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Two other people have been diagnosed with monkeypox in London, health officials said.

The couple live in the same household and are not linked to the previous confirmed case in England which was announced on May 7, the UK Health Security Agency (UKHSA) said.

Of the latest two cases, one person is receiving treatment in the Infectious Diseases Unit at St Mary’s Hospital, Imperial College Healthcare NHS Trust in London. The other is in solitary confinement and does not currently require hospital treatment, the UKHSA said.

Health officials said they are investigating where the transmission took place and how people became infected.

Contact tracing is underway, the agency said, and those who have been in close contact with the diagnosed cases are receiving health information and counseling.

Early symptoms of monkeypox include fever, headache, muscle aches, back pain, swollen lymph nodes, chills, and exhaustion. A rash may also develop and people tend to recover in two to four weeks.

The virus is mainly found in the tropical forests of central and western Africa.

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Dr Colin Brown, Director of Clinical and Emerging Infections at UKHSA, said: “We have confirmed two new cases of monkeypox in England which are unrelated to the case announced on May 7.

“Although investigations are ongoing to determine the source of the infection, it is important to emphasize that it does not spread easily between people and requires close personal contact with a symptomatic infected person. The overall risk to the general public remains very low.

“We are contacting all potential friends, family or contacts in the community. We are also working with the NHS to reach out to all healthcare contacts who have been in close contact with cases before their infection was confirmed, to assess them if necessary and provide advice.

Professor Julian Redhead, Medical Director of Imperial College Healthcare NHS Trust, said: ‘We are caring for a patient in our specialist high consequence infectious disease unit at St Mary’s Hospital.

“All necessary infection control procedures have been followed and we are working closely with UKHSA and NHS England.”

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