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 John Christie March 3, 2026
Just up the road from Maryland’s Eastern Shore lies Independence National Historical Park in Philadelphia. Administered by the National Park Service (NPS), the park is dedicated to the preservation of historical structures and properties associated with the American Revolution and the founding and growth of the United States. The centerpiece of the park is Independence Hall, where the Declaration of Independence and the United States Constitution were debated and adopted by America's Founding Fathers in the late 18th century. Nearby is the Liberty Bell, an iconic symbol of American independence, displayed in the Liberty Bell Center. In the park as well is what’s called the President’s House, an exhibit on the site of the first official residence of the president of the United States. President Washington occupied the Philadelphia President's House from 1790 to 1797. His successor, John Adams, lived there from 1797 to 1800. Although the original structure no longer exists, the exhibit includes a view of the foundation of the house where our first two presidents lived with their families. Research has turned up information about nine enslaved Africans owned by Washington and brought to Philadelphia’s presidential residence during his time there. To commemorate the lives of those slaves, their names are etched in a wall in the exhibit: Oney Judge, Austin, Christopher Sheels, Giles, Hercules Posey, Joe Richardson, Moll, Paris, and Richmond. The site includes exhibits on how their struggles for freedom represented this country’s progress away from the horrors of slavery and into an era where the founding ideals of “Life, Liberty and the pursuit of Happiness” could be achieved for every American. An intended theme of the President’s House exhibit is “Liberty: The Promises and Paradoxes.” “The promises of liberty and equality granted in the founding documents present a paradox: not only were they ideals to strive for but they were unfulfilled promises for people who struggled to be fully included as citizens of our nation.” ------------------------------------------------------------ On March 27, 2025, President Trump signed Executive Order 14253, “Restoring Truth and Sanity to American History.” EO14253 stated in part: “Over the past decade, Americans have witnessed a concerted and widespread effort to rewrite our nation's history, replacing objective facts with a distorted narrative driven by ideology rather than truth.” In order to “restore truth in American history,” EO14253 directed the Secretary of the Interior to ensure that all public monuments, memorials, or similar properties within the Department of the Interior's jurisdiction do not contain descriptions or other content that “inappropriately disparage” Americans past or living (including persons living in colonial times) and instead focus on the greatness of the achievements and progress of the American people. In response to this order, on January 22, 2026, the NPS suddenly removed 34 educational panels and video exhibits that referenced slavery and provided information about the individuals enslaved at the President’s House. The day these exhibits were removed, the City of Philadelphia filed a lawsuit in the federal district court in Philadelphia against Secretary of the Interior Doug Burgum, the Department of the Interior, Acting Director of NPS Jessica Bowron, and the NPS itself, claiming that the removal of the displays was unlawful agency action. On February 16, Judge Cynthia Rufe ordered the Trump administration to restore the slavery-related exhibits at the national park site, holding that NPS lacked the power “to dissemble and disassemble historical truths.” In court, the government asserted it alone had the power to erase, alter, remove, and hide historical accounts on taxpayer and local government-funded monuments within its control. According to Judge Rufe, to claim that “truth is no longer self-evident, but rather the property of the elected chief magistrate and his appointees and delegees, at his whim to be scraped clean, hidden, or overwritten” comes right out of George Orwell’s 1984. In her opinion, no government agency can “arbitrarily” decide what is true, “based on its own whims or the whims of the new leadership.” “It is not disputed that President Washington owned slaves.” Moreover, Judge Rufe determined the removed displays were not mere decorations to be taken down and redisplayed; rather, they were a memorial to the “men, women, and children of African descent who lived, worked, and died as enslaved people in the United States of America.” Each person who visits the President’s House and does not learn of the realities of founding-era slavery receives a false account of this country’s history. Removal of the crucial interpretive materials strips the site of that truth and deprives the public of educational opportunities designed to be free and accessible. For Judge Rufe, the abrupt elimination of historically significant educational material is like “pulling pages out of a history book with a razor.” 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 CSES Staff March 3, 2026
Last month, Megan Outten, candidate for Wicomico County Council District 7, was endorsed by Run for Something (RFS), a national organization that recruits and supports the next generation of progressive leaders for state and local office. The organization’s slate of newly endorsed candidates includes young, diverse progressives from across the country who are ready to lead in their communities. Outten said, “This campaign has always been powered by our community. By parents, teachers, small business owners, and neighbors who know we can do better. Run for Something’s endorsement affirms what we already know here in Wicomico: when everyday people step up to lead, we change what’s possible. Together, we’re building the kind of local government that plans ahead, listens first, and puts families at the center of every decision.” “Bold leaders like Megan are at the forefront of the fight for our rights and freedoms at a time when they have never faced greater threats,” said Amanda Litman, Co-Founder and President of Run for Something. “Run for Something is proud to endorse Megan Outten as part of our latest class of young leaders working to secure lasting change in their communities.” Outten’s platform is rooted in real data and shaped by direct community engagement. With Wicomico now the fastest-growing school system on Maryland’s Eastern Shore, and 85% of students relying on additional resources, she points to the county’s lagging investment as a key area for action. “Strong schools lead to strong jobs, thriving industries, and healthier communities,” Outten said. “Our schools and infrastructure are at a tipping point. We need leadership that stops reacting after things break — and starts investing before they do.” About Run for Something: Amanda Litman and Ross Morales Rocketto launched RFS in January 2017 with a simple premise: to help young, diverse progressives run for state and local offices in order to build a bench for the future. RFS aims to lower the barriers to entry for these candidates by helping them with organization building, connecting them with a robust community, and providing access to the trainings they need to be successful. Since its founding, RFS has helped elect over 1,600 candidates across the country — including 43 candidates in red-to-blue seats in the 2025 election cycle. Today, RFS has the largest database of any Democratic organization, with nearly 80,000 people reaching out since November 2024 with interest in running for office. In total, over 250,000 young people from across the country have signed up to run and gained access to RFS’s resources since the organization launched — a powerful signal that a new generation is showing up to lead.
By Liam Bowman, Capital News Service March 3, 2026
The Trump administration is still arresting immigrants in D.C. without warrants or probable cause despite a judge’s previous ruling that the practice was unlawful, a coalition of immigrant rights groups alleges in a recent court filing. A federal judge ruled in December that the administration’s use of warrantless immigration arrests likely violated federal law and issued a preliminary injunction prohibiting such arrests without probable cause. The ruling was in response to a lawsuit filed by immigrant rights groups and four migrants who were arrested without warrants last year during President Donald Trump’s law enforcement surge in the capital. But federal immigration officials in D.C. are failing to comply with that order, continuing to make warrantless arrests “without the required probable cause determinations,” according to the Feb. 19 motion by plaintiffs. The lawsuit alleges immigration authorities began operating under an “arrest first, ask questions later” policy to comply with arrest quotas imposed after Trump took office last year — and started to ignore the probable cause requirements under immigration law. Click here to read the rest of the article , on the Capital News Service website. The article also details the arrest stories of the plaintiffs who were tricked, and concerns about D.C. police cooperation with immigration authorities. Capital News Service is a student-powered news organization run by the University of Maryland Philip Merrill College of Journalism. For 26 years, they have provided deeply reported, award-winning coverage of issues of import to Marylanders.
By John Christie February 17, 2026
These are the words from Emma Lazarus’ famous 1883 sonnet “The New Colossus” inscribed on a bronze plaque on the pedestal of the Statue of Liberty. In 1990, Congress reaffirmed this vision of America by establishing the Temporary Protected Status program. TPS is designed to provide humanitarian relief to foreign nationals in the United States who come from disaster-stricken countries. In its present form, the TPS legislation gives the Secretary of the Department of Homeland Security responsibility for the program. However, the legislation prescribes the kind of country conditions severe enough to warrant a designation under the statute, the specific time frame for any such designation, and the process for periodic review of a TPS designation which could culminate in termination or extension. All initial TPS designations last from six to eighteen months. Before the expiration of a designation, the statute mandates that the Secretary shall review the conditions in the foreign state to decide if the conditions for the designation continue to be met, following consultation with appropriate agencies of the government. Extension is the default; the designation “shall be extended” unless the secretary affirmatively determines that conditions are “no longer met.” ------------------------------------------------------------- A massive earthquake devastated Haiti in January 2010, and precipitated an unprecedented humanitarian crisis. Shortly after, then-DHS Secretary Janet Napolitano, after consultation with the State Department, designated Haiti for TPS due to “extraordinary conditions.” Haitian nationals in the United States continuously as of January 12, 2010, could thus apply for TPS, and obtained the right to remain and work in the U.S. while Haiti maintained its TPS designation. Napolitano set the initial TPS designation for 18 months. As Haiti’s deterioration worsened, successive DHS secretaries have extended this program. Gang violence and kidnappings have spiked. In 2021, a group of assailants killed Haiti’s then-President Jovenel Moïse. In 2023, another catastrophic earthquake hit Haiti. In 2024, in response to these conditions, then-DHS Secretary Alejandro Mayorkas once again extended and redesignated Haiti for TPS, this time effective through February 3, 2026. During the 2024 election cycle, the GOP candidate, Donald Trump clearly indicated that time had not tempered his views on Haiti, characterized by him as a “shithole country” during his first term. He stated that when elected, he would “absolutely revoke” Haiti’s TPS designation and send “them back to their country.” On December 1, 2025, Kristi Noem, DHS secretary in the second Trump administration, announced, “I just met with the president. I am recommending a full travel ban on every damn country that’s been flooding our nation with killers, leeches, and entitlement junkies. Our forefathers built this nation on blood, sweat, and the unyielding love of freedom, not for foreign invaders to slaughter our heroes, suck dry our hard-earned tax dollars, or snatch the benefits owned to Americans. We don’t want them, not one.” So says the official responsible for overseeing the TPS program. And one of those (her word) “damn” countries is Haiti. Three days before making the above post, Secretary Noem announced she would terminate Haiti’s TPS designation as of February 3, 2026. Five Haitian TPS holders filed suit in federal court in Washington initially seeking an injunction against the termination of the Haitian TPS program pending the completion of the litigation. These plaintiff TPS holders are not “killers, leeches, or entitlement junkies.” They are instead a neuroscientist researching Alzheimer’s disease, a software engineer at a national bank, a laboratory assistant in a toxicology department, a college economics major, and a full-time registered nurse. The case was assigned to district court judge Ana Reyes who granted the plaintiffs’ injunction request on February 2, 2026, by way of an 83-page opinion. The plaintiffs charge that Secretary Noem preordained her termination decision because of hostility to non-white immigrants. According to Judge Reyes, “This seems substantially likely. Secretary Noem has terminated every TPS country designation to have reached her desk — twelve countries up, twelve countries down.” Judge Reyes also decided that Noem’s conclusion that Haiti (a majority non-white country) faces only “merely concerning” conditions cannot be squared with the “perfect storm” of “suffering and staggering” humanitarian toll described in page after page of the record in the case. In Judge Reyes’ view, Noem also ignored Congress’s requirement that she review the conditions in Haiti “after consulting with appropriate agencies.” Indeed, the record indicates she did not consult other agencies at all. Her “national interest” analysis focuses on Haitians outside the United States or here illegally, ignoring that Haitian TPS holders already live here and legally so. And though Noem states that the analysis must include “economic considerations,” Judge Reyes concluded Noem ignored altogether the billions that Haitian TPS holders contribute to the economy. The administration’s primary response in the litigation has been to assert that the TPS statute gives Secretary Noem “unbounded” discretion to make whatever determination she wants, any way she wants. Yes, Judge Reyes acknowledges, the statute does grant Noem some discretion. But, in Judge Reyes’ opinion, “not unbounded discretion.” To the contrary, Congress passed the TPS statute to standardize the then ad hoc temporary protection system; in Judge Reyes’ words, "to replace executive whim with statutory predictability.” The administration also argued that the harms to Haitian TPS holders were “speculative” if they are forced to return to Haiti. Because the State Department presently warns, “Do not travel to Haiti for any reason,” the administration asserts that harm is “speculative” only because DHS “might not” remove them. However, according to Judge Reyes, this argument fails to take Secretary Noem at her word: “We don’t want them. Not one.” The public interest also favors the injunction, in the opinion of Judge Reyes. Secretary Noem complains of the strains that unlawful immigrants place on our immigration-enforcement system. Noem’s answer is to turn 352,959 lawful TPS Haitian immigrants into unlawful immigrants overnight. Noem complains of strains to our economy; her answer is to turn employed lawful immigrants who contribute billions in taxes into the legally unemployable. Noem complains of strains to our health care system. Noem’s answer is to turn the insured into the uninsured. “This approach is many things – but the public interest is not one of them,” according to Judge Reyes. The opinion of Judge Reyes concludes: “Kristi Noem has a First Amendment right to call immigrants killers, leeches, entitlement junkies, and any other inapt name she wants. Secretary Noem, however, is constrained by both our Constitution and the law to apply faithfully the facts to the law in implementing the TPS program. The record to-date shows she has yet to do that. The administration has already appealed. 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 Office of the Governor February 16, 2026
Gov. Wes Moore signed legislation on February 17, 2026, to prohibit State and local jurisdictions from deputizing officers for federal civil immigration enforcement activity. The law, created under SB 245/HB 444 , is effective immediately. “In Maryland, we defend Constitutional rights and Constitutional policing — and we will not allow untrained, unqualified, and unaccountable ICE agents to deputize our law enforcement officers,” Moore said. “This bill draws a clear line: we will continue to work with federal partners to hold violent offenders accountable, but we refuse to blur the lines between state and federal authority in ways that undermine the trust between law enforcement and the communities they serve. Maryland is a community of immigrants, and that's one of our greatest strengths because this country is incomplete without each and every one of us.” “As an immigrant, this bill is deeply personal to me,” said Lt. Gov. Aruna Miller. “Immigrants make Maryland stronger every day, and our communities are safer when everyone feels protected and valued. This legislation ensures that our law enforcement resources remain focused on keeping Marylanders safe, not on actions that create fear in our neighborhoods. I thank the bill sponsors and Governor Moore for their leadership in ensuring Maryland remains a place where dignity and opportunity go hand in hand.” U.S. Department of Homeland Security Immigration and Customs Enforcement, also known as ICE, established its 287(g) program to authorize local law enforcement officials to perform federal civil immigration enforcement functions under ICE’s oversight. Under SB 245/HB 444, State and local jurisdictions in Maryland are prohibited from engaging in such agreements. Any local jurisdictions with standing 287(g) agreements must terminate them immediately. The legislation does not: Authorize the release of criminals Impact State policies and practices in response to immigration detainers that are issued by the U.S. Department of Homeland Security Prevent the State or local jurisdictions from continuing to work with the federal government on shared public safety priorities, including the removal of violent criminals who pose a risk to public safety Prevent State or local jurisdictions from continuing to notify ICE about the impending release of an individual of interest from custody or from coordinating the safe transfer of custody within constitutional limits State and local law enforcement will also maintain the ability to work with the federal government on criminal investigations and joint task forces unrelated to civil immigration enforcement. Any individual who is charged with a crime is entitled to due process and, if convicted, must serve their sentence.
By Sarah Boden and Drew Hawkins, Gulf States Newsroom February 16, 2026
And now, the enhanced Affordable Care Act subsidies that many Americans, including farmers, relied on to purchase health insurance are gone, having expired at the end of December.
Show More