Monkeypox primarily spreads through close contact with infectious sores, lesions and bodily fluids.

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Monkeypox primarily spreads through close contact with infectious sores, lesions and bodily fluids. It can also spread through respiratory droplets during face-to-face contact. The most likely route of transmission in the current outbreak appears to be close skin-to-skin contact and close respiratory contact during sexual activity. Many cases in the recent outbreak have been traced back to sex at two raves in Spain and Belgium. The vast majority of patients include men who have sex with men.

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