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What does ‘spread by skin to skin contact’ mean with monkey pox?

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I keep reading the one of the ways monkey pox is transmitted is by ‘skin to skin’ contact.

This seems like an ambiguous statement. For instance does it go through the skin, do you need to have a cut or bruise too, does it live on your skin and then it might find its way in somewhere else? 

can someone please give me a bit of insight in the meaning of ‘skjn to skin contact’ and the mechanism for transmission?

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Transmission occurs when an individual comes into contact with the virus from an animal, human, or materials contaminated with the virus. The virus enters the body through broken skin (even if not visible) or the respiratory tract (eyes, nose, or mouth). Human-to-human transmission is thought to occur primarily through large respiratory droplets requiring prolonged face-to-face contact.




Human-to-human transmission can result from close contact with respiratory secretions, skin lesions of an infected person or recently contaminated objects. Transmission via droplet respiratory particles usually requires prolonged face-to-face contact, which puts health workers, household members and other close contacts of active cases at greater risk.


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