What is Monkeypox?
With more than 27,000 Monkeypox cases across the globe, what is its history, current situation and reasons? How can you prevent Monkeypox infection?
Monkeypox is an uncommon disease, generally caused by infection with a virus, named monkeypox virus. It comes from the same family of viruses that causes smallpox, called variola. Though monkeypox is rarely fatal, there are over 27,000 cases across the globe with six deaths globally till August 8, 2022.
Major countries have reported monkeypox cases including Brazil, the US, France, Germany, the United Kingdom and Spain.
Considering the outbreak, the World Health Organisation has declared the current monkeypox epidemic a global health emergency.
Monkeypox began at the Statens Serum Institute in Copenhagen, Denmark in 1958. Monkeys were being kept for research after pox-like infectious diseases occurred in them. Similar to humans, monkeys are also not the source of this virus. As of now, it is considered to be similar to smallpox and might share the same roots.
On July 14, India reported the first case of Monkeypox after a guy who returned to Kerala from abroad developed symptoms of the infectious disease. There is only one death in India out of nine reported cases, so far.
According to Kerala Health Minister Veena George, monkeypox was diagnosed in a person who had returned from the United Arab Emirates 3 days ago and had been contacted with another positive case in the UAE. His samples were tested at the National Institute of Virology in Pune, stated the Health Minister of Kerala.
How does Monkeypox spread?
Unlike coronavirus, Monkeypox is not an airborne virus. It spreads through direct contact with the infectious rash, body fluids or scabs. However, it can be spread by respiratory secretions during prolonged intimacy, face-to-face contact or physical contact.
Since it belongs to the variola family, it is closely related to the eradicated virus smallpox. It was most prevalent in Western and Central African nations. In 2020, WHO reported 4,594 suspected cases of monkeypox, including 171 deaths. Since they were not tested by PCR, they were considered suspected cases.
Symptoms of monkeypox normal occur between five and thirteen days. The infection causes bumps all over the body. After bumps, fever, muscle ache, swelling or headache can be experienced. Further, these rashes or bumps form a scab which falls off with skin or without skin. Wet areas such as genitals, mouth and cornea are susceptible to the spread of this virus.
It can only be diagnosed with PCR tests, and there is no designated cure for this disease. However, a few antivirals for orthopoxviruses can help protect against monkeypox, like tecovirimat.
Are there different variants of Monkeypox?
Two key clades of the monkeypox virus are the Central Africa clade and West Africa clad. The current clade responsible for the global outbreak is the Central African clade.
How is Monkeypox diagnosed?
Monkeypox can be identified only with blood or by looking under a microscope at a sample of fluid swabbed from the rash. Since it is a rare disease, your doctor might rule out other similar illnesses such as chickenpox, measles or syphilis.
Is Monkeypox as contagious as coronavirus?
Unlike coronavirus, Monkeypox is less contagious and the West African clade is rarely fatal. Only 1% of affected people have a risk of death.
Though people with weak immunity and children under 8 years of age are susceptible to it. Further, people with a history of eczema or pregnant or lactating people have a high risk of serious illness or death.
The Congo Basin clade of monkeypox virus has a fatality rate of around 10%.
What are the stages of Monkeypox?
Monkeypox symptoms generally start within three weeks of exposure to the virus. If someone has flu-like symptoms, they might develop a rash 1 to 4 days later.
The illness typically lasts from 2-4 weeks. It can be spread until the rash or bump is healed, and a scab has fallen off.
What are the symptoms of Monkeypox?
Monkeypox can have several symptoms. However, you should keep a check on the following things:
- Fever
- Headache
- Muscle aches and backache
- Swollen lymph nodes
- Chills
- Respiratory symptoms - nasal congestion, sore throat or cough
- A rash or bump that appears like a pimple inside the face, mouth, underarms or private areas.
- A rash that goes through various stages before healing fully. The condition typically lasts 2-4 weeks.
What are the precautions for Monkeypox?
- Avoid skin contact with people who have rashes that resembles smallpox or monkeypox
- Avoiding contact with things or objects that a monkeypox-infected person used.
- You should wash your hands regularly with water and soap or alcohol-based hand sanitiser.
- Don't touch your face or skin with unwashed hands.
What treatments are available for monkeypox?
There is no specific available treatment for monkeypox. However, you can use antiviral drugs used for curing smallpox as the best alternative.
Can monkeypox affect your pet?
This zoonotic disease spreads among animals and humans. Although there are no cases of pets being infected by Monkeypox.
Latest Updates on Monkeypox
Bavarian Nordic has partnered with the Serum Institute of India to produce its Mpox vaccine for the Indian market and expand global capacity through contract manufacturing
Decision comes as Mpox cases surge, particularly with the spread of the clade Ib variant beyond its origin in the Democratic Republic of Congo to neighbouring African nations, Europe, and Asia
Earlier this year, scientists reported the emergence of a new form of mpox in Africa that was spread through close contact including through sex
Investigation of the Clade la strain of the virus circulation in Central Africa shows genetic mutations indicative of sustained human-to-human spread
Authorities announced the first case of the new form of mpox in UK last week, saying case was being treated at a London hospital after recently travelling to countries in Africa with ongoing outbreaks
Cases of the clade Ib strain of the virus have been confirmed in Sweden, Thailand, and India, outside of Democratic Republic of Congo and neighbouring nations
The first Mpox case in India this year involved a man from Haryana, with a less concerning strain. The second case, detected in Kerala, was the first instance of the more concerning clade 1b strain
Mpox is a viral illness caused by the monkeypox virus and there are two distinct strains of the virus i.e, clade 1 (with subclades 1a and 1b) and clade 2 (with subclades 2a and 2b)
After a meeting, state Health Minister Veena George said instructions have been given to take necessary action if the number of cases increases
The Clade 1b strain has been found in a 38-year old man from Kerala's Malappuram district who had tested positive last week
The 26-year-old patient from Hisar, Haryana, was admitted to the hospital on September 8, with doctors confirming the diagnosis on September 9
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Experts say a lack of resources and knowledge about the new strain makes it difficult to advise people
A district health official said that the patient arrived in Kerala a few days ago and, after falling sick, was first admitted to a private hospital
Mpox crisis: Travellers who test positive will be required to undergo a 21-day mandatory quarantine, similar to the protocols implemented during the Covid-19 pandemic
The pre-qualification of the vaccine by Bavarian Nordic A/S means that donors like GAVI the Vaccine Alliance and UNICEF can buy it but supplies are limited because there's only a single manufacturer
In the one week, we lost 107 (people). It's too much. It's not acceptable, Kaseya said as he emphasised the need for stronger cross-border surveillance
The 26-year-old patient, a resident of Haryana's Hisar, was admitted to the Delhi government-run LNJP Hospital on September 7, and is undergoing treatment
A small fraction of those doses could help curb what is now the biggest mpox outbreak on record in the Democratic Republic of Congo and neighboring countries, disease experts say
Canada would not say to whom it would deliver the vaccines, or in what time frame