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In recent years, the disease has been fatal in up to 6% of infections, but no deaths have been reported among the current cases. Vaccines against smallpox, a related disease, are also effective in preventing monkeypox and some antiviral drugs are being developed. Most people recover from the disease within several weeks without requiring hospitalization. It can be spread through close contact with an infected person or their clothing or bedsheets, but sexual transmission has not yet been documented. Monkeypox typically causes fever, chills, rash, and lesions on the face or genitals. Heymann chaired an urgent meeting of WHO’s advisory group on infectious disease threats on Friday to assess the ongoing epidemic and said there was no evidence to suggest that monkeypox might have mutated into a more infectious form. Enrique Ruiz Escudero said authorities are investigating possible links between a recent Gay Pride event in the Canary Islands, which drew some 80,000 people, and cases at a Madrid sauna. Madrid’s senior health official said on Monday that the Spanish capital has recorded 30 confirmed cases so far. On Monday, Denmark announced its first case, Portugal revised its total upwards to 37 and Italy reported one further infection. To date, WHO has recorded more than 90 cases of monkeypox in a dozen countries including Britain, Spain, Israel, France, Switzerland, the U.S. The four confirmed cases in Germany have been linked to exposure at "party events including on Gran Canaria and in Berlin, where sexual activity took place," it said.
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A German government report to lawmakers, obtained by the AP, said it expected to see further cases and that the risk of catching monkeypox "mainly appears to lie with sexual contacts among men."