...sex...currently primarily in the gay community...but it is not limited to the gay community.
The article also details other primary vectors of transmission...touch and respiratory droplets.
According to the article... respiratory droplets are the LEAST EFFECTIVE method of transmission.
More below...
An outbreak of the monkeypox virus in North America and Europe is primarily spreading through sex among men with about 200 confirmed and suspected cases.
www.cnbc.com
Gottlieb's discourse on monkeypox in the OP's report is certainly emasculated and dumbed down.
In fact, this virus links to the palm civet, reservoir of SARS-CoV as well as ivermectin. The first US monkepox came in from imported Gambian pouched rat, Crycetomys gambianus, recalling that the UK's SARS-CoV-2 vaccine was based on a Gambian chimpanzee virus. The UK connection to this also links Thomas Duncan's experimental ebola treatment, and Fau Chi knew of the ivermectin link to the Gambian pouched rat:
(1957) Crycetomys gambianus / African Sleeping Sickness / Trypanosoma / Ivermectin
[Receptivity of Criceomys gambianus (Gambia rat) to Trypanosoma gambiense]
pubmed.ncbi.nlm.nih.gov
Fau Chi was reporting to the US Senate on 25 Ap 2012 as the Mojiang miners were going into the hospital. In Sep of that year, this report:
(Sep 2012) Trypanosoma / Ivermectin (Jackson State University, Mississippi)
Our report indicates that using the 300 μg/ml/kg dose of ivermectin increases the mean survival period from 5 to 12 days. This suggests that ivermectin could be possibly used in the treatment of trypanosomiasis. Further studies will be required to show whether proper treatment may entail a...
pubmed.ncbi.nlm.nih.gov
Monkeypox hit Wisconsin during the year of the emergence of SARS-CoV in the palm civet, linking Duncan's experimental ebola med, brincidofovir:
Monkeypox
en.wikipedia.org
'....Gambian pouched rat....Ref. #3: '2003 Wisconsin....brincidofovir.'
Gambian Pouched Rat
en.wikipedia.org
'....date palm nuts.'
The date palm rat links the palm civet.
Monkeypox is an orthopoxvirus, and Melarsoprol inhibits pyruvate kinase of Trypanosoma. Vaccinia (VACV) is also an orthopoxvirus That compares with cancer tumors, Fau Chi would know about from HIV studies:
(Jul 2013) Orthopoxvirus / Pyruvate Kinase (Cambridge, UK)
Viruses have evolved sophisticated strategies to exploit host cell function for their benefit. Here we show that under physiologically normal oxygen levels (normoxia) vaccinia virus (VACV) infection leads to a rapid stabilization of hypoxia-inducible factor (HIF)-1α, its translocation into the...
pubmed.ncbi.nlm.nih.gov
'....the induction of a hypoxic response by VACV is reminiscent of biochemical consequences of solid tumor formation.'
Recalling that, per Hooper's AIDS origins page, HIV-2 endemic in Gambia, while the Gambian pouched rat is susceptible to Trypanosoma:
(Jul 2011) HIV-1 & 2 Replication / Laval, Quebec
Human African trypanosomiasis (HAT) is a disease caused by the protozoan parasite Trypanosoma brucei, the causative agent of sleeping sickness that is still endemic in well defined regions of sub-Saharan Africa. Co-infections with this human pathogen and human immunodeficiency virus (HIV) are...
pubmed.ncbi.nlm.nih.gov
'....stimulates the replication of several strains of HIV-1....renders cells susceptible to HIV-2....APOBEC3G.'
Sleeping sickness trypanosomes go neural and can cross the BBB (blood-brain barrier). APOBEC gene links Alzheimers.