lessons for black, Latino, and other men with HIV who have sex with men. Am J Public Health. 2022;112(11):1567–71. https://doi.org/10.2105/AJPH.2022.307093.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Gonsalves GS, Mayer K, Beyrer C. Déjà vu all over again? Emergent monkeypox, delayed responses, and stigmatized populations. J Urban Health. 2022;99(4):603–6. https://doi.org/10.1007/s11524-022-00671-1.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Frieden J. New monkeypox cases plummet, but racial gap remains, white house says. MedPage Today. 2022.

  14. Weinstein ER, Glynn TR, Simmons E, Safren SA, Harkness A. Structural life instability and factors related to Latino sexual minority men’s intention to engage with biomedical HIV-prevention services. AIDS Behav Under Rev. 2022;26(12):3914–24.

    Article  Google Scholar 

  15. Rodriguez-Diaz CE, et al. Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics. Ann Epidemiol. 2020. https://doi.org/10.1016/j.annepidem.2020.07.007.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Weinstein ER, et al. Factors associated with Latino sexual minority men’s likelihood and motivation for obtaining a COVID-19 vaccine: a mixed-methods study. J Behav Med. 2022. https://doi.org/10.1007/s10865-022-00315-4.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Graham P, Evitts T, Thomas-MacLean R. Environmental scans: how useful are they for primary care research? Can Fam Physician Med Fam Can. 2008;54(7):1022–3.

    Google Scholar 

  18. Choo CW. Environmental scanning as information seeking and organizational learning. Inf Res. 2001;7:1.

    Google Scholar 

  19. Rowel R, Moore ND, Nowrojee S, Memiah P, Bronner Y. The utility of the environmental scan for public health practice: lessons from an urban program to increase cancer screening. J Natl Med Assoc. 2005;97(4):527–34.

    PubMed  PubMed Central  Google Scholar 

  20. South Florida is epicenter for surging monkeypox cases. Miami Herald. 2022.

  21. Centers for Disease Control and Prevention: HIV surveillance report. 2020. Available: https://www.cdc.gov/hiv/library/reports/hiv-surveillance/vol-33/index.html Accessed 10 Aug 2022

  22. Gutierrez B. Research shows COVID-19 has hit Hispanic communities hard. NEWS@TheU.

  23. Centers for Disease Control and Prevention. U.S. Mpox case trends reported to CDC. 2022.

  24. Kay ES, Musgrove K. From HIV to coronavirus: AIDS service organizations adaptative responses to COVID-19, Birmingham, Alabama. AIDS Behav. 2020;24(9):2461–2. https://doi.org/10.1007/s10461-020-02879-1.

    Article  PubMed  PubMed Central  Google Scholar 

  25. McPhillips D. Monkeypox is disproportionately affecting black, Hispanic people, latest CDC breakdown shows. CNN. 2022. https://www.cnn.com/2022/08/05/health/monkeypox-black-hispanic-reaj

  26. Miami-Dade County, Florida population. 2023. World population review.

  27. Harkness, et al. Impact of COVID-19 on HIV service delivery in Miami-Dade County: a mixed methods study. BMC Health Serv Res. 2022;22(1):1476. https://doi.org/10.1186/s12913-022-08849-8.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Haakenstad A, et al. Potential for additional government spending on HIV/AIDS in 137 low-income and middle-income countries: an economic modelling study. Lancet HIV. 2019;6(6):e382–95. https://doi.org/10.1016/S2352-3018(19)30038-4.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Centers for Disease Control and Prevention. Meningococcal disease outbreak among Gay, Bisexual Men in Florida, 2021–22. 2022.

  30. Edney S, Bogomolova S, Ryan J, Olds T, Sanders I, Maher C. Creating engaging health promotion campaigns on social media: observations and lessons from Fitbit and Garmin. J Med Internet Res. 2018;20(12):e10911. https://doi.org/10.2196/10911.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Gilbey D, Morgan H, Lin A, Perry Y. Effectiveness, acceptability, and feasibility of digital health interventions for LGBTIQ+ young people: systematic review. J Med Internet Res. 2020;22(12):e20158. https://doi.org/10.2196/20158.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Stellefson M, Paige SR, Chaney BH, Chaney JD. Evolving role of social media in health promotion: updated responsibilities for health education specialists. Int J Environ Res Public Health. 2020;17(4):1153. https://doi.org/10.3390/ijerph17041153.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Centers for Disease Control and Prevention. Mpox cases by age and gender and race/ethnicity. 2023.

  34. Pew Research Center. Social media fact sheet. 2021.

  35. Rogers BG, Whiteley L, Haubrick KK, Mena LA, Brown LK. Intervention messaging about pre-exposure prophylaxis use among young, black sexual minority men. AIDS Patient Care STDs. 2019;33(11):473–81. https://doi.org/10.1089/apc.2019.0139.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Mian A, Khan S. Coronavirus: the spread of misinformation. BMC Med. 2020;18(1):89. https://doi.org/10.1186/s12916-020-01556-3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Charlton P, Kean T, Liu R, Nagel D. Use of environmental scans in health services delivery research: a scoping review. BMJ Open. 2021;11(11):e050284. https://doi.org/10.1136/bmjopen-2021-050284.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Goodman B, Mpox is almost gone in the US, leaving lessons and mysteries in its wake. CNNHealth. 2023. [Online]. Available: https://www.cnn.com/2023/01/31/health/mpox-public-health-emergency-lessons/index.html

  39. Paun C, Mpox is simmering south of the border, threatening a resurgence. Politico. 2023. [Online]. Available: https://www.politico.com/news/2023/02/08/mpox-simmers-south-of-the-border-00081626

  40. Minhaj F, Ogale Y, Whitehill F, Schultz J. Monkeypox outbreak — Nine States. MMWR Morb Mortal Wkly Rep. 2022;2022(71):764–9. https://doi.org/10.15585/mmwr.mm7123e1.

    Article  Google Scholar 

  41. Aden T, Blevins P, York S, Rager S. Rapid diagnostic testing for response to the monkeypox outbreak — laboratory response network, United States, 2022. MMWR Morb Mortal Wkly Rep. 2022;71:904–7. https://doi.org/10.15585/mmwr.mm7128e1.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Center for Disease Control and Prevention. How it spreads. 2023. https://www.cdc.gov/poxvirus/mpox/if-sick/transmission.html

  43. Center for Disease Control and Prevention. Interim clinical considerations for use of JYNNEOS and ACAM2000 vaccines during the 2022 U.S. Mpox Outbreak. 2022. https://www.cdc.gov/poxvirus/mpox/clinicians/vaccines/vaccine-considerations.html

  44. Center for Disease Control and Prevention. Isolation and infection control at home. 2022. https://www.cdc.gov/poxvirus/mpox/clinicians/infection-control-home.html?fbclid=IwAR1WSbir8_ZFaPhiLBqQsr-BsvVTNhE8izCXwAKZwzCEXcGz6mPJXtU6fFM

  45. Center for Disease Control and Prevention. 2022 U.S. Map & case count. 2023. https://www.cdc.gov/poxvirus/mpox/response/2022/us-map.html?fbclid=IwAR31wHs0LpKjlOmpcIK7AdgOY8i-RR9Kn3R1EnekOqxuttgMHOVr9sKihOY

  46. COVID 19 Vaccine [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=434597888701655&set=pb.100064543430012.-2207520000.

  47. Philpott D, et al. Epidemiologic and clinical characteristics of monkeypox cases — United States. MMWR Morb Mortal Wkly Rep. 2022;71:1018–22. https://doi.org/10.15585/mmwr.mm7132e3.

    Article  PubMed  PubMed Central  Google Scholar 

  48. O’Shea J, Filardo T, Morris S, Weiser J. Interim guidance for prevention and treatment of monkeypox in persons with HIV infection — United States. MMWR Morb Mortal Wkly Rep. 2022;71:1023–8. https://doi.org/10.15585/mmwr.mm7132e4.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Receiving vaccine after exposure to monkeypox virus [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=436702448491199&set=pb.100064543430012.-2207520000.

  50. Am I at risk for getting MonkeyPox? [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=437785441716233&set=pb.100064543430012.-2207520000.

  51. CDC Recommends monkeypox for people who [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=441355704692540&set=pb.100064543430012.-2207520000.

  52. Center for Disease Control and Prevention. Signs and symptoms. 2023. https://www.cdc.gov/poxvirus/mpox/if-sick/transmission.html

  53. COVID-19 vaccines by age [Internet]. Facebook. 2023. Available from: https://www.facebook.com/photo/?fbid=442205627940881&set=pb.100064543430012.-2207520000.

  54. Hause A, et al. Safety monitoring of Pfizer-BioNTech COVID-19 vaccine booster doses among children aged 5–11 years — United States. MMWR Morb Mortal Wkly Rep. 2022;71:1047–51. https://doi.org/10.15585/mmwr.mm7133a3”.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. COVID Data Tracker Weekly Review [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=444281937733250&set=pb.100064543430012.-2207520000.

  56. Jynneos Vaccine [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=446921760802601&set=pb.100064543430012.-2207520000.

  57. Havers F, et al. Laboratory-confirmed COVID-19–associated hospitalizations among adults during SARS-CoV-2 omicron BA.2 variant predominance — COVID-19–associated hospitalization surveillance Network, 14 States. MMWR Morb Mortal Wkly Rep. 2022;71:1085–91. https://doi.org/10.15585/mmwr.mm7134a3.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Does the Chickenpox Vaccine Protect Against Monkeypox? [Internet]. Facebook. 2022. Available from: https://www.facebook.com/photo/?fbid=448841293943981&set=pb.100064543430012.-2207520000.

  59. Pfeiffer J, et al. High-contact object and surface contamination in a household of persons with monkeypox virus infection — Utah. MMWR Morb Mortal Wkly Rep. 2022;71:1092–4. https://doi.org/10.15585/mmwr.mm7134e1.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

Research reported in this publication was supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Number K23MD015690. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We would also like to express our gratitude the members of the Community Advisory Board including Edward Kring, Hans Schenk and Eddie Orozco for comments on the discussion that greatly improved the manuscript.

Funding

National Institute on Minority Health and Health Disparities, (Grant no. K23MD015690).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Audrey Harkness.

Ethics declarations

Competing Interests

The authors have not disclosed any competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Atuluru, P., Weinstein, E.R., Serrano, L.P. et al. A Rapid Environmental Scan of South Florida HIV Organizations’ Mpox Messaging During the August 2022 Peak of the U.S. Outbreak. AIDS Behav 28, 1546–1558 (2024). https://doi.org/10.1007/s10461-023-04176-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-023-04176-z

Keywords

Navigation