Features of spread of monkeypox after eradication of smallpox and cancellation of mandatory pox immunization are examined. In the condition of cancellation of mandatory pox immunization, a decrease of population immunity to pox in the population, a lack of vigilance in most of the medical specialists to diseases caused by other pathogenic for human orthopoxviruses was noted. This situation complicates the prognosis of the development of possible outbreaks of infection of humans by monkeypox. In such situation only constant vigilance with respect to this zooanthroponosis, use of express diagnostics methods, as well as means of effective protection will allow to stop outbreaks of monkeypox at the early stages of the development.

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