Cases also continue from China and Singapore in the Western Pacific region.
Two of the animals died, for a case-fatality rate of 10%, while no animal caretakers were affected.
The most common adverse event was mild to moderate injection-site pain, which was reported by 60% of vaccinated participants
Countries reporting the most cases were Spain, Portugal, the UK, and Germany.
Early tecovirimat was associated with shorter time to symptom improvement (by 5.5 days) among participants with severe illness.
The most common symptom throughout the study period was rash, followed by enlarged lymph nodes.
The authors found strong evidence of viral circulation before initial case detection in each affected world region.
The epi investigation revealed that many of the patients were young women involved in sex work.
For women, the estimated sample case hospitalization risk was 18%, compared with 5% for men, but the authors noted 'considerable' uncertainty because of the small number of cases in women.
By the end of November 2022, Florida had recorded 2,845 confirmed or probable mpox cases.
The step paves the way for the vaccine to be given at a broader range of sites, including doctors offices and pharmacies.
Only 1 of 109 mpox cases was tied to workplace exposure, likely from a sharps injury.
Europe had the biggest mpox rise in September, though the Western Pacific region continues to report the highest levels.
A total of 39% to 54% reported no change in these behaviors, and less than 1% reported an increase.
Of the 1,124 mpox patients, 44% had HIV, and 70% had a previous or current sexually transmitted infection.
Most of the newly affected Finnish farms raised foxes, but some also produced raccoon dogs.
Serial scores matched clinical observations, and MPOX-SSS demonstrated good discrimination, identified changes over time, and generated higher scores in the expected groups.
The emergency team also treated patients with measles, malnourishment, and malaria.
The current DRC outbreak has already claimed 581 lives.
Meanwhile, new clinical findings from Tokyo suggest that asymptomatic mpox cases are underestimated.
Bavarian Nordic has received a US government contract for $120 million to manufacture more of its Jynneos smallpox/mpox vaccine.
Pakistan has its second wild poliovirus type 1 case of the year, 4 countries report rising mpox, and the WHO has new resources.
The WHO guidance replaces temporary recommendations, Florida has 15 dengue cases now, and Connecticut confirms 4 people infected with the tick-borne Powassan virus.
While breakthrough infections were mostly mild, infection- and vaccine-induced immunity don't fully protect against mpox.
People with both mpox and HIV accounted for 40.7% of all mpox cases in California during the study period and 56% of mpox-associated hospitalizations.
