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Discussion - Thoughts on a global outbreak of monkeypox

Source: https://www.commonsense.news/p/monk...r=2bxqw&s=r&utm_campaign=post&utm_medium=emai l

Monkeypox: What You Actually Need to Know
A primer by Donald G. McNeil Jr.
Donald G McNeil Jr
12 hr ago

As if one plague weren’t enough, we now have another: monkeypox. And we’re not handling it well.

At the moment, unless you are a gay man with multiple anonymous or casual sexual partners, you are probably not at much risk. In this new non-African outbreak that began in May, most of the cases have been inside that network—at least thus far. In seven central and west African countries, there have been tens of thousands of suspected cases and hundreds of deaths attributed to the virus over the last two decades. This new outbreak has risen from a dozen cases in Portugal, Spain and Britain in mid-May to more than 12,000 in over 50 countries, from Iceland to Australia. Over 1,000 of them are in the U.S., many of them in cities like New York, Los Angeles, San Francisco and Chicago.

But there’s no guarantee it will stay inside that network. Monkeypox is transmitted by sex, by skin-to-skin contact, by towels and sheets, and possibly even by kissing or coughing by patients with sores inside their mouths. A few nurses have caught it from patients, as have family members. There’s much we don’t know about it yet.

Some sexually transmitted diseases—like AIDS—have stayed mostly inside gay male sexual networks. (In the West, that is. In Africa, more than 50 percent of H.I.V. cases are in women and girls.) Some, like syphilis, circulate generally but are more common among gay men. Others like herpes and HPV are widespread among heterosexuals. There’s no way to know yet where monkeypox will go.

We have a vaccine—two vaccines, actually—and also a treatment, so we are in a far better position than we were at the beginning of H.I.V., Covid or virtually any other previous epidemic. But right now, it’s still spreading fast, with the global number of cases rising by about 1,000 a day.

If there are two effective vaccines for this disease and one solid treatment, why are we losing the fight?...
 
With monkeypox spreading globally, many experts believe the virus can’t be contained

By Helen Branswell July 19, 2022


It has been a mere nine weeks since the United Kingdom announced it had detected four cases of monkeypox, a virus endemic only in West and Central Africa. In that time, the number of cases has mushroomed to nearly 13,000 in over 60 countries throughout Europe, North and South America, the Middle East, new parts of Africa, South Asia, and Australia.

The growth in cases and the geographic spread has been rapid and relentless.

Now, even as global health officials race to curb spread of the virus, most experts polled by STAT said they don’t believe it will be possible to contain it.

more...

https://www.statnews.com/2022/07/19...-experts-believe-the-virus-cant-be-contained/
 
The issue is not gay men. They certainly don't all have high risk lifestyles. They should have just messaged about 'casual' sex being a risk.

https://www.nytimes.com/2022/07/18/...health-department-information-inaccurate.html
Debate Over Monkeypox Messaging Divides N.Y.C. Health Department

City epidemiologists say some public health messages have been misleading about the risks and have narrowed the city’s chances for containing the disease.

By Joseph Goldstein

July 18, 2022

The spread of monkeypox has ignited a debate within the New York City Health Department over whether the agency should encourage gay men to reduce their number of sexual partners during this summer’s outbreak.
Inside the department, officials are battling over public messaging as the number of monkeypox cases has nearly tripled in the last week, nearly all of them among men who have sex with men. A few epidemiologists say the city should be encouraging gay men to temporarily change their sexual behavior while the disease spreads, while other officials argue that approach would stigmatize gay men and would backfire...
 
Related to:

Eursurv. Frequent detection of monkeypox virus DNA in saliva, semen, and other clinical samples from 12 patients, Barcelona, Spain, May to June 2022

https://flutrackers.com/forum/forum/...y-to-june-2022


Translation Google

First signs of airborne transmission of monkeypox

It is known that the virus can pass into the environment in the form of aerosols; the key now is to find out if the inhalation of these viral particles can trigger the disease
...
MARTHA OF ANDREW
CREATED07-24-2022 | 1:54AM
LAST UPDATE07-25-2022 | 7:56 A.M.
...
The speed of spread of the current international outbreak could suggest that the transmission mechanism of monkeypox may have improved . The cause of this could be found in the new mutations of the virus. And that is where some experts indicate that the evidence that until now maintained that the virus "does not spread easily between people" must be reviewed and re-evaluated.

“Until now this disease was considered a viral process that was transmitted mostly by direct contact. In the current outbreak, various clinical and epidemiological data support that close contact, often in the context of sexual activity, is driving the transmission of the disease," says Francisco J. Roig, pulmonologist at the HM Montepríncipe University Hospital in Madrid. . However, several investigations - one of them a study carried out in June at the Clinical Hospital of Barcelona on 12 patients infected with monkeypox - reveal important findings on the mechanism of spread of this disease . MPX virus DNA detectedin swabs from skin lesions in all patients and elevated viral loads in some saliva, rectal swab, semen, urine, and stool samples taken 4 to 16 days after symptom onset. "The most revealing thing about the study are the saliva samples, since they confirm that close contact - and not necessarily sexual contact - can be enough to transmit the disease", declares the pulmonologist.


“This could explain why cases of the virus are being documented in droplets in suspension in the rooms of patients who are hospitalized for this disease . It is a virus found in secretions such as saliva that, when speaking or coughing, can expel these droplets that then transport it to the environment, in sufficient quantity so that it has been isolated for study. Now what needs to be investigated - because there is little evidence in this regard - is whether the inhalation of these viral particles can trigger the disease . So far there are some documented cases, but no solid evidence”, reveals the expert. “Perhaps the most important thing is that we are talking abouta virus that is transmitted to the environment, but in order for it to reach a person's airway and infect it, it needs close and prolonged contact . Vehicleization is not as serious as in the case of SARS-CoV-2 ”, he concludes.


Proof that this route of transmission is already being handled in public health policies aimed at prevention is that the United States Centers for Disease Prevention (CDC) indicate in their guidelines to the population that In countries where the disease is spreading, "household contacts and health workers" should consider wearing masks. That guideline also applies to "other people who may be in close contact with someone who has been confirmed as a case," as well as monkeypox patients themselves, "especially those who have respiratory symptoms."


https://www.larazon.es/sociedad/2022...bdmhefepi.html
 
CDC/IDSA Clinician Call:
Monkeypox: Updates on Testing, Vaccination & Treatment
July 23, 2022

Q&A

...
35. How does past vaccination with smallpox affect current recommendations for monkeypox vaccine
and monkeypox treatment?

Monkeypox has been seen among people with past smallpox vaccination, so remote smallpox
vaccination would not preclude PEP or PEP++ vaccination in this outbreak. (Dr. Ard)

...
46. Does previous smallpox vaccination offer any protection against either acquiring monkeypox or
lessening the clinical disease from monkeypox

I believe some of the current MPX patients had been previously vaccinated for smallpox in youth
...
https://www.idsociety.org/globalasse...qa/qa-7-23.pdf

https://www.idsociety.org/multimedia...on--treatment/
 
A doctor in Nigeria tried to warn the world that monkeypox had become a global threat

July 28, 20225:13 AM ET
Heard on Morning Edition

ASMA KHALID
MICHAELEEN DOUCLEFF

Transcript
...
MICHAELEEN DOUCLEFF, BYLINE: ...The story actually starts five years ago with a doctor named Dimie Ogoina. Back in 2017, he saw what's perhaps the most important patient of his career.

DIMIE OGOINA: They brought my attention to a young boy.

DOUCLEFF: An 11-year-old boy with a very strange rash that looked like blisters.
...
DOUCLEFF: So Ogoina tested the boy, and he was right - monkeypox. At the time, Ogoina thought that this monkeypox outbreak would act the way it always had, the way it had been described in textbooks and scientific papers since the 1970s. That is, the virus came from an animal, like a rodent or a monkey.
....
DOUCLEFF: But a few weeks later, Ogoina started to become concerned. The outbreak began to grow very rapidly. Cases popped up not just near this boy but all over.
...
DOUCLEFF: The virus seemed to be spreading further and faster than expected. And it wasn't kids getting infected but rather men in their 20s and 30s.

OGOINA: Young men, active men. It was very, very unusual at that time.

DOUCLEFF: These men didn't fit the typical profile for monkeypox either. They weren't handling animals. They were middle-class men living in busy, modern cities. And their rashes weren't in the typical places on their bodies. Instead of being on their faces and extremities, the men had blisters around their genitals.

OGOINA: There were very, very extensive - very, very extensive genital lesions that appeared.

DOUCLEFF: Ogoina started to investigate these patients more and found that many of them had high-risk sexual behaviors - multiple partners, sex with prostitutes. Ogoina started to realize something huge - that the virus had changed, and for the first time, it was starting to spread through sexual contact.
...
DOUCLEFF: Ogoina knew these findings had massive implications. It meant the virus no longer needed to jump from an animal. Instead, it could now easily jump from human to human, and that meant the current outbreak in Nigeria would be extremely difficult to stop. It meant monkeypox was no longer just a threat to communities in West Africa but a threat to the world. So Ogoina tried to warn Nigerian health officials years ago. They wouldn't listen. At an international meeting, he tried to bring up the possibility of sexual transmission. Somebody told him to be quiet.

OGOINA: The way we had one meeting, somebody said I should not say it.
...
DOUCLEFF: Yeah. You know, in fact, Ogoina's insights and knowledge go even further. He says the outbreak in Nigeria back in 2017 never actually stopped. Health officials just stopped looking for cases and the outbreak went underground. And eventually, it actually turned into this huge international outbreak we're fighting right now.
...

https://www.npr.org/2022/07/28/11141...ome-a-global-t



-----------------------------------------------------------------------------

The outbreak of monkeypox in Nigeria in 2017 is documented here, including the 11-year-old case reported in the article:

Nigeria: 2017 Monkey Pox - suspected cases in 15 states - Government confirms 61 cases in 14 states

https://flutrackers.com/forum/forum...tes-government-confirms-61-cases-in-14-states
 
Translation Google

Doctor spots man with monkey pox in Madrid metro: 'It's very worrying'

In a post that has gone viral on social networks, a Spanish doctor expresses his dismay at a man suffering from monkeypox taking the metro as if nothing had happened. When Arturo Henriques called out to the man and the people seated around him, no one seemed to care.

Writing 07-31-22, 20:06 Last update: 31-07-22, 20:25

The photo is from July 15, but Arturo Henriques only shared it yesterday. He didn't want to share it initially, but said he changed his mind when he was worried about many people who mistakenly believe that monkeypox only happens to men who have sex with women. other men.

Arturo was on the Madrid metro at 6.20 am that morning when he saw a man whose body was covered "from head to toe" with small lesions caused by monkeypox, "including his hands". “People around him acted like nothing was wrong,” he says. He then decided to approach the man to find out more and warn him.

“I asked him what he was doing on the subway if he had monkeypox,” says Arturo. "The man confirmed he was infected, but told me his doctor didn't force him to self-isolate, only to wear a mask."

Only, Arturo warned the infected man that the marks he had on his body were very contagious and that he had probably not understood his doctor's instructions. "Don't break my balls" he replied while sitting down.

Dumbfounded, the doctor then addressed the lady sitting next to the infected man asking her if she was not afraid of falling ill. “How can I get sick if I'm not gay? The government said only gays were infected,” she replied.

Shaken by this situation, Arturo wonders how many people the man could have infected by walking around like this. “When I take the metro, I try to keep my balance all the time, not to touch anything and even less to sit down”.
...
https://www.7sur7.be/home/un-medecin...tant~a3d642f1/

-----------------------------------------------


JHnecQku_bigger.jpg

Arturo M Henriques B
Jul 30 • 8 tweets

I didn't think to put anything about but since they want to blame only us... Well, I tell the story of this photo... Of a case of V. Del mono in the subway at its peak of contagion.


July 15/ 6:20 am. The man gets on the Legazpi metro. Completely riddled with injuries from head to toe, including his hands. I see the situation and I also see the people around me as if nothing will happen.. 🤷‍♂️

...
https://threadreaderapp.com/thread/1553322937402507264.html
 
A doctor in Nigeria tried to warn the world that monkeypox had become a global threat

July 28, 20225:13 AM ET
Heard on Morning Edition

ASMA KHALID
MICHAELEEN DOUCLEFF

Transcript
...
MICHAELEEN DOUCLEFF, BYLINE: ...The story actually starts five years ago with a doctor named Dimie Ogoina. Back in 2017, he saw what's perhaps the most important patient of his career.

DIMIE OGOINA: They brought my attention to a young boy.

DOUCLEFF: An 11-year-old boy with a very strange rash that looked like blisters.
...
DOUCLEFF: So Ogoina tested the boy, and he was right - monkeypox. At the time, Ogoina thought that this monkeypox outbreak would act the way it always had, the way it had been described in textbooks and scientific papers since the 1970s. That is, the virus came from an animal, like a rodent or a monkey.
....
DOUCLEFF: But a few weeks later, Ogoina started to become concerned. The outbreak began to grow very rapidly. Cases popped up not just near this boy but all over.
...
DOUCLEFF: The virus seemed to be spreading further and faster than expected. And it wasn't kids getting infected but rather men in their 20s and 30s.

OGOINA: Young men, active men. It was very, very unusual at that time.

DOUCLEFF: These men didn't fit the typical profile for monkeypox either. They weren't handling animals. They were middle-class men living in busy, modern cities. And their rashes weren't in the typical places on their bodies. Instead of being on their faces and extremities, the men had blisters around their genitals.

OGOINA: There were very, very extensive - very, very extensive genital lesions that appeared.

DOUCLEFF: Ogoina started to investigate these patients more and found that many of them had high-risk sexual behaviors - multiple partners, sex with prostitutes. Ogoina started to realize something huge - that the virus had changed, and for the first time, it was starting to spread through sexual contact.
...
DOUCLEFF: Ogoina knew these findings had massive implications. It meant the virus no longer needed to jump from an animal. Instead, it could now easily jump from human to human, and that meant the current outbreak in Nigeria would be extremely difficult to stop. It meant monkeypox was no longer just a threat to communities in West Africa but a threat to the world. So Ogoina tried to warn Nigerian health officials years ago. They wouldn't listen. At an international meeting, he tried to bring up the possibility of sexual transmission. Somebody told him to be quiet.

OGOINA: The way we had one meeting, somebody said I should not say it.
...
DOUCLEFF: Yeah. You know, in fact, Ogoina's insights and knowledge go even further. He says the outbreak in Nigeria back in 2017 never actually stopped. Health officials just stopped looking for cases and the outbreak went underground. And eventually, it actually turned into this huge international outbreak we're fighting right now.
...

https://www.npr.org/2022/07/28/11141...ome-a-global-t



-----------------------------------------------------------------------------

The outbreak of monkeypox in Nigeria in 2017 is documented here, including the 11-year-old case reported in the article:

Nigeria: 2017 Monkey Pox - suspected cases in 15 states - Government confirms 61 cases in 14 states

https://flutrackers.com/forum/forum...tes-government-confirms-61-cases-in-14-states

Why were the prostitutes not requiring medical attention?
 
Helen Branswell
@HelenBranswell
I should clarify this. The two men both died from encephalitis triggered by #monkeypox. I don’t *think* pre-existing conditions would have made them more likely to develop encephalitis. The surprise for me was deaths in previously health individuals.
Quote Tweet
aE2OOz5k_normal.jpeg

Helen Branswell
@HelenBranswell
· 4h
Unexpected info on Spain's 2 fatal #MPX cases: Both men, aged 31 & 44. No epi link between the cases. Neither was immunocompromised. Neither had underlying chronic diseases. From a presentation by Isabel Jado, director of the National Center for Virology to a @WHO meeting.
 
Translation Google

Monkeypox: four questions about recent deaths in Brazil, Spain, India and Peru

The deaths have been chained in recent days, bringing to ten the number of deaths of people carrying monkeypox in the world since May. But the authorities continue to wonder about the real causes of these deaths.

franceinfo with AFP
Published on 02/08/2022 14:38
Updateon 02/08/2022 14:58

Five people died within a few days. After Spain, which confirmed the death of two patients with monkeypox this weekend, India and Peru announced on Monday August 1 the death of a person carrying the virus in their country. Thursday, Brazil had launched the alert, announcing the first death of a person with the disease, outside the African continent.

These deaths come in a context where the virus, whose strain originated in West Africa , is spreading around the world. The World Health Organization (WHO) triggered its highest level of alert, the Public Health Emergency of International Concern (USPPI), on July 24 to step up the fight against monkeypox. Franceinfo returns in four questions on these recent deaths of patients with the virus.

1 Where have the recent deaths been announced?

The five deaths in recent days are the first deaths of monkeypox patients outside Africa, AFP reports. A total of ten deaths have been recorded worldwide since May, with the first five reported on the African continent, where the disease is endemic and was first detected in humans in 1970.

The first death outside Africa was recorded in Brazil on July 28 . He is a 41-year-old man who died in Belo Horizonte, in the southeast of the country. According to the country's Ministry of Health, Brazil has so far recorded nearly 1,000 cases of monkeypox, most of them in the states of Sao Paulo and Rio de Janeiro, located in the same region. The first case was detected on June 10, in a man who had traveled to Europe.

Spain recorded the second death of a monkeypox patient on Saturday. He is a 31-year-old man who was hospitalized at the Queen Sophia Hospital in Cordoba, in the south of the country, according to a press release from the Andalusian authorities. The day before, the country had announced the first death of a patient with this disease ever recorded in Europe.

With nearly 4,300 people infected as of July 29, according to figures provided by the Spanish Ministry of Health (in Spanish) , Spain is the European country with the highest number of recorded cases of monkeypox. In the country, 120 people affected by the virus have been hospitalized.

A 22-year-old man also died on Saturday July 30 in India, a week after being hospitalized on his return from the United Arab Emirates, according to Indian authorities. Tests carried out on the 22-year-old victim showed that he had monkey pox. India has recorded at least four cases of the disease, the first of which was on July 15 in another man who returned to Kerala after a trip to the United Arab Emirates.

In Peru, an HIV-positive patient who had abandoned his HIV treatment and was infected with monkeypox also died on Monday. The 45-year-old man "arrived at the hospital in a very serious condition with monkeypox. His health had deteriorated after he abandoned his treatment for HIV" , said the director of the Dos de Mayo National Hospital, Eduardo Farfan on local radio. Over 300 cases of monkeypox have been recorded in the country.

2 Has the link between monkeypox and the death of patients been established?

For the two patients who died in Spain, this is not yet the case. Referring to "two young men" , the Spanish Ministry of Health did not provide further details on the profile of these patients. He referred to "analyzes that may take place later to be able to determine the cause of death" .

For the 41-year-old patient who died in Brazil, monkeypox should not be the only factor to consider, authorities say. He "was being followed in hospital for other serious clinical conditions" , said the authorities of the state of Minas Gerais, located in the south-east of the country. “It is important to emphasize that he had serious comorbidities, so as not to cause panic in the population ,” also declared the Secretary of Health of Minas Gerais, adding that the patient was undergoing treatment against cancer.

Further tests are also to be carried out on the man who died in India. The death of the Peruvian patient would have been caused by a weakened immune system according to medical teams. "He did not die of monkeypox but of sepsis ," said the director of the Dos de Mayo national hospital in Lima.

3 What are the mortality risks from monkeypox?

According to Imad Kansau , doctor specializing in infectious diseases at Antoine-Béclère hospital in Clamart (Hauts-de-Seine) interviewed by franceinfo, these deaths among people carrying the virus are rare . "These are the complications that occur in immunocompromised patients, therefore patients who are at the stage of diseases that give immunosuppression, that is to say a significant drop in defenses. These patients can die from neurological complications or breathing,” he explains.

In African countries where the disease is endemic, the mortality rate varies from 1 to 10%, according to the WHO. But, "with proper care, most patients recover," the organization said. In her frequently asked questions , she recalls that "in most cases, the symptoms of monkeypox disappear spontaneously after a few weeks" .

The European Center for Disease Prevention and Control specifies that the viral strain detected in Europe, originating from West Africa, has an average fatality rate of 3.6% , according to studies carried out in African countries. Severe cases usually occur in newborns, children, and people with immune deficiencies. Among the possible complications, the WHO cites superinfections of the skin, pneumonia or even eye problems.

“We do not know to what extent this rate is transposable to us: we generally have relatively little information on the characteristics of infected patients in epidemics in Africa and our health systems are very different from those of the countries concerned” , commented for franceinfo the infectiologist Paul Loubet.

4 Why does WHO Europe foresee an increase in the number of deaths linked to the epidemic?

Despite this low fatality rate, health authorities are already expecting new deaths, "given the continued spread (of the virus)" , justified in a press release Catherine Smallwood, a situation manager. emergency of WHO Europe.

"The reporting of monkeypox-related deaths does not change our assessment of the epidemic in Europe. We know that, although self-limiting in most cases, monkeypox can lead to serious complications" , a- she noted, recalling the objective "to quickly interrupt the transmission of the virus in Europe" .

More than 18,000 cases have been detected worldwide outside of Africa since early May, the majority of them in Europe. In detail, the disease has been reported in 78 countries and 70% of cases are concentrated in Europe, WHO director Tedros Adhanom Ghebreyesus said on Wednesday.

https://www.francetvinfo.fr/sante/m...l-en-espagne-en-inde-et-au-perou_5286589.html
 
Sure, everyone is healthy until they get meningococcal encephalitis.

Helen Branswell
@HelenBranswell
I should clarify this. The two men both died from encephalitis triggered by #monkeypox. I don’t *think* pre-existing conditions would have made them more likely to develop encephalitis. The surprise for me was deaths in previously health individuals.
Quote Tweet
aE2OOz5k_normal.jpeg



https://twitter.com/Bakaburg1/status...42663803953154
Spain Health Ministry announced that both monkeypox deaths were due to encephalitis, an inflammation of the brain due to the infection. The deceaseds were 31 and 40 years of old.




Angelo D'Ambrosio @Bakaburg1
MD, Public Health Specialist, ARHAI Expert at
@ECDC_EU

Replying to@Monkeypoxtally

I’m reading it was meningococcal encephalitis.

4:53 AM · Aug 1, 2022
 
Woman with monkeypox. Not only transmitted sexually.

----------------------------------------------


snip

Seaton is a cashier and believes she likely caught monkeypox at work.

“I just want y’all to know that I did not do anything sexual to contract this disease. This thing is spreading. It’s here,” Seaton said.



https://news.yahoo.com/thing-spreadi...st_sjwumo1bpf4

-------------------------------------------------



 
Can Monkeypox Spread Through Objects like Doorknobs? An Expert Explains as U.S. Cases Surpass 6,500
...
by Vanessa Etienne Updated on August 5, 2022 12:27 PM
...
The virus spreads through skin-to-skin contact. While that may sound similar to COVID-19, Dr. Linda Yancey, infectious disease specialist at the Memorial Hermann Health System in Houston, tells PEOPLE that "this is not a respiratory virus. It is not like COVID, which spreads primarily through the air."

"Monkeypox is transmitted by skin to skin contact. And that can be any kind of skin to skin contact. I know a lot of the cases here have been transmitted through sex, but it's not a sexually transmitted disease," she explains. "Basically, sex involves a lot of skin to skin contact but so does dancing, so does kissing, so does shaking hands, or doing things like wrestling or football. So there's a bunch of different ways that can be transmitted. Any skin to skin contact is a big risk."
...
According to Yancey, it is "absolutely a possibility" for monkeypox to be transmitted through items like money as the virus can survive for days in an environment.

"So, monkeypox is a sibling of smallpox. Remember that old story of the U.S. military giving smallpox-infected blankets to Native Americans? This could absolutely be transmitted in that fashion," Yancey says. "And in fact, one of the cases in the U.S. was a lady who was exposed to bed linens. She cleans Airbnbs for a living. So any high touch items like money, doorknobs, shopping carts, have the potential for transmission.
...
"I am a bit concerned because the kids are about to head back to school. You know, this would go through say a wrestling team like wildfire," Yancey tells PEOPLE. "So everybody needs to be warning their kids. Wash your hands. Use hand sanitizer. Just something parents should be aware of."
...
https://people.com/health/health-expert-explains-how-monkeypox-spreads-as-u-s-cases-surpass-6500/
 
The US has ordered 3 million doses link of the Jyanneous smallpox vaccine so it is important to learn about it.

Again - FluTrackers does not endorse or promote any product, medicine, vaccine, therapy, treatment, etc.

If you have any medical questions please contact your medical provider.





hat tip Lance


ACAM2000 and JYNNEOS comparison

CDC presentation slides at ACIP meeting June 2022

https://www.cdc.gov/vaccines/acip/me...tersen-508.pdf
 
Monkeypox at a daycare was ‘only a matter of time,’ expert says. Next up: pools, sports, schools

BY ERIN PRATER
August 7, 2022 at 3:32 PM EDT

“It was only a mater of time” before monkeypox made it to congregate settings, a pediatric infectious disease specialist told Fortune, after Illinois state officials announced Friday that a daycare worker had been diagnosed with the smallpox-related virus.

“There is definitely potential for spread of monkeypox” in daycares, schools, college campuses, prisons, and other similar settings, said Dr. Alexandra Brugler Yonts, an infectious disease specialist at Children’s National Hospital in Washington, D.C. She assisted in the FDA’s review of Jynneos—one of two smallpox vaccines licensed for treatment of monkeypox, and the safer of the two by far.

“Anywhere that close physical, skin-to-skin contact occurs—particularly of people who are in various stages of undress—there is risk,” she said.

more..

https://fortune.com/2022/08/07/can-...sons-congregate-settings-pool-contact-sports/
 
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