Non-endemic countries record first monkeypox deaths

Over the weekend, Brazil, Spain and India all registered the first monkeypox deaths outside endemic countries in Central and West Africa. Spain recorded two deaths, with Brazil and India each recording one death. So far, there have been 10 deaths from the smallpox virus in the current outbreak.

Six deaths have been recorded in Nigeria (5) and Ghana (1). Historically, the West African clade of monkeypox virus has had a low mortality rate of 1%, and non-endemic countries had thus far avoided fatal cases of the disease.

In Brazil, the deceased patient had lymphoma and was immunocompromised. Two men have died in Spain, home to Europe’s largest outbreak. A 22-year-old man in Kerala, India, also died over the weekend; Indian health officials said he contracted the virus abroad.

There are now more than 21,000 confirmed cases of the virus worldwide.

US: Only Montana, Wyoming and Vermont have reported no cases

The outbreak in the United States continues to grow. The Centers for Disease Control and Prevention (CDC) reported 282 more monkeypox cases this weekend, bringing the total to 5,189 from 49 jurisdictions.

Alaska has reported its first case, leaving only Montana, Wyoming and Vermont as the only jurisdictions that have not reported a case of the virus. The first case from Alaska is an Anchorage resident who had not traveled out of the state, but is in close contact with someone who has traveled out of the state. The patient is in isolation at home.

New York City joins San Francisco and New York State in declaring a public health emergency over monkey pox.

“New York City is currently the epicenter of the outbreak and we estimate that approximately 150,000 New Yorkers are currently at risk for monkey pox exposure,” Mayor Eric Adams said in a statement. “We will continue to work with our federal partners to secure more [vaccine] doses as soon as they are available.”

The United States has not yet declared a public health emergency due to the outbreak.

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