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Monkeypox (Orthopoxvirus)

Go to: Transmission | Prevention | Symptoms | Vaccination

Cases in NYC

As of July 26, 1,092 people in New York City have tested positive for orthopoxvirus/monkeypox. Cases in NYC are increasing, and there are likely many more cases that have not been diagnosed.

Anyone can get and spread monkeypox. The current cases are primarily spreading among social networks of gay, bisexual and other men who have sex with men (MSM). If you are an MSM and have multiple or anonymous sex partners, your likelihood of exposure is high.

If you have a new or unexpected rash or sores, contact a health care provider.

The following data, which has a two-day reporting lag, will be updated weekly:


If you are a health care provider, see Monkeypox Information for Providers.

Vaccination Appointments

Note: All available appointments have been filled at this time, but some may become available again due to cancellations or rescheduling.


Monkeypox Vaccination Appointments

 

Vaccine supply remains low. NYC is receiving a limited number of doses from the federal government, and we are making them available to New Yorkers as quickly as possible.

Second Doses

People should get the second dose of the two-dose vaccine at least four weeks after the first dose. You will start to build protection in the days and weeks after your first dose, but you will not have full immunity from the vaccine until two weeks after the second dose.

New York City is currently prioritizing first doses to get more people protected while the vaccine supply is low. If you have received the first dose, you will be contacted about scheduling the second dose in the coming weeks. If necessary, you can wait longer than four weeks between doses.

To get text alerts about vaccination appointments and other monkeypox updates for NYC, text “MONKEYPOX” to 692-692.

Testing

If you have symptoms of monkeypox, you should see a health care provider for testing. If you do not have a provider, call 311 or search the NYC Health Map. You should only get tested for monkeypox if you are experiencing symptoms.

Testing involves a provider taking a swab of a sore. Only your provider — not the Health Department — can give you the test result. While you are waiting for your test result, which can take a few days, isolate from others.



Monkeypox is a contagious disease caused by the monkeypox virus. There is currently an outbreak of monkeypox in the U.S. and other countries where the virus does not usually spread.


Transmission

The monkeypox virus is most often spread through direct contact with a rash or sores of someone who has the virus. It can also spread through contact with clothing, bedding and other items used by a person with monkeypox, or from respiratory droplets that can be passed through prolonged face-to-face contact.

Transmission can happen during sex or other intimate activities, including:

  • Oral, anal and vaginal sex
  • Hugging, kissing, cuddling and massage
  • Coming in contact with bedding or other items that have the virus on them during or after intimate activity.

At this time, it is not known if monkeypox can spread through saliva, semen, vaginal fluids or feces.


Prevention

To reduce the chance of getting and spreading monkeypox:

  • If you or your partners are sick, especially if you or they have a new or unexpected rash or sore, do not have sex or close physical contact. Avoid clubs, parties or gatherings until you have talked to a health care provider.
  • If you choose to have sex while sick, avoid kissing and other face-to-face contact. Also, cover all sores with clothing or sealed bandages. This may help reduce — but not eliminate — the risk of transmission.
  • Wash your hands, sex toys and bedding before and after sex or other intimate activities.

When making plans, consider the level of risk. Having sex or other intimate contact with multiple or anonymous people (such as those met through social media, dating apps, or at parties) increases your risk of exposures. Clubs, raves, saunas, sex parties and other places with skin-to-skin or face-to-face contact with many people may also increase your risk of exposure, especially if people are wearing less clothing. For gay, bisexual and other men who have sex with men, these activities currently put them at high risk for exposure.


Symptoms

Six images of lesions to help identify monkeypox rash
Photo credit: UK Health Security Agency

Symptoms usually start within two weeks of exposure, but in some cases they may not appear for up to 21 days.

The most common symptom is a rash or sores that can look like pimples or blisters. These may be all over the body or just in certain parts, such as the face, hands or feet, as well as on or inside the mouth, genitals or anus. The rash and sores can be extremely itchy and painful and may interfere with daily activities. Symptoms can last for two to four weeks.

Complications can include inflammation of the lining of the rectum (proctitis), or sores that could result in scarring of the eye, mouth, anus or urethra.

Some people also have flu-like symptoms, such as fever, swollen lymph nodes, headache, and tiredness. These symptoms can occur before or at the same time as the rash or sores.

If you think you have symptoms, separate from others and contact a health care provider for evaluation.

If You Have Symptoms

A person is contagious until all sores have healed and a new layer of skin has formed, which can take two to four weeks.

If you start experiencing symptoms, isolate from others immediately and talk to your health care provider. If you do not have a health care provider, call 311 or search the NYC Health Map. A provider will check your symptoms and may order testing.

The following may increase your risk for severe disease if you are infected: HIV; other conditions that weaken your immune system; and a history of atopic dermatitis or eczema. If you have one of these conditions, it is especially important to see a provider right away, if you have symptoms.

To protect others while you are sick:

  • Avoid sex or being intimate with anyone until you have been checked by a provider.
  • Stay home and separate from other people in your household.
  • If you cannot fully separate from others in your household, wear a face mask and avoid physical contact. Wear clothing that covers your lesions when in shared spaces.
  • If you must leave home for essential needs or medical care, cover your rash and lesions with clothing and wear a face mask.
  • Do not share or let others touch your clothing, towels, bedding or utensils. Do not share a bed.
  • Do not share dishes, food, drink or utensils. Wash dishes with warm water and soap or in a dishwasher.
  • Wash your hands and clean shared surfaces, such as countertops and doorknobs, often. Household members should also wash their hands often, especially if they touch materials or surfaces that may have come in contact with lesions.

There is no specific treatment approved for monkeypox. Most people get better on their own without treatment. However, antivirals for smallpox may help. Your provider will help you find out if you are eligible for antiviral treatment. They may be able to prescribe medicine and provide information about symptom relief.


Vaccination After Possible Exposure

Eligible New Yorkers who may have been recently exposed to monkeypox can get the JYNNEOSTM vaccine. Vaccination is free and available regardless of immigration status.

Getting vaccinated after a recent exposure may reduce the chance of you getting monkeypox, and it can reduce symptoms if you do get it.

People should get two doses, at least four weeks apart.

Vaccine Eligibility

Eligibility for monkeypox vaccination may change as the outbreak evolves and based on vaccine supply.

People who meet all of the following conditions can now be vaccinated:

  • Gay, bisexual, or other man who has sex with men, and/or transgender, gender non-conforming, or gender non-binary
  • Age 18 or older
  • Have had multiple or anonymous sex partners in the last 14 days

If you had monkeypox, then you likely have some protection against another infection and are currently not eligible to be vaccinated.

People who have been informed by the Health Department that they are a close contact of someone with monkeypox should also get vaccinated.

If you are eligible to be vaccinated, you should especially consider getting vaccinated if:

  • Your partners are showing symptoms of monkeypox, such as a rash or sores.
  • You met recent partners through online applications or social media platforms (such as Grindr, Tinder or Scruff), or at clubs, raves, sex parties, saunas or other large gatherings.
  • You have a condition that may increase your risk for severe disease if infected with monkeypox virus, such as HIV or another condition that weakens your immune system, or you have a history of atopic dermatitis or eczema.

How to Get Vaccinated

If you have been informed by the Health Department that you are a close contact of someone who has monkeypox, we will provide you with instructions about where to get vaccinated. Do not make a vaccination appointment yourself.

People vaccinated at an NYC Health Department clinic will be contacted about scheduling a second dose appointment in the coming weeks.

Note: All available appointments have been filled at this time, but some may become available again due to cancellations or rescheduling.


Monkeypox Vaccination Appointments

 

For more information about monkeypox, call 311.


Additional Resources