New York City declared a state of emergency on Monday in response to the increasing numbers of monkeypox cases.

As of Monday, the Big Apple reported 1,472 cases of monkeypox, which accounts for 28% of the Centers for Disease Control and Prevention (CDC) estimated national case count of 5,189.

“We are continuing to see the numbers rise. This order will bolster our existing efforts to educate, vaccinate, test, and treat as many New Yorkers as possible and ensure a whole-of-government response to this outbreak,” said New York City’s Mayor, Eric Adams.

“In partnership with federal, state, and local officials we will continue to respond with the urgency required to keep people safe and this order is another tool to help us do so,” he added.

Manhattan is seeing the most cases of any New York borough, reporting 562 cases—more than a third of cases city-wide. However, many experts believe that the number of cases in the city is still underreported.