A leading adviser to the World Health Organization described the unprecedented outbreak of the rare disease monkeypox in developed countries as "a random event" that might be explained by risky sexual behavior at two recent mass events in Europe.

In an interview with The Associated Press, Dr. David Heymann, who formerly headed WHO's emergencies department, said the leading theory to explain the spread of the disease was sexual transmission among gay and bisexual men at two raves held in Spain and Belgium. Monkeypox has not previously triggered widespread outbreaks beyond Africa, where it is endemic in animals.

A Lebanese doctor claimed Monday that there are at least two cases of monkeypox in Lebanon, as the Health Ministry confirmed that a sample from a suspected monkeypox patient has been sent to France for testing.

The doctor, Mohammed Fahmi Kharroub, a specialist in family medicine and chronic illnesses, told al-Jadeed TV in a live interview that he has diagnosed a patient in Lebanon with monkeypox and that he has been told about “another case in south Lebanon.”

Israel has confirmed its first case of monkeypox, joining several European and North American countries in detecting the disease endemic to parts of Africa.

Several cases of monkeypox have been detected in North America and Europe since early May, sparking concern that the disease, endemic in parts of Africa, is spreading.

Most people recover within several weeks and monkeypox has only been fatal in rare cases.

Germany's top court said Thursday it has approved rules requiring health workers to be vaccinated against COVID-19.

The Federal Constitutional Court announced that it had rejected complaints against the measure, arguing that the importance of protecting vulnerable people in hospitals and care homes outweighs any infringement of health workers' rights.

North Korea on Thursday reported 262,270 more suspected COVID-19 cases as its pandemic caseload neared 2 million — a week after the country acknowledged the outbreak and scrambled to slow infections in its unvaccinated population.

The country is also trying to prevent its fragile economy from deteriorating further, but the outbreak could be worse than officially reported since the country lacks virus tests and other health care resources and may be underreporting deaths to soften the political impact on authoritarian leader Kim Jong Un.

The World Health Organization representative in Lebanon, Dr. Iman Shankiti, and the Italian Ambassador in Beirut, Nicoletta Bombardiere, signed an agreement Thursday at the Italian Embassy in Beirut worth 1,616,000 euros, which is aimed at supporting the strengthening of public health systems in Lebanon.

"It has two main pillars: the first is improving the government’s regulatory capacity in terms of access to quality medications, by expanding the pharmaceuticals bar code system at the national level, and the second is enhancing the capacity of public hospitals to deliver quality services, by supporting selected public hospitals in terms of emergency care capacity," a joint statement said.

Japan's government announced Tuesday it will begin allowing small package tours from four countries later this month before gradually opening up to foreign tourism for the first time since it imposed tight border restrictions due to the coronavirus pandemic.

Transport Minister Tetsuo Saito said the tours will be allowed from Australia, Singapore, Thailand and the United States as an experiment.

The Spanish government approved a draft bill Tuesday that widens abortion rights for teenagers and may make Spain the first country in Europe entitling workers to paid menstrual leave.

The measures are part of a package of proposals that will be sent to the Spanish parliament for debate. The package includes an extension of abortion rights, scrapping the requirement for 16- and 17-year-olds to obtain parental consent before terminating a pregnancy.

During more than a decade as North Korea's leader, Kim Jong Un has made "self-reliance" his governing lynchpin, shunning international help and striving instead for domestic strategies to fix his battered economy.

But as an illness suspected to be COVID-19 sickens hundreds of thousands of his people, Kim stands at a critical crossroad: Either swallow his pride and receive foreign help to fight the disease, or go it alone, enduring potential huge fatalities that may undermine his leadership.