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On Sunday, the chief medical adviser of Britain’s Health Security Agency, Dr. “By nature, sexual activity involves intimate contact, which one would expect to increase the likelihood of transmission, whatever a person’s sexual orientation and irrespective of the mode of transmission,” said Mike Skinner, a virologist at Imperial College London. Other scientists have pointed out that it will be difficult to disentangle whether it is sex itself or the close contact related to sex that has driven the recent spread of monkeypox across Europe.
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The agency’s Europe director warned that as summer begins across the continent, mass gatherings, festivals and parties could accelerate the spread of monkeypox. WHO said the outbreak is “atypical” and said the fact that cases are being seen in so many different countries suggests the disease may have been silently spreading for some time. The disease can be fatal in about 10% of infections, but no deaths have been reported among the current cases. Vaccines against smallpox, a related disease, are also effective in preventing monkeypox and some antiviral drugs are being developed. Most people recover from the disease within several weeks without requiring hospitalization. It can be spread through close contact with an infected person or their clothing or bedsheets, but sexual transmission has not yet been documented. Monkeypox typically causes fever, chills, rash, and lesions on the face or genitals. Heymann chaired an urgent meeting of WHO’s advisory group on infectious disease threats on Friday to assess the ongoing epidemic and said there was no evidence to suggest that monkeypox might have mutated into a more infectious form. To date, WHO has recorded more than 90 cases of monkeypox in a dozen countries including Britain, Spain, Israel, France, Switzerland, the U.S. That marks a significant departure from the disease’s typical pattern of spread in central and western Africa, where people are mainly infected by animals like wild rodents and primates and outbreaks have not spread across borders. “We know monkeypox can spread when there is close contact with the lesions of someone who is infected, and it looks like sexual contact has now amplified that transmission,” said Heymann. Monkeypox has not previously triggered widespread outbreaks beyond Africa, where it is endemic in animals. David Heymann, who formerly headed WHO’s emergencies department, said the leading theory to explain the spread of the disease was sexual transmission among gay and bisexual men at two raves held in Spain and Belgium. In an interview with The Associated Press, Dr. LONDON (AP) - A leading adviser to the World Health Organization described the unprecedented outbreak of the rare disease monkeypox in developed countries as “a random event” that might be explained by risky sexual behavior at two recent mass events in Europe.