Comprehensive Xinhua News Agency foreign correspondents reported that Indian media reported on July 31 that the country's first monkeypox death occurred in Kerala, southern India, on July 30. The Spanish Ministry of health confirmed on July 30 that the country had a second death case of monkeypox. According to the Indian Express, a 22-year-old male patient returned to Kerala from the United Arab Emirates on July 22. He was hospitalized with fever on July 26. After his illness worsened, he was transferred to another hospital for treatment and died on the afternoon of July 30. Kerala Health Minister George told local media on July 31 that the patient was hospitalized with encephalitis and fatigue symptoms and had no monkeypox symptoms. However, the patient had been tested for monkeypox virus in the United Arab Emirates before flying to Kerala, and his family handed the positive test results to the local hospital on the 30th. It is reported that the local health department has sent the relevant samples to the National Institute of Virology of India for testing and waiting for confirmation, and Kerala will also set up an expert group to conduct an investigation. At present, India has reported a total of 4 monkeypox cases, of which 3 cases have returned to Kerala from the United Arab Emirates, and the other one is in the capital New Delhi. According to the health department of Andalusia autonomous region of Spain, the second death case of monkeypox in Spain was a 31 year old man. The Carlos III Institute of health in Spain is currently studying the biological samples of the deceased to further confirm the relationship between his death and viral infection. So far, two deaths have occurred in Spain in this monkeypox epidemic. The Spanish Ministry of health confirmed on July 29 that the country had its first death case of monkeypox. According to the Spanish broadcasting and television company, this is also the first death case in Europe in the monkeypox epidemic. Spain has become "one of the countries most affected by monkeypox epidemic in the world", the Western Ministry of Health warned. According to the data provided by the national epidemiological monitoring network of Spain on July 29, a total of 4298 monkeypox cases were confirmed in the country, and 120 cases needed hospitalization. The average age of the infected persons was 37 years old. On July 23, the World Health Organization announced that the monkeypox epidemic in many countries constituted a "public health emergency of international concern". (Xinhua News Agency)