Avian Flu Diary: EID Journal: Human Monkeypox without Viral Prodrome or Sexual Exposure, California, USA, 2022

His primary risk factor was close, nonsexual contact with numerous unknown persons at a crowded outdoor event. His case highlights the potential for spread at such gatherings, which may have implications for epidemic control. The lack of both sexual exposure and anogenital involvement indicates that mode of transmission may be associated with clinical symptoms; fomites (hotel bedding and sheets, high-touch areas in public settings) may be alternative modes of transmission. Overall, the viral inoculum required for all possible modes of transmission remains an area of active investigation.

This case also demonstrates the importance of local monkeypox virus testing, rather than centralized testing in public health or commercial reference laboratories. Local testing enabled diagnosis in <12 hours and immediate notification to local and state public health authorities for isolation and contact tracing.

Dr. Karan is an infectious disease physician and postdoctoral researcher at Stanford University. His research focuses on infectious disease epidemiology and interventions to slow epidemic spread.

While we are learning more about this MPXV epidemic every day, two weeks ago in CDC Technical Report: Multi-National Monkeypox Outbreak, United States, 2022, the CDC listed a number of `knowledge gaps’ (and areas of focus) that still remain, including:…

Source: Avian Flu Diary: EID Journal: Human Monkeypox without Viral Prodrome or Sexual Exposure, California, USA, 2022

♫ What Becomes Of The Brokenhearted

Filosofa's Word

Hey!!!  Guess what???  I found one of my favourite Motown songs that I haven’t played here before!  It’s nothing short of a miracle!  No, it’s not by Smokey Robinson and the Miracles.  I have no idea why, but I somehow thought I remembered this one as being by the Four Tops!  Not even close, as it happens.

This was written by Motown writers Jimmy Dean, Paul Riser, and William Witherspoon. They wrote it for The Detroit Spinners, but Jimmy Ruffin, brother of The Temptations’ David Ruffin, convinced the Motown writers to let him try it, and they liked what they heard.

Many Motown songs deal with heartbreak, but this one is especially bleak. The poor guy has recently joined the ranks of the brokenhearted, and he’s not sure what happens next. He knows he can’t take the pain much longer but keeps coming up empty in his search.

Originally, this…

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