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Formerly known as Monkeypox

MPOX is a rare disease caused by infection with the mpox virus. MPOX virus is part of the same family of viruses as variola virus, the virus that causes smallpox. MPOX symptoms are similar to smallpox symptoms, but milder, and MPOX is rarely fatal. MPOX is not related to chickenpox.

MPOX can cause a rash which may look like pimples or blisters, sometimes with a flu-like illness. While CDC works to contain the current outbreak and learn more about the virus, it is important to have information so you can make informed choices when you are in spaces or situations where MPOX could be spread.    



Immediate actions:

  • Self isolate. 
  • Avoid sex or being intimate with anyone until you have been checked out by a healthcare provider. 
  • Avoid gatherings, especially if they have had close, personal, or sexual contact during the last 21 days, including people you met through dating apps. To help stop the spread, you might be asked to share this information if you have mpox. 
Seeking care and/or testing: 

  • CALL your primary care doctor or urgent care BEFORE arriving in person. Let them know if you have symptoms or have a confirmed exposure. This will give staff the time to prepare for a safe visit for you, them, and other patients. 
For those who are uninsured, under-insured and Medicaid recipients - you can visit one of the following Federally Qualified Health Centers: 

Primary Health Solutions

Multiple office locations in Hamilton, Middletown, Oxford, and Fairfield.

Centerpoint Health
Offices located in Middletown and Franklin.

CareFirst Urgent Care Locations
Offices located in Butler and Hamilton Counties. Results can be expected 24-72 hours after sample collection.

The Jynneos vaccine is approved for prevention of mpox and available to select populations at this time. 

To speak with a Public Health Nurse or to schedule an appointment
Call 513-887-3133

Tier 1
People at risk for occupational exposure (i.e. lab personnel with high exposure risk) and individuals identified as close contacts or direct exposures

Tier 2
Attendees at events/venues linked to known mpox transmission

Individuals likely to have prolonged intimate contact that would put them at higher risk of being exposed

Tier 4
Nationally or locally identified groups with high risk of exposure.
This includes men who have sex with men, transgender or non-binary persons who have sex with men that have high-risk factors, such as a history of multiple partners, participation in group sex, attendance at sex-on premise venues or events, and/or sex work


Mpox can spread to anyone through close, personal, often skin-to-skin contact including: 

  • Direct contact with MPOX rash, scabs, or body fluids from a person with MPOX. Scientists believe this is currently the most common way that MPOX is spreading in the U.S.
  • Touching objects, fabrics (clothing, bedding, or towels), and surfaces that have been used by someone with MPOX. 
  • Contact with respiratory secretions. 
This contact can happen during intimate contact including: 

  • Oral, anal, and vaginal sex or touching the genitals (penis, testicles, labia, and vagina) or anus (butthole) of a person with MPOX. 
  • Hugging, massage, and kissing. 
  • Prolonged face-to-face contact. 
  • Touching fabrics and objects during sex that were used be a person with mpox and that have no been disinfected, such as bedding, towels, fetish gear, and sex toys. 


People with MPOX get a rash that may be located on or near the genitals or anus and could be on other areas like the hands, feet, chest, face, or mouth.

  • The rash will go through several stages, including scabs, before healing.
  • The rash can initially look like pimples or blisters and may be painful or itchy.
  • Other symptoms of mpox can include flu like symptoms such as: People may experience all or only a few of the symptoms of MPOX, but most people with MPOX will get a rash.
    • fever, chills, swollen lymph nodes,  exhaustion,  muscle aches and backache, headache, and/or respiratory symptoms (e.g. sore throat, nasal congestion, or cough)
  • Some people have developed a rash before (or without) flu-like symptoms.
  • MPOX symptoms usually start within 3 weeks of exposure to the virus.

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Vaccine1 document

  • Register for the mpox vaccine
    document seq 0.00

Communication and Education Resources4 documents

  • Mpox Factsheet
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  • Print Resources
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    CDC flyers
  • Reducing Stigma in Mpox Communication
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    Community Engagement
  • Mpox Factsheet Poster 11x17
    document seq 0.00
    Updated 8.11.22

Press Release1 document

  • Monkeypox Virus Case Reported in Butler County
    document seq 0.00
    Issued 8/10/2022