The virus can spread by respiratory (airborne) contact or by direct contact with an infected persons bodily fluids  or during pregnancy from mother to fetus. There are indications that transmission can occur during sexual contact, with infectious monkeypox virus able to be isolated from semen samples. Prolonged shedding in seminal fluids has raised the possibility of a genital reservoir for monkeypox virus. It is not known if the virus can spread through vaginal fluids.The virus can also spread via fomites or through indirect contact with lesion material, such as through contaminated bedding, even with standard personal protective equipment, likely through inhalation. Risk factors for transmission include sharing a bed or room, or using the same utensils as an infected person. Increased transmission risk is associated with factors involving the introduction of virus to the oral mucosa. It is not yet known if people without symptoms of monkeypox can spread the virus.Further research about the transmission of the strain responsible for the 2022 outbreak is ongoing, but it is not thought to be different from other strains of the clade II. People living with HIV
According to a CDC report, 41% of cases of monkeypox were among HIV-positive patients (136 out of 334 patients) between May and July 2022. The New England Journal of Medicine (NEJM) also looked at more than 500 cases from different countries and found that 41% of them were among HIV patients.
Sarna may refer to:

Sarna (Polish surname)
Sarna (Punjabi surname)
Sarna (clan), a Punjabi clan of India
Sarna, Warmian-Masurian Voivodeship, a village in northern Poland
Särna, a locality in Dalarna County, Sweden
SaRNA, small activating RNA
Sarna sthal – place of worship
Sarna (drug), a drug
Sarna (religion)

See also
All pages with titles containing Sarna
Sarnaism, the religious beliefs held by tribes in the state of Jharkhand, India, and other central Indian states
Srna (disambiguation)Sarna.net ("Sarna" for short) is the fan wiki project for the fictional BattleTech universe, named after the equally fictional star system therein.