Monkeypox: 80 Cases Confirmed in 12 Countries

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Infections of Monkeypox, a rare disease that is most common in remote parts of Central and West Africa, have been confirmed in nine European countries, as well as the US, Portugal, Canada and Australia.

There is no specific vaccine for monkeypox, but a smallpox jab offers 85% protection since the two viruses are quite similar.

So far public health agencies in Europe have confirmed cases in the UK, Spain, Portugal, Germany, Belgium, France, the Netherlands, Italy and Sweden.

Closer to home for Samoa, Australia’s first case of monkeypox was discovered in Victoria earlier in the week and a “very likely” second case has been found in New South Wales, Channel 9 reports.

“The first confirmed case of the rare disease is a Melbourne man in his 30s who recently visited the UK, where there is a small cluster of the virus..

“The suspected case in Sydney is in a man in his 40s who developed a mild case of the illness several days after returning to Sydney from a trip to Europe”.
An image created during an investigation into an outbreak of monkeypox in the Democratic Republic of the Congo, 1996 to 1997, shows the arms and torso of a patient with skin lesions due to monkeypox, in this undated image obtained by Reuters on May 18, 2022. CDC/Brian W.J. Mahy/Handout via REUTERS THIS IMAGE HAS BEEN SUPPLIED BY A THIRD PARTY.

The WHO issued a statement on Friday, that the recent outbreaks “are atypical, as they are occurring in non-endemic countries”.

It said it was “working with the affected countries and others to expand disease surveillance to find and support people who may be affected”.

It is not yet clear why this unusual outbreak is happening now with one possibility is that the virus has changed in some way, although currently there is little evidence to suggest this is a new variant, officials say.

WHO Regional Director for Europe Hans Kluge said that “as we enter the summer season… with mass gatherings, festivals and parties, I am concerned that transmission could accelerate”.

“All but one of the recent cases have no relevant travel history to areas where monkeypox is endemic,” he said.

Kluge warned that transmission could be boosted by the fact that, “the cases currently being detected are among those engaging in sexual activity”, and many do not recognise the symptoms.

Most initial cases have been among men who have sex with men and sought treatment at sexual health clinics, Kluge said, adding “this suggests that transmission may have been ongoing for some time”.

A notable proportion of early cases detected have been in gay and bisexual men and authorities are urging this community in particular to be alert.

“People should notify clinics ahead of their visit and can be assured their call or discussion will be treated sensitively and confidentially..”

Monkeypox is usually a mild self-limiting illness, spread by very close contact with someone with monkeypox and most people recover within a few weeks.

The virus causes distinctive pustules but is rarely fatal.

The World Health Organization (WHO) has said it is investigating the fact that many cases reported were people identifying as gay, bisexual or men who have sex with men.

Monkeypox had not previously been described as a sexually transmitted infection, the UKHSA said.

It can be transmitted through contact with skin lesions and droplets of a contaminated person, as well as shared items such as bedding and towels.

In the meantie, France, Belgium and Germany have reported their first cases of monkeypox and Italy confirmed it now had three linked cases of the disease.

French authorities said the virus had infected 29-year-old man living in the area that includes Paris, while Belgium said that it had confirmed two cases, including a man in the Flemish Brabant region.

UK health officials on Friday reported 11 more confirmed cases in England, taking its total to 20.

‘Increase In Coming Days’ 

The UK Health Security Agency’s (UKHSA) chief medical adviser, Susan Hopkins, said she expected “this increase to continue in the coming days and for more cases to be identified in the wider community”.

She particularly urged gay and bisexual men to look out for symptoms, saying a “notable proportion” of cases in the UK and Europe came from this group.

UK Health Secretary Sajid Javid sought to reassure the public, tweeting: “Most cases are mild and I can confirm we have procured further doses of vaccines that are effective against monkeypox.”

Symptoms of the disease include fever, muscle aches, swollen lymph nodes, chills, exhaustion and a chickenpox-like rash on the hands and face.

The first UK case was announced on May 7, in a patient who had recently travelled to Nigeria.

Two more cases were reported a week later, in people in the same household. They had no link to the first case.

The UKHSA said that four further cases announced May 16 all identified as gay, bisexual or other men who have sex with men and appeared to have been infected in London.

It said two new cases reported on May 18 also had no history of travel to countries where the virus is endemic and “it is possible they acquired the infection through community transmission”.

It did not give any details of the latest cases reported Friday.

On Thursday, health authorities in Italy announced the country’s first case of monkeypox, in a young man recently returned from the Canary Islands.

On Friday they said two further cases, linked to “patient zero”, had been confirmed.

Monkeypox usually clears up after two to four weeks, according to the WHO.

Monkeypox reemerged in Nigeria in 2017 after four decades without a single confirmed case. As of May 2022, 450 cases have been reported in the country.
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