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   From: why.democrats@nytimes.com   
      
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   Monkeypox in Travis County has now reached the level of   
   community spread, local public health officials said Wednesday.   
      
   Austin Public Health has confirmed six monkeypox cases, which   
   means the positive cases also have been confirmed by the   
   national Centers for Disease Control and Prevention. Austin   
   Public Health also has identified seven presumptive cases, which   
   means the person has tested positive, but the case hasn't yet   
   been confirmed by the CDC.   
      
   That tally is up from one confirmed case and five presumptive   
   cases last week. The first presumptive case in Travis County was   
   reported June 24. Texas now has 39 confirmed cases, and the   
   United States has 929 as of Tuesday.   
      
   Austin Public Health will be providing updates on the monkeypox   
   cases every Thursday.   
      
   What is community spread?   
   Community spread means that people have been infected with the   
   virus without traveling to a high-risk area or being in contact   
   with someone who has traveled to a high-risk area, said Dr.   
   Manish Naik, an internal medicine doctor at Austin Regional   
   Clinic.   
      
   Community spread with monkeypox "is not a reason to panic or   
   raise a huge level of concern," he said. "It doesn't mean that   
   it's starting to spread in an airborne fashion."   
      
   We should not ignore monkeypox, though, because there are things   
   we can do.   
      
   "We need to be safe and follow practices we’ve learned from   
   COVID-19 to prevent the spread of monkeypox here in our   
   community,” said Dr. Desmar Walkes, Austin-Travis County health   
   authority. “Try to reduce close, intimate interactions with   
   those whose health history you’re unaware of. Use hand   
   sanitizer, and wear masks when in close quarters with others who   
   have symptoms.”   
      
   Is this another COVID-19?   
   Monkeypox also won't rise to the level of another pandemic, Naik   
   said. Monkeypox is not spread through the air though respiratory   
   droplets like COVID-19. It is also not as infectious.   
      
   "This virus is much more difficult to contract than a typical   
   cold virus or COVID-19," Naik said.   
      
   The monkeypox cases are coming at the same time Travis County   
   remains in the "medium" level for COVID-19 and has watched COVID-   
   19 cases rise in the past month. The transmission rate has been   
   above 200 for the past two weeks, including 280.07 cases per   
   100,000 people last Thursday, the last time that number was   
   updated by the CDC. There are now 143 people hospitalized with   
   the coronavirus, 24 in intensive care units and four people on   
   ventilators in the Austin area.   
      
   Bastrop, Hays, Williamson and Caldwell counties are also   
   considered at the medium level for COVID-19 transmission.   
      
   Naik is much more concerned about COVID-19, than monkeypox.   
   Recently, 30% to 35% of the COVID-19 tests Austin Regional   
   Clinic are running have come back as positive, he said. People   
   who suspect they have COVID-19 should get tested because there   
   are medications they can take to lessen their symptoms and   
   prevent a severe infection or hospitalization.   
      
   Who can get monkeypox?   
   Monkeypox can spread to anyone regardless of travel history and   
   sexual orientation. It is no longer being seen in only people   
   who have traveled. The CDC has seen more cases in men who have   
   had sex with other men, but it is not isolated to that   
   population.   
      
   Part of the challenge of monkeypox is that there is a lot we   
   don't yet know, including why certain populations have been more   
   affected by it, Naik said. If an outbreak in a group of people   
   has been identified, preemptive treatment such as vaccinations   
   and education can be targeted for that group, Naik said.   
      
   "With all of these things, we learn more as time goes on," he   
   said.   
      
   Getting diagnosed is important, regardless of how a person   
   thinks they might have gotten it.   
      
   “Stigma and blame undermine trust and capacity to respond   
      
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