# Real-Time Use of Monkeypox Virus Genomic Surveillance, King County, Washington, USA, 2022–2024

**Authors:** Kathryn M. Lau, Michaela Banks, Kaila Bryant, Joanie D. Lambert, Laura Marcela Torres, Stephanie M. Lunn, Cory Yun, Pavitra Roychoudhury, B. Ethan Nunley, Jaydee Sereewit, Alexander L. Greninger, Allison Black, Vance Kawakami, Sargis Pogosjans, Elysia Gonzales, Eric J. Chow

PMC · DOI: 10.3201/eid3113.241242 · Emerging Infectious Diseases · 2025-05-01

## TL;DR

Genomic surveillance helped track monkeypox cases in Washington, showing its value in public health investigations.

## Contribution

Demonstrated the utility of genomic surveillance in identifying local versus international monkeypox exposures.

## Key findings

- Genomic surveillance identified a monkeypox case with unknown exposure origins as locally acquired.
- The pilot highlighted genomics as a critical tool in public health investigations.
- Confirmed the importance of integrating genomics into routine case investigations.

## Abstract

A monkeypox virus genomic surveillance pilot began in King County, Washington, USA, during the 2022 outbreak. Genomic surveillance proved critical in determining local versus international exposure of a case where no known exposures were identified by interview, illustrating the value of genomics in case investigation and public health practice.

## Linked entities

- **Diseases:** monkeypox (MONDO:0002594)

## Full-text entities

- **Species:** Monkeypox virus (no rank) [taxon 10244]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12078537/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12078537/full.md

## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC12078537/full.md

---
Source: https://tomesphere.com/paper/PMC12078537