The first probable case of monkeypox has been identified in West Virginia. State officials say a Berkeley County resident may be infected. There are about 600 monkeypox cases nationwide. State Health Officer Dr. Ayne Amjad says the risk to West Virginians is extremely low, but it can spread through close, prolonged contact with an infected person. The CDC has made monkeypox vaccines available for those who have been infected with the disease or were in close contact with the infected person.