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Just over a month after Quebec declared an end to its mpox outbreak, officials have confirmed two more cases in the Montreal area.

Montreal public health says the two positive test results date to March 17. Both individuals are men who have sex with men (MSM) "who acquired the disease through sexual contact while travelling in countries where local transmission is documented," a statement from public health reads.

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Monkeypox is on the rise in Quebec as reported cases of the illness increase to a total of 331.

In a matter of weeks, Quebec's reported cases of monkeypox jumped by 110 — making it the epicentre of the virus in Canada.

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On July 23, the World Health Organization officially declared monkeypox a global health emergency.

The last time the WHO declared an outbreak a global health emergency was with COVID-19 on January 30, 2020. However, things are looking different with monkeypox.

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In only a matter of weeks, the number of monkeypox cases has skyrocketed in Quebec and the rest of Canada.

The province remains the Canadian epicentre of the monkeypox virus as Quebec officially reached a total of 211 cases as of July 6, 2022 — an increase of 209 cases in a matter of a month.

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As of June 13, Quebec has had a total of 132 monkeypox cases. With the aim of easing or even preventing symptoms in case of infection, officials have begun offering the monkeypox vaccine to specific groups, including men who have more than one male sexual partner.

The people who are eligible for the vaccine are, according to Montreal public health:

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Of the 77 confirmed monkeypox cases in Canada, 71 are in Quebec and the others are split between Ontario (6) and Alberta (1). The first two cases of the rare disease were confirmed in the province mid-last month.

Monkeypox shows symptoms similar to smallpox, including fever, fatigue, and a facial/genital rash with pus-filled lesions. The virus is usually endemic in parts of Africa with tropical rainforests, where wild animals with the virus are more likely to come in contact with humans. It is uncommon for people outside of those regions to catch monkeypox, which makes it especially unusual that Canada is one of 30 non-endemic countries where the viral disease has now spread.

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The Public Health Agency of Canada has confirmed 15 cases of monkeypox in the country, over a dozen of which have been recorded in Montreal. The city has 13 confirmed cases of the rare infection and is now investigating 14 more. The monkeypox virus causes face and genital lesions and has never before spread outside of western Africa in such numbers.

"Samples from other jurisdictions in Canada are on the way to PHAC’s National Microbiology Laboratory for testing and we expect more cases to be confirmed in the coming days," Health Minister Jean-Yves Duclos said in a statement.

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A rare viral illness called monkeypox is popping up in Quebec, Canada, and the United States.

Over a dozen cases have been reported in the belle province and are under investigation by the Ministry of Health and Social Services (MSSS). Disease symptoms are similar to those seen in smallpox patients, although milder, and include fever, fatigue, and a pus-filled rash that often starts on the face and can spread to genitalia.

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