What is the incubation period for monkeypox (mpox)?

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Last updated: March 23, 2025View editorial policy

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From the Research

The incubation period for mpox typically ranges from 7 to 10 days, with a median incubation period of 7 to 10 days. This is based on the most recent and highest quality study available, which was published in 2024 1. The incubation period is the time between when a person is exposed to the virus and when they begin showing symptoms. During this incubation period, infected individuals are generally not considered contagious.

Key Points

  • The incubation period varies between individuals due to factors such as the route of transmission, viral dose received during exposure, and the person's immune status.
  • Understanding this timeline is important for contact tracing efforts and for individuals who may have been exposed, as they should monitor for symptoms for the full period after potential exposure.
  • Symptoms usually begin with fever, headache, muscle aches, swollen lymph nodes, and exhaustion, followed by a characteristic rash that progresses from macules to papules, vesicles, pustules, and finally scabs.
  • Other studies have reported similar incubation periods, ranging from 5 to 21 days, with a median of 7 to 9 days 2, 3, 4, 5. However, the most recent and highest quality study should be prioritized when making a definitive recommendation.

Clinical Implications

  • The relatively long incubation period reflects the time needed for the virus to replicate sufficiently in the body to cause noticeable symptoms.
  • Clinicians should be aware of the potential for a longer incubation period in some cases and should monitor patients for symptoms for the full period after potential exposure.
  • Public health management of close contacts should consider that in approximately 5% of cases, the incubation period exceeds the commonly used monitoring period 4.

References

Research

Mpox: there is still risk of global outbreak.

Journal of chemotherapy (Florence, Italy), 2025

Research

Monkeypox.

Lancet (London, England), 2023

Research

Estimated incubation period distributions of mpox using cases from two international European festivals and outbreaks in a club in Berlin, May to June 2022.

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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