The changing epidemiology The virus is endemic to West and Central Africa.1 Animal-to-human trans- of human monkeypox — a potential threat? A systematic mission may initiate outbreaks, and person-to-person transmission review. [...] and ulcers, and eventually to crusted scabs.2,3 Lesions typically erupt and 5. [...] As with (Bogoch), University Health Network; Institute of any newly emergent infection with changing epidemiology, consultation Health Policy, Management and Evaluation and Insti-tute of Medical Sciences (Mishra), University of with infectious disease specialists or microbiologists is advised to support Toronto. [...] For severe which permits use, distribution and reproduction in infections, consultation with an infectious disease specialist is advised for any medium, provided that the original publication is consideration of experimental antiviral therapies, such as tecovirimat, properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or cidofovir or brincidofovir.2,4. [...] Public health authorities should be contacted for suspected and probable cases to initiate and facilitate contact tracing and vaccination.
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