RE: Prediction of potential public health risk of the recent multicountry monkeypox outbreak: An update after the end declaration of global public health emergency

We would like to share ideas on the publication “Prediction of potential public health risk of the recent multicountry monkeypox outbreak: An update after the end declaration of global public health emergency.”1 The monkeypox virus (MPV) literature search shed light on the advent of novel variations that have caused Public Health Emergencies of International Concern in a number of different geographical areas. Nonetheless, the study found that MPV is no longer seen as a threat to global public health because of its low lethality and rate of transmission. Furthermore, healthcare officials have been able to manage and control MPV infections more effectively thanks to the availability of curative and preventive interventions. The review also emphasized MPV's present state, its future developments, and its historical and evolutionary background. While it is crucial to include climate and environmental issues in the review, such as the effects of pollution or rainfall, it appears that current sources may not give the greatest foundation for establishing causal links. Further exploration of higher-quality ecological research may help us understand these complex concerns. The methodology's narrow focus on particular databases like PubMed, Scopus, and ScienceDirect could be one of its weaknesses. A more thorough grasp of the subject may have been attained by broadening the search to include other sources and databases. Furthermore, it is possible that the choice of particular keywords unintentionally removed pertinent research or MPV-related data. A more thorough search approach could be beneficial for future research projects to make sure all pertinent literature is included. In addition to the concerns raised regarding the need for a broader survey of the MPV-related literature, it is important to address a significant shortcoming in the review article on the prevalence of co-infection in patients diagnosed with monkeypox. The lack of discussion on this issue, particularly in update on diagnosis, treatment, and prevention, is critical. Co-infection can complicate the clinical presentation of monkeypox, which may lead to misdiagnosis or delayed treatment.2 Understanding the interactions between MPV and other pathogens is essential for developing effective diagnostic protocols, treatment strategies, and preventive measures.2 By integrating this consideration into future research and discussions, healthcare professionals can better identify populations at risk and tailor interventions accordingly. A more comprehensive approach that includes the epidemiology of co-infections will not only improve patient outcomes but also provide a stronger public health strategy for managing monkeypox outbreaks. Future paths for MPV research may entail investigating potential risk factors and susceptible groups in addition to doing a more thorough examination of the symptoms linked to the virus. Furthermore, to successfully manage and reduce the development of MPV infections, efforts to improve antiviral treatment tactics and preventive measures should remain a top focus. Developing comprehensive and long-lasting remedies for MPV epidemics will require cooperation between governments, healthcare providers, and international organizations. Finally, it is vital to consider how community involvement and public awareness might help mitigate the effects of the monkeypox outbreak. To combat disinformation and support responsible health behaviors, effective communication strategies that educate the public on symptoms, transmission routes, and preventive measures are essential. Furthermore, by actively engaging poor individuals and other vulnerable communities, health treatments can be tailored to their specific needs and cultural contexts. Public health initiatives should leverage multimedia platforms and local partnerships to distribute information and encourage community involvement in the surveillance and reporting of suspected cases. Furthermore, meaningful involvement with at-risk communities, especially vulnerable populations, can lead to individualized health interventions that are relevant to their specific needs and cultural context. Public health initiatives should use multimedia platforms and local partnerships to distribute information and encourage community involvement in the surveillance and reporting of suspected cases. By cultivating a culture of vigilance and responsiveness, we can enable individuals to take proactive steps in their health management, ultimately contributing to the larger goal of eliminating monkeypox and boosting overall public health resilience. As a result, including features of education, community involvement, and communication into future research and public health measures will be critical in combating not only monkeypox but a variety of infectious diseases. Hinpetch Daungsupawong: Conceptualization; writing—review and editing; visualization; validation. Viroj Wiwanitkit: Conceptualization; visualization; validation. The authors declare no conflict of interest. There is no data collected or presented. There is no new data generated.