There are only five U.S. states where no monkeypox cases have been detected according to the U.S. Centers for Disease Control and Prevention (CDC).
The viral disease has swept across the world in an unprecedented outbreak affecting people in countries outside of West and Central Africa, where it is usually confined to, with no travel links to either.
Globally there had been more than 18,000 confirmed cases as of July 25, almost all of which were in countries that had not historically reported monkeypox. The U.S. has seen 3,846 cases reported so far. As of July 25 monkeypox had been detected in every U.S. state except Alaska, Montana, Wyoming, Maine and Vermont—though it's possible there are positive cases in these states that have not been detected.
CDC data shows the state with the most cases is New York with 990, followed by California with 356 and Illinois with 344. A state-by-state count can be found on the CDC's website.