 mpox formerly known as monkeypox is a virus that circulated in africa for many decades and it was really associated with a family bringing perhaps some bushmeat into the household and the meat being infected with this virus and it being transmitted from the bushmeat to the family members and then it was pretty much limited to those households then a couple of years ago in 2022 people might remember when mpox appeared in europe and this was associated a very different way and this was more