The advisory cautions travelers to avoid:
| • | Close contact with sick people, including those with skin lesions or genital lesions. |
| • | Contact with dead or live wild animals such as small mammals including rodents (rats, squirrels) and non-human primates (monkeys, apes). |
| • | Eating or preparing meat from wild game (bushmeat) or using products derived from wild animals from Africa (creams, lotions, powders). |
| • | Contact with contaminated materials used by sick people (such as clothing, bedding, or materials used in healthcare settings) or that came into contact with infected animals. |
"Risk to the general public is low, but you should seek medical care immediately if you develop new, unexplained skin rash (lesions on any part of the body), with or without fever and chills, and avoid contact with others," the advisory reads. "If possible, call ahead before going to a healthcare facility. If you are not able to call ahead, tell a staff member as soon as you arrive that you are concerned about monkeypox."
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Monkeypox is a mild viral infection that is endemic in certain parts of Africa, but the current outbreak in countries where the virus does not usually spread has raised concerns.
The advisory listed cases of monkeypox being reported in 20 countries as of Thursday, including Australia, Austria, Belgium, Canada, Czech Republic, Denmark, England, France, Germany, Israel, Italy, Netherlands, Portugal, Scotland, Slovenia, Spain, Sweden, Switzerland, United Arab Emirates, and the United States.
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The CDC on Friday published guidance by its group of independent experts on a smallpox vaccine that restricts its use to only people who work closely with viruses such as monkeypox.
The Jynneos vaccine, made by Bavarian Nordic, will be available for certain healthcare workers and laboratory personnel at a time when monkeypox infections have spread in Europe, the United States, and beyond.
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The vaccine was authorized in the United States in 2019 to prevent smallpox and monkeypox in high-risk adults aged 18 and older.
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CDC officials earlier this week said they were in the process of authorizing some doses of the Jynneos vaccine for people in contact with known monkeypox patients.
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Dr. David Heymann, a leading adviser to the World Health Organization, said last week that two raves in Spain and Belgium may have fueled transmission. Public health authorities in Madrid have also linked Spain's infections to an outbreak at a sauna.
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"This is the most important outbreak in the history of monkeypox in the Western Hemisphere," said Anne Rimoin, an epidemiology professor at UCLA Fielding School of Public Health.
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