A new strain of mpox, previously called monkeypox, has been detected in a person in England, say UK health officials. The virus is a mix of two major types of the mpox virus, and was found in someone who recently returned from travelling in Asia. Officials say they are still assessing the significance of the new strain. The UK Health Security Agency (UKHSA) says it is normal for viruses to evolve. Getting vaccinated remains the best way to protect against severe disease - although an mpox infection is mild for many.

Computational approaches have previously shown various promises and pitfalls when it comes to the reliable identification of media frames. Generative LLMs like GPT and Claude are increasingly being used as content analytical tools, but how effective are they for frame analysis? We address this question by systematically evaluating them against their computational predecessors: bag-of-words models and encoder-only transformers; and traditional manual coding procedures. Our analysis rests on a novel gold standard dataset that we inductively and iteratively developed through the study, investigating six months of news coverage of the US Mpox epidemic of 2022. While we discover some potential applications for generative LLMs, we demonstrate that they were consistently outperformed by manual coders, and in some instances, by smaller language models. Some form of human validation was always necessary to determine appropriate model choice. Additionally, by examining how the suitability of various approaches depended on the nature of different tasks that were part of our frame analytical workflow, we provide insights as to how researchers may leverage the complementarity of these approaches to use them in tandem. We conclude by endorsing a methodologically pluralistic approach and put forth a roadmap for computational frame analysis for researchers going forward.

In the aftermath of the COVID-19 pandemic and amid accelerating climate change, emerging infectious diseases, particularly those arising from zoonotic spillover, remain a global threat. Mpox (caused by the monkeypox virus) is a notable example of a zoonotic infection that often goes undiagnosed, especially as its rash progresses through stages, complicating detection across diverse populations with different presentations. In August 2024, the WHO Director-General declared the mpox outbreak a public health emergency of international concern for a second time. Despite the deployment of deep learning techniques for detecting diseases from skin lesion images, a robust and publicly accessible foundation model for mpox diagnosis is still lacking due to the unavailability of open-source mpox skin lesion images, multimodal clinical data, and specialized training pipelines. To address this gap, we propose MpoxVLM, a vision-language model (VLM) designed to detect mpox by analyzing both skin lesion images and patient clinical information. MpoxVLM integrates the CLIP visual encoder, an enhanced Vision Transformer (ViT) classifier for skin lesions, and LLaMA-2-7B models, pre-trained and fine-tuned on visual instruction-following question-answer pairs from our newly released mpox skin lesion dataset. Our work achieves 90.38% accuracy for mpox detection, offering a promising pathway to improve early diagnostic accuracy in combating mpox.

Monkeypox (MPox) has emerged as a significant global concern, with cases steadily increasing daily. Conventional detection methods, including polymerase chain reaction (PCR) and manual examination, exhibit challenges of low sensitivity, high cost, and substantial workload. Therefore, deep learning offers an automated solution; however, the datasets include data scarcity, texture, contrast, inter-intra class variability, and similarities with other skin infectious diseases. In this regard, a novel hybrid approach is proposed that integrates the learning capacity of Residual Learning and Spatial Exploitation Convolutional Neural Network (CNN) with a customized Swin Transformer (RS-FME-SwinT) to capture multi-scale global and local correlated features for MPox diagnosis. The proposed RS-FME-SwinT technique employs a transfer learning-based feature map enhancement (FME) technique, integrating the customized SwinT for global information capture, residual blocks for texture extraction, and spatial blocks for local contrast variations. Moreover, incorporating new inverse residual blocks within the proposed SwinT effectively captures local patterns and mitigates vanishing gradients. The proposed RS-FME-SwinT has strong learning potential of diverse features that systematically reduce intra-class MPox variation and enable precise discrimination from other skin diseases. Finally, the proposed RS-FME-SwinT is a holdout cross-validated on a diverse MPox dataset and achieved outperformance on state-of-the-art CNNs and ViTs. The proposed RS-FME-SwinT demonstrates commendable results of an accuracy of 97.80%, sensitivity of 96.82%, precision of 98.06%, and an F-score of 97.44% in MPox detection. The RS-FME-SwinT could be a valuable tool for healthcare practitioners, enabling prompt and accurate MPox diagnosis and contributing significantly to mitigation efforts.

The world is currently experiencing an outbreak of mpox, which has been declared a Public Health Emergency of International Concern by WHO. No prior work related to social media mining has focused on the development of a dataset of Instagram posts about the mpox outbreak. The work presented in this paper aims to address this research gap and makes two scientific contributions to this field. First, it presents a multilingual dataset of 60,127 Instagram posts about mpox, published between July 23, 2022, and September 5, 2024. The dataset, available at https://dx.doi.org/10.21227/7fvc-y093, contains Instagram posts about mpox in 52 languages. For each of these posts, the Post ID, Post Description, Date of publication, language, and translated version of the post (translation to English was performed using the Google Translate API) are presented as separate attributes in the dataset. After developing this dataset, sentiment analysis, hate speech detection, and anxiety or stress detection were performed. This process included classifying each post into (i) one of the sentiment classes, i.e., fear, surprise, joy, sadness, anger, disgust, or neutral, (ii) hate or not hate, and (iii) anxiety/stress detected or no anxiety/stress detected. These results are presented as separate attributes in the dataset. Second, this paper presents the results of performing sentiment analysis, hate speech analysis, and anxiety or stress analysis. The variation of the sentiment classes - fear, surprise, joy, sadness, anger, disgust, and neutral were observed to be 27.95%, 2.57%, 8.69%, 5.94%, 2.69%, 1.53%, and 50.64%, respectively. In terms of hate speech detection, 95.75% of the posts did not contain hate and the remaining 4.25% of the posts contained hate. Finally, 72.05% of the posts did not indicate any anxiety/stress, and the remaining 27.95% of the posts represented some form of anxiety/stress.

Background: The 2024 Mpox outbreak, particularly severe in Africa with clade 1b emergence, has highlighted critical gaps in diagnostic capabilities in resource-limited settings. This study aimed to develop and validate an artificial intelligence (AI)-driven, on-device screening tool for Mpox, designed to function offline in low-resource environments. Methods: We developed a YOLOv8n-based deep learning model trained on 2,700 images (900 each of Mpox, other skin conditions, and normal skin), including synthetic data. The model was validated on 360 images and tested on 540 images. A larger external validation was conducted using 1,500 independent images. Performance metrics included accuracy, precision, recall, F1-score, sensitivity, and specificity. Findings: The model demonstrated high accuracy (96%) in the final test set. For Mpox detection, it achieved 93% precision, 97% recall, and an F1-score of 95%. Sensitivity and specificity for Mpox detection were 97% and 96%, respectively. Performance remained consistent in the larger external validation, confirming the model's robustness and generalizability. Interpretation: This AI-driven screening tool offers a rapid, accurate, and scalable solution for Mpox detection in resource-constrained settings. Its offline functionality and high performance across diverse datasets suggest significant potential for improving Mpox surveillance and management, particularly in areas lacking traditional diagnostic infrastructure.

Artificial Intelligence applications have shown promise in the management of pandemics and have been widely used to assist the identification, classification, and diagnosis of medical images. In response to the global outbreak of Monkeypox (Mpox), the HeHealth.ai team leveraged an existing tool to screen for sexually transmitted diseases to develop a digital screening test for symptomatic Mpox through AI approaches. Prior to the global outbreak of Mpox, the team developed a smartphone app, where app users can use their own smartphone cameras to take pictures of their own penises to screen for symptomatic STD. The AI model was initially developed using 5000 cases and use a modified convolutional neural network to output prediction scores across visually diagnosable penis pathologies including Syphilis, Herpes Simplex Virus, and Human Papilloma Virus. From June 2022 to October 2022, a total of about 22,000 users downloaded the HeHealth app, and about 21,000 images have been analyzed using HeHealth AI technology. We then engaged in formative research, stakeholder engagement, rapid consolidation images, a validation study, and implementation of the tool from July 2022. From July 2022 to October 2022, a total of 1000 Mpox related images had been used to train the Mpox symptom checker tool. Our digital symptom checker tool showed accuracy of 87% to rule in Mpox and 90% to rule out symptomatic Mpox. Several hurdles identified included issues of data privacy and security for app users, initial lack of data to train the AI tool, and the potential generalizability of input data. We offer several suggestions to help others get started on similar projects in emergency situations, including engaging a wide range of stakeholders, having a multidisciplinary team, prioritizing pragmatism, as well as the concept that big data in fact is made up of small data.

The recent outbreak of the MPox virus has resulted in a tremendous increase in the usage of Twitter. Prior works in this area of research have primarily focused on the sentiment analysis and content analysis of these Tweets, and the few works that have focused on topic modeling have multiple limitations. This paper aims to address this research gap and makes two scientific contributions to this field. First, it presents the results of performing Topic Modeling on 601,432 Tweets about the 2022 Mpox outbreak that were posted on Twitter between 7 May 2022 and 3 March 2023. The results indicate that the conversations on Twitter related to Mpox during this time range may be broadly categorized into four distinct themes - Views and Perspectives about Mpox, Updates on Cases and Investigations about Mpox, Mpox and the LGBTQIA+ Community, and Mpox and COVID-19. Second, the paper presents the findings from the analysis of these Tweets. The results show that the theme that was most popular on Twitter (in terms of the number of Tweets posted) during this time range was Views and Perspectives about Mpox. This was followed by the theme of Mpox and the LGBTQIA+ Community, which was followed by the themes of Mpox and COVID-19 and Updates on Cases and Investigations about Mpox, respectively. Finally, a comparison with related studies in this area of research is also presented to highlight the novelty and significance of this research work.

Mining and analysis of the big data of Twitter conversations have been of significant interest to the scientific community in the fields of healthcare, epidemiology, big data, data science, computer science, and their related areas, as can be seen from several works in the last few years that focused on sentiment analysis and other forms of text analysis of tweets related to Ebola, E-Coli, Dengue, Human Papillomavirus, Middle East Respiratory Syndrome, Measles, Zika virus, H1N1, influenza like illness, swine flu, flu, Cholera, Listeriosis, cancer, Liver Disease, Inflammatory Bowel Disease, kidney disease, lupus, Parkinsons, Diphtheria, and West Nile virus. The recent outbreaks of COVID-19 and MPox have served as catalysts for Twitter usage related to seeking and sharing information, views, opinions, and sentiments involving both of these viruses. None of the prior works in this field analyzed tweets focusing on both COVID-19 and MPox simultaneously. To address this research gap, a total of 61,862 tweets that focused on MPox and COVID-19 simultaneously, posted between 7 May 2022 and 3 March 2023, were studied. The findings and contributions of this study are manifold. First, the results of sentiment analysis using the VADER approach show that nearly half the tweets had a negative sentiment. It was followed by tweets that had a positive sentiment and tweets that had a neutral sentiment, respectively. Second, this paper presents the top 50 hashtags used in these tweets. Third, it presents the top 100 most frequently used words in these tweets after performing tokenization, removal of stopwords, and word frequency analysis. Finally, a comprehensive comparative study that compares the contributions of this paper with 49 prior works in this field is presented to further uphold the relevance and novelty of this work.

The Chinese government is battling a new public health concern: mpox. The World Health Organization reports that China is currently experiencing the world's fastest increase in cases of mpox (formerly known as monkeypox)--and it needs to act fast to contain the spread. The countries that have successfully contained mpox outbreaks have mostly done so thanks to proactive measures like vaccination campaigns. The problem is, the Chinese government has barely started to take action. Generative AI is making it ridiculously easy to manipulate people's images.