Monkeypox is spreading fast all over the world, especially in the United States and Europe. But it’s apparent now that the first diagnosed pox cases in Europe and the U.S. weren’t the real first cases. What’s frustrating to epidemiologists is that, in theory, we had all the tools we needed to swiftly contain a pox outbreak. The WHO and the CDC both waited too long to designate the pox outbreak as a public-health emergency and mobilize resources. The U.S. National Coalition of STD Directors recently surveyed a hundred clinics and found that half lacked the capacity to deal with the monkeypox outbreak.