Mpox (monkeypox) spreads from person to person in different ways. The main way it is currently spreading is through direct contact with a rash or sore on someone infected with mpox. It can also spread through clothing, bedding/linens, or other materials used by a person infected with mpox, or through respiratory secretions during prolonged, face-to-face contact.

Spread can occur during intimate activities, including:

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

We currently believe that mpox spreads from the time symptoms start until the rash has fully healed and a fresh layer of skin has formed. This typically takes about 2-4 weeks. At this time, it is not known if mpox can spread through saliva, semen, or vaginal fluids.

• Review how mpox spreads and whether you have had close contact with someone who has been diagnosed with mpox.
• Practice good prevention. 
• Continue routine daily activities (e.g. school, work) as long as you do not have symptoms but avoid close, personal, skin-to-skin contact
• Avoid sex and other close personal contact
• Avoid large gatherings, especially if they involve close, personal, skin-to-skin contact
• Do not share personal items like towels, bedding, dishes, utensils, or eating utensils
• Get vaccinated. The mpox vaccine is recommended for anyone, regardless of sexual orientation or gender identity, who has been in close, personal contact with someone who has been diagnosed with mpox. Vaccinations can reduce the risk of infection and serious illness for those who have been exposed but are not exhibiting symptoms. Make sure to get the second recommended does 28 days later.
• Watch for signs and symptoms for 21 days from the date of your last exposure. 
• Take your temperature with a thermometer twice a day (morning and night)
• Check for rash or unusual sores that look like pimples or blisters on the face, body, and genitals
• Call your healthcare provider or a health center if you show symptoms or need to be evaluated or tested. There is no at-home test for mpox. The test can only be given to those exhibiting rash symptoms. If you don’t have a doctor or insurance, contact HIV/STI Resource Hub at 844.482.4040 / hivhub.org or visit FindAHealthCenter.hrsa.gov for free or low-cost care.

• Isolate if you or your partner(s) feel sick or have a new or unexplained rash or sores.
  • Isolate in a private room and avoid close contact with other people and animals in your household
  • Take a break from sex and other close personal contact
  • Do not share personal items like towels, bedding, dishes, utensils, or eating utensils
  • Use a face mask and cover rash and sores when you are unable to separate from others
• Call your health care provider or a health center right away if you or your partner(s) show signs and symptoms of mpox. If you don’t have a doctor or insurance, contact HIV/STI Resource Hub at 844.482.4040 / hivhub.org or visit FindAHealthCenter.hrsa.gov for free or low-cost care.
• Get tested through your healthcare provider. There is no at-home test for mpox. The test can only be given to those exhibiting rash symptoms.
• Let close contacts know they may have been exposed to mpox. Communication is the key to controlling this outbreak.
• Take care of yourself and follow recommended treatments. Most people with mpox recover fully within 2 to 4 weeks without the need for medical treatment.