We conducted a genomic analysis of monkeypox virus sequences collected early in the 2022 outbreak, during July-August , in Washington, USA. Using 109 viral genomes, we found low overall genetic diversity, multiple introductions into the state, ongoing community transmission, and potential for co-infections by multiple strains.
Keywords: United States; Washington; genomics; monkeypox virus; mpox; sequencing; sexually transmitted infections; viruses; zoonoses.