More than 1,000 cases of monkeypox have been confirmed in New York City, which is still a hot spot for the disease.

As of Monday, New York had reached 1,040 cases. About 25% of the confirmed cases in the US are that one.

According to the CDC, the US leads the world in confirmed cases. There were 3,846 confirmed cases in the US as of Monday. A public health emergency has been declared by the World Health Organization.

Men who have sex with men are the most likely to be affected by the virus. A recent study found that close sexual contact was the main cause of transmission.

The New York City health department is at odds over whether gay men should be told to stop having sex.

Even as the number of cases in New York has gone up, officials have not been able to respond adequately. The New York Times reported on Monday that at the end of June there were 300,000 vaccine doses in a warehouse in Danes. The US missed out on a chance to slow the spread of the virus after officials decided to send those doses.

The governor of New York, Kathy Hochul, announced on Monday that the state had reached an agreement with a company to use a test for monkeypox.

The New York state health commissioner said in a statement that the real challenge with testing is that it involves swabbing lesions which must be present for the test to assess whether the viruses is also present. Testing is not currently possible without the presence of certain types of tumors. We want providers to know when and how to test for monkeypox.