Can You Catch Monkeypox from Casual Contact? Risks in Taiwan - Dermatology

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Is it contagious?


I recently saw that there are cases of monkeypox in Taiwan.
I would like to ask if it is possible to get infected with monkeypox just by being in a crowded place, such as on public transport, where I might accidentally touch someone else's hand, especially if they do not have visible lesions at that moment? Additionally, is there a risk of infection during a proctological examination? I am concerned about transmission due to my previous experience with COVID-19 and am worried about the possibility of being infected through general contact or during a medical consultation.
Thank you.

Ping An, 40~49 year old female. Ask Date: 2023/04/14

Dr. Wu Yuxin reply Dermatology


The probability is low.

Reply Date: 2023/04/14

More Info


Monkeypox is a viral disease that has garnered attention due to its recent emergence in various regions, including Taiwan. Understanding the transmission dynamics of monkeypox is crucial for assessing the risks associated with casual contact, especially in crowded settings like public transportation or medical facilities.

To address your concerns, it is important to note that monkeypox primarily spreads through direct contact with the lesions, bodily fluids, or respiratory droplets of an infected person. The virus can also be transmitted through contaminated materials, such as bedding or clothing, that have been in contact with an infected individual. However, the likelihood of transmission through casual contact, such as brushing against someone in a crowded space, is considered low.

1. Casual Contact in Crowded Spaces: If you are in a crowded area, such as on public transportation, the risk of contracting monkeypox from incidental contact (like touching someone’s hand or arm) is minimal, especially if the other person does not have visible lesions or symptoms. The virus does not spread as easily as respiratory viruses like COVID-19, which can be transmitted through airborne particles. Therefore, while it is always prudent to maintain good hygiene practices, the risk of monkeypox transmission in such scenarios is low.

2. Medical Settings: In a medical setting, such as during a consultation in a proctology clinic, the risk of transmission would depend on the presence of active lesions on the healthcare provider or the patient. If there are no visible lesions and standard hygiene protocols are followed (such as the use of gloves and masks), the risk remains low. Healthcare providers are trained to minimize the risk of transmission of infectious diseases, including monkeypox.

3. Preventive Measures: To further reduce your anxiety and risk of infection, it is advisable to practice good hygiene. This includes regular handwashing with soap and water or using hand sanitizer, especially after being in crowded places. Wearing a mask can also help protect against respiratory viruses, including COVID-19, which you mentioned you are concerned about.
4. Awareness and Monitoring: Keep an eye on any developments regarding monkeypox in your area. Health authorities will provide updates on any outbreaks and the necessary precautions to take. If you notice any unusual symptoms, such as fever, rash, or swollen lymph nodes, it is important to seek medical attention promptly.

In summary, while the emergence of monkeypox may raise concerns, the risk of transmission through casual contact in crowded settings is low, especially if there are no visible symptoms. Maintaining good hygiene practices and staying informed about the situation can help alleviate your worries. If you have specific health concerns or experience symptoms, consulting a healthcare professional is always the best course of action.

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