In every flu season, there is always only one dominant strain. SARS is not a flu variant, but the mechanism is the same: People who are infected by one virus cannot get or transmit another virus because their immune system is in an alerted state.

Heymann, who is a professor of infectious disease epidemiology at the London School of Hygiene and Tropical Medicine, mused that the monkeypox outbreak could have been smoldering at low levels in the United Kingdom or somewhere else outside of Africa for quite a while, but may have only come to public attention when international travel picked up again.

... Allowing unhygienic hosexual men to masturbate themselves with ever more anuses and mouths of homosexual male strangers in other nations. This at-risk behavior is the primary transmission vector of monkeypox.

The number of sex partners reported by homosexual men is frequently in the thousands, and in many cases the name or identifying information of the other party(ies) is not known. This along with ongoing stigmatization of homosexuals confound authorities efforts to trace monkeypox spread among this demographic.