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Monkeypox - A public health emergency

By Mayuri Bhagat| Last Updated at: 23rd Mar '24| 16 Min Read

The 18th and 19th centuries, which are most known for the industrial revolution and the conquering of empires, were also known as the 'age of pandemics'. Between 1817 and 1920, cholera, plague, and influenza pandemics occurred, each of which killed 70 million lives.
The cycle of plagues had the potential to become a global phenomena thanks to imperialism and international trade. 

The irony of our progress in preventing infection-related deaths over the past 200 years is that it has contributed to foster the ideal environment for the emergence of new outbreaks, which will have devastating worldwide social and economic effects. Does that mean we are entering a new age of pandemics? As the COVID-19 pandemic slogs on, another viral disease has captured the world's eye; 'Monkeypox'


Global picture of monkeypox at present

Since the start of May, the U.S. has officially documented more than 21,000 cases. While India reporting 10 cases in August and More than 56,000 people are involved globally. as per reports from August.

The monkeypox virus, is a zoonotic virus that typically only spreads from animals to humans but is related to the virus that causes smallpox, was first identified in humans in the Democratic Republic of the Congo in 1970. Africa has had sporadic outbreaks of illness, usually brought on by contact with wildlife reservoirs (particularly rodents). Due to the limited secondary spread of such epidemics and instances related with travel outside of Africa, it has been shown that human-to-human transmission is ineffective.

The World Health Organization declared monkeypox a "evolving danger of moderate public health concern" on June 23, 2022, after more than 3000 monkeypox virus infections were detected in more than 50 nations across five regions since early May 2022. Currently, countries in the European and North American regions are reporting the highest numbers of cases.

It's been there longer than we knew

The monkeypox virus has been circulating for decades in areas where it has been historically endemic, but research on the disease has been neglected and underfunded. Since 1958, when it was discovered in monkeys, the virus that causes monkeypox is not new. It was originally recognized as a human pathogen in 1970 after being first found in 1958 in study at a lab with monkeys. In west and central Africa, the illness has a long history of low endemicity. According to UNLV infectious disease expert Brian Labus, an epidemiologist and professor "There was a small outbreak in the U.S. Midwest in 2003, when pet prairie dogs – infected after being housed near rodents imported from Ghana – came in contact with humans."


All you need to know about Monkeypox

How is monkeypox transmitted?
The virus can spread among humans, primarily through close physical contact with an infected person or contaminated objects like clothes or bedding, or by the respiratory droplets produced when someone coughs, talks, or sneezes. Historically, people typically contracted monkeypox after coming into contact with infected animals.


What is driving the outbreak?
Data strongly suggests that sexual contact is the main mode of transmission because the vast majority of persons impacted by the global pandemic are (MSM). However, Professor Brian Labus adds that "There is a false belief, in my opinion, that monkeypox primarily affects males who have sex with other men (MSM) and that having MSM automatically guarantees you will contract monkeypox. Although it is true that the illness has spread among MSMs, we have also seen cases in children, family members, and non-MSMs."

How can monkeypox be treated?

The disease is usually self-limiting, meaning symptoms usually go away without the need for treatment within 2–3 weeks. Some people may require antibiotics and analgesia to treat secondary infections and local pain. While a new vaccine has been approved for the prevention of monkeypox, and the smallpox vaccine has also been demonstrated to provide protection. Dr. Faith Alex practicing medical doctor at Nationaltasc adds "Sometimes treatments for monkeypox help relieve symptoms but the virus will go away on its own. And, you can help yourself feel better by resting and drinking plenty of fluids."

What are the symptoms?
Monkeypox can cause flu-like symptoms like fever, headache, fatigue, chills, and enlarged lymph nodes and most people will develop a distinctive rash, though the extent of this can vary and clinicians have reported symptoms that are milder or more localized to genital and anorectal areas than previously expected 
Someone who has contracted monkeypox usually starts to show symptoms between around 6–13 days after contact with an infected, symptomatic person, or their belongings, but it can take up to 21 days.  

 

To conclude

With little resources for surveillance, diagnostics, and even patient care, the African nations where monkeypox is prevalent are still in the same condition as they have always been. Placide Mbala, a virologist at the Congo Institute of Biomedical Research, claimed that despite all the attention the West has given to monkeypox, nothing has changed in Africa. The UN health agency pleaded with the globe to aid African nations in preventing the tragic vaccination inequality that afflicted the COVID-19 outbreak.

 

Although new or previously confined infectious illnesses have been on the rise for decades, it seems as though we are currently witnessing a special uptick, from COVID-19 and monkeypox to Marburg and the new langya virus. We need to make our surveillance systems more robust in many parts of the world such that we are better able to identify outbreaks of novel pathogens.

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Question and Answers

Last night a bat flew over my back and I am afraid it might have bitten me. I didn't feel the bite, but now I feel pain in my left shoulder and nausea. Given the potential risk of rabies, I would like to ask if I should seek medical attention immediately?

Male | 17

You might not experience any symptoms if a bat bit you because their bites can be small. If you feel pain and nausea afterward, especially in your left shoulder, it could be a sign of rabies. Rabies is a serious brain virus that commonly occurs through animal bites. Hence, it is necessary to seek medical help without delay. Rabies may be prevented if treated early, hence, it is better not to take risks.

Answered on 22nd Aug '24

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Dog has bite me 15 days ago intake tetnus nd anti rabies vaccine now today he again bites should i take vaccine again

Female | 26

If you have already got a tetanus and anti-rabies vaccine after the main bite, you should be fine. A second vaccine may not be necessary, but it's important to watch for symptoms like redness, swelling, pain, or fever. If any of these develop, seek medical attention immediately.

Answered on 21st Aug '24

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My mother is an asthama patient, she got mild fever and body pain so I have given her ibrufen 200 mg ,if there is any contradiction then what to do. Can I give her Montamac tablet and her Formanide pump

Female | 56

Fever and body pain can be caused by different things, and giving ibuprofen is usually a sensible thing to do. On the other, ibuprofen is not the best choice for asthma patients because it can sometimes make things worse. You can also try giving Montamac tablets for the fever and body pain as an alternative to ibuprofen. The use of her Formanide pump, which medical professionals have prescribed for her asthma, must be strictly observed. The same is true if the symptoms worsen, it is necessary to see a doctor.

Answered on 20th Aug '24

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Sir myself Imtiaz Ali My problem is fever with flu ???? for 18 days Mujh saans Lene me problem hy Aur heart rate fast ho jata hy. Thakawat bht ziada Hoti hy. Koi medicine batain

Male | 33

It seems you are experiencing prolonged fever, flu symptoms, difficulty in breathing, and a fast heart rate, along with extreme fatigue. These could be signs of a serious underlying condition, so it's essential not to delay. Please visit a physician or an internal medicine specialist as soon as possible for a proper diagnosis and treatment. Self-medication can be harmful in such cases.

Answered on 20th Aug '24

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What symptoms would indicate that the treatment might not be successful?

Male | 59

If the treatment doesn't seem to be working, some diagnostics to keep an eye out for are if your symptoms don't improve or actually get worse, if new symptoms emerge that weren't present earlier, or if you experience side effects from the treatment. These things could be the indications that the specific therapy is not your cup of tea. In such cases, it's crucial to the doctor to discuss other alternative solutions that may suit you better.

Answered on 19th Aug '24

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