Madrid's senior health official also said on Monday that the Spanish capital had 30 confirmed cases. where sexual activity took place" in Spain's Canary Islands and in Berlin, according to a government report. It comes as Germany has four confirmed cases linked to exposure at "party events. "We know monkeypox can spread when there is close contact with the lesions of someone who is infected, and it looks like sexual contact has now amplified that transmission," said Dr Heymann. The global monkeypox outbreak has been linked to Gay Pride parties in the Canary Islands, as well as raves in Madrid and Berlin where sexual activity took place, according to health experts.ĭr David Heymann, who formerly headed the WHO's emergencies department believes the spread of the disease through sexual transmission can be traced to key spreader events.