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Abstract
Recently, many cases of monkeypox were reported worldwide. Although most of these cases seem to be associated with the community of men who have sex with men (MSM), not all of them are.1 Cases with west and central African monkeypox virus clades have been rising in the past 20 years.2 The current spread, due to the less transmissible and less virulent west African clade, was unexpected because observations on earlier outbreaks, mostly in African villages,3 indicated that monkeypox outbreaks are self-limiting.
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