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An outbreak of the monkeypox virus in North America and Europe is primarily spreading through sex among men with about 200 confirmed and suspected cases.
It brings the total number of infections to 57, say UK health officials.
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The U.S. is investigating four presumed cases of monkeypox in addition to the confirmed case out of Massachusetts, the Centers for Disease Control and Prevention said Monday.
The CDC says many patients have a distinctive monkeypox rash around their genitals, and UK officials report 36 new infections.