Thursday, May 19, 2022

Spain issues nationwide alert over possible monkeypox outbreak


Spain issued a nationwide alert over a possible monkeypox outbreak Wednesday, after 23 people have shown symptoms.
 Photo courtesy of the U.S. Centers for Disease Control and Prevention

May 18 (UPI) -- Health officials in Spain issued a nationwide alert Wednesday, warning about a possible outbreak of monkeypox, after 23 people showed symptoms of the virus detected in Britain and Portugal.

The new cases in the Madrid region are being analyzed by Spain's National Microbiology Center and are not confirmed. The health ministry said the nationwide alert was issued "to guarantee a swift, coordinated and timely response."

While it is unlikely monkeypox would spread significantly, it "can't be ruled out," according to Fernando Simon, an epidemiologist in charge of Spain's health emergencies center.

In Portugal, five cases have been confirmed and health authorities are investigating another 15 suspected cases. Seven cases have been confirmed in Britain since May 4.

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Early symptoms of monkeypox can include fever, headache, fatigue and chills, with a facial rash and lesions that develop days later and spread to other parts of the body, according to the U.S. Centers for Disease Control and Prevention.

While there is no cure for monkeypox, most people recover from the virus within a few weeks. Monkeypox is more prevalent in Africa, where one in 10 people die after contracting the virus.

"Generally speaking, monkeypox is spread by respiratory transmission, but the characteristics of the 23 suspected cases point towards transmission through mucus during sexual relations," Madrid's health department said in a statement.

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"Eight suspected cases in Madrid are among men who have sex with men. They are doing well and are isolating at home, but a close eye is being kept on them in case they need hospital treatment," department officials said.

Monkeypox can also be transmitted from animals to humans through bites, scratches and direct contact through body fluids or lesions, according to the CDC.

Rare monkeypox outbreaks detected in N America, Europe

Updated / Thursday, 19 May 2022 
The monkeypox virus has been reported in the US and Canada, as well as Eutrope

Health authorities in North America and Europe have detected dozens of suspected or confirmed cases of monkeypox since early May, sparking concern the disease endemic in parts of Africa is spreading.

Canada was the latest country to report it was investigating more than a dozen suspected cases of monkeypox, after Spain and Portugal detected more than 40 possible and verified cases.

Britain has confirmed nine cases since 6 May and the United States verified its first yesterday.

The US health authorities said a man in the eastern state of Massachusetts had tested positive for the virus after visiting Canada.

The illness, from which most people recover within several weeks and has only been fatal in rare cases, has infected thousands of people in parts of Central and Western Africa in recent years but is rare in Europe and North Africa.


The World Health Organization said on Tuesday it was coordinating with UK and European health officials over the new outbreaks.


A handout image issued by the UK Health Security Agency of the stages of monkeypox

Speaking this morning on RTÉ's Today with Claire Byrne, WHO infectious disease epidemiologist Dr Maria Van Kerkhove said they are concerned about the virus and stated there needs to be a greater focus on understanding transmission patterns.

She said "very little attention" has been paid to monkeypox as it is not something that is perceived as a global risk, but that the WHO considers it to be a "priority pathogen".

Ms Van Kerkhove appealed to countries globally "to be ready" to be able to detect cases of monkeypox and offer appropriate care to prevent any onward spread.

She said they are concerned about the spread to non-endemic areas who do not have the virus "on their radar" after a number of cases were reported in European countries and the US without travel links.

"So we are trying to expand our understanding of the circulation of this virus which typically is transmitted between people through contact, physical contact with lesions, with open sores.

"And so we are working with a number of countries to identify who is infected and of course to prevent onward transmission and they receive the appropriate care," she said.

The first case in Britain was someone who had traveled from Nigeria, though later cases were possibly through community transmission, the UK Health Security Agency (UKHSA) said in a statement.

"These latest cases, together with reports of cases in countries across Europe, confirms our initial concerns that there could be spread of monkeypox within our communities," said UKHSA Chief Medical Adviser Dr Susan Hopkins.

The WHO said it was also investigating that many cases reported were people identifying as gay, bisexual or men who have sex with men.

"We are seeing transmission among men having sex with men," said WHO Assistant Director-General Dr Soce Fall at a press conference earlier this week.

"This is new information we need to investigate properly to understand better the dynamic of local transmission in the UK and some other countries."

'No risk to the public'


The UKHSA noted that monkeypox has not previously been characterised as a sexually transmitted disease, underscoring that "it can be passed on by direct contact during sex".

"Anyone, regardless of sexual orientation, can spread monkeypox through contact with body fluids, monkeypox sores, or shared items (such as clothing and bedding) that have been contaminated with fluids or sores of a person with monkeypox," a US Centers for Disease Control and Prevention (CDC) statement said, adding that household disinfectants can kill the virus on surfaces.

The illness often starts with flu-like symptoms such as fever, muscle ache and swollen lymph nodes before causing a chickenpox-like rash on the face and body, the US agency explained.

The Massachusetts Department of Health, said that the case there - the first confirmed this year in the US - occurred in a patient who had recently travelled to Canada and "poses no risk to the public, and the individual is hospitalised and in good condition".

Health authorities in Canada's Quebec province announced they were investigating at least 13 suspected cases of monkeypox, the public broadcaster CBC reported yesterday.

The cases were flagged to Montreal authorities after diagnoses were made in several clinics specialising in sexually transmitted and blood-borne infections.

The Public Health Agency of Canada (PHAC) told CBC it had called on "public health authorities and laboratory partners across Canada to be alert for and investigate any potential cases".

According to the CDC, there were no reported cases of monkeypox for 40 years before it re-emerged in Nigeria in 2017.

JOHN BIRCH SOCIETY ANTI VAX POSTER 1953


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