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A second monkeypox death has been confirmed in Spain, health officials said.

It is thought to be the third death outside Africa since the virus began to spread further afield earlier this year.

Spain reported its first death on Friday, shortly after Brazil confirmed the first monkeypox-related fatality of the current epidemic.

In its latest report on Saturday, the Spanish Health Ministry said 4,298 cases had been confirmed in the country.

Of the 3,750 patients on which it had information, 120 or 3.2% had been hospitalised, and two had died, it said without providing further details.

UK health officials said there more than 2,500 confirmed and suspected cases as of Thursday, with all but a few dozen in England.

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