Monkeypox in Ohio
Update 2022-08-12: The Hamilton County Health Department now has a page about monkeypox with symptoms and isolation guidance, as well as options for vaccination, testing, and treatment–look for “complete our monkeypox vaccine registration”. The Cincinnati Health Department is also offering vaccines for high-risk groups. People in Hamilton County without a primary care physician who have symptoms can also call call 513-357-7320 for the Cincinnati city health clinic.
If you’re a gregarious gay man like me you’ve probably heard about monkeypox. Monkeypox is an orthopoxvirus which causes, in addition to systemic symptoms, lesions on the skin and mucosa. It’s transmitted primarily through skin-to-skin contact, though close-range droplet and fomite transfer are also possible. The current outbreak in industrialized nations is almost entirely among gay, bisexual, and other men who have sex with men (GBMSM); likely via sexual networks. In the UK, for example, 99% of cases are male and 97% are among GBMSM. Ontario reports 99% of cases are in men. In New York 99% of cases are in men who have sex with men. For a good overview of what monkeypox looks like, how it’s spread, and ways we can reduce transmission, check out San Francisco Leathermen’s Discussion Group’s presentation by MPH Frank Strona.