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Typically, the virus causes fever, chills, rash and lesions on the face or genitals. The monkeypox cases so far have been mild, with no deaths reported. Enrique Ruiz Escudero said authorities are investigating possible links between a recent Gay Pride event in the Canary Islands, which drew some 80,000 people, and cases at a Madrid sauna. Madrid's senior health official said Monday that the Spanish capital had 30 confirmed cases. where sexual activity took place" in Spain's Canary Islands and in Berlin, according to a government report to lawmakers obtained by the AP. Germany has four confirmed cases linked to exposure at "party events. On Monday, Denmark announced its first case, Portugal revised its total upwards to 37, Italy reported one further infection and Britain added 37 more cases. To date, WHO has recorded more than 90 cases of monkeypox in a dozen countries including Canada, Spain, Israel, France, Switzerland, the U.S. On Monday, the European Centre for Disease Prevention and Control Director Andrea Ammon said "the likelihood of further spread of the virus through close contact, for example during sexual activities among persons with multiple sexual partners, is considered to be high." "By nature, sexual activity involves intimate contact, which one would expect to increase the likelihood of transmission, whatever a person's sexual orientation and irrespective of the mode of transmission," said Mike Skinner, a virologist at Imperial College London. Scientists say it will be difficult to disentangle whether the spread is being driven by sex or merely close contact. Health officials say most of the known cases in Europe have been among men who have sex with men, but anyone can be infected through close contact with a sick person, their clothing or bedsheets. That marks a significant departure from the disease's typical pattern of spread in central and western Africa, where people are mainly infected by animals like wild rodents and primates and outbreaks have not spilled across borders.
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