San Diego Union-Tribune

WHO EXPERT: MONKEYPOX WON’T BE A PANDEMIC

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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 men who are gay or 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 under-recognized 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 high-risk 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 an additional 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.

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. 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.

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