Had close or intimate in-person contact with individuals in a social network experiencing monkeypox activity. The rash can be macular (flat and reddened), papular (raised), vesicular (small, fluid filled), pustular (bulging with fluid inside), generalized or localized, or discrete or confluent. Reports of contact with person(s) with a type of rash or who received a diagnosis of confirmed or probable monkeypox within 21 days of the illness onset. Since late June, an increasing number of reported cases have been linked to local community transmission.Ĭase data are voluntarily reported by states.Įpidemiological criteria for cases are one of the following. Recent travel history does not confirm the person acquired their infection while traveling. Many of the initial patients reported international travel in the 21 days prior to symptom onset, visiting countries not known to experience endemic monkeypox and participating in large festivals and other activities where close, personal, skin-to-skin contact likely occurred. Data are missing for a large number of cases. Approximately 38% (n=524) of patients with known race/ethnicity are white/non-Hispanic, 26% (n=358) are Black, and 32% (n=445) are Hispanic (of any race). Of the 870 patients with information on gender identity, 1 self-reported as transgender male (July 25, 2022).Īmong the male patients with information on sexual activity, 99% (n=624) reported male to male sexual contact. Of the 1,383 patients with information on sex assigned at birth, 99.1% were assigned male sex (13 assigned female sex). The median age of patients is 35 years (range 18 to 76). Additional clinical guidance is available on the CDC website. Healthcare providers should be on alert for monkeypox regardless of a patient’s travel history, gender identity, or sexual orientation reported contact with someone who has monkeypox or who has a rash suspicious for monkeypox may assist with clinician decision-making. While anyone can catch monkeypox if they have close contact with someone who has monkeypox, regardless of gender identity or sexual orientation, many of those affected in the current global outbreaks are gay, bisexual, or other men who have sex with men. Monkeypox can spread between people through close contact, skin-to-skin contact including sexual contact with a person with monkeypox, or contact with contaminated fomites (e.g., shared linens). People with monkeypox may develop symptoms including fever, headache, muscle aches, exhaustion, or swollen lymph nodes. The lesions can sometimes be umbilicated, i.e., have a dent in the middle of them. Distinguishing features include papules, vesicles, pustules, or scabs that are deep-seated, firm or rubbery, and have well-defined round borders.
CDC is also tracking multiple clusters of monkeypox that have been reported globally in 69 countries that do not normally report monkeypox.ĬDC is urging healthcare providers in the United States to be on alert for patients who have rash illnesses consistent with monkeypox. Centers for Disease Control and Prevention (CDC), along with state and local public health partners, are tracking 3,487 cases of monkeypox in the United States as of July 25, 2022.