It’s unclear, but the disease is no more likely to infect gay and bisexual men than anyone else. WHY ARE MOST OF THE INFECTIONS IN MEN WHO HAVE SEX WITH MEN? Scientists say it will be difficult to determine whether the spread is being driven by sex or merely close contact. David Heymann, who chairs WHO’s expert advisory group on infectious hazards, said monkeypox can spread when there is close contact with someone already infected with the disease, and that “it looks like sexual contact has now amplified that transmission.”Īuthorities in countries including Britain, Spain, Germany and Portugal say most of the known cases in Europe have been among men who have sex with men, but experts emphasize that anyone can be infected through close contact with a sick person, their clothing or bedsheets.