The Hawaiʻi Department of Health (DOH) has identified two additional probable cases of monkeypox in Oʻahu residents bringing the total number of Hawaii cases to two confirmed and three probable. DOH has also identified connections between all five people.

“The risk to most Hawaiʻi residents remains low,” said Deputy State Epidemiologist Dr. Nathan Tan in a press release. “Anyone who has close contact with someone with monkeypox is at risk of infection—regardless of who they are, what they do, or if they are sexually active.”

DOH continues to conduct contact tracing and coordinate vaccination and treatment, which can be effective in controlling monkeypox infection.

Monkeypox is a rare disease caused by the monkeypox virus. 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.  The disease can spread through direct contact with body fluids, lesion material, or items used by someone with monkeypox as well as close, prolonged contact with an infected person or animal. Monkeypox can 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, monkeypox cases have been disproportionately reported among gay or bisexual 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.