Many of the problems in the mpox response were due to a deflated and exhausted public health workforce across the country.
The test the US Centers for Disease Control and Prevention uses to identify clade I mpox cases is 'most likely not reliable' for detection of the substrain identified in the study, the authors say.
Another mpox study today showed that dose-sparing vaccine administration of the Jynneos vaccine appeared to have worked.
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"Monkeypox cases may present similar to some sexually transmitted infections and could be mistaken for other diagnoses."
One expert cautions against letting the fear of stigmatization get in the way of clear messages.
So far this year African nations have reported 1,400 monkeypox cases, including 66 deaths.
Also, HHS has asked Bavarian Nordic to deliver 36,000 more vaccine doses this week to the national stockpile.
Cases in nonendemic countries continue to climb, with more than 780 reported in the past 3 weeks.
Also, an expert weighs in on crafting clear public health messaging that doesn't stigmatize yet doesn't miss key groups.
Also, a study notes potential undetected spread of the disease in Europe at least since early April.
"There may have been undetected transmission for a while," a WHO official says.
"There's a window of opportunity where this can be contained," a WHO official says.
More than 20 countries have logged a combined total of more than 300 monkeypox cases.