The World Health Organization has received reports of 257 confirmed monkeypox cases and about 120 suspected cases in 23 nations where the virus is not endemic as of Thursday, it said in a Sunday update.

In the United States, the Centers for Disease Control and Prevention has reported 12 cases in eight states as of Friday afternoon. In five African countries where monkeypox is commonly found, the WHO said it has received reports of 1,365 cases and 69 deaths due to the virus. These illnesses were reported in various periods ranging from mid-December to late May.

No deaths have been reported in nonendemic countries. “Since 2017, the few deaths of persons with monkeypox in West Africa have been associated with young age or an untreated HIV infection,” the WHO said in Sunday’s report.

Read more at CNN