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   From: why.democrats@nytimes.com   
      
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   The Metro Nashville Public Health Department has identified a   
   fourth presumptive case of monkeypox in Davidson County.   
      
   The department has not yet identified where this Davidson County   
   resident was infected, though the other three patients were   
   likely infected outside of Tennessee.   
      
   None of the four have required hospitalization, said health   
   department spokesperson Matthew Peters. Investigators are   
   reaching out to all people who have may have had close contact   
   with them.   
      
   For now, it's unclear if the virus is spreading throughout the   
   state.   
      
   "We know that there will be more cases," said Dr. Joanna Shaw-   
   KaiKai, an infectious disease specialist with the department.   
   "But monkeypox is not as easily transmitted as other infections   
   like, let's say, COVID. So we can take comfort in that it's   
   probably not going to be a rapid spread."   
      
   First Tennessee case:Monkeypox in Nashville: Officials report   
   first case in Davidson County resident   
      
   Related coverage:Monkeypox in Nashville: Two new cases reported   
   this weekend   
      
   Here's what we know so far about the 2022 monkeypox outbreak.   
      
   What is monkeypox?   
   Monkeypox has historically been a rare disease in the same   
   family of viruses that causes smallpox but is far less   
   dangerous. In fact, unlike smallpox, monkeypox is rarely fatal.   
      
   According to the World Health Organization, monkeypox is often   
   transmitted from animals to humans and has usually appeared in   
   central and west Africa, commonly near rainforests. Prior to   
   this year's outbreak, monkeypox was largely seen only in   
   individuals who had traveled to countries where the virus was   
   spreading.   
      
   Symptoms can include fever, headache, muscle and backache,   
   swollen lymph nodes, chills and exhaustion, according to the   
   Centers for Disease Control and Prevention. Monkeypox can also   
   cause rashes that look like pimples or blisters that may appear   
   on the face, inside the mouth and on other parts of the body.   
      
   Illnesses generally last between two to four weeks. Sometimes   
   people get a rash before other symptoms. Other times people only   
   get a rash.   
      
   It's not easily spread   
   Unlike COVID-19, monkeypox is not spread through casual contact.   
   Nor is it easily spread in the air.   
      
   According to the CDC, it is primarily spread through direct   
   contact with infectious rashes, scabs or body fluids. It can   
   also be transmitted through respiratory secretions during   
   prolonged face-to-face contact and/or intimate physical contact,   
   the CDC says.   
      
   It may be contracted by touching clothes that came into contact   
   with infectious rashes or body fluids. Infected pregnant women   
   may also spread the virus to their fetuses.   
      
   Monkeypox is transmissible from the time symptoms start until   
   rashes are fully healed and new skin has formed.   
      
   People who do not have symptoms cannot spread the virus to   
   others. Scientists do not know if it can spread through semen or   
   vaginal fluids, according to the CDC.   
      
   How is it treated?   
   According to the CDC, there are no treatments specifically   
   designed for monkeypox.   
      
   But antivirals, such as tecovirimat, and vaccines developed for   
   smallpox may be used to treat people at serious risk of   
   complications like people with compromised immune systems.   
      
   Tennessee has "a limited" supply of the vaccine and is not yet   
   considering any widespread vaccinations, said Peters of the   
   Metro Health Department.   
      
   The Biden administration announced last month that it was   
   shipping 56,000 doses of vaccine to the states with priority   
   given to "jurisdictions with the highest number of cases and   
   population at risk."   
      
   A federal website tracking distribution indicates that Tennessee   
   has received a total of 22 doses.   
      
   Vaccines, for now, are limited to those who have had close   
   contact to the infected and those who work in a lab with the   
   virus, according to the department.   
      
   Fortunately, the 2022 outbreak in the United States appears to   
   be a mild form of the disease.   
      
      
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