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Making Sense of Monkeypox: A Comparison of Other Poxviruses to the Monkeypox.

Cureus · 2023 · PMC10212748 · PMID 37252521

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a worrying trendno p-value reported
The current outbreak displays a worrying trend of extensive human-to-human transmissibility as the majority of reported cases have no history of contact with infected animals or travel to an endemic country.

also in 304 other papers

an increasing trendno p-value reported
The smallpox-monkeypox tandem With the cessation of smallpox immunization, there has been an increasing trend of other orthopoxvirus infections.

also in 29,988 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.