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Joan Stephenson, PhD

JAMA. 2003;290:23-24.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It is a scenario that has become all too familiar in recent years: an exotic microbe, aided by human travel and commerce, erupts in a new setting. In 1999, it was the West Nile virus. Earlier this year, severe acute respiratory syndrome (SARS) exploded on the world's stage. And last month, the first cases of monkeypox, a viral disease related to smallpox—but less deadly and less infectious—appeared in the Western hemisphere (see "From the Centers for Disease Control and Prevention" [CDC] article on page 30 in the printed journal).

Monkeypox is a rare zoonotic viral infection that occurs primarily in Central and West Africa. In those areas, limited person-to-person spread of the virus has been observed in household settings .

By June 13, at least 81 confirmed or possible cases of monkeypox infection in humans had been reported in four states—Wisconsin, Indiana, Illinois, and New Jersey. About . . . [Full Text of this Article]

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