At least four children in the U.S. have now tested positive for monkeypox, officials have confirmed.

Amidst a growing emergence of cases across the country, state officials in Indiana confirmed late last week that two children had tested positive for monkeypox. At this time, no additional information has been made available due to patient privacy concerns, the Indiana Department of Health wrote in a statement.

“Like many other states, Indiana has seen an increase in monkeypox cases over the past month,” State Health Commissioner Dr. Kris Box said in a statement.

Federal officials had previously confirmed, last month, that two other children in the U.S had tested positive for monkeypox.

One case was confirmed in a toddler, who is a resident of California, and the other was reported in an infant, a non-U.S. resident, who was tested while traveling through Washington, D.C. The two cases are unrelated, located in different jurisdictions, and were likely the result of household transmission.

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