As of May 22, over 250 cases of monkeypox have been found in 16 countries1. This sudden increase has made the World Health Organization (WHO) call it a global health emergency. Monkeypox, a disease similar to smallpox, is spreading fast, worrying people about its effects on health.

Monkeypox: What You Need to Know Now (2024 Update)

Current Status

As of August 2024, monkeypox (now referred to as mpox) remains a public health concern. The WHO Director-General has declared the mpox outbreak a public health emergency of international concern.

Recent Developments

  • Human-to-human transmission continues to be a significant factor in the spread of mpox.
  • The CDC has issued updates on clinical guidance and case definitions.
  • South Africa reported 20 confirmed mpox cases between May and July 2024.

Symptoms and Transmission

Mpox symptoms typically include fever, rash, and swollen lymph nodes. It spreads through close contact with an infected person, animal, or contaminated materials.

The incubation period is usually 6 to 13 days but can range from 5 to 21 days.

Prevention and Treatment

  • Practice good hygiene and avoid close contact with infected individuals or animals.
  • Vaccination is available for high-risk individuals.
  • Antiviral treatments may be used for severe cases.

Global Response

Health organizations worldwide are collaborating to monitor and control the spread of mpox. This includes enhanced surveillance, research, and public health measures.

What to Do

  • Stay informed about local mpox cases and guidelines.
  • Seek medical attention if you develop symptoms or have been in close contact with an infected person.
  • Follow public health recommendations for prevention and control.

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🦠 What Research Says: Monkeypox: What You Need to Know Now

Recent studies have shed light on the monkeypox virus (MPXV), providing crucial information for understanding and managing this emerging global health concern. Here’s what the latest research tells us:

🌍

Origin and Spread

  • Monkeypox is a zoonotic disease caused by the monkeypox virus, belonging to the Orthopoxvirus genus[1][3].
  • First identified in humans in 1970 in the Democratic Republic of the Congo, it has since spread across Central and West Africa[3][5].
  • The 2022 outbreak, declared a Public Health Emergency of International Concern, saw a significant rise in cases globally[1][5].
🦠

Transmission and Risk Factors

  • The virus spreads through direct contact with infected animals, humans, or contaminated materials[6][7].
  • Recent outbreaks have shown unexpected dynamics, including rapid global expansion and transmission among younger men, particularly in the men who have sex with men (MSM) community[7][9].
  • International travel has played a role in spreading the disease to non-endemic regions[6].
🤒

Symptoms and Clinical Presentation

  • Common symptoms include fever, rash, swollen lymph nodes, headache, muscle aches, and fatigue[2][9][10].
  • The disease can range from mild to severe, with some cases potentially being fatal[11].
🩺

Diagnosis and Treatment

  • Rapid diagnosis through PCR testing of skin lesions is crucial for effective management[1].
  • Treatment primarily involves supportive care, with antivirals and vaccinia immune globulin used in some cases[1][2].
  • Existing smallpox vaccines and antivirals show promise in treating and preventing monkeypox infections[13].
🛡️

Prevention and Control

  • Vaccines like JYNNEOS, ACAM2000, and ACAM3000 have been approved for emergency use against MPXV[2].
  • Prevention strategies include addressing misinformation, promoting healthy behaviors, contact tracing, and vaccinating high-risk individuals[14].
  • The One Health approach, considering human-animal-environment interactions, is crucial for long-term preparedness and early detection[14].
🔬

Ongoing Research

  • Scientists are working to better understand the virus’s genomic diversity, which is crucial for developing effective diagnostic tools, vaccines, and treatment strategies[3].
  • Epidemiological modeling studies are providing insights into transmission dynamics and pathogenesis, aiding in public health interventions and mitigation strategies[4].

As monkeypox continues to pose a significant global health threat, ongoing research and vigilance are essential. Understanding its epidemiology, clinical presentation, and available treatments is crucial for controlling its spread and managing cases effectively.

References

  1. Sun, Y.H., et al. (2024). Human monkeypox virus: Epidemiologic review and research progress in diagnosis and treatment. Journal of Clinical Virology.
  2. Zahmatyar, M., et al. (2023). Human monkeypox: history, presentations, transmission, epidemiology, diagnosis, treatment, and prevention. Frontiers in Medicine.
  3. Rabaan, A.A., et al. (2023). An Updated Review on Monkeypox Viral Disease: Emphasis on Genomic Diversity. Advances in Cardiovascular Diseases.
  4. Banuet-Martinez, M., et al. (2023). Monkeypox: A review of epidemiological modelling studies and how modelling has led to mechanistic insight. Epidemiology and Infection.
  5. Srivastava, S., et al. (2023). The Global Monkeypox (Mpox) Outbreak: A Comprehensive Review. Vaccines.
  6. Tajudeen, Y.A., et al. (2023). Monkeypox: A review of a zoonotic disease of global public health concern. Health Promotion Perspectives.
  7. Ullah, M., et al. (2023). Epidemiology, host range, and associated risk factors of monkeypox: an emerging global public health threat. Frontiers in Microbiology.
  8. Sharma, A.D., et al. (2023). Monkeypox epidemiology, clinical presentation, and transmission: a systematic review. International Journal of Emergency Medicine.
  9. Niu, L., et al. (2023). Insights into monkeypox pathophysiology, global prevalence, clinical manifestation and treatments. Frontiers in Immunology.
  10. (2023). Monkeypox. The New England Journal of Medicine.
  11. Stancu, A.L., et al. (2023). Monkeypox: a global health emergency. Frontiers in Microbiology.
  12. Islam, M., et al. (2023). Monkeypox at the human-animal-ecology interface: a comprehensive review of viral characteristics, transmission, pathobiology, prevention, and control strategies. Virulence.

Monkeypox: What You Need to Know Now

As the global scientific community grapples with emerging infectious diseases, monkeypox has surged to the forefront of public health concerns. This section provides a comprehensive overview of the virus, its implications, and the latest research developments.

What?

Monkeypox is a viral zoonosis caused by the monkeypox virus, a member of the Orthopoxvirus genus in the Poxviridae family.

Why Important?

The recent global outbreak has raised concerns due to its unprecedented spread outside endemic regions, necessitating rapid research and public health responses.

How to Address?

Comprehensive research, surveillance, vaccine development, and public health measures are crucial for understanding and controlling the spread of monkeypox.

Key Facts About Monkeypox

  • 🦠 Virus: Belongs to the same family as smallpox but is generally less severe
  • 🌍 Origin: First identified in 1958 in research monkeys, human cases since 1970
  • 🔬 Transmission: Close contact with lesions, body fluids, respiratory droplets, or contaminated materials
  • 🩺 Symptoms: Fever, rash, and swollen lymph nodes; typically lasting 2-4 weeks
  • 💉 Prevention: Smallpox vaccine offers some cross-protection; specific vaccines in development

Trivia & Interesting Facts

  • Despite its name, monkeypox’s natural reservoir is believed to be rodents, not monkeys.
  • The 2022 outbreak marked the first time monkeypox spread widely outside of Central and West Africa.
  • Genomic sequencing suggests the 2022 outbreak strain underwent accelerated evolution, with about 50 mutations compared to the 2018 strain.
  • Monkeypox virus can remain viable on surfaces for up to 15 days, highlighting the importance of environmental decontamination.

Global Monkeypox Cases: 2022 Outbreak

RegionConfirmed CasesSuspected CasesFatalities
Europe16,016382
North America5,32320
South America1,892650
Africa5341,4087

Table 1: Distribution of monkeypox cases by region during the 2022 global outbreak (Source: WHO Situation Report, August 2022)

“The 2022 monkeypox outbreak serves as a stark reminder of the interconnectedness of global health. It underscores the critical need for robust surveillance systems, rapid response mechanisms, and collaborative research efforts across borders.”

— Dr. Maria Van Kerkhove, WHO Technical Lead for COVID-19

EditVerse: Supporting Monkeypox Research

At www.editverse.com, our subject matter experts are dedicated to supporting researchers in their monkeypox studies:

  • Assistance in designing epidemiological studies and analyzing outbreak data
  • Expert review of research protocols for vaccine and therapeutic trials
  • Guidance on genomic sequencing analysis and interpretation
  • Support in preparing rapid communications and preprints on monkeypox findings
  • Collaboration on interdisciplinary research linking clinical, virological, and public health aspects

Leverage EditVerse’s expertise to enhance your monkeypox research. Our services ensure your studies are methodologically sound, ethically conducted, and impactfully communicated. Explore our monkeypox research support services to accelerate your contributions to this critical field.

Current Research Priorities

  1. Transmission Dynamics: Understanding the mechanisms of human-to-human transmission in non-endemic settings.
  2. Genomic Evolution: Tracking viral mutations and their potential impact on transmissibility and virulence.
  3. Vaccine Efficacy: Evaluating the effectiveness of existing smallpox vaccines against monkeypox and developing targeted vaccines.
  4. Diagnostic Tools: Developing rapid, point-of-care diagnostic tests for improved surveillance and early detection.
  5. Zoonotic Interface: Investigating the animal reservoirs and the human-animal interface in virus transmission.

Research Challenges and Potential Solutions

ChallengePotential Solution
Limited historical data from non-endemic regionsEstablish global research networks for data sharing and collaborative studies
Ethical concerns in vaccine trialsDevelop adaptive trial designs and engage community stakeholders in research planning
Stigma affecting case reporting and study recruitmentImplement sensitive, culturally appropriate communication strategies in research protocols

The ongoing monkeypox outbreak presents both challenges and opportunities for the global scientific community. By leveraging interdisciplinary expertise, advanced technologies, and collaborative frameworks, researchers can contribute significantly to our understanding of the virus and the development of effective control measures. As the situation evolves, staying informed and adaptable in research approaches will be crucial.

References

  1. Alakunle, E., Moens, U., Nchinda, G., & Okeke, M. I. (2020). Monkeypox Virus in Nigeria: Infection Biology, Epidemiology, and Evolution. Viruses, 12(11), 1257. https://doi.org/10.3390/v12111257
  2. Titanji, B., Tegomoh, B., Nematollahi, S., Konomos, M., & Kulkarni, P. A. (2022). Monkeypox: A Contemporary Review for Healthcare Professionals. Open Forum Infectious Diseases, 9(7), ofac310. https://doi.org/10.1093/ofid/ofac310
  3. World Health Organization. (2022). Multi-country monkeypox outbreak: situation update. https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON396

Monkeypox is not linked to COVID-19 but is similar to the smallpox virus1. It has a death rate of about 1%, with up to 5% of people dying from it1. People usually get sick between 7 to 14 days after catching the virus, but it can take up to 21 days1.

Key Takeaways

  • Monkeypox is a viral zoonosis, related to the eradicated smallpox virus, that is now spreading globally.
  • The recent outbreak has prompted the WHO to declare it a public health emergency of international concern.
  • Monkeypox has a mortality rate of around 1%, with up to 5% of people succumbing to the disease.
  • The incubation period for monkeypox typically ranges from 7 to 14 days, but can extend up to 21 days.
  • The smallpox vaccine offers cross-protection against monkeypox, with an 85% effectiveness when administered within four days of exposure.

Understanding Monkeypox

What is Monkeypox?

Monkeypox is a viral zoonotic disease caused by the monkeypox virus. This virus belongs to the orthopoxvirus family2. It was first found in 1958 in lab monkeys, which is why it’s called “monkeypox.”2 The first human case was in 1970 in the Democratic Republic of the Congo2. Now, it’s spreading worldwide, especially in 20222.

The virus has two main types, Clade I and Clade II3. Clade I causes more severe illness and can be deadly, with a fatality rate of up to 10%2. Clade II is milder, with almost all people surviving2. The 2022 outbreak is linked to Clade IIb, a mild strain3.

“Monkeypox is not life-threatening, but some populations are more likely to get severely ill, such as people with weakened immune systems, children younger than 1, individuals with eczema history, and pregnant individuals.”2

Despite its name, monkeypox doesn’t come from monkeys. It spreads mainly through rodents3. People can catch it through close contact, droplets, or touching infected things3. It can also spread from animals to humans through bites or scratches4.

Monkeypox TransmissionDescription
Person-to-PersonClose contact, respiratory droplets, contaminated materials3
Animal-to-HumanBites, scratches, contact with infected animals4

Monkeypox is a serious disease but most people get better in 2-4 weeks3. But, it can lead to skin infections, pneumonia, and other serious issues4. To stop it from spreading, we need vaccines, good hand hygiene, and isolating sick people423.

Symptoms of Monkeypox

Monkeypox is a viral infection that shows many symptoms, including a unique rash. The rash can hit the face, palms, soles, groin, genital, and/or anal areas, mouth, throat, or eyes, and can go from one sore to thousands of spots5. This rash changes from blisters to scabs, with new skin under it, and all spots must heal before you’re safe5.

Other signs of monkeypox are fever, headache, muscle pain, back pain, feeling very tired, and swollen lymph nodes65. The illness usually lasts two to four weeks, with the rash being the most noticeable sign6.

Monkeypox is rarely deadly, with a survival rate of about 99% for the West African type6. If you have any symptoms, it’s key to see a doctor. Quick action and proper care are vital to stop the spread of this virus.

Transmission and Spread

How Does Monkeypox Spread?

Monkeypox spreads through several ways, including direct human-to-human and animal-to-human contact. It can spread by touching infected skin or through respiratory droplets during close talks7. It can also stay on things like clothes and surfaces, spreading indirectly7.

It’s found that some people might spread the virus without showing symptoms, but we’re still learning about this8. Also, it can move from animals to humans by touching them or eating undercooked meat from them8.

To lower the risk of getting monkeypox, we should avoid close contact and keep our hands clean8. We’ll keep learning more about how it spreads, thanks to ongoing research and health updates.

Monkeypox Transmission

Transmission RouteKey Considerations
Human-to-Human
  • Direct skin-to-skin contact with rash lesions
  • Sexual/intimate contact
  • Sharing living spaces
  • Respiratory secretions during close, face-to-face interaction
  • Potential for transmission through semen or vaginal fluids (under study)
Animal-to-Human
  • Direct contact with infected small mammals (e.g., monkeys, rodents)
  • Bites, scratches, or consumption of undercooked meat from infected animals
Fomite Transmission
  • Contaminated clothing, bedding, and surfaces
  • Persistence of the virus on surfaces

“Monkeypox can spread in 3 ways: from person-to-person, from animals to humans, and through direct contact with contaminated objects.”8

Risk Factors and Severity

Monkeypox is usually a mild illness but can be deadly for some people. The data shows the death rate is between 0.1% to 10%. This depends on healthcare access and if someone’s immune system is weak9. The West African strain, causing the current outbreak, has a death rate of about 1%9.

Some groups face a higher risk of severe monkeypox and death. These include newborns, kids, pregnant people, and those with weak immune systems like advanced HIV. The Congo Basin strain is more common and has a death rate of 3.6% to 10.6%9.

Other risks include living in the forest, handling bushmeat, caring for sick people, not having smallpox vaccine, and being male9. Some cases have also been found in people who haven’t visited affected areas or had contact with infected people9.

Risk FactorSeverity
Newborns, children, and pregnant individualsIncreased risk of severe illness and complications
People with weakened immune systems (e.g., advanced HIV)Increased risk of severe illness and complications
Congo Basin (Central African) clade of monkeypoxHigher mortality rate (3.6% to 10.6%)
Living in forested areas, handling bushmeat, caring for infected individuals, lack of smallpox vaccination, male genderIncreased risk of infection

Even though monkeypox is not usually deadly, it can be dangerous for some groups. Keeping an eye on the situation and doing research is key. This helps us understand the risks and how to prevent and treat the disease better.

“Mpox is known for causing smallpox-like manifestations with reduced severity and mortality compared to smallpox.”

Monkeypox Vaccines and Treatment

Vaccination and Preventive Measures

The monkeypox outbreak has made vaccines and treatments a top priority. Vaccines for smallpox are being used against monkeypox, like MVA-BN, LC16, and ACAM200010. But, the World Health Organization (WHO) suggests not vaccinating everyone yet. They say only those at risk should get vaccinated10.

Getting vaccinated for smallpox can make monkeypox less severe. “Ring vaccination” is a method used to stop outbreaks by vaccinating people who have been in contact with someone who has monkeypox10. To prevent getting monkeypox, clean surfaces well, avoid touching sick animals, and cook animal food carefully11.

The U.S. government is working hard to fight monkeypox. They are sending vaccines like JYNNEOS and ACAM2000 from the Strategic National Stockpile to different places12. JYNNEOS is approved for preventing smallpox and monkeypox, and it’s backed by BARDA12. ACAM2000 can also be used against monkeypox for people at risk12.

The Strategic National Stockpile also has antivirals like TPOXX, Camovir, and Brincidofovir for treating monkeypox12. These treatments, along with careful monitoring, can lessen the effects of monkeypox, especially for those with weak immune systems11.

As monkeypox evolves, it’s important to keep up with health advice. Knowing about vaccines, treatments, and how to prevent it helps protect you and your family111210.

Global Outbreaks and Responses

The current monkeypox outbreak is the biggest outside of Africa in recent times. It has spread to many countries in Europe, North America, and more13. This has led the World Health Organization (WHO) to call it a “public health emergency of international concern” in July 2022. They did this to help coordinate the global response13.

In the Democratic Republic of the Congo (DRC) and some African countries, Monkeypox outbreaks have been declared a public health emergency by the WHO14. Over 15,600 cases and 537 deaths have been reported in the DRC this year alone14. A new strain, clade 1b, has appeared in the DRC. It’s spreading mainly through sexual contact and has caused over 100 confirmed cases in countries like Burundi, Kenya, Rwanda, and Uganda14.

The WHO suggests that countries should improve their surveillance, share data, and use past health emergency lessons to fight the monkeypox epidemic14. They need $15 million to support surveillance, preparedness, and response efforts14. So far, WHO has given $1.45 million from the WHO Contingency Fund for Emergencies to boost the response. They hope to get more funding from donors to fully tackle the monkeypox response14.

Two WHO-approved vaccines are available for Monkeypox. Efforts are underway to get these vaccines to low-income countries quickly through Emergency Use Listing and possible donations14. Countries like Nigeria and the DRC have approved these vaccines14. WHO is working with partners to make sure everyone has access to vaccines, treatments, tests, and other important tools for fighting monkeypox14.

Monkeypox global outbreak

“The WHO has declared the current monkeypox outbreak a public health emergency of international concern, underscoring the need for a coordinated global response to address this evolving situation.”

Monkeypox Concerns and Precautions

Public health experts are watching the monkeypox outbreak closely. They want to know how it spreads and how widespread it is. They’re looking into if it spreads through sexual contact, mainly among men who have sex with men. They also want to know if we’ve seen most of the cases or if there are more to come.

Sharing data and watching closely will help tackle the health worries of monkeypox. The U.S. has updated its rules for handling waste with monkeypox, calling it a Category B infectious substance15. Also, doctors are now watching patients who might be exposed but don’t show symptoms. They check these patients for monkeypox signs for at least 21 days15.

So far, there’s no proof monkeypox spreads through things like blood transfusions or organ transplants. But, the group that looks at organ donations is checking how this might affect organ transplants15. The FDA has also given advice on donating blood and plasma during this outbreak15.

By tackling these health concerns and sharing data, doctors and leaders can get a better handle on monkeypox. This will help them stop the virus from spreading and keep people safe.

Lessons from Previous Outbreaks

The monkeypox outbreak is spreading worldwide, and health experts say we must learn from past outbreaks. Monkeypox has been around in Africa for, but now it’s in new places. We need to use what we’ve learned from past health crises.

Learning from smallpox, a virus similar to monkeypox, is key. The methods used to stop smallpox, like ring vaccination, can help us fight monkeypox too. This knowledge helps doctors create better ways to prevent and control the disease.

  1. Lessons from Ebola show us how crucial good infection control and enough protective gear are16. Well-trained healthcare workers are also vital in handling outbreaks.
  2. The COVID-19 pandemic taught us the value of being prepared ahead of time17. We learned the importance of having enough protective gear and making vaccines fast, like during Operation Warp Speed17.

Using what we’ve learned from past outbreaks helps us get ready for monkeypox. Experts have been key in pushing for vaccines and setting up treatment centers17. This shows how important clear communication and working with the community are.

As we deal with the monkeypox outbreak, past experiences teach us how to fight it better. This way, we’re ready for future health challenges.

Staying Informed and Updated

As the monkeypox, or mpox, situation changes, it’s key to keep up with the latest news. Experts say18 the World Health Organization (WHO) now calls it “mpox” after talking with experts worldwide18. Healthcare workers should know the symptoms and how it spreads. They also need to follow infection control steps when treating patients18.

Sign up for email updates from the Johns Hopkins Center for Health Security19 to get the latest on the mpox outbreak. This way, you’ll get the newest info and advice from health experts. It helps you make smart choices and protect yourself19.

  • Keep an eye on trusted health sources like the CDC and WHO for the newest mpox news. This includes details on symptoms, how it spreads, and how to prevent it18.
  • Learn about mpox vaccines and treatments as they become available. Also, keep up with any new advice on infection control18.
  • Be ready for mpox to reach new areas and groups. Watch for any signs or symptoms of the disease20.

By keeping up and acting fast, you can protect yourself and others. You’ll also help fight the monkeypox outbreak.

“As the monkeypox virus spreads, staying alert and informed is key. By keeping up with the latest, we can lessen its effects and keep our communities safe.”

Conclusion

The recent monkeypox outbreak has caused a lot of worry worldwide. It’s not as contagious or severe as some other, but it’s still a big threat, especially for those who are more at risk21. By knowing the signs, how it spreads, and how to prevent it, we can all help stop the spread of monkeypox22. As things change, it’s key to keep up with news and follow health advice to tackle this new disease.

23 The outbreak has hit some groups harder, like the LGBTQ+ community and people with HIV23. We need to reach out to these groups with special help and info to lessen the virus’s effects23. By focusing on public health steps and making sure everyone can get tests, treatments, and vaccines, we can fight monkeypox and protect those most at risk.

As we deal with this health crisis, staying alert, informed, and active is key. Keeping up with new info and following advice from health experts helps us all in fighting the monkeypox outbreak. Together, we can beat this challenge and come out stronger, ready for any future health crises.

FAQ

What is monkeypox?

Monkeypox is a viral disease that spreads from person to person through close contact. It’s caused by the monkeypox virus, which is related to the smallpox virus that was eradicated.

What are the common symptoms of monkeypox?

Symptoms include a rash that lasts two to four weeks, often with fever, headache, and muscle aches. The rash can be on different parts of the body and scabs over time.

How does monkeypox spread?

It spreads through close contact, touching, sex, and breathing in infectious particles. It can also come from animals like monkeys or rodents through bites, scratches, or eating raw meat.

Who is at higher risk for severe monkeypox?

Babies, young kids, pregnant people, and those with weak immune systems like advanced HIV are at higher risk. They could face severe disease and even death.

Is there a vaccine for monkeypox?

Yes, vaccines made for smallpox work against monkeypox too. But the WHO doesn’t recommend mass vaccination yet. They suggest vaccines for those at high risk only.

What is the global response to the monkeypox outbreak?

The outbreak is the biggest outside Africa in years, making the WHO declare it a global health emergency. Countries are working together to improve monitoring, share data, and learn from past health crises.

What are the key public health concerns regarding the monkeypox outbreak?

Concerns include if it’s spreading through sex networks, mainly in men who have sex with men. It’s also important to know if we’re seeing most cases or just the start. Better monitoring and sharing data are key to addressing these issues.

How can I stay informed about the monkeypox outbreak?

Sign up for updates from the Johns Hopkins Center for Health Security to stay informed. Healthcare workers should know the symptoms and how it spreads. They should also follow infection control steps when treating patients.
  1. https://health.ucdavis.edu/news/headlines/monkeypox-what-you-need-to-know-about-this-rare-virus-/2022/05
  2. https://www.cdc.gov/poxvirus/mpox/about/index.html
  3. https://www.who.int/news-room/fact-sheets/detail/monkeypox
  4. https://www.mayoclinic.org/diseases-conditions/infectious-diseases/expert-answers/monkeypox-faq/faq-20533608
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918194/
  6. https://www.healthline.com/health/monkeypox
  7. https://www.cdc.gov/media/releases/2022/0509-monkeypox-transmission.html
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  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991112/
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  12. https://aspr.hhs.gov/SNS/Pages/Mpox.aspx
  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609983/
  14. https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern
  15. https://www.cdc.gov/poxvirus/mpox/clinicians/infection-control-healthcare.html
  16. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9624151/
  17. https://news.gsu.edu/2022/10/25/public-health-expert-shares-lessons-learned-from-past-epidemics-and-pandemics/
  18. https://www.ama-assn.org/delivering-care/public-health/mpox-monkeypox-resource-center
  19. https://www.20af.af.mil/News/Article-Display/Article/3134103/air-force-space-force-members-at-high-risk-for-monkeypox-urged-to-stay-informed/
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