Bay Area health officers urge people to protect themselves against the monkeypox virus, which spreads through prolonged skin-to-skin contact and bodily fluids, such as through crowded settings or sexual contact.

The alert from nine health jurisdictions comes as cases — which appear in individuals as distinctive rashes and sores that can look like blisters or pimples — continue to emerge in the Bay Area, the nation and the globe. Monkeypox is not new, but this is the first time the virus has spread in so many countries at once, health officials said.

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