Monkeypox — The Good News and the Bad News

Jane Jewell • August 30, 2022


We’ve done it again! After leading the world with the highest number of covid-19 cases over the past two years, the United States now leads the world in the number of monkeypox cases.

 

As of August 26, 2022, the Center for Disease Control reported that the number of monkeypox cases globally has passed 47,000, with over 17,000 of those cases in the U.S. A few months ago, at the beginning of the epidemic, 90% of all monkeypox cases were in Europe. That was then. Now, we’re No. 1. Over one-third of all known monkeypox cases are now in the U.S.

 

This increase has all happened since early May, and what’s unusual about this outbreak is that it is happening in countries outside Africa that normally don’t have monkeypox. Of those 47,000 cases, only 443 are in the seven African nations where monkeypox has been historically reported. The illness is now being reported in 92 other countries, most outside Africa.

 

The first known case outside Africa in 2022 was in England on May 6, when a British resident returned home with a monkeypox rash picked up while he was in Nigeria. Other cases probably came from other returning travelers. By May 19, there was a confirmed total of 160 cases outside Africa. All but 10 of those cases were in Europe: 56 in the United Kingdom, 41 in Spain, 37 in Portugal, and the rest scattered about Europe.

 

By May 26 in the U.S., there were 10 confirmed cases of monkeypox. About three weeks later, the outbreak had spread to 20 states. On July 22, the U.S. count had grown to almost 3,000 cases in 43 states plus Puerto Rico and Washington D.C. In August, the U.S. number quintupled to over 15,000 cases, a five-fold increase in monkeypox cases in the U.S. in just one month. Now, in late August, just a week later, there are over 17,000 confirmed monkeypox cases with some in every state. This is explosive growth.

 

The good news is that the rate of increase in new cases is declining in several of the hardest-hit areas of the U.S. and globally. In late July and early August, New York City saw an average of 70 new cases per week. In the latter part of August, that weekly average dropped to 50 new cases.

 

The World Health Organization reported this week that new cases have decreased about 21% from the previous month. This is due to vaccination programs in hotspots as well as education resulting in decreasing risky behavior, especially among gay men.

 

New York City, for example, has administered around 70,000 doses of the vaccine to date and is adding more clinic and appointment slots as quickly as the vaccine becomes available. However, monkeypox is just now reaching some countries and cases there, for example, in South and Central America, are on the climb.

 

As of last week, New York State had the most monkeypox in the U.S., with 2,910 cases. California was second, with 2,663, and Florida was third, with 1,588 cases. Texas came in fourth highest at 1,283. Maryland was  ninth, with 379 monkeypox cases reported as of August 22.

 

The first case in Maryland was reported on June 16. By August 4, there were 150 cases. As of August 26, that number had jumped to 461, according to Maryland’s new website — the Maryland Monkeypox Dashboard — which launched that day.

 

Friday’s 461 cases were 82 more than Monday’s total of 379 for Maryland. That’s in just four days. Clearly, it’s not yet over.

 

As for Maryland’s Eastern Shore, there have been a few confirmed and suspected cases but none of the Shore’s nine counties has yet reached the Dashboard’s minimum reporting criteria of 10 cases. In Maryland, 95% of cases were in men and over 70% are in the 20-40 age range. Since the start of the epidemic, 2,124 Marylanders have been vaccinated against monkeypox, and more vaccines are en route.

 

The illness varies in severity but tends to follow the same pattern. Lasting two to six weeks, it usually starts with flu-like symptoms — fever, chills, muscle aches, swollen lymph glands, and fatigue. These symptoms are generally accompanied by or followed by a characteristic rash that most frequently appears on the face and hands, often spreading to the groin, abdomen, and sometimes the entire body. The rash develops into pus-filled blisters that may break, ooze, then crust over before finally disappearing. The pus is very contagious. Though some cases are mild, in severe cases it is a painful and debilitating disease. Most people recover within two to six weeks. The incubation period varies – from five to 21 days. There are occasional deaths. To date, there have been 12 known fatalities world-wide, but none in the U.S.

 

Until recently, there were no approved treatments or vaccines for monkeypox.


Monkeypox belongs to the orthopox family of viruses and is like smallpox. A smallpox vaccine can help prevent monkeypox infection and reduce severity if administered within a few days of exposure. More research is needed, but one study has indicated that a new smallpox vaccine, Imvanex (aka Jynneos), may be about 85% effective against monkeypox. A new smallpox anti-viral, tecovirimat, abbreviated TRPOX, has been used for monkeypox treatment. Both the vaccine, which is manufactured in Europe, and TRPOX are in short supply. The federal government has ordered large supplies of both.

 

The current monkeypox epidemic is mostly confined to the gay male community. But it is not exclusively a sexually transmitted disease spread mainly or only through sex. Monkeypox can also be transmitted through direct contact with the fluids from the sores on the skin or fluids left on the clothing or bedding, food, etc., of those infected. In addition, one can catch the virus through prolonged or close contact with the droplets in the air from the coughing or sneezing of those with monkeypox. Casual conversation or brief contact with hard surfaces, such as doorknobs, are not thought to be prominent avenues for spreading the disease.

 

The point is, monkeypox has merely started in the gay male community. It is by no means limited to that community or spread only through sexual activity. Anyone is susceptible to catching it. In Africa, it tends to be found in hunters in rural areas and in those who handle or eat monkeys or various wild rodents.


Despite public health measures to contain it, monkeypox has likely already moved into the general population. The first monkeypox case was recently reported in a child in New York City. The child was a household contact of an adult infected with monkeypox. Nationwide, there are 10 known cases of pediatric monkeypox in children 10 and under, with an additional four cases in those 11-15 years old.

 

Fortunately, monkeypox is neither as infectious nor as deadly as covid-19. With care, this new epidemic can be managed.

 


Sources and more information:

“Dangers Of Ecotourism: Up Close And Infectious: Travelers’ Desire For Intimate Encounters With Wildlife May Threaten The Animals They Love,” Bob Holmes, Oct. 15, 2018, Knowable Magazine.

https://knowablemagazine.org/article/society/2018/dangers-ecotourism-close-and-infectious

 

“Maryland Launches Monkeypox Data Dashboard, Over 460 Cases Confirmed In State,” Aug. 26, 2022, CBS Baltimore. https://www.cbsnews.com/baltimore/news/maryland-launches-monkeypox-data-dashboard-over-460-cases-confirmed-in-state/

 

“Maryland Monkeypox Dashboard,” updated on Fridays, Maryland Department Public Health.

https://health.maryland.gov/phpa/OIDEOR/Pages/monkeypox.aspx

 

“Monkeypox Cases Are Declining In New York City And Globally,” Aug. 26, 2022, New York Times.

https://www.nytimes.com/2022/08/26/nyregion/monkeypox-cases-nyc-worldwide.html

 

“Monkeypox in Animals,” updated Aug. 17, 2022, Center for Disease Control. 

https://www.cdc.gov/poxvirus/monkeypox/veterinarian/monkeypox-in-animals.html

 

“Monkeypox World Map,” updated frequently, Aug. 26, 2022, CDC

https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html

 

“Multi-country Monkeypox Outbreak: Situation Update,” June 27, 2022, World Health Organization.

https://www.who.int/emergencies/emergency-events/item/2022-e000121

 

“WHO: Monkeypox Cases Drop 21%, Reversing Month-Long Increase,” Aug. 25, 2022, Associated Press News.

https://apnews.com/article/monkeypox-health-world-news-united-nations-9e39c89c4f2a0dc76b86077a59a544ae

 

 

Jane Jewell is a writer, editor, photographer, and teacher. She has worked in news, publishing, and as the director of a national writer's group. She lives in Chestertown with her husband Peter Heck, a ginger cat named Riley, and a lot of books.

 

Common Sense for the Eastern Shore

By Friends of Eastern Neck Board of Directors April 16, 2025
Let your elected representatives and business and cultural leaders know that our Refuge and others like it all over the country deserve to be protected. They deserve our stewardship for the natural wonders they shelter, and because they provide refuge for people, too.
By Elaine McNeil April 9, 2025
The Budget Deficit In a recent debate on closing Maryland’s budget deficit, Minority Leader Jason Buckel, a Republican delegate from Allegany County, made an important point: “The man upstairs has only been there for two, three years. I don’t blame him for our economic failures of the last 10,” referring to Democratic Gov. Wes Moore, who was elected in 2022. Ahead of the 2026 gubernatorial elections, Buckel’s comments highlight a key reality that many of his Republican colleagues seldom admit: It isn’t right to blame Gov. Moore for a budget deficit that has been brewing for years. Now projected at $3.3 billion, Maryland’s structural deficit is a problem that started long before Moore took office. In fact, it was first projected in 2017, during the tenure of former GOP Gov. Larry Hogan. This isn’t an opinion — it’s a fact that Buckel and other lawmakers, including Republican Del. Jefferson Ghrist, have bravely acknowledged. During that same debate, Ghrist remarked that the Department of Legislative Services had warned about this deficit throughout Hogan’s administration, yet he did little to address it. Ghrist pointed out that during Maryland’s “good years,” when the state received a flood of federal covid-19 relief dollars, spending spiraled without regard for long-term fiscal health. Hogan used these one-time federal funds to support ongoing programs, which masked the true state of Maryland’s finances and created an illusion of fiscal stability. Hogan continues to take credit for the “surplus” Maryland had in 2022 — even though experts repeatedly note it was caused by the influx of federal dollars during the pandemic. As Ghrist correctly observed, the lack of fiscal restraint and slow growth during the Hogan years laid the groundwork for the $3.3 billion structural deficit the state faces today. Indeed, Maryland’s economy has been stagnant since 2017, especially in comparison to its neighboring states, well before Moore took office. Compounding these challenges are President Donald Trump’s reckless layoffs and trade wars with our allies. Thousands of federal workers who live in Maryland are losing their jobs, which will cost the state hundreds of millions of dollars in lost revenue. Trump’s tariffs will also put an enormous strain on local businesses, including Eastern Shore farmers, who are now subject to up to 15% retaliatory tariffs on chicken, wheat, soybeans, corn, fruits, and vegetables. FY2026 Budget Considering this grim reality, Maryland’s lawmakers are making difficult, but necessary, decisions to shore up the state’s finances. Gov. Moore and state legislative leaders recently agreed to a budget that prioritizes expanding Maryland’s economy without raising taxes on most residents. In fact, 94% of Marylanders should see either a tax cut or no change at all to their income tax bill under the proposed agreement. Lawmakers also plan to cut government spending by the largest amount in 16 years, while at the same time making targeted investments in emerging industries, such as quantum computing and aerospace defense, so the state is less dependent on federal jobs. While the richest Marylanders might see their income taxes go up, it’s reasonable to ask someone making over $750,000 a year to pay $1,800 more to support law enforcement, strengthen our schools, and grow our economy. As for the proposed tax on data and IT services, these products aren’t subject to Maryland’s sales tax under current law. Maryland leaders want to modernize our tax code by levying a 3% sales tax on these products. Because they don’t raise income taxes on the majority of Marylanders and because state leaders are also cutting spending by billions, these ideas are fair. They’re also necessary after Gov. Hogan chose to kick the can down the road instead of addressing Maryland’s long-predicted deficit and now that Trump’s policies will lay off thousands of Marylanders and his tariffs will hurt our state. By making responsible choices now, Maryland leaders are putting the state on a path to long-term economic stability. Their decisions will help Maryland thrive, create jobs, and invest in the vital services that every resident relies on — without burdening hardworking families. I’m confident Maryland will emerge stronger, more resilient, and ready to lead in the industries of tomorrow. Elaine McNeil is chair of the Queen Anne’s Democratic Central Committee.
By John Christie April 2, 2025
Among Donald Trump’s most recent targets is what he calls “rogue law firms.” At 6pm last Thursday, March 27, he issued an Executive Order (EO) aimed at my old law firm, WilmerHale, as one of those “rogue” firms. Approximately 15 hours later, the firm filed a 63-page complaint challenging the EO on multiple constitutional grounds. The EO is an “unprecedented assault on the bedrock principle that one should not be penalized for merely defending or prosecuting a lawsuit” and constitutes an “undisguised form of retaliation for representing clients and causes Trump disfavors.” And by 8pm on Friday, March 28, a little over 24 hours after the EO was first issued, a federal district court judge in Washington granted a request for a temporary restraining order, blocking key provisions of the EO from taking effect for now. In doing so, the Court found that “the retaliatory nature of the EO is clear from its face. There is no doubt that it chills speech and legal advocacy and qualifies as a constitutional harm.” The Executive Order The EO and a so-called “Fact Sheet” that went with it recites that the Administration is committed to addressing the significant risks associated with law firms, particularly so-called “Big Law” firms that engage in conduct detrimental to critical American interests. Wilmer Cutler Pickering Hale and Dorr LLP (WilmerHale) is yet another law firm said to have abandoned the legal profession’s highest ideals and abused its pro bono practice by engaging in activities that “undermine justice and the interests of the United States.” The specific examples offered in support of this conclusion: The EO asserts that WilmerHale “engages in obvious partisan representations to achieve political ends,” an apparent reference to the firm’s representation of Trump’s political opponents — namely the Democratic National Committee and the presidential campaigns of Joe Biden and Kamala Harris. The EO cites WilmerHale’s “egregious conduct” in “supporting efforts to discriminate on the basis of race,” an apparent reference to the firm’s representation of Harvard in the Students for Fair Admissions litigation. The EO accuses WilmerHale of “backing the obstruction of efforts to prevent illegal aliens from committing horrific crimes,” an apparent reference to the firm’s litigation related pro bono practice and successful challenges to immigration related policies. The EO accuses WilmerHale of “furthering the degradation of the quality of American elections,” an apparent reference to the film’s involvement in challenges to restrictive state voter-identification and voter-registration laws. The EO singles out certain current and former WilmerHale partners, including Robert Mueller, for special criticism by describing Mr. Mueller’s investigation as “one of the most partisan investigations in American history” and having “weaponized the prosecutorial power to suspend the democratic process and distort justice.” The EO then Revokes security clearances held by WilmerHale attorneys; Prohibits the federal government from hiring WilmerHale employees absent a special waiver; Orders a review and the possible termination of federal contracts with entities that do business with the firm; Calls for the withdrawal of government goods or services from the firm; and Calls for restrictions on the ability of WilmerHale employees to enter federal buildings (presumably including federal courthouses) and on their “engaging” with government employees. WilmerHale’s Complaint WilmerHale engaged Paul Clement, a former Solicitor General during the George W. Bush administration and a well-known advocate frequently representing conservative causes, to represent the firm in this matter. Assisted by some 15 WilmerHale litigators, the complaint names the Executive Office of the President and 48 other Departments, Commissions, and individual Officers in their official capacity as defendants. A variety of constitutional violations are alleged: The First Amendment protects the rights of WilmerHale and its clients to speak freely, and petition the courts and other government institutions without facing retaliation and discrimination by federal officials. The separation of powers limits the President’s role to enforcing the law and no statute or constitutional provision empowers him to unilaterally sanction WilmerHale in this manner. The EO flagrantly violates due process by imposing severe consequences without notice or an opportunity to be heard. The EO violates the right to counsel protected by the Fifth and Sixth Amendments and imposes unconstitutional conditions on federal contracts and expenditures. The complaint alleges that WilmerHale has already suffered irreparable damage in the 16 hours since the EO issued. The firm has been vilified by the most powerful person in the country as a “rogue law firm” that has “engaged in conduct detrimental to critical American interests. The EO will inevitable cause extensive, lasting damage to WilmerHale’s current and future business prospects. The harm to the firm’s reputation will negatively affect its ability to recruit and retain employees. Further Proceedings Temporary restraining orders constitute emergency relief upon a showing of likely success on the merits and irreparable harm were the temporary relief not entered. A later hearing will be held in order for the judge to determine whether a preliminary injunction should be issued preventing the government from executing the EO during the continued length of the litigation. Editorial Note: In light of the recent capitulation of several “Big Law” firms to the unreasonable and unconstitutional attacks by the Trump administration, WilmerHale is providing a blueprint for resistance as it fights back. More law firms need to be inspired by WilmerHale’s response to Trump’s demand for revenge on his so-called political enemies. John Christie was for many years a senior partner in a large Washington, D.C. law firm. He specialized in anti-trust litigation and developed a keen interest in the U.S. Supreme Court about which he lectures and writes.
By Bill Flook & CSES Staff April 2, 2025
Tom Timberman was one of the founders of Common Sense for the Eastern Shore. Sadly, he died last month. He will be missed. Common Sense exists because of his leadership and inspiration. His vision was to provide factual and timely commentary and analysis on topics that concern people who live and work on Maryland's Eastern Shore, and to provide factual reporting to help readers shape their own lives. It was important to Tom, as it is today to the editorial board, for Common Sense to help voters to be aware of the effects — personal and local — of decisions made at the federal and state levels. Especially relevant now is this from our Mission Statement: “We seek an America responsive to its citizens and its constitution.” We reprint this tribute from Bill Flook, President of the Democratic Club of Kent County : Many of us were deeply saddened to learn of TomTimberman’s passing last week. It’s hard to believe that such a strong Democratic voice is gone. I worked with Tom for much of the past decade on many good projects promoting our values and activities, including helping on his campaign for County Commissioner, and I’ll particularly miss following his lead as Captain of the Dawn Patrol. Our group met most Saturday mornings for coffee and some good chat, before heading up to Dems HQ to set up the booth there. We’ll miss you, Tom!
By Jared Schablein April 2, 2025
After over 12 hours of debate over two days (and a whole circus from the other side), the Maryland House of Delegates has passed HB 350, this year's state budget, and sent it to the State Senate. This budget is a deal between House Democrats, Senate Democrats, and Governor Wes Moore. It faces our state's $3 billion deficit head-on not with fantasy math, but with real choices: smart cuts and fair new revenue. This is what grown-up governing looks like. How We Got Here: Maryland’s budget problems didn’t start overnight. Leaders began warning about a shortfall in 2017 when Governor Larry Hogan was in office. Hogan made our state budget bigger every year, but the legislature wasn’t allowed to move money around or make common-sense changes. By law, they could only make cuts. In 2020, Maryland voters changed that. Starting in 2023, lawmakers finally got full power to shape the budget, not just cut from it. Instead of fixing the problem, Governor Hogan used federal COVID relief to hide our fiscal instability. Then, before leaving office, he drained our state’s savings from $5.5 billion to $2.3 billion to boost his image. Today, we are facing a new fiscal arsonist. Donald Trump’s trade wars and cuts to federal programs hit Maryland hard. We have more federal jobs and agencies than any other state, so we felt it worse than most. A University of Maryland study says Trump’s tariffs alone could cost us $2 billion. Trump/Musk's policies caused over 30,000 people in Maryland to lose their jobs, offices to shut down, and promised investments to disappear. These federal cuts added another $300 million to our budget deficit. COVID relief gave us a short break and even created a fake surplus under Hogan, but that money is gone now. Meanwhile, housing, healthcare, and college prices have gone way up. The Trump–Musk White House is making it worse by cutting even more funding, eliminating research, and gutting the services we rely on. That’s why Maryland had to act. We needed a real plan to protect working people, fund our schools and hospitals, and keep our state strong. Why Cuts Were Needed Trump’s trade wars and cuts to federal agencies hit Maryland harder than any other state. A University of Maryland study says those tariffs alone could cost us $2 billion. That hurts real people: A chicken farmer on the Eastern Shore is paying 25% more for fertilizer. A dock worker in Baltimore has fewer ships to unload. A restaurant owner in Western Maryland can’t afford eggs and tomatoes. We’ve lost over 30,000 jobs. Offices have shut down. Promised investments disappeared. The decisions of the Trump/Musk administration added $300 million to our state deficit.
No mandate. Image: CSES design.
By Jan Plotczyk November 19, 2024
 The 2024 presidential election was over swiftly. The Associated Press called it at 5:34 am on Nov. 6, and by 8 am, President-elect Donald Trump was crowing about the “ historic mandate ” given to him by the American people. A “mandate”? Turns out not. Trump jumped to an early lead on election night, but in the following days, his lead diminished as mail-in and provisional ballots were counted. A Baltimore Banner article on Nov. 6 highlighted the “Trump shift” that had occurred in every political subdivision in Maryland, even in counties where Democrat Kamala Harris won. This shift described the increase in Trump support since his loss to President Joe Biden in 2020 . As of Nov. 6, the biggest Trump shift was an 8.1% increase in his support in red Cecil County, but there were also shifts in the central Maryland counties that are the state’s Democratic strongholds — 4.3% in Montgomery and lesser amounts in other blue counties. Fourteen counties recorded shifts of 4% or more. On the Eastern Shore, every county had a shift over 4.5% except Talbot (2.7%), and the five largest shifts were Shore counties. For the state’s Democrats, it did not look encouraging. But as mail-in and provisional ballots were counted across the state, the Trump shift was reduced everywhere, and as of Nov. 16, disappeared altogether in Garrett (-1.2%) and Charles (-0.1%) counties. The shift dropped below 3% in all Maryland counties. Cecil’s shift became 2.1%. Montgomery’s shift dropped to 2.9%. Talbot’s shift declined to 0.2%, lowest of the Eastern Shore counties. Now, instead of five, only two of the highest five shifts were in Eastern Shore counties. The red bars in the chart below represent the Trump shift percentage values as of Nov. 16, in ascending order. The grey bars represent the misleading (and ephemeral) Trump shift percentage values as of Nov. 6. Please note the degree to which the Trump shift lessened and disappeared in the 10 days after the election. Another red mirage. But if you had only read the Nov. 6 article and not looked at the updated data, you would have been fooled into thinking Trump support is stronger than it is.
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