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The likely exposure was inoculated rabbit skins, but airborne spread cannot be ruled out.
Two other health workers may have had similar exposure after treating the UK's second monkeypox patient.
Some health workers were not wearing adequate personal protective equipment, the report says.
The patient is a Nigeria resident who likely contracted the infection there before traveling to the United Kingdom.
Some experts say that offering a manual for re-creating an orthopoxvirus is inherently dangerous.
The outbreak has now become Nigeria's largest ever, with 9 confirmed cases.
The positive results shed light on what could be one of the largest monkeypox outbreaks in Africa.
Marshals sieze 5 vials of vaccinia virus vaccine, reserved only for those at high risk of smallpox.
Panel finds overall response was thorough, but notes policy gaps and some missteps after the samples were found.
Though the technology isn't likely within reach of do-it-yourselfers, it could already be in use by rogue governments, experts say.
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