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The Biden administration is considering splitting doses of the smallpox vaccine, which are being used to prevent monkeypox amid the current outbreak, into five smaller doses, the head of the Food and Drug Administration (FDA) said Thursday. (Choi, 8/4)

Monkeypox has spread to D.C.’s homeless population, with two confirmed cases, as the city launches weekly walk-up vaccination clinics in an attempt to slow the spread of the virus. (Portnoy, 8/4)

Houston will begin monitoring its wastewater for monkeypox in late August as cases of the blister-causing contagion continue to climb, health officials said. Scientists will begin testing for the monkeypox virus in city sewage samples “starting in about three weeks,” Houston Health Department spokesperson Porfirio Villarreal said Thursday morning. (Mishanec, 8/4)

As the Centers for Disease Control and Prevention weighs whether to recommend limiting sex partners, health officials in San Francisco, Chicago, New York and other U.S. cities battling surges disproportionately sickening gay men are avoiding calls for sexual restraint, wary of further stigmatizing same-sex intimacy. (Nirappil and Jayakumar, 8/4)

The rise of monkeypox cases in Africa, the only continent where the infectious disease is endemic, is coming from household transmission rather than primarily from men who have sex with men, according to the World Health Organization. (Kew, 8/4)

A Marietta mother had never heard of monkeypox until she said she went to the hospital seeking answers to why she was feeling poorly. There, Camille Seaton learned that the painful, fluid-filled lesions on her face, which also eventually spread to her body was monkeypox. (Poole, 8/4)

Lilly Simon, a 33-year-old in Brooklyn, does not have monkeypox. She does have neurofibromatosis type 1, a genetic condition that causes tumors to grow at her nerve endings. Those tumors were filmed surreptitiously by a TikTok user while Ms. Simon was riding the subway on a Thursday in late July during her commute. (Kircher, 8/4)