The summary is:
The text is a transcript of a segment from the show Last Week Tonight with John Oliver, where he talks about the outbreak of monkeypox in the US and the world. He explains what monkeypox is, how it spreads, and what are the symptoms and complications. He criticizes the failures of the US public health system in testing, vaccinating, and treating people for monkeypox, and compares it to the AIDS crisis in the 1980s. He also calls out the homophobia and misinformation that some people have shown towards the mostly gay and bisexual men who are affected by monkeypox. He urges the government and the public to take monkeypox seriously, to support those who need help, and to share vaccines with countries in Africa where monkeypox is endemic. He ends with a joke about having an "anal autumn" after containing monkeypox.
Here are the key facts extracted from the text:
1. Monkeypox is a pox virus that is part of the same family as smallpox.
2. Monkeypox typically presents with fever, swollen lymph nodes, exhaustion, headache, and a rash.
3. In severe cases, monkeypox can cause complications like blindness if the lesions reach the eyes, and in rare cases, can result in death.
4. Monkeypox was first discovered in 1958 in monkeys in Denmark, but it likely originated from rodents.
5. Monkeypox is endemic in rodents in central and west Africa.
6. There have been sporadic outbreaks of monkeypox in Africa for decades.
7. The US had its own monkeypox outbreak nearly 20 years ago, which was linked to pet prairie dogs in the Midwest.
8. As of the current date, the US leads the world in monkeypox cases, with over 7,000 cases reported.
9. The vast majority of cases have been among gay and bisexual men and their sexual networks.
10. Monkeypox spreads through sustained skin-to-skin contact, and is currently believed to be spreading most commonly during sex.
11. In rarer cases, monkeypox can spread through respiratory droplets during prolonged face-to-face contact or through bedding or towels used by someone with monkeypox.
12. The US government has been developing and stockpiling new smallpox vaccines since 9/11.
13. There is only one FDA-authorized test for monkeypox, which requires swabbing lesions.
14. The test is painful and requires waiting until lesions appear to run a test.
15. Monkeypox can be treated with a drug called Tpoxx, but it is only FDA-approved for smallpox, not monkeypox.
16. The CDC has lifted some requirements to allow doctors to prescribe Tpoxx under expanded access, but it involves hours of forms and extra appointments.
17. Patients may have to wait days for shipments of Tpoxx to arrive from the strategic national stockpile.
18. The US government had 20 million doses of smallpox vaccine that could have been used to help countries in Africa, but they expired and were not used.
19. The sudden global demand for vaccines means that currently, zero doses are going to Nigeria and other countries in Africa.