Oregon reported its first known case Wednesday of monkeypox in a child as health officials underscored the relatively low risk that children entering the school year face of contracting the rare disease.

The Oregon Health Authority declined to provide any identifying information, including the child’s age or age range, gender or county of residence, citing patient confidentiality. The child got tested for a monkeypox infection Aug. 11, with the positive result coming back Aug. 15. They contracted the virus from a person who got sick in July, the health authority said.

The child did not contract the virus in a community setting such as school or child care, state epidemiologist and health officer Dr. Dean Sidelinger said in a statement.

“Many families may be wondering, what does this mean?” Sidelinger said in a news briefing for media Wednesday. “Let me reassure you school settings present low risk or transmission of monkeypox.”

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Sidelinger said he does not know how many educators, if any, have contracted monkeypox, but added that the risk of spread in a school setting is low.

Oregon has so far reported 116 confirmed and presumed monkeypox infections, 73 of them in Multnomah County. Nationally, pediatric cases of monkeypox have been reported in Texas, Florida, California, Indiana and Maine, according to ABC News.

The virus spreads primarily through close, skin-to-skin contact. The vast majority of cases have been among men who reported having sex with men. But cases can also be seen in caregiving relationships, such as when a parent takes care of a child or another adult, Sidelinger said. Symptoms include flu-like symptoms such as a fever, as well as rashes and lesions.

— Fedor Zarkhin