Monkeypox Rash


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Monkeypox is a rare illness that causes rash, chills, and fever. It is caused by the monkeypox virus, which belongs to the same family of viruses as smallpox.



What is monkeypox?

Monkeypox is a reportable disease in Oklahoma as an unusual condition. Monkeypox is a rash that can look like pimples or blisters on the face, the inside of the mouth, hands, feet, chest, genitals, or anus. Monkeypox infections are typically not severe; symptoms are usually similar to the flu with a rash and resolve within 2-4 weeks.

The general population is currently at low risk for contracting monkeypox, but careful surveillance of the outbreak by the public health and health care sectors is needed. Medical providers should be on alert for any patient who is experiencing a rash that is characteristic of monkeypox and follow CDC guidelines on next steps, including infection control, testing, and reporting.

    According to CDC and other public health laboratory officials, current U.S. testing capacity is sufficient, but capacity is being added in commercial and public health laboratories in case it is needed.

    How is monkeypox spread?

    Monkeypox spreads in different ways. 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
    • touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
    • pregnant people can spread the virus to their fetus through the placenta

    Any person, regardless of gender identity or sexual orientation, can acquire and spread monkeypox. Currently, a large proportion of the known monkeypox cases are among men who have sex with men.

    Traveling to a country currently experiencing an outbreak could increase your risk of contracting monkeypox. If you are planning international travel, check that country’s infection rate on the WHO website. If necessary, consult your doctor about getting a monkeypox vaccination before traveling, or if you have been exposed. 

    The spread of monkeypox is different than the early stages of the COVID-19 pandemic:

    • There is  a vaccine for monkeypox, and can be effective if given shortly after potential exposure.  The vaccine supply is currently limited to individuals who have been identified as potentially having high risk contact to an individual with monkeypox.
    • Monkeypox can be treated with available antiviral medicines.
    • While COVID-19 passed easily from person to person, monkeypox does not spread as easily between people. Monkeypox transmission typically requires skin-to-skin contact, direct contact with body fluids, or prolonged, close face-to-face contact.


    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.

    What to do if you have symptoms or have been exposed

    If you are concerned about having monkeypox symptoms or exposure, please contact the THD Epi-on-Call, 918-595-4399 or your healthcare provider for advice, testing and medical care. Recommendations for testing &/or vaccination will be provided based on the screening and assessment by THD epidemiologists. Self-isolate away from others to protect them from infection. Cover all possible blisters.

    If you have been exposed, monitor yourself for symptoms for 21 days from exposure. If symptoms develop, self-isolate away from others and contact the THD Epi-on-Call or your healthcare provider for advice and testing. 

    Prevention Steps

    Monkeypox Vaccination Eligibility

    The CDC has provided criteria for eligibility of the JYNNEOS vaccine. The Tulsa Health Department, the Oklahoma State Department of Health (OSDH), and partners are following this criteria.

    Take the following steps to prevent getting monkeypox:

    • Avoid close, skin-to-skin contact with people who have a rash that looks like monkeypox.
    • Do not touch the rash or scabs of a person with monkeypox.
    • Do not kiss, hug, cuddle or have sex with someone with monkeypox.
    • Do not share eating utensils or cups with a person with monkeypox.
    • Do not handle or touch the bedding, towels, or clothing of a person with monkeypox.
    • Wash your hands often with soap and water or use an alcohol-based hand sanitizer.
    • In Central and West Africa, avoid contact with animals that can spread monkeypox virus, usually rodents and primates. Also, avoid sick or dead animals, as well as bedding or other materials they have touched.

    If you are sick with monkeypox:

    • Isolate at home
    • If you have an active rash or other symptoms, stay in a separate room or area away from people or pets you live with, when possible.

    The CDC recommends that condom use may help lower the risk of exposure. The Tulsa Health Department strives to provide accurate information as well as steps and resources individuals can take to reduce their risk of exposure.  

    Individuals may ask for a brown bag that contains free condoms at any of the THD clinic locations. Ending HIV Oklahoma also provides free condoms via mail order, you must be an Oklahoma resident age 13 and older. Condoms and lube will be sent in discreet packaging to the address provided.

    Monkeypox Fact Sheets
    Additional Monkeypox Resources

    Monkeypox (Oklahoma State Department of Health)

    Monkeypox (CDC)

    Monkeypox (Medline Plus)