This is how monkeypox breaks all the schemes about the disease in Europe

• Vaccines Who will be able to receive one of the first 200 vaccines that Health has acquired?

• Precautions "You also have to control pets, they can be a way for the virus to reach wildlife"

• Surveillance "I think that in second-generation infections, cases will begin to appear not only in male adults"

• Background Previous warnings about monkeypox

The

of monkeypox in the United Kingdom confirms the community transmission of the majority of confirmed cases, in addition to the

, exposes the

and causes of its

and reaffirms that the elimination of the disease in Europe

"The current outbreak indicates a change in basic assumptions about the epidemiology of monkeypox virus with profound implications for surveillance and control," warn the authors of the research published in

.

Twenty researchers attached to the

, universities and British public health entities sign the report, which presents as spokesperson Roberto Vivancos, a graduate in Medicine from the University of Oviedo, an honorary professor at the University of Liverpool and an expert in epidemiology.

Keys to infectious disease

Detection.

Symptoms, how it is spread and keys to differentiate it from another disease

• Writing: CRISTINA G. LUCIO |

  PILAR PEREZMadrid

Symptoms, how it is spread and keys to differentiate it from another disease

Immunity.

Who is protected against monkeypox?

• Writing: CRISTINA G. LUCIOMadrid

Who is protected against monkeypox?

The investigation remains open and, in this initial phase,

(one in Scotland and the rest in England) as of May 25.

By June 2, the zoonotic infection had infected a

(214 in England, eight in Scotland, two in Northern Ireland and one in Wales).

Scientists

, which raised the alarm on May 7, 12 and 5.

The first did not raise serious concerns: it is an

, a country endemic to monkeypox, which did not spread the infection among the 116 identified contacts until three weeks later.

In the second,

, offering no obvious travel links and no source of infection having been discovered.

The third and most worrying incident

, including a sexual partner, with no ties to the previous cases and no travel connection to endemic countries.

History of AIDS, HIV and other sexually transmitted diseases among those infected were reviewed, although the conclusions of this vein of the investigation have not been published.

"

", justify the co-authors, who identify other gaps in the knowledge and understanding of the outbreak of the monkeypox virus in Europe.

Among them, they

and question "whether it can be explained as skin, respiratory or sexual transmission."

Vivancos and his team point to the

Of the 82 cases detected in England in the third category, at least 79 are known to be male and the majority (83%) identify as gay or bisexual.

"Several declined to share details of their sexual contacts or reported multiple anonymous contacts, in places such as dark rooms and flirt zones," they explain.

The report also reveals that

.

In general terms, the

, with an average of four infections per case and up to a maximum of 25, among members of a household, co-workers, friends, sexual partners and health personnel.

Investigators traced links to "

."

"To date, no single factor or exposure linking the identified cases has been determined," the report concludes.

The research

among the medium and high risk population.

Until May 24, it had been administered between 14% of both groups and 69% of health personnel in close contact.

"

," the co-authors say.

Vivancos and his colleagues support the goal of eradicating the virus, but warn that "success in public health requires a concerted international effort."

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