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Mpox

Mpox is a disease caused by infection with a virus, more specifically, an orthopoxvirus, a family that includes mpox, cowpox and smallpox. The first human case of mpox was recorded in 1970 in what is now the Democratic Republic of Congo.   

The mpox virus spreads through close, personal contact including direct skin-to-skin contact with mpox rash or scabs or prolonged contact with saliva, upper respiratory secretions or bodily fluids. Pregnant people with mpox can pass the virus to the fetus during pregnancy or to the newborn during and after birth. The virus can also sometimes spread though contact with contaminated materials like clothing, towels or bedding. 

 

 

More about mpox

Two subtypes of the virus cause mpox: clade I and clade II. Clade I may cause more severe illness and has been associated with higher mortality in places where it has historically occurred, predominately Central Africa. Clade II, which may cause less severe infections, is the virus type that caused a global outbreak of mpox in 2022-2023. 

More recently, in response to the spread of mpox caused by the clade I virus in multiple African countries, the World Health Organization declared a public health emergency of international concern in August 2024. Cases of clade I mpox have now been found in multiple countries outside of Africa; the first case of clade I mpox occurred in the U.S. in November 2024 and was associated with travel to Central Africa.

People with mpox often get a rash that may be located on the hands, feet, chest, face, mouth or near the genitals and the anus. Other symptoms can include fever, chills, swollen lymph nodes, exhaustion, muscle aches, backache, malaise, headache, rectal pain and sore throat.

There is no treatment specifically for mpox, although studies are being done. Because the viruses that cause mpox and smallpox are closely related, drugs and vaccines developed to treat and protect against smallpox may be effective for mpox. 

Vaccination is an important tool in preventing the spread of mpox. The vaccine is most effective if both doses are received, ideally four weeks apart from one another.

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