'The current outbreak is the first time that the virus has been passed from person to person in England where travel links to an endemic country have not been identified,' the UK Health Security Agency (UKHSA) said.
The usually mild viral disease, which is endemic in west and central Africa, is understood to spread through close contact. Until early May, cases rarely cropped up outside Africa and were typically linked to travel to there.
Recent foreign travel to a number of different countries in Europe within 21 days of symptom onset has been reported by 34 confirmed cases, or about 18% of the 190 cases of the disease that have been confirmed by the United Kingdom as of May 31. Monkeypox can affect anyone, but many of the most recent diagnoses are the GBMSM community - many of whom live in, or have links to London, said Kevin Fenton, London's regional director for public health.The UKHSA is working with groups including the British Association of Sexual Health and HIV and the dating App Grindr to communicate with sexual health services and the GBMSM community.
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