The current number of identified Monkeypox cases can be found on Centers for Disease Control and Prevention (CDC) webpage. Based on the information about monkeypox in Delaware available at this time, risk to the public appears low.
At this time, national data suggest that gay, bisexual, and other men who have sex with men make up the majority of cases in the current monkeypox outbreak. However, anyone, regardless of sexual orientation or gender identity, who has been in close, personal contact with someone who has monkeypox, is at risk.
Questions about Monkeypox?
Anyone who is deaf, hard of hearing, Deaf-Blind or speech disabled can contact DPH by dialing 7-1-1 first using specialized devices (i.e. TTY, TeleBraille, voice devices). The 7-1-1 service is free and to learn more about how it works, please visit delawarerelay.com.
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Monday – Friday from 8:30 a.m. to 4:30 p.m.
- Monkeypox Need to Know-English | Spanish
- Monkeypox Information for Teens and Young Adults-English | Spanish
- Preventing Monkeypox-English
- Lower MPX Chances During Sex-English
- Monkeypox Information for Athletes and Coaches-English | Spanish
- Monkeypox Information for Parents of Athletes | Spanish
- Monkeypox & Safer Sex
- Monkeypox & Safer Sex | Spanish
What You Need to Know
What is Monkeypox?
The first human case of monkeypox was recorded in 1970. Prior to the 2022 outbreak, monkeypox had been reported in people in several central and western African countries. Previously, almost all monkeypox cases in people outside of Africa were linked to international travel to countries where the disease commonly occurs or through imported animals. These cases occurred on multiple continents.
Transmission: How it Spreads
It can spread to anyone through close, personal, often skin-to-skin contact, including:
Contact with lesions
- Direct contact with monkeypox rash, scabs, or body fluids from a person with monkeypox.
- This direct contact can happen during intimate contact, as well as through hugging, massage, and kissing.
- Contact with respiratory secretions.
- A pregnant person can spread the virus to their fetus through the placenta.
It can spread by touching objects:
- Fabrics, clothing, bedding, or towels
- Surfaces that have been used by someone with monkeypox
- Touching fabrics and objects during sex that were used by a person with monkeypox and that have not been disinfected, such as bedding, towels, fetish gear, and sex toys.
Exposure can happen during intimate contact, including:
- Sex with a person with monkeypox
Having multiple or anonymous sex partners may increase your chances of exposure to monkeypox.
Signs & Symptoms
In humans, the symptoms of monkeypox are similar to but milder than the symptoms of smallpox. Monkeypox begins with fever, headache, muscle aches, and exhaustion. The main difference between symptoms of smallpox and monkeypox is that monkeypox causes lymph nodes to swell (lymphadenopathy) while smallpox does not. The incubation period (time from infection to symptoms) for monkeypox is usually seven to 14 days but can range from five to 21 days.
The illness begins with:
- Muscle aches
- Sore throat
Within one to three days (sometimes longer) after the appearance of fever, the patient develops a rash, often beginning on the face then spreading to other parts of the body. Lesions progress through the following stages before falling off:
What to Do if You Suspect an Infection
Call your doctor.
Ask about getting tested for Monkeypox.
Wear a mask.
When visiting your doctor and to prevent the possible spread.
Smallpox antivirals may be prescribed.
Isolate until the rash has healed and a new layer of skin has formed.
If you have symptoms of monkeypox, or are concerned you may have been exposed, contact your health care provider to discuss testing. Don’t have a health care provider? Contact MPX hotline at 1-866-408-1899 to discuss scheduling a testing appointment at a public health clinic. If you have symptoms of monkeypox, talk to your health care provider.
Currently, there is no proven, safe treatment for monkeypox virus infection. For purposes of controlling a monkeypox outbreak in the United States, smallpox vaccine, antivirals, and vaccinia immune globulin (VIG) can be used. Learn more about smallpox vaccine, antivirals, and VIG treatments.
If you have symptoms of monkeypox, talk to your health care provider.
Currently, the Centers for Disease Control and Prevention is not encouraging vaccination against monkeypox for the broader public or for everyone who is sexually active. Delaware is currently offering vaccination to people at higher risk of exposure, including:
- Persons known or presumed to be exposed to someone with MPX in the last 14 days
- Certain individuals who have sex with men and who have had multiple sex partners within the past 14 days
- Those living with HIV or who are receiving HIV PrEP
- Immunocompromised persons (including those with cancer, solid organ or stem cell transplants, those taking immunosuppressive therapy, and individuals with autoimmune disease)
- Those treated for a sexually transmitted infection (STI) in the last six months
- Individuals traveling to an area with community spread of MPX cases.
- Those engaging in high-risk activities, including sexual practices, that increase exposure to MPX, such as:
- Gay, bisexual, and other men who have sex with men and have had multiple, or any, anonymous sexual partners in a social network experiencing monkeypox activity, this includes meeting partners through an online website, digital application (“app”), or social event (e.g., a bar or party)
- Transgender women or nonbinary persons assigned male at birth who have sex with men
- Sex workers (of any sexual orientation/gender)
- Staff (of any sexual orientation/gender) at establishments where sexual activity occurs (e.g., bathhouses, saunas, sex clubs)
People who fall into any of the identified high-risk categories who are also experiencing homelessness or incarceration
- People, particularly adolescent or young adult males, might consider waiting 4 weeks after MPX vaccination before receiving a COVID-19 vaccine, because of the unknown risk for myocarditis and/or pericarditis after JYNNEOS. The CDC is not recommending vaccination for the general public or for all sexually active persons. To reduce their risk of contracting or spreading MPX, individuals should limit direct contact with anyone with a concerning rash, limiting the number of intimate partners, talking openly with intimate contacts about recent behaviors, and not sharing bedding, towels and eating or drinking utensils with anyone who does.
It is important to understand that while there may be many persons in DE who want a monkeypox vaccine, not everyone in the population needs a monkeypox vaccine. This is very different from COVID. Spread is primarily through direct contact with an infected person and not airborne transmission. Vaccines are not recommended for children. There are things that people in the general public, as well as the LGTBQ+ community can do to protect themselves regardless of their ability to access vaccine such as limiting direct contact with anyone with a concerning rash, limiting the number of intimate partners, talking openly with intimate contacts about recent behaviors, and not sharing bedding, towels and eating or drinking utensils with anyone who does.
Where to Get Vaccinated
Call the DPH Hotline at 1-866-408-1899 to coordinate an over the phone screening evaluation, and to schedule an appointment with a public health clinic.
Beebe Health Care
Individuals can schedule an appointment at beebehealthcare.org/online-scheduling
Newark Urgent Care
Visit NewarkUrgentCare.org to schedule an appointment. Clinics are held on Thursdays.
There are number of measures that can be taken to prevent infection with monkeypox virus:
Cleaning and Disinfecting for Monkeypox
For homes and hospitality industry
Proper cleaning of all exposed items is essential following a case of monkeypox. Poxviruses can survive in linens, clothing and on surfaces. In one study, investigators found live virus 15 days after a patient’s home was left unoccupied. Porous materials (bedding, clothing, etc.) may harbor live virus for longer periods of time than non-porous (plastic, glass, metal) surfaces. People who have recovered from monkeypox and whose isolation period has ended should disinfect all spaces within the home they had been in contact with. Follow the steps below to minimize risk of infection to others in your home after recovery.
Steps For Cleaning After An Infection
Wear protective clothing.
If cleaning and disinfection is done by someone other than the person with monkeypox, that person should wear, at a minimum, disposable medical gloves and a respirator or well fitting mask. Clothing that fully covers the skin should be worn, and immediately laundered. Wash hands with soap and water or use alcohol based hand sanitizer.
Use an EPA recommended disinfectant. Focus on disinfecting items and surfaces that were in direct contact with the skin. Do not dry dust or sweep as this may spread infectious particles.
Wash and sanitize.
Wash sheets, blankets, clothes, and towels.
Delaware Monkeypox Outbreak 2022 Data
|Monkeypox Cases in Delaware|
|Age Group of Positive Cases in Delaware|
|Gender Assigned at Birth of Positive Cases in Delaware|
Monkeypox Vaccine Data in Delaware
|Monkeypox Vaccine Information|
|Persons having received at least one dose of the vaccine||1,410|
|Vaccine vials received by Delaware Public Health||1,348|
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