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Outbreak Pattern Suggests New Transmission Dynamics
- Monkeypox is an orthopox DNA virus historically zoonotic but now causing a global outbreak outside endemic regions.
- Cases clustered in sexual networks raised questions about new transmission dynamics and human adaptation.
Focus On Skin Contact For Exposure Risk
- Prioritize prolonged skin-to-skin contact as the main transmission route when assessing exposure risk.
- Consider fomites like bedding and clothing as possible but less efficient transmission sources.
Semen Can Carry Viable Virus
- Viable monkeypox virus has been detected in semen and can infect cells in vitro.
- WHO advises condoms for three months post-recovery until persistence is better defined.