PARIS: People with monkeypox can spread the virus up to four days before symptoms appear, with more than half of transmissions potentially taking place during this period, a UK study estimated Tuesday.While the findings have yet to be confirmed, they suggest that many monkeypox infections cannot be prevented by asking patients to isolate once they realise they have the virus, the study said.Since May, when the virus suddenly started spreading beyond the West African countries where it has long been endemic, monkeypox has killed 36 people out of more than 77,000 cases, according to the World Health Organization.However case numbers have steadily fallen since peaking in July, particularly in E
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