Infection can be spread from person-to-person through contact with bodily fluids and skin lesions of a monkeypox case. Most cases of monkeypox occur when people have very close contact with infected animals or from eating infected bushmeat. The Congo Basin type is more severe, but only the milder, West African type has been spread to countries outside Africa. There are two types of monkeypox: West African monkeypox and Congo Basin monkeypox. It occurs primarily in remote parts of Central and West Africa.