Human Monkeypox, 1970-79. Bulletin of the World Health Organization 58 (2): 165–82.

Breman et al., 1980

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Monkeypox Resembles Smallpox

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Monkeypox resembles smallpox. The only way to tell the difference, epidemiologically. Not via a PCR test.

Unless in close contact with an infected person, person to person transmission is low. But even then only 7.5% of all cases spread (3 out of 40). Those who got sick in report, 3.3%.  

Due to the low transmission rate, it's not considered a public health risk.

ref. (Breman et al., 1980)

Breman et al., 1980

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“Human Monkeypox, 1970-79.” Bulletin of the World Health Organization 58 (2): 165–82.

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Source

Breman, J. G., null Kalisa-Ruti, M. V. Steniowski, E. Zanotto, A. I. Gromyko, and I. Arita. 1980. “Human Monkeypox, 1970-79.” Bulletin of the World Health Organization 58 (2): 165–82.