The Hawaiʻi Department of Health (DOH) identified two additional monkeypox cases which bring the statewide total to 8.

One of the newly diagnosed individuals is a Hawaiʻi Island resident with a history of mainland travel while the other is an Oʻahu resident.  Connections to previously reported cases are under investigation.

DOH continues to conduct contact tracing and coordinate vaccination and treatment.  At this time, DOH is using Hawaiʻi’s limited vaccine allocation to vaccinate close contacts of people known to have monkeypox, and for people who may have had high-risk exposures in areas where monkeypox is actively spreading. DOH is arranging statewide vaccine distribution and administration as vaccines are not available through healthcare providers at this time.

While most people diagnosed with monkeypox experience mild to moderate illness, the rash and sores can be itchy and painful. Infection begins with flu-like symptoms such as fever, headache, muscle aches, chills, exhaustion, and swollen lymph nodes. Infection progresses to a rash or sores, often on the hands, feet, chest, face, or genitals. Individuals generally become ill within 21 days of exposure.

Monkeypox is mainly spread through close, intimate contact with body fluids, lesion material, or items used by someone with monkeypox. Monkeypox may be spread through large respiratory droplets. These droplets generally cannot travel more than a few feet, so prolonged face-to-face contact is required.  Individuals with monkeypox symptoms, including flu-like symptoms, swollen lymph nodes, or new or unexplained rash or sores, should immediately contact their healthcare provider.

Nationwide, the current cases are primarily spreading among social networks of gay, bisexual, and other men who have sex with men. In Hawaiʻi, at least some of the cases have been reported among gay or bisexual men. However, anyone who has close contact with someone with monkeypox is at risk of infection, regardless of sexual orientation or gender identity.