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• Be aware of the global outbreak of monkeypox with local transmission in Snohomish County.
• Consider monkeypox in all individuals with compatible clinical presentation or epidemiologic link to known cases.
• Report all cases of monkeypox immediately to Snohomish Health District at the time of suspicion and/or testing (425-339-3503).
• Be aware that testing for monkeypox can now be initiated through several commercial laboratories.
If your practice does not have JYNNEOS vaccine available, please refer patient to Snohomish Health District at (425) 339-3503 to speak with a public health nurse. Eligible individuals will be referred to Providence Regional Medical Center.
Monkeypox virus is a DNA virus in the Orthopox genus and is acquired through close contact with an infected person or animal. In the 2022 global outbreak of monkeypox, contact with infected animals has not been established as a means of transmission. After infection, there can be an incubation period of roughly 1-2 weeks. The virus may be transmitted through direct contact or close contact with an infected person, through contact with objects contaminated with the monkeypox virus, and may be transmitted by a pregnant person to their fetus transplacentally. Although in this current outbreak men who have sex with men are overrepresented, anyone who is in close contact with an infected person or objects contaminated with monkeypox is at risk of developing monkeypox. Most infections in this outbreak resolve within 2-4 weeks of onset, even without treatment but severe outcomes are possible. Immunocompromised persons, persons who are pregnant or breastfeeding, and children and adolescents may be at higher risk of severe disease.
As of August 5, 2022, a total of 6 cases of monkeypox have been identified in Snohomish County
Local transmission in King County has been ongoing since July, an is presumed to be occurring in Snohomish County as well at this time.
On July 23, 2022, the World Health Organization (WHO) declared monkeypox a global health emergency. Between May 14, 2022 and August 1, 2022, over 23,600 cases have been identified globally in 80 countries including 7 deaths that have been reported to the WHO. As of August 2, 2022, there are 6,326 cases of monkeypox in the US across 48 states, Washington, DC and Puerto Rico. No deaths have been reported in the US to date.