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"Biden: Monkeypox threat doesn’t rise to level of COVID-19", so why did you say what you said Joe? "Monkeypox likely spread by sex at 2 raves in Europe", "CDC sounds alarm for gay & bisexual men"
“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,”
We always knew that Joe. So why did you go out recently to scare the nation? You achieved what you intended.
We knew this and have said this. Then why the hysteria and misinformation and duplicity by the media? “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”…”Health officials say most of the known cases in Europe have been among men who have sex with men”…“It’s very possible there was somebody who got infected, developed lesions on the genitals, hands or somewhere else, and then spread it to others when there was sexual or close, physical contact,” Heymann hypothesized. “And then there were these international events that seeded the outbreak around the world, into the U.S. and other European countries.”
I wish to be more straightforward in this substack for if we can share information at some level that could help us reduce risk, we should.
One needs to have close physical contact with the lesions/pustules (content of the lesions/pustules). It can also be transmitted via respiratory droplets from lesions/blisters in the mouth of an infected person. One may argue that if the monkeypox lesions/pustules can appear on genitals (we know medically and as reported), this may be why there is a reported heightened risk among bisexuals and men who have sex with men. This elevated risk has drawn recent warnings by CDC. Given the mode of sexual intimacy, this may increase the risk of transmission (bursting of the lesions/pustules etc.) and thus this at-risk group must be informed etc. If what is stated here can account for the risk of spread, then it is important to have frank discussions to help inform the risk group so as to reduce risk and morbidity. This may indeed help explain why the elevated risk in gay and bisexual males and offers an opportunity to acutely public service message to this group. We would also want to collect data from females in such similar relationships to establish if there is a risk differential by gender.
Thus far the facts are: the monkeypox emergence appears to be localized to a certain high-risk group and principally transmitted with close intimate-type contact (largely in men who have sex with men). Acute contact tracing is optimal and the right course of action at this time with an update of diagnostic capability for orthopoxviruses as well as assessing relevant PPE for relevant health professionals; there must also be no ignorance and stigmatization and we have to PSA (message) MSM on what signs and signals/symptoms to look for in their partners. This latter step will go a long way to reduce exposure and transmission. This virus is not easily spread human-to-human as it demands very close physical contact. Govern yourself accordingly. Everyone will largely be just very fine. The media et al. needs to stop the fear mongering panic porn.