“…For the current outbreak, most mpox patients were gay, bisexual, and other men who have sex with men (MSM) with sex tourisms ( Thornhill et al, 2022a ; Thornhill et al, 2022b ; Patel et al, 2022 ). However, for a contagious STD, the median incubation period was only about 7–9 days ( Thornhill et al, 2022a ; Guzzetta et al, 2022 ; Miura et al, 2022 ; Ward et al, 2022 ), which may be too short to cause a large-scale transmission (the incubation period of HIV was about 10 years; Román-Montoya et al, 2013 ). The unexpected and sudden appearance of MPXV concurrently in several non-endemic areas indicates that there may be some unnoticed transmission in some unknown duration of time followed by recent amplifier events ( Alakunle and Okeke, 2022 ).…”