The smallpox virus has spread to 20 US states and the nation’s capital. So far, 113 infections have been reported, with the majority in California, New York, Illinois and Florida. The New Jersey Department of Health announced its first possible case Monday, and Missouri officials spotted a possible case of a Kansas City resident over the weekend. Other sites report single-digit cases of smallpox and orthopedic smallpox, according to the Centers for Disease Control and Prevention (CDC). At 50x magnification, this image showed a section of skin tissue collected from a lesion in the skin of a monkey infected with the monkey pox virus. The sample was taken on day 13 of the appearance of the rash. (CDC) PEDIATRIC HEPATITIS EXPERIMENTS ARE NOT ABOVE THE PRE-COVID-19 PANDEMIC LEVELS: CDC There are now more than 35 countries – where monkey pox is not endemic – that have reported cases of viral disease, with more than 2,500 confirmed cases. The World Health Organization (WHO) is convening an emergency meeting this week to determine whether an outbreak should be considered a global health emergency. An image created during an investigation into an outbreak of monkey pox, which took place in the Democratic Republic of the Congo (PRC), 1996 to 1997, shows the hands of a monkey rash patient in this timeless image received by Reuters on May 18, 2022. (CDC / Brian WJ Mahy / Handout via REUTERS) US DOCTORS FIND THE FDA TO ALLOW BIRTH CONTROL TOWARDS END OF ROE V. WADE LOOMS The United Nations Health Service (UNHCR) has said that people with smallpox can be contagious for up to four weeks and has advised those infected to be isolated until they have fully recovered. Although the majority of new cases of smallpox in monkeys have been reported in gay or bisexual men, experts warn that anyone is at risk. Monkey pox in a child in Nigeria (Credits: Nigeria Centers for Disease Control) People usually become infected with the monkey pox virus through contact with skin lesions or body fluids of infected animals or humans or through contact with materials contaminated with the virus. The disease is most commonly found in parts of central and western Africa. CLICK HERE TO RECEIVE THE FOX NEWS APPLICATION Smallpox, which is associated with smallpox, has milder symptoms. Some of these symptoms include fever, chills, rash and pain before the lesions appear. Reuters and the Associated Press contributed to this report. Julia Musto is a Fox News Digital reporter. You can find her on Twitter at @JuliaElenaMusto.