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An elderly man from Alaska has become the first person to die after contracting Alaskapox – a recently discovered viral disease.

But how dangerous is Alaskapox, how many people have caught it and what are the symptoms? Here’s everything you need to know.

What is it?

Alaskapox, or AKPV, is a double-stranded DNA virus with officials saying it appears to be zoonotic, primarily circulating across Alaska’s state mammals with occasional transmission to humans.

It’s a type of bug known as an orthopoxvirus. The most well-known variation of this type of virus is smallpox. There’s also camelpox, cowpox, horsepox and mpox – formerly known as monkeypox.

When was it discovered and how many people have had it?

It was discovered in 2015 in a woman who lived near Fairbanks, Alaska, hence the name Alaskapox. She was diagnosed after she began suffering from a localised rash and swollen lymph nodes.

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It has mainly been found in small mammals, including red-backed voles and shrews, but health officials say household pets may also carry the virus.

Seven people, all in Alaska, have been infected with it in the last nine years.

The latest known case was the elderly man from Kenai Peninsula, to the south of the state, who health officials say was undergoing treatment in hospital when he died in late January.

Seldovia slough at low tide with Riverside properties, Seldovia, Alaska, USA. Pic: iStock
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The man was from the Kenai Peninsula, in the south of Alaska. Pic: iStock


How does it spread?

Officials believe it’s through contact with infected animals.

There has been no documented case of it spreading from one person to another. But other viruses in the same family can spread when one person comes in contact with another person’s lesions, so Alaska health officials are advising anyone with an Alaskapox lesion to cover it with a bandage.

Officials said it was “unclear” how the man who died was exposed to the virus – although he had reported caring for a stray cat at his home which had scratched him, possibly causing the transmission.

What are the symptoms?

Symptoms have included one or more bumps or pustules on the skin, as well as joint or muscle pain and swollen lymph nodes.

Nearly all patients had mild illnesses that resolved on their own after a few weeks without the need for treatment.

An Alaskapox legion photographed over a four-week period. Pic: AP/Alaska Department of Health
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An Alaskapox lesion photographed over a four-week period. Pic: AP/Alaska Department of Health

The man who died in January was being treated for cancer and had a suppressed immune system because of the drugs, which the Alaskan health department said likely contributed to the severity of his illness.

He spotted a red bump in his armpit in September and was given antibiotics, however his symptoms worsened as he experienced fatigue and increased pain in the area and shoulder.

After his right arm’s range of motion was impacted, the man was transferred to a hospital in Anchorage where he reported further symptoms including pox-like lesions, the case report said.

An “extensive battery” of tests were performed and showed a positive result for cowpox.

While his condition improved one week into the therapy, he would soon suffer from delayed wound healing, respiratory and kidney failure, resulting in his death.

The man began to improve about a week after treatment with intravenous medications but died in late January after experiencing kidney failure and other systemic declines, according to officials.

Could this spread beyond Alaska?

Officials have yet to comment on the possibility of the virus spreading to other regions.

As we said before, all seven cases detected so far have been in Alaska, and six of those have occurred in people living in the same borough: Fairbanks North Star Borough (FNSB).

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The latest case, however, was found in the elderly man living in the Kenai Peninsula Borough, which is 370 miles from FNSB, according to Google Maps.

A statement from the Alaska Division of Public Health explains how prevalent the virus could be throughout the US state: “While animal trapping studies have confirmed the presence of the virus in small mammals in FNSB, it is likely that the virus is present more broadly in Alaska’s small mammals and that more infections in humans have occurred but were not identified.

“More animal testing is occurring to better understand the distribution of the virus in animal populations throughout Alaska.”

How to protect yourself and pets once the virus is caught

Officials say the best ways to keep pets and family members safe is to keep a safe distance and wash your hands after being outdoors. It also advises avoiding keeping wildlife as pets.

Any lesions that are found should be covered, kept dry and not touched, they add.

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Putin wasn’t at the White House, but his influence was – the moments which reveal his hold over Trump

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Putin wasn't at the White House, but his influence was - the moments which reveal his hold over Trump

Vladimir Putin wasn’t at the White House but his influence clearly was. At times, it dominated the room.

There were three key moments that revealed the Russian president‘s current hold over Donald Trump.

The first was in the Oval Office. Sitting alongside Volodymyr Zelenskyy, the US president told reporters: “I don’t think you need a ceasefire.”

Ukraine talks latest: Zelenskyy ‘ready to meet’ Putin after Trump summit

Vladimir Putin shaking hands with Donald Trump when they met last week. Pic: Reuters
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Vladimir Putin shaking hands with Donald Trump when they met last week. Pic: Reuters

It was a stunning illustration of Mr Trump’s about-face in his approach to peace. For the past six months, a ceasefire has been his priority, but after meeting Mr Putin in Alaska, suddenly it’s not.

Confirmation that he now views the war through Moscow’s eyes.

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Trump applauds Putin and shares ride in ‘The Beast’ last week

The second was the format itself, with Mr Trump reverting to his favoured ask-what-you-like open-ended Q&A.

In Alaska, Mr Putin wasn’t made to take any questions – most likely, because he didn’t want to. But here, Mr Zelenskyy didn’t have a choice. He was subjected to a barrage of them to see if he’d learnt his lesson from last time.

It was a further demonstration of the special status Mr Trump seems to afford to Mr Putin.

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The third was their phone call. Initially, President Trump said he’d speak to the Kremlin leader after his meeting with European leaders. But it turned out to be during it.

A face-to-face meeting with seven leaders was interrupted for a phone call with one – as if Mr Trump had to check first with Mr Putin, before continuing his discussions.

We still don’t know the full details of the peace proposal that’s being drawn up, but all this strongly suggests that it’s one sketched out by Russia. The White House is providing the paper, but the Kremlin is holding the pen.

Read more:
Four key takeaways from the White House Ukraine summit
Trump has taken peace talks a distance not seen since the war began

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Trump, Zelenskyy and the suit: What happened?

For Moscow, the aim now is to keep Mr Trump on their path to peace, which is settlement first, ceasefire later.

It believes that’s the best way of securing its goals, because it has more leverage so long as the fighting continues.

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But Mr Putin will be wary that Mr Trump is pliable and can easily change his mind, depending on the last person he spoke to.

So to ensure that his sympathies aren’t swayed, and its red lines remain intact, Russia will be straining to keep its voice heard.

On Monday, for example, the Russian foreign ministry was quick to condemn recent comments from the UK government that it would be ready to send troops to help enforce any ceasefire.

It described the idea as “provocative” and “predatory”.

Moscow is trying to drown out European concerns by portraying itself as the party that wants peace the most, and Kyiv (and Europe) as the obstacle.

But while Mr Zelenskyy has agreed to a trilateral meeting, the Kremlin has not. After the phone call between Mr Putin and Mr Trump, it said the leaders discussed “raising the level of representatives” in the talks between Russia and Ukraine. No confirmation to what level.

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Trump brokers Putin and Zelenskyy meeting

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Trump brokers Putin and Zelenskyy meeting

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Donald Trump wants to set up a face-to-face meeting between Russian President Vladimir Putin and Ukrainian President Volodymyr Zelenskyy. How would that work? And would it accelerate peace in Ukraine?

Zelenskyy and other European leaders made their way to Washington DC. What was their goal? To make sure Trump is still on their side – and to make sure he’s not got too close to Putin and his plans to annex parts of Ukraine after the pair met in Alaska.

How much of a turning point was the White House summit in Russia’s invasion of Ukraine?

If you’ve got a question you’d like the Trump100 team to answer, you can email it to trump100@sky.uk.

You can also watch all episodes – including the interview with Tim – on our YouTube channel.

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We are further away from peace now than we were two weeks ago

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We are further away from peace now than we were two weeks ago

It’s always wise to let the dust settle before reaching conclusions with this presidency.

But on the face of it we are further away from peace now than we were two weeks ago.

The consensus that was held back then was that Vladimir Putin would only relent under maximum pressure. He does not want slivers of territory. He wants the whole of Ukraine extinguished and absorbed into his greater Russia.

Ukraine talks latest: Trump sets up Zelenskyy-Putin meeting

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What’s next for Ukraine?

To stop him, allies agreed an immediate ceasefire was necessary, along with much more painful pressure, namely sanctions hitting his oil industry. Europeans and Republicans in Congress agree on that.

Then Alaska and Donald Trump’s U-turn. No ceasefire and no more severe sanctions. So less pressure.

Yesterday’s reality TV diplomatic circus in Washington has not shifted him on that stance, so he stays it seems now aligned with Mr Putin on those crucial points.

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Starmer: This needs to be a lasting deal

Making matters worse for Ukraine, allies seem to be accepting it will have to give up land taken by force.

They sweeten the pill by saying of course only Ukraine can decide whether or not to cede territory, but there is now enormous pressure on Ukrainian President Volodymyr Zelenskyy to do so.

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In return there is nebulous and vague talk of security guarantees. European leaders are seizing on the fact Mr Trump did not rule out American troops being involved and hinted at US support for post-war security arrangements.

But that is little consolation for Ukrainians. They point out this president changes his mind as often as his socks and goes back on commitments, even those enshrined in international treaties.

The best that can be said for the White House meeting is it sets up more such meetings.

Read more:
Five key takeaways from the White House Ukraine summit
Trump has taken peace talks a distance not seen since the war began

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Much of yesterday’s events were focused on stroking President Trump’s ego. Many here in Kyiv would prefer he was reminded of a few hard facts about this war. Mr Putin cannot be trusted. Mr Putin wants the end of Ukraine. Mr Putin will only relent under maximum pressure.

Protracted international diplomacy may suit Mr Trump’s craving for attention, but they fear it will only take us further away from peace.

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