Early fears of an escalating outbreak have not come to pass. Scientists are finding that the virus needs a very particular set of circumstances to spread effectively.
"Where we are now is the best case scenario, in terms of what can happen when you actually commit the tools you have to fight an outbreak," says Dr.Health experts attribute the success to changes in behavior among those at high risk for monkeypox and quick uptake of vaccines. But a growing body of evidence suggestsfactor is also helping slow down the outbreak: the virus can spread only under very particular circumstances.
Several studies have found that often there isn't very much virus in the upper respiratory tract. Instead, the highest levels of virus occur on sores found on the skin and inside the anus., researchers at Israel Institute of Biological Research measured the levels of virus in 44 monkeypox patients. They took samples from lesions on the patients' skin and swabs of their throats.
Together with a few previous studies, these newer findings explain why monkeypox is spreading almost exclusively through contact during sex, especially anal and oral sex, during the current outbreak.
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