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WHO expects that more cases in non-endemic areas will be reported. Surveillance to date in non-endemic areas has been limited, but is now expanding. The identification of confirmed and suspected cases of monkeypox with no direct travel links to an endemic area represents a highly unusual event. Genome sequence from a swab sample from a confirmed case in Portugal, indicated a close match of the monkeypox virus causing the current outbreak, to exported cases from Nigeria to the United Kingdom, Israel and Singapore in 20. To date, all cases whose samples were confirmed by PCR have been identified as being infected with the West African clade. Based on currently available information, cases have mainly but not exclusively been identified amongst men who have sex with men (MSM) seeking care in primary care and sexual health clinics. Reported cases thus far have no established travel links to an endemic area.
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Geographical distribution of confirmed and suspected cases of monkeypox in non-endemic between 13 to, as at 13:00.
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Cases of monkeypox in non-endemic countries reported to WHO between 13 to as at 13:00įigure 1. No associated deaths have been reported to date. WHO will be providing more technical recommendations in the coming days.Īs of 21 May, 13:00, 92 laboratory confirmed cases, and 28 suspected cases of monkeypox with investigations ongoing, have been reported to WHO from 12 Member States that are not endemic for monkeypox virus, across three WHO regions (Table 1, Figure 1). WHO is also working to provide guidance to protect frontline health care providers and other health workers who may be at risk such as cleaners. Current available evidence suggests that those who are most at risk are those who have had close physical contact with someone with monkeypox, while they are symptomatic. Immediate actions focus on informing those who may be most at risk for monkeypox infection with accurate information, in order to stop further spread. The situation is evolving and WHO expects there will be more cases of monkeypox identified as surveillance expands in non-endemic countries. The objective of this Disease Outbreak News is to raise awareness, inform readiness and response efforts, and provide technical guidance for immediate recommended actions. Epidemiological investigations are ongoing, however, reported cases thus far have no established travel links to endemic areas. Since, cases of monkeypox have been reported to WHO from 12 Member States that are not endemic for monkeypox virus, across three WHO regions.