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WHO says there are typically thousands of cases reported from Nigeria and Congo every year. On Monday, Nigerian authorities confirmed its first monkeypox death this year, in addition to six more cases. Scientists haven’t yet determined whether the monkeypox outbreak in rich countries can be traced to Africa, but the disease continues to sicken people on the continent. That marks a significant departure from the disease’s typical pattern of spread in central and western Africa, where people are mainly infected by animals like wild rodents and primates, and epidemics haven’t crossed borders. Last week, a top adviser to WHO said the outbreak in Europe, U.S., Israel, Australia and beyond was likely linked to sex at two recent raves in Spain and Belgium. “You may have these lesions for two to four weeks (and) they may not be visible to others, but you may still be infectious,” she said. She also warned that among the current cases, there is a higher proportion of people with fewer lesions that are more concentrated in the genital region and sometimes nearly impossible to see. Lewis said it’s unknown whether monkeypox is being transmitted by sex or just the close contact between people engaging in sexual activity and described the threat to the general population as “low.” Monkeypox is known to spread when there is close physical contact with an infected person or their clothing or bedsheets. To date, WHO said 23 countries that haven’t previously had monkeypox have now reported more than 250 cases. Other experts have pointed out that it may be accidental that the disease was first picked up in gay and bisexual men, saying it could quickly spill over into other groups if it is not curbed. She warned that anyone is at potential risk of the disease, regardless of their sexual orientation. “We are concerned that individuals may acquire this infection through high-risk exposure if they don’t have the information they need to protect themselves.” “At the moment, we are not concerned about a global pandemic,” she said. Supreme Court may soon expand gun rights amid roiling debate