Maine Center for Disease Control and Prevention Director Dr. Nirav Shah has confirmed a second case of monkeypox in Maine.

Shah, who announced the case on Twitter on Monday, said the patient is a man from Penobscot County, and offered no further details about the case. It is the second case reported since July 22, when Shah and Maine CDC confirmed a case in a man from York County.

The disease has broken out both nationally and worldwide beginning in May 2022. As of July 25, there have been 3,487 cases reported in 45 states, the District of Columbia and Puerto Rico, according to the U.S. Centers for Disease Control and Prevention. The CDC also indicated the disease has been reported in 69 countries worldwide. 

Monkeypox is transmitted by close interaction with a symptomatic person, such as physical or sexual contact. It can start with flulike symptoms, then causes rash or sores. While painful, the disease rarely causes severe illness and is rarely fatal. Maine CDC said anyone who fears they might have been exposed or has unexplained rash or lesions should contact a health care provider immediately.

Maine CDC advised the public to avoid skin-to-skin contact with someone who has a rash that looks like monkeypox, and not to share utensils or cups with someone who has the disease. Maine CDC also cautioned people to avoid handling bedding, towels or clothing from a person with monkeypox.