Experts fear a route of monkeypox transmission is becoming entrenched.
In Britain, 97 per cent of cases of cases are among men who have sex with men. Just 22 patients are women. The UKHSA says sexual networks are the “primary route” of transmission and that there is “no robust evidence” that monkeypox would sustain itself outside of these circles.
That is why Dr Tedros Adhanom Ghebreyesus, head of the WHO, on Wednesday urged men who have sex with men to “reduce your number of sexual partners”, while Prof Francois Balloux, director of the University College London Genetics Institute, said: “It is not a pathogen that has the potential to become an STD in the heterosexual population.”
For instance, although syphilis “could possibly” spread through skin-to-skin contact, the bacteria prefers “mucosal membranes”, such as those found in one’s genitals. Meanwhile, although monkeypox virus has been detected in semen and saliva, it is not yet clear how infectious it is.and 75 people have died this year, has also made experts cautious about categorisations.
For some, calling a spade a spade - and monkeypox an STI - is trivial and something for the textbooks to squabble over. But for others,of a public health response, funneling attention and resources – for better or worse. Dr Emma Harding-Esch, an epidemiologist focused on STIs at the London School of Hygiene and Tropical Medicine, suggested “there’s just not quite enough information on transmission routes at the moment to make a categorisation”, and doing so could have damaging repercussions.
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