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After smallpox was declared eradicated in 1980, countries suspended their mass immunization programs, a move that some experts believe may be helping monkeypox spread now, since there is now little widespread immunity to related diseases. Monkeypox is related to smallpox, but has milder symptoms.
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Read More: There’s Already a Monkeypox Vaccine. WHO’s Lewis also said while previous cases of monkeypox in central and western Africa have been relatively contained, it was not clear if people could spread monkeypox without symptoms or if the disease might be airborne, like measles or COVID-19. No deaths have been reported in the current outbreak beyond Africa. People with more serious illness may develop a rash and lesions on the face and hands that can spread to other parts of the body. Most monkeypox patients experience only fever, body aches, chills and fatigue. WHO says thousands of cases are reported from Nigeria and Congo every year. Nigerian authorities confirmed the country’s first monkeypox death this year, in addition to six more cases. That marks a significant departure from the disease’s typical pattern of spread in central and western Africa, where people are mainly infected by animals like wild rodents and primates. Last week, a top adviser to WHO said the monkeypox outbreak in Europe, U.S., Israel, Australia and beyond was likely linked to sex at two recent raves in Spain and Belgium. “You may have these lesions for two to four weeks (and) they may not be visible to others, but you may still be infectious,” she said. She also warned that among the current cases, there is a higher proportion of people with lesions that are more concentrated in the genital region and sometimes nearly impossible to see. Monkeypox is known to spread when there is close physical contact with an infected person, their clothing or bedsheets. Lewis said it’s unknown whether monkeypox is being transmitted by sex or just the close contact between people engaging in sexual activity and described the threat to the general population as “low.” Last week, WHO said 23 countries that haven’t previously had monkeypox have now reported more than 250 cases. Read More: What Is Monkeypox and Should You Be Worried? Other experts have pointed out that it may be accidental that the disease was first picked up in gay and bisexual men, saying it could quickly spill over into other groups if it is not curbed. She warned that anyone is at potential risk for the disease, regardless of their sexual orientation. “We are concerned that individuals may acquire this infection through high-risk exposure if they don’t have the information they need to protect themselves.” “At the moment, we are not concerned about a global pandemic,” she said. “It’s very important to describe this because it appears to be an increase in a mode of transmission that may have been under-recognized in the past,” said Lewis.