Monkeypox in Oregon, June 17

Potential monkeypox in adult who traveled to affected area
PORTLAND, Ore. – Oregon Health Authority (OHA) is reporting the first case of probable hMPXV (denoting the human version of the monkeypox virus) in Oregon. The individual identifies as an adult male and has traveled to a community with confirmed cases. He remains isolated and is following recommendations from public health officials and medical providers. Confirmatory testing is being done at the Centers for Disease Control and Prevention (CDC). OHA is working closely with the CDC, local public health and the patient’s health care providers to ensure appropriate actions are taken to identify individuals at potential risk for exposure. “hMPXV does not spread easily between people, so the risk to other people is generally very low,” said Dr. Richard Leman, Public Health Physician with OHA. “Unlike COVID-19, which can be spread easily from person to person through the air over several feet of space, hMPXV spreads between people primarily through direct contact with infectious sores, scabs, or body fluids. Less commonly, it can be spread by respiratory secretions during prolonged face-to-face contact.” Though hMPXV is in the same group of viruses as smallpox, it is not smallpox. hMPXV is much harder to catch, and it is not as severe. There are two strains of this virus, and the one that’s circulating now causes milder disease. Most people are recovering at home without any special treatment. Additionally, there have been no deaths reported nationwide. Historically, people have become infected by handling wild animals, but hMPXV can also be transmitted person-to-person. This can happen through prolonged, close contact, either skin-to-skin, contact with fluid from hMPXV lesions, or less commonly from large respiratory droplets. “An ill person who coughs or sneezes on someone else could possibly spread the infection. However, most transmission in the current outbreak appears to be from prolonged, skin-to-skin contact,” Dr. Leman said. Currently, there are 84 cases across 18 states, no deaths and one case in Oregon.