“…Hence, as with other STDs common among Japanese MSM [ 5 ], there are probably many undiagnosed cases of mpox, however reports examining the extent to which mpox is underdiagnosed in Western countries are scarce. On the other hand, it has been suggested that there may be many undiagnosed cases in Asian countries, where the incidence is currently low, due to a lack of diagnostic resources [ 6 , 7 ].…”