Expert: Monkeypox likely spread by sex at 2 raves in Europe

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Expert: Monkeypox likely spread by sex at 2 raves in Europe
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The monkeypox outbreak may be linked to risky sexual behavior at two recent raves in Europe.

Electron microscope image of various virions of the monkeypox virus taken from human skin, 2003. Courtesy CDC/Goldsmith. A leading adviser to the World Health Organization described the unprecedented outbreak of the rare disease monkeypox in developed countries as "a random event" that might be explained by risky sexual behavior at two recent mass events in Europe.

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 and outbreaks have not spilled across borders. To date, WHO has recorded more than 90 cases of monkeypox in a dozen countries including Britain, Spain, Israel, France, Switzerland, the U.S. and Australia. On Monday, Denmark announced its first case, Portugal revised its total upwards to 37 and Italy reported one further infection.

Monkeypox typically causes fever, chills, rash, and lesions on the face or genitals. It can be spread through close contact with an infected person or their clothing or bedsheets, but sexual transmission has not yet been documented. Most people recover from the disease within several weeks without requiring hospitalization. Vaccines against smallpox, a related disease, are also effective in preventing monkeypox and some antiviral drugs are being developed.

Other scientists have pointed out that it will be difficult to disentangle whether it is sex itself or the close contact related to sex that has driven the recent spread of monkeypox across Europe.

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