JERUSALEM: Israel confirmed its first case of monkeypox on Saturday, joining several European and North American countries in detecting the disease endemic to parts of Africa. A spokesman for Tel Aviv’s Ichilov hospital said that a 30-year-old man, who recently returned from western Europe with monkeypox symptoms, had tested positive for the virus. The virus, which causes distinctive pustules but is rarely fatal, is endemic to parts of central and west Africa. In recent weeks, cases have been detected in Britain, France, Germany, Belgium, Italy, Portugal, Spain and Sweden as well as in the US, Canada and Australia, raising fears the virus may be spreading. Symptoms of the rare disease include fever, muscle aches, swollen lymph nodes, chills, exhaustion and a chickenpox-like rash on the hands and face. The virus can be transmitted through contact with skin lesions or droplets from a contaminated person, as well as through shared items such as bedding or towels.