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    What is monkeypox and where is it spreading?

    LONDON (AP) – European and American health authorities have identified a number of monkeypox cases in recent days, mostly in young men. It’s a surprising outbreak of a disease that rarely appears outside Africa.

    Health officials around the world are keeping watch for more cases because, for the first time, the disease appears to be spreading among people who didn’t travel to Africa. They stress, however, that the risk to the general population is low.

    WHAT IS MONKEYPOX?
    Monkeypox is a virus that originates in wild animals like rodents and primates, and occasionally jumps to people. Most human cases have been in central and west Africa, where the disease is endemic.

    The illness was first identified by scientists in 1958 when there were two outbreaks of a “pox-like” disease in research monkeys – thus the name monkeypox. The first known human infection was in 1970, in a nine-year-old boy in a remote part of Congo.

    A electron microscopic (EM) image of a monkeypox virion. PHOTO: AP

    WHAT ARE THE SYMPTOMS AND HOW IS IT TREATED?
    Monkeypox belongs to the same virus family as smallpox but causes milder symptoms.

    Most patients only experience fever, body aches, chills and fatigue. 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.

    The incubation period is from about five days to three weeks. Most people recover within about two to four weeks without needing to be hospitalised.

    Monkeypox can be fatal for up to one in 10 people and is thought to be more severe in children.

    People exposed to the virus are often given one of several smallpox vaccines, which have been shown to be effective against monkeypox.

    On Thursday, the European Centre for Disease Prevention and Control recommended suspected cases be isolated and that high-risk contacts be offered the smallpox vaccine.

    HOW MANY MONKEYPOX CASES ARE THERE TYPICALLY?
    The World Health Organization estimates there are thousands of monkeypox infections in about a dozen African countries every year. Most are in Congo, which reports about 6,000 cases annually, and Nigeria, with about 3,000 cases a year.

    Patchy health monitoring systems mean many infected people are likely missed, experts said.

    Isolated cases of monkeypox are occasionally spotted outside Africa, including in the United States (US) and Britain. The cases are typically associated with travel to Africa or contact with animals from areas where the disease is more common.

    In 2003, 47 people in six US states had confirmed or probable cases. They caught the virus from pet prairie dogs that been housed near imported mammals from Ghana.

    WHAT’S DIFFERENT ABOUT THESE CASES?
    It’s the first time monkeypox appears to be spreading among people who didn’t travel to Africa.

    In Europe, infections have been reported in Britain, Italy, Portugal, Spain and Sweden.

    Britain’s Health Security Agency said its cases are not all connected, suggesting that there are multiple chains of transmission happening.

    On Wednesday, US officials reported a case of monkeypox in a man who had travelled to Canada.

    The Public Health Agency of Canada also confirmed two cases related to that positive test. Health officials in Quebec earlier said they suspected 17 cases in the Montreal area.

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