Public health officials are tracking multiple cases of monkeypox that have been reported in several countries that don’t normally report monkeypox including the United States. A global map is available at: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html


For US case counts visit: https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html


Early data suggest that gay, bisexual, and other men who have sex with men make up a high number of cases. However, anyone who has been in close contact with someone who has monkeypox is at risk.

Cases by Region

Updated 8/10/22 07:45


Symptoms of monkeypox can include:

  • Fever
  • Headache
  • Muscle aches and backache
  • Swollen lymph nodes
  • Chills
  • Exhaustion 
  • A rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

The rash goes through different stages before healing completely. The illness typically lasts 2-4 weeks. Sometimes, people get a rash first, followed by other symptoms. Others only experience a rash.

How it Spreads

The virus can spread from person-to-person through:

  • direct contact with the infectious rash, scabs, or body fluids
  • respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex

Health care providers

  • A high index of suspicion for monkeypox is warranted when evaluating people with the characteristic rash, particularly for the following groups:
    • men who report sexual contact with other men and who present with lesions in the genital/perianal area,
    • people reporting a significant travel history in the month before illness onset or
    • people reporting contact with people who have a similar rash or have received a diagnosis of suspected or confirmed monkeypox. 
  • Clinicians suspecting monkeypox infection should immediately contact IDPH
    • During business hours call: (800) 362-2736
    • After hours call: (515) 323-4360 (the Iowa State Patrol will contact the epidemiologist on call)

Monkeypox Specimen Collection Guidance

Specimen collection guidance document PDF



Iowa Department of Public Health
Lucas State Office Building
321 E. 12th Street - Des Moines, IA 50319-0075
Phone: (515) 281-7689
Deaf Relay: (Hearing or Speech Impaired) 711 or 1-800-735-2942

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