The United States declared monkeypox a public health emergency last week, an effort to bolster the U.S. response to contain the outbreak.
The virus continues to be largely transmitted among gay and bisexual men, but experts say the disease could spill over into other populations, especially due to vaccine shortages. Monkeypox is spread by contact with puss-filled sores and is rarely fatal.
About 38% of cases occurred in among white, non-Hispanic males. Another 26% were in Black males and 32% in Hispanic males. One reason may be that the virus appears to be "very efficiently transmitted through anal receptive intercourse and to some degree oral sex," said Dr. Celine Gounder, an infectious disease epidemiologist and an editor-at-large at Kaiser Health News.Although the current explosion of cases has occurred in men, experts say there is no biological reason the virus will remain largely within the community of men who have sex with men.
The real question, he said, is whether it spreads as efficiently in those groups as it does among close sexual networks of men who have sex with men."My greatest fear is that as we try to contain this, it's going to seep along the fractures in our social geography and go where HIV did, and that's going into communities of color in the rural South," said Dr. Gregg Gonsalves, an associate professor of epidemiology at Yale University and a leading HIV/AIDS activist.
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