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The Hawaii Department of Health has identified four new cases of monkeypox throughout the state, including one on Hawaii Island.

The Hawaii Island case has been attributed to community exposure, while the other three cases remain under investigation.

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As of June 3, there have been two confirmed cases of monkeypox on Hawaii Island, and 22 total cases identified by the DOH statewide.

“With nearly 16,000 monkeypox cases reported in the United States, it’s expected that we will see more cases in Hawaii,” said Deputy State Epidemiologist Nathan Tan in a press release. “We continue to work to conduct contact tracing and follow-up with all cases. We encourage individuals to get vaccinated to stop the spread of monkeypox and protect our community.”

The DOH has received approximately 4,400 doses of the Jynneos vaccine so far, and about 1,800 doses have been administered.

The Jynneos vaccine is a two-dose series administered 28 days apart, and the DOH confirmed it is continuing to order Hawaii’s full allocation from the federal government.