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September 16, 2022
• Be aware of the ongoing 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.
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 September 16, a total of 29 cases of monkeypox have been identified in Snohomish County.
On July 23, 2022, the World Health Organization (WHO) declared monkeypox a global health emergency. As of September 14, 2022, a total of 59,147 laboratory confirmed cases and 489 probable cases in more than 100 countries, including 22 deaths, have been reported to WHO. A total of 22,774 cases have been reported in the U.S., according to the CDC.