Ke hoʻomau nei ka piʻi ʻana o nā hihia o ka monkeypox a puni ka honua. Wahi a ka World Health Organization (WHO),ma ka liʻiliʻi he 27 mau ʻāina, ʻo ia hoʻi ma ʻEulopa a me ʻAmelika ʻĀkau, ua hōʻoia i nā hihia. Ua loaʻa i nā hōʻike ʻē aʻe nā hihia i hōʻoia ʻiama mua o 30.

ʻAʻole pono ke kūlana e heleulu a lilo i maʻi ahulau, akā aia kekahi mau hōʻailona hopohopo. ʻO ke kumu nui paha o ka hopohopo, ʻaʻole pili nā hihia āpau, a ʻo kekahi mau hihia kaʻawale ʻaʻohe pilina maopopo i kahi maʻi ahulau e kū nei. Kuhi kēia i kahi pilikia huli, a hōʻike ʻia he nui nā hihia e pili ana e ʻike ʻole ʻia.