Mpox Transmission in Sexual Networks Identified

UKHSA reported clade Ib mpox cases in Spain, Italy, Portugal, Netherlands, and US.
Some cases had no travel history, indicating transmission within sexual networks.
UK has 16 clade Ib mpox cases, all in England.
Vaccination is 75-80% effective against clade II and protects against clade Ib.
Importation risk rose to high, but transmission remains low to medium.
Richard Angell advises vaccination for travelers and eligible groups.
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