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      Public understanding and awareness of and response to monkeypox virus outbreak: A cross‐sectional survey of the most affected communities in the United Kingdom during the 2022 public health emergency

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          Monkeypox Virus Infection in Humans across 16 Countries — April–June 2022

          Before April 2022, monkeypox virus infection in humans was seldom reported outside African regions where it is endemic. Currently, cases are occurring worldwide. Transmission, risk factors, clinical presentation, and outcomes of infection are poorly defined.
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            Structural competency: Theorizing a new medical engagement with stigma and inequality

            This paper describes a shift in medical education away from pedagogic approaches to stigma and inequalities that emphasize cross-cultural understandings of individual patients, toward attention to forces that influence health outcomes at levels above individual interactions. It reviews existing structural approaches to stigma and health inequalities developed outside of medicine, and proposes changes to U.S. medical education that will infuse clinical training with a structural focus. The approach, termed “structural competency,” consists of training in five core competencies: 1) recognizing the structures that shape clinical interactions; 2) developing an extra-clinical language of structure; 3) rearticulating “cultural” formulations in structural terms; 4) observing and imagining structural interventions; and 5) developing structural humility. Examples are provided of structural health scholarship that should be adopted into medical didactic curricula, and of structural interventions that can provide participant-observation opportunities for clinical trainees. The paper ultimately argues that increasing recognition of the ways in which social and economic forces produce symptoms or methylate genes then needs to be better coupled with medical models for structural change.
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              Epidemiologic and Clinical Characteristics of Monkeypox Cases — United States, May 17–July 22, 2022

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                Author and article information

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                Journal
                HIV Medicine
                HIV Medicine
                Wiley
                1464-2662
                1468-1293
                November 16 2022
                Affiliations
                [1 ]SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London London UK
                [2 ]Global Health Centre, Department of Anthropology and Sociology Graduate Institute of International and Development Studies Geneva Switzerland
                [3 ]Centre for Genomics and Child Health, Blizard Institute, Barts and The London School of Medicine and Dentistry Queen Mary University of London London UK
                [4 ]SHARE Collaborative, Centre for Immunobiology, Blizard Institute Queen Mary University of London London UK
                [5 ]Department of Infection and Immunity Barts Health NHS Trust London UK
                [6 ]SHARE Collaborative, Blizard Institute Queen Mary University of London London UK
                [7 ]Sophia Forum London UK
                [8 ]PrEPster/The Love Tank CIC London UK
                Article
                10.1111/hiv.13430
                36385726
                068fbf4c-a16f-41aa-bee7-6df0bdb2143b
                © 2022

                http://creativecommons.org/licenses/by-nc-nd/4.0/

                http://doi.wiley.com/10.1002/tdm_license_1.1

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