Read on Twitter
BREAKING—The first confirmed case of #monkeypox in the United States this year just confirmed in a Boston individual who recently travelled to Canada, officials said, as concern rises over the spread of the infectious virus in multiple countries, now US.https://globalnews.ca/news/8846024/canada-us-monkeypox-cases/
2) Earlier, #monkeypox outbreaks reported in UK, Spain, and Portugal. And now in North America it seems maybe in Canada 
(likely source of Boston case) and in US. See thread 
for full details. 
https://twitter.com/DrEricDing/status/1526929873419354113
(likely source of Boston case) and in US. See thread for full details. https://twitter.com/DrEricDing/status/1526929873419354113
3) The department did not say where in Canada the man travelled to or when. Contact tracing is ongoing.
However, Dr. Don Vinh, a microbiologist at McGill University in Montreal, told Global News he was aware of **at least seven suspected cases of the virus, all in Montreal**.
However, Dr. Don Vinh, a microbiologist at McGill University in Montreal, told Global News he was aware of **at least seven suspected cases of the virus, all in Montreal**.
4) Based on findings of case and recent cases in the UK, clinicians should consider a diagnosis of monkeypox in people who present with an otherwise unexplained rash and 1) traveled, in the last 30 days, to a country that has recently had suspected cases…
https://www.mass.gov/news/massachusetts-public-health-officials-confirm-case-of-monkeypox
https://www.mass.gov/news/massachusetts-public-health-officials-confirm-case-of-monkeypox
5) “2) report contact with a person or people with confirmed or suspected monkeypox, or 3) is a man who reports sexual contact with other men. This clinical guidance is consistent with recommendations from UK health officials and US health officials, based on identified cases.”
6) the Smallpox vaccine works against #monkeypox. But the problem is practically no one under age ~45 in the US has the vaccine since smallpox was eradicated. https://twitter.com/DrEricDing/status/1526940218779115521
7) and those who have the smallpox vaccine from the 1970s and earlier likely need a revaccination. CDC says protection isn’t reliable against monkeypox if not within last 3 years — which is EVERYONE. https://twitter.com/DrEricDing/status/1526940518575398914
8) there are 2 major clades of #monkeypox - own with ~10% case fatality ratio and one with 1%. We don’t know which subtype exactly all the global monkeypox cases are. But we should be precautions. 1% CFR is still but high. https://twitter.com/DrEricDing/status/1526960411018420229
9) Gosh, 13 potential cases of monkeypox in Montreal suddenly. For a “not so infectious virus” that we “rarely see”, that’s pretty infectious and not rare. https://ici.radio-canada.ca/nouvelle/1884547/orthopoxvirose-simienne-monkeypox-maladie-sante-publique-quebec-canada
10) to be clear, I do not like that articles are now portraying monkeypox as some STD or LGBT disease. It’s very weird and it’s not scientific at all. LGBT populations often have better testing and could just be finding it faster than others. Let’s not shame LGBT. https://twitter.com/DrEricDing/status/1526965279212851201
