LOS ANGELES (CNS) — The Los Angeles City Council Tuesday ratified a declaration of local emergency issued last week by Mayor Eric Garcetti for the monkeypox outbreak.

The order allows the city to be prepared as vaccine availability increases and move quickly as circumstances evolve, according to a statement by Garcetti last week.

Los Angeles County declared a local emergency in response to the outbreak last week. The state and federal government have also issued such declarations.

“The city is already supporting the county’s vaccination efforts at city facilities and additional sites are expected to open in the coming days,” Garcetti said. “The declaration is about being prepared, not cause for alarm.”

Local health officials said there were 616 confirmed or presumed cases in LA County as of Monday, up from about 500 on Friday. The vast majority of patients are men, with most being members of the LGBT community, according to the county.

Monkeypox is generally spread through intimate skin-to-skin contact, resulting from infectious rashes and scabs, though respiratory secretions and bodily fluids exchanged during extended physical episodes, such as sexual intercourse, can also lead to transmission, according to the U.S. Centers for Disease Control and Prevention. It can also be transmitted through the sharing of items such as bedding and towels.

Symptoms include fresh pimples, blisters, rashes, fever and fatigue.

There is no specific treatment. People who have been infected with smallpox, or have been vaccinated for it, may have immunity to monkeypox.

According to health officials, the vaccine can prevent infection if given before or shortly after exposure to the virus.

Gay or bisexual men are at increased risk of contracting the virus, according to the CDC.