Spain and Brazil report first monkeypox-related deaths outside Africa

Spain is one of the world's worst-hit countries, with 4,298 people there infected with the virus, according to the health ministry's emergency and alert coordination centre.

"Among the 3,750 patients ... 120 have been hospitalised and two have died," the Spanish health ministry said in a report.

In Brazil, a 41-year-old man died of monkeypox, local authorities said on Friday.

The man, who local media said had serious immune system problems, died on Thursday in Belo Horizonte, the capital of the southeastern Minas Gerais state.

He "was receiving hospital treatment for other serious conditions", the state health ministry said in a statement.

"It is important to underline that he had serious comorbidities, so as not to spread panic in the population. The death rate is very low" for monkeypox, said Minas Gerais health secretary Fabio Baccheretti, who added that the patient was undergoing cancer treatment.

A global health emergency

Brazil's health ministry has recorded close to 1,000 monkeypox cases, mostly in Sao Paulo and Rio de Janeiro states, which are also in the country's southeast.

Early signs of the disease include a high fever, swollen lymph glands and a chickenpox-like rash.

The World Health Organization (WHO) last Saturday declared the monkeypox outbreak a global health emergency.

According to the WHO, more than 18,000 cases have been detected throughout the world outside of Africa since the beginning of May.

The disease has been detected in 78 countries, with 70 percent of cases found in Europe and 25 percent in the Americas, WHO chief Tedros Adhanom Ghebreyesus said on Wednesday.

As cases surge globally, the WHO on Wednesday called on the group currently most affected by the virus – men who have sex with men – to limit their sexual partners.

Ghebreyesus told reporters that the best way to protect against infection was "to reduce the risk of exposure".

"For men who have sex with men, this includes, for the moment, reducing your number of sexual partners, reconsidering sex with new partners, and exchanging contact details with any new partners to enable follow-up if needed," he said.

The disease usually heals by itself after two to three weeks, sometimes taking a month.

A smallpox vaccine from Danish drugmaker Bavarian Nordic, marketed under the name Jynneos in the United States and Imvanex in Europe, has also been found to protect against monkeypox.

(FRANCE 24 with AFP)