State health officials say there is now 128 confirmed cases of monkeypox in the state, including six cases in the Hudson Valley.

Here is where the cases have been identified:

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Officials say monkeypox is a rare, viral infection that does not usually cause serious illness. However, it can result in hospitalization or death. They say monkeypox spreads through close, physical contact between people.

Symptoms of monkeypox can include:

•         Rashes, bumps or blisters on or around the genitals or in other areas like your hands, feet, chest or face.

•         Flu-like symptoms, such as fever, headache, muscle aches, chills and fatigue. These symptoms may occur before or after the rash appears, or not at all.