Monkeypox circulated under the radar for an undetermined period of time in many non-endemic countries. How did this happen?

Every historical period has had its epidemic executioner, and it has almost always been the ecological changes between human communities and the environment that have caused changes in pathogenicity and epidemic diseases.

The threat of infectious diseases has been constant in the history of humankind. 75 % of new emerging human infectious diseases in the last thirty years have an animal origin, and 17 % are transmitted by a vector.