“Emerging data seem to suggest that monkeypox might be more efficiently transmitted sexually,” according to an infectious disease specialist, though the WHO says “we don’t know yet” whether the virus is predominantly transmitted through intercourse.
with which cases have remained so overwhelmingly in this demographic, some experts argue, is further evidence that the virus transmits among them through a behavior that is exclusive to the group — anal intercourse and oral sex between men.
, it does so with dramatically lower efficiency — and thus at a rate similar to the relatively slow spread seen in Africa.estimated that just 0.8% of the cases they analyzed were due to nonsexual close contact and 0.6% were due to household contact. By contrast, 95% of these cases were likely acquired during sex between men. The authors of the Lancet paper estimated that 3% of the cases they analyzed transmitted through nonsexual household contact.
“STIs such as syphilis or chancroid are commonly found in children in the tropics, where abrasions on the arms and legs are common,” Mitjà said. If monkeypox is indeed overwhelmingly being transmitted through intercourse and rarely through more casual means, this challenges burdensome public healthrecommending that people with the virus isolate for the course of their illness, which can last for weeks, Mitjà and his coauthors argued in their paper.
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