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   From: why.democrats@nytimes.com   
      
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   The number of monkeypox cases continues to grow in Central Texas.   
      
   Austin Public Health is now reporting nine confirmed cases of   
   the virus and eight presumptive cases in Travis County.   
   Williamson County and Cities Health District is investigating   
   one presumptive case.   
      
   A presumptive case is one that has a positive test that is   
   awaiting confirmation from the U.S. Centers for Disease Control   
   and Prevention.   
      
   In the U.S., there are now 1,470 confirmed cases of monkeypox,   
   which is a rare viral infection in humans that has a notable   
   rash as its main symptom and a mild to severe flu-like illness.   
      
   Austin Public Health said on Wednesday that monkeypox has   
   reached community spread stage. That means it is no longer   
   confined to people who have traveled outside of the country or   
   have been exposed to someone who has traveled.   
      
   "Monkeypox is a virus that is causing illness in our community   
   and is a growing concern," said Dr. Desmar Walkes, the Austin-   
   Travis County health authority.   
      
   The first presumptive case in Travis County was announced on   
   June 24. Since then, each week more monkeypox cases have been   
   identified. No one as of yet has needed to be hospitalized with   
   monkeypox, she said.   
      
   Who has been getting monkeypox?   
   In Travis County, the cases have been identified predominately   
   in men ages 20 to 45. The cases have not been in clusters   
   confined to any area of the county, Walkes said.   
      
   "It is disproportionately impacting gay and bisexual men," said   
   Dr. Mike Stefanowicz, associate director of sexual health   
   programs at CommUnityCare and who works at the David Powell   
   Health Center, which specializes in HIV care. He said his clinic   
   has diagnosed about half of the cases in Travis County.   
      
   "It's time to be both vocal and vigilant," Stefanowicz said.   
   That means knowing it is in the community and taking   
   precautions, he said. Monkeypox is primarily spread through skin-   
   to-skin contact and fluids, including through sexual activities.   
      
   This is the time to ask questions of potential sexual partners,   
   said Adrienne Sturrup, Austin Public Health director: "Know the   
   facts before deciding to be intimate."   
      
   The numbers in Travis County are reflective of what has been   
   seen nationally and what the CDC has been investigating.   
      
   "It's important to clarify it is not a disease of the gay   
   community," Stefanowicz said. Anyone could get it if they were   
   in contact with the virus, he said.   
      
   "There is spread in our community between people regardless of   
   what group they come from," Walkes said. "We should take   
   precautions at all demographic levels in our community."   
      
   The virus in Austin:Monkeypox now being spread in the community   
      
   Who is most at risk?   
   Like COVID-19, people at higher risk for severe disease are   
   those who are already immune-compromised. This includes people   
   who have HIV.   
      
   Unlike with COVID-19, children younger than 8 also have a higher   
   risk for severe disease.   
      
   Pregnant women are at risk for passing the disease to their   
   fetuses and could be at risk miscarriage.   
      
   Health officials say that if you have monkeypox and touch your   
   rash and then touch other areas of your skin, you could create   
   multiple rash sites. If you touch your eyes, nose or mouth, the   
   disease could create an eye infection or impact respiratory   
   passages and lead to pneumonia. That level of disease could lead   
   to hospitalization.   
      
   How dangerous is monkeypox?   
   There are two kinds of monkeypox. In the U.S., we have the West   
   African version, which is less severe than the Central African   
   version.   
      
   The West African version "is a really mild, self-limiting   
   disease," said Dr. Kristin Mondy, chief of the division of   
   infectious diseases at the University of Texas Dell Medical   
   School.   
      
      
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    * Origin: you cannot sedate... all the things you hate (1:229/2)   
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