Monkeypox

General Monkeypox Information

What is monkeypox?
Monkeypox is a rare disease caused by infection with the monkeypox virus. Monkeypox can make you sick, including a rash or sores (pox), often with an earlier flu-like illness. Monkeypox is rarely fatal. 

How does it spread?

Monkeypox spreads in different ways. The virus can spread from person-to-person through:
  • direct contact with the infectious rash, scabs, or body fluids
  • respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
  • touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
  • pregnant people can spread the virus to their fetus through the placenta

Monkeypox can spread from the time symptoms start until the rash has fully healed and a fresh layer of skin has formed. People who do not have monkeypox symptoms cannot spread the virus to others.

    What are the symptoms of monkeypox?
    Symptoms of monkeypox can include:

    • Fever
    • Headache
    • Muscle aches and backache
    • Swollen lymph nodes
    • Chills
    • Exhaustion
    • A rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

    Sometimes, people get a rash first, followed by other symptoms. Others only experience a rash. The rash goes through different stages before healing completely, typically 2-4 weeks. 

    How can I prevent monkeypox?
    Take the following three steps to prevent getting monkeypox:

    Avoid close, skin-to-skin contact with people who have a rash that looks like monkeypox

    • Do not touch the rash or scabs of a person with monkeypox.
    • Do not kiss, hug, cuddle or have sex with someone with monkeypox.

    Avoid contact with objects and materials that a person with monkeypox has used.

    • Do not share eating utensils or cups with a person with monkeypox.
    • Do not handle or touch the bedding, towels, or clothing of a person with monkeypox.

    Wash your hands often.

    • Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially before eating or touching your face and after you use the bathroom.
    Monkeypox Transmission Risk by Activity

    MOST RISKY

    • Direct contact with an infectious rash, scabs, or body fluids
    • Sexual or intimate contact (condoms are likely not enough to prevent monkeypox)

    MORE RISKY

    • Kissing
    • Cuddling
    • Dancing at a crowded partyinsidewith non-fully clothed people

    POSSIBLE

    • Sharing drinks, vapes, or cigarettes
    • Sharing a bed, towels, personal toiletry items, or sex toys
    • Dancing at a crowded partyinsidewith fully clothed people

    UNLIKELY

    • Dancing at a partyoutsidewith mostly clothed people
    • Walking past someone in a grocery store
    • Trying on clothing at a store
    • Touching a doorknob or other equipment shared by others (like at a gym, coffee shop, etc.)
    • In a swimming pool, hot tub, or body of water
    • Coworker-to-coworker transmission
    • Flying in a plane or using public transportation
    • Using a public restroom




















    Vaccination is an important tool in preventing the spread of monkeypox. But given the current limited supply of vaccine, consider temporarily changing some behaviors that may increase your risk of being exposed. These temporary changes will help slow the spread of monkeypox until vaccine supply is adequate.

    Learn more about what you can do from the CDC: Safer Sex, Social Gatherings, and Monkeypox

    If you think you may have been exposed, or if you have symptoms of monkeypox, avoid others (including pets) and contact your health care provider right away for evaluation and testing.

    Monkeypox Vaccine Information

    The JYNNEOS vaccine is recommended for people who have been exposed to monkeypox and at high risk for infection. Experts believe that it can be an effective tool to help prevent monkeypox if given within 4 days of exposure or reduce severity of illness if given within 14 days after an exposure.

    Due to very limited supply, the vaccine is prioritized at this time to individuals who meet certain criteria. See Monkeypox Vaccine Eligibility Information for the current eligibility criteria.

    As more doses of vaccine become available, vaccine availability and criteria may expand further. 

    Learn more about Monkeypox vaccination from the CDC: Monkeypox Vaccines

    Information for Healthcare Providers

    Healthcare providers should be alert for patients who have rash illnesses consistent with monkeypox.

    If you suspect Monkeypox in your patient(s), you should contact the Ingham County Health Department Communicable Disease Division at 517-887-4308 during business hours or 517-342-9987 after hours. Providers can also consult with MDHHS at 517-335-8165. 

    Additional Resources

    Monkeypox Resources for Health Care Professionals, MDHHS 
    Information for Healthcare Professionals, CDC
    Testing Patients for Monkeypox, CDC
    Infection Prevention and Control of Monkeypox in Healthcare Settings, CDC