Despite declines in 2 high-burden countries, cases are rising in Burundi, Uganda, Ghana, Kenya, Liberia, and Guinea.
The test the US Centers for Disease Control and Prevention uses to identify clade I mpox cases is 'most likely not reliable' for detection of the substrain identified in the study, the authors say.
Another mpox study today showed that dose-sparing vaccine administration of the Jynneos vaccine appeared to have worked.
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Sexual contact is the likely transmission event for 92% of patients, and 98% of cases involve men who have sex with men.
A FEMA administrator and a CDC director of HIV prevention now lead the federal monkeypox response.
Also, Alaska reports its first case, leaving only 3 states without known illnesses.
Officials from the two hot spots declared the emergencies to help free up more resources and streamline the monkeypox response.
CDC today also provided a racial and symptom profile of US cases, which are quickly nearing 5,000 infections.
The head of the WHO today urged men who have sex with men to cut their risk by reducing their number of sexual partners and exposure to new partners.
Recent cases in two US kids underscore close household contact as a transmission risk, as federal officials weigh declaring a national public health emergency.
Many had a single lesion or sore in their mouth or on their genitals, which is not typical.
"It is clear that the US was not prepared for an outbreak of a virus such as monkeypox."
Also, a report details a case in a child who had no known contact with a case-patient.