The cases live together in the same household. They are not linked to the previous confirmed case announced on 7 May. Where and how they acquired their infection remains under investigation.
Monkeypox is a rare viral infection that does not spread easily between people. It is usually a mild self-limiting illness and most people recover within a few weeks. However, severe illness can occur in some people.
The infection can be spread when someone is in close contact with an infected person, however, there is a very low risk of transmission to the general population.
One of the cases is receiving care at the expert infectious disease unit at St Mary’s Hospital, Imperial College Healthcare NHS Trust, London. The other case is isolating and does not currently require hospital treatment.
As a precautionary measure, UKHSA experts are working closely with the individuals and NHS colleagues and will be contacting people who might have been in close contact to provide information and health advice.
People without symptoms are not considered infectious but, as a precaution, those who have been in close proximity to the individuals are being contacted to ensure that, if they do become unwell, they can be treated quickly.
Dr Colin Brown, Director of Clinical and Emerging Infections, UKHSA, said:
We have confirmed 2 new monkeypox cases in England that are not linked to the case announced on May 7. While investigations remain ongoing to determine the source of infection, it is important to emphasize it does not spread easily between people and requires close personal contact with an infected symptomatic person. The overall risk to the general public remains very low.
We are contacting any potential friends, family or contacts in the community. We are also working with the NHS to reach any healthcare contacts who have had close contact with the cases prior to confirmation of their infection, to assess them as necessary and provide advice.
UKHSA and the NHS have well established and robust infection control procedures for dealing with cases of imported infectious disease and these will be strictly followed.
Professor Julian Redhead, medical director at Imperial College Healthcare NHS Trust, said:
We are caring for a patient in our specialist high consequence infectious diseases unit at St Mary’s Hospital. All of the necessary infectious control procedures have been followed and we are working closely with UKHSA and NHS England.
Initial symptoms of monkeypox include fever, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion.
A rash can develop, often beginning on the face, then spreading to other parts of the body, particularly the hands and feet.
The rash changes and goes through different stages before finally forming a scab, which later falls off.