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)
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.