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Why is Monkey Pox not listed as endemic to the U.S?

Endemic monkey pox
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Why is Monkey Pox not listed as endemic to the U.S?

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GIDEON did in fact include the United States as an ‘endemic’ country for monkeypox during the 2003 outbreak; however, the disease is no longer reported from this country. We have now released an option in the Diagnosis module which allows the user to ask “What if….” when a “first case” = heretofore non-endemic disease is suspected.

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