Sexually active Americans should consider limiting partners and avoiding sex parties to reduce the risk of contracting monkeypox until they get vaccinated, according to updated guidance from the Centers for Disease Control and Prevention released Friday.

The revisions come a day after the Biden administration declared the growing monkeypox outbreak a public health emergency and as experts, LGBT advocates and health authorities debate how to convey messages about sexual transmission of the virus…

The new sexual health guidance from the CDC echoes the comments from WHO Director General Tedros Adhanom Ghebreyesus, though not as bluntly. It does not single out men who have sex with men. The CDC guidance says risk of exposure can be reduced by limiting sexual partners, avoiding spaces such as sex clubs where anonymous sexual contact with multiple partners occurs, and wearing clothes, including leather or latex, during sex as a skin-to-skin barrier.

The guidance emphasizes that behavioral changes can be temporary until a person is fully vaccinated with two doses against monkeypox. Although the United States is distributing hundreds of thousands of vaccine doses in the coming weeks, there are not enough to vaccinate everyone who is eligible, and some jurisdictions are administering only one of two shots to stretch limited supplies.