WHO: Monkeypox won’t turn into pandemic

LONDON — The World Health Organization’s top monkeypox expert said she doesn’t expect the hundreds of cases reported to date to turn into another pandemic, but acknowledged there are still many unknowns about the disease, including how exactly it’s spreading and whether the suspension of mass smallpox immunization decades ago may somehow be speeding its transmission.

In a public session on Monday, WHO’s Dr. Rosamund Lewis said it was critical to emphasize that the vast majority of cases being seen in dozens of countries globally are in gay, bisexual or men who have sex with men, so that scientists can further study the issue. She urged those at risk to be careful.

“It’s very important to describe this because it appears to be an increase in a mode of transmission that may have been underrecognized in the past,” said Lewis.

“At the moment, we are not concerned about a global pandemic,” she said. “We are concerned that individuals may acquire this infection through highrisk exposure if they don’t have the information they need to protect themselves.”

She warned that anyone is at potential risk for the disease, regardless of their sexual orientation. 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.

Last week, WHO said 23 countries that haven’t previously had monkeypox have now reported more than 250 cases. On Monday, the U.K. announced another 71 monkeypox cases.

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.”

Monkeypox is known to spread when there is close physical contact with an infected person, their clothing or bedsheets.

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.

“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.

The outbreak is likely linked to sex at two raves in Spain and Belgium