The World Health Organization has confirmed about 80 cases of monkeypox with recent outbreaks reported in 11 countries, according to a statement Friday from the global health agency.
The outbreaks are unusual because they are occurring in countries where the virus is not endemic, according to the WHO. More cases will likely be reported in the coming days as surveillance broadens, it said.
"WHO is working with the affected countries and others to expand disease surveillance to find and support people who may be affected, and to provide guidance on how to manage the disease," the agency said.
European nations have confirmed dozens of cases in the largest outbreak of monkeypox ever on the continent, according to the German military. The U.S. has confirmed at least one case, and Canada has confirmed two. Monkeypox is usually found in Central and West African rainforests where animals that carry the virus live, according to the WHO.
This 2003 electron microscope image made available by the Centers for Disease Control and Prevention shows mature, oval-shaped monkeypox virions, left, and spherical immature virions, right, obtained from a sample of human skin associated with the 2003 prairie dog outbreak.
Cynthia S. Goldsmith, Russell Regner | CDC via AP
Monkeypox is a disease caused by a virus in the same family as smallpox but is not as severe, according to the Centers for Disease Control and Prevention. However, monkeypox can result in death in as many as 1 in 10 people who contract the disease based on observations in Africa, according to the CDC.
The smallpox vaccine is 85% effective at preventing monkeypox based on observational studies in Africa, according to the WHO and the CDC.
Monkeypox is spread through close contact with people, animals or material infected with the virus. It enters the body through broken skin, the respiratory tract, the eyes, nose and mouth. Though human-to-human transmission is believed to occur through respiratory droplets as well, that method requires prolonged face-to-face contact because the droplets cannot travel more than a few feet, according to the CDC.
Monkeypox usually begins with symptoms similar to the flu including fever, headache, muscle aches, chills, exhaustion and swollen lymph nodes, according to the CDC. Within one to three days of the onset of fever, patients develop a rash that begins on the face and spreads to other body parts. The illness usually lasts for about two to four weeks.
"As monkeypox spreads through close contact, the response should focus on the people affected and their close contacts," the WHO said. Health-care workers, household members and sexual partners of people who have the virus are at greater risk of disease.
The CDC confirmed a monkeypox case in Massachusetts on Wednesday. The person had recently traveled to Canada using private transportation. New York City is investigating a possible monkeypox case, according to a health department statement Thursday.
The U.S. had a monkeypox outbreak in 2003, the first outside Africa, which was caused by human contact with infected prairie dogs kept as pets. That outbreak resulted in more than 70 reported cases.
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Hilary Duff’s personal trainer is revealing the fitness and dieting secrets she used before her nude Women’s Health magazine photo shoot earlier this month.
Dominic Leeder, a Los Angeles-based trainer, said he helped train the actress, 34, four to five times a week for four months leading up to her shoot.
"Duff is a fan of variety in the gym, so every single training session was different," Leeder said. "Each workout consisted of movements that focused on engaging the star's lower core muscles and involved a mix of cardio, high-intensity interval training and resistance training."
Leeder praised Duff on staying committed during every workout.
HILARY DUFF POSES NUDE FOR WOMEN'S HEALTH MAGAZINE COVER SHOOT: ‘I’M PROUD OF MY BODY'
"For this, she was on it. I didn't really have to push too hard. Every now and again she would say, 'No' and I'd say, 'Yes, we're doing this.' She's not a difficult client in the slightest. She works hard," he said.
Leeder shared that Duff’s cover photo shoot made him "so proud."
Duff posed nude for the May/June cover and shared the struggles she has faced with accepting her body over the years.
In her interview with the magazine, Duff recalled feeling a lot of "horrifying pressure" about her body as a young actress, and that eventually led to an eating disorder when she was 17. Duff proudly told the outlet she accepts her body now and doesn’t conform to Hollywood’s standards.
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"I'm proud of my body," Duff said. "I've gotten to a place of being peaceful with the changes my body has gone through."
Duff is the mother of three children: Mae, 13 months; Banks, 3; and Luca, 10.
Hilary Duff trained four to five times a week for four months leading up to her nude cover shoot. (Emma McIntyre)
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"I think that, at 34, I have just gained a lot of respect for my body," Duff added. "It's taken me all of the places I need to go. It's helped me build a beautiful family. I feel like the older I get, the more confident I get in my own skin. And my body's been many different shapes and sizes, and I'm really just fascinated by, one, being a woman. And, two, all the changes that your body can go through throughout your lifetime."
Duff also revealed she is trying to prioritize her mental health with regular therapy.
"We bust our a-- to get our bodies in shape and to look the best we can. We get facials and Botox and our hair done and highlights and brows and lash lifts and all this s---. But I want to work on the inside," she explained. "That's the most important part of the system."
There are many types of poxvirus including monkeypox, smallpox, and chickenpox.Roger Harris/Science Photo Library via Getty Images
New York City health officials confirmed the state's first presumed case of monkeypox on Friday.
Officials are carrying out contact tracing as the patient isolates at Bellvue Hospital.
It is the second presumptive case confirmed in the US after a Massachusetts man tested positive.
The New York City Department of Health on Friday confirmed the state's first presumptive monkeypox case. Cases have now been reported in nine countries.
A second suspected case in New York was ruled out, according to a statement. Officials had previously announced a patient was awaiting test results in isolation at Bellevue Hospital.
The positive patient tested positive for Orthopoxvirus, the family to which the monkeypox virus belongs, but official confirmation has yet to be confirmed by the CDC, officials said.
The patient is isolating and treating the case as a presumptive positive in the meantime, and the New York City Health Department said it's carrying out contact tracing.
The first case of monkeypox in the US this year was confirmed by the Massachusetts Department of Public Health earlier this week. An adult man who had recently traveled to Canada tested positive but "poses no risk to the public," according to a press release.
The rare disease is typically found in Central and West Africa or on other continents in cases usually related to foreign travel. But the most recent spate of monkeypox cases detected in the US, Australia, and several European countries — which includes more than 140 confirmed and suspected cases so far this month — are not following the usual pattern, global health officials have said.
Recent infections suggest community transmission is playing a significant role, despite the disease rarely being spread between humans.
The New York City Department of Health on Friday said the virus can spread through close contact with an infected person or animal via respiratory droplets, body fluids, and sharing clothes. They added that masks can protect against the disease.
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