In less than 1% of cases, this viral infection
causes fatality in humans. Learn about symptoms, transmission, and treatment.
Symptoms: The disease is characterized by an ash-like discharge from the skin.
In the United Kingdom, the first case of monkeypox was confirmed on 6 May 2022.
It was traced to a person with travel links to Nigeria. If you are infected,
seek medical attention immediately.
Less than 1% fatality rate
The WHO is warning about the possibility of an
outbreak of monkeypox, an infectious disease that causes severe illness and
death. It's not uncommon to see cases of monkeypox in people who live in
countries with low health care coverage. The disease is endemic to 12 countries
in West Africa and Central America. A recent study found that almost 4,600
people were suspected of having the disease in 2020. While it remains rare, the
virus has the potential to become more transmissible and could evolve to spread
among humans.
The current strain of monkeypox differs from the
original circulating strain by at least 50 SNPs. Mutations have made the virus
more infectious and spreadable. It belongs to clade three of the West African
strain, which is less fatal than the Congo Basin clade. Outbreaks of monkeypox
from clade three are generally reported in western Cameroon and Sierra Leone
and carry a less than 1% case fatality rate. The number of SNPs is surprisingly
large, with six to twelve-fold more than would be expected in a population with
an estimated average replacement rate of one to two substitutions per year.
Symptoms
🚨 BREAKING:"For all of these reasons, I have decided that the global #monkeypox outbreak represents a public health emergency of international concern."-@DrTedros pic.twitter.com/qvmYX1ZBAL— World Health Organization (WHO) (@WHO) July 23, 2022
Although the classic scenario of monkeypox is
reminiscent of the one described in textbooks, the current outbreak differs
from this. For one, the rash does not typically start on the face and
extremities. Instead, it starts on the anus or genitals, and sometimes it does
not spread to other parts of the body. In this way, monkeypox can be
transmitted from person to person.
The rash usually appears one to three days after
the fever starts. It usually begins on the face, but may spread to other parts
of the body. A typical monkeypox rash begins as flat red bumps that become
raised, pus-filled blisters. These lesions crust and fall off over a period of
time. Monkeypox is transmitted from person to person through broken skin and
bodily fluids.
Transmission
The transmission of monkeypox is not a new concern.
In the United Kingdom, a healthcare worker contracted the virus from contacts
with contaminated bedding. After the initial case, infection control measures
were taken to protect those who might have come into contact with the sick
worker. Despite precautions, four people who had potential contacts also
contracted the disease. In recent years, transmission has decreased as the
disease is considered endemic in the DRC.
The infection lasts about two to four weeks, but it
can be fatal in endemic areas. It often presents differently in people with
weakened immune systems. However, in general, the illness will manifest itself
within two to four weeks. If the person has a compromised immune system, the
disease can be fatal. Incubation periods of monkeypox range from five to 21
days. During the incubation period, the disease will appear on the face,
followed by the extremities, genitals, and lungs.
Treatment
A proper monkeypox treatment program involves a
variety of precautions. Symptoms include fever, malaise, and fluid-filled
papules and pustules on the trunk and extremities, which begin to heal in 14 to
21 days. Patients should not touch others or their pets until their lesions
have fully healed. Patients should also refrain from sexual activity while
their lesions are healing. The following information can help patients with
monkeypox get the proper treatment.
As with other viral infections, there is no
universal treatment for monkeypox, although medical intervention can help
manage the symptoms. For mild cases, rest and plenty of fluids may be enough to
reduce fever and other symptoms. For more severe cases, antiviral drugs may be
necessary. Vaccines against the orthopoxvirus may help prevent monkeypox or
reduce the severity of the illness. However, there is no definitive treatment
for this illness, so treatment should be individualized.
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