UK- Two cases of monkeypox virus found in Wales, June 2021

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First case of monkeypox confirmed in Ireland

The first case of the monkeypox virus has been been confirmed in Ireland.

The Health Protection Surveillance Centre was last night notified of the confirmed case in the east of the country.

In a statement, the Health Service Executive said the person had not been hospitalised.

It said this case was not unexpected following the presence of monkeypox cases in the UK and many European countries.

The HSE said that public health teams are now following up with people who were in close contact with the positive case while they were infectious.

A further suspected case is also being investigated and test results are awaited.

Monkeypox, typically a mild viral infection, is endemic in African countries but its spread to non-endemic countries such as in Europe and the United States has raised concerns.

(...)

 
May 29 2022
''The sudden appearance of monkeypox at once in several countries where the disease is not typically found suggests undetected transmission for some time and recent amplifying events, the World Health Organization said on Sunday.

Twenty-three countries that are not endemic for the virus have reported a total of 257 confirmed cases and 120 suspected cases to the WHO as of May 26, the agency said in a statement.

As of Thursday, Canada had reported 26 confirmed cases to the WHO, and another 25 to 35 suspected cases were under investigation, according to the agency's latest disease update released Sunday.

The United Kingdom has confirmed 106 cases, and Portugal has confirmed 49 cases, while Spain has confirmed 20 cases and a further 64 suspected cases are still being investigated.

The agency added that it expects more cases to be reported as surveillance in endemic and non-endemic countries expands.''
 
Thank goodness this is "mild" and no deaths have been reported. In terms of spread, I wonder what more commonly-known virus it could be compared to. Will the outbreaks cease eventally, or are we stuck with this around the world (in non-endemic countries) - granted at relatively low levels - now?
 
Lots of discussion throughout conference about mp at latest WHO briefing.

Dr. Mike’s comments on environmental aspects, ecosystem pressures, animal interface, amplification factors, etc. are especially on point, as usual:

 
Last edited:
June 6 2022
''The U.S. Centers for Disease Control and Prevention raised its monkeypox alert level on Monday and recommended travelers wear masks while cautioning that it was not on the same level of concern as COVID-19.

Monkeypox presents as flu-like symptoms before patients develop a painful rash and lesions and swolen lymph nodes.

The incubation period between exposure and when symptoms first appear can be anywhere from five to 21 days, according to the World Health Organization.''


''The agency reported 31 confirmed cases in the U.S. as of Monday afternoon. The first reported cases in Washington, D.C., came on Sunday.''

''British health officials reported 77 more monkeypox cases on Monday, raising the total to more than 300 across the country. To date, the U.K. has the biggest identified outbreak of the disease outside of Africa, with the vast majority of infections in gay and bisexual men.

Health officials warn that anyone, regardless of their sexual orientation, is potentially at risk of catching monkeypox if they are in close contact with a patient, the patient's clothing or their bed sheets.

On Sunday, the World Health Organization said more than two dozen countries that haven't previously identified monkeypox cases had reported 780 cases, a more than 200 per cent jump in cases since late May. No monkeypox deaths outside of Africa have yet been identified.''
 
June 8 2022

''At a media briefing in Geneva, Tedros also said there had been more than 1,400 suspected cases of monkeypox this year in Africa and 66 deaths.

"It's an unfortunate reflection of the world we live in that the international community is only now paying attention to monkeypox because it has appeared in high-income countries," he said.''

''29 COUNTRIES WITH REPORTED CASES​

AMERICAS​

  • ARGENTINA had confirmed two cases as of June 2.
  • CANADA had confirmed 81 infections as of June 7.
  • MEXICO confirmed its first case on May 28.
  • The UNITED STATES had confirmed 35 cases in 12 states by June 8.

EUROPE​

  • AUSTRIA confirmed its first case on May 22.
  • BELGIUM detected its first two cases on May 20 and a total of 17 by June 5.
  • CZECH REPUBLIC detected its first case on May 24, reaching a total of six as of June 2.
  • DENMARK confirmed its first case on May 23 and a total of three as of June 3.
  • FINLAND reported its first case on May 27, second on June 2.
  • FRANCE had confirmed 66 cases by June 7.
  • GERMANY reported its first case on May 20 and a total of 80 by June 7.
  • GIBRALTAR confirmed its first case on June 1.
  • HUNGARY reported its first case on May 31.
  • IRELAND had confirmed seven cases as of June 7, with first on May 28.
  • ITALY had detected 20 cases as of June 1, since its first on May 19, and suspected one more.
  • LATVIA confirmed its first case on June 3.
  • MALTA reported one case on June 2.
  • The NETHERLANDS, which reported its first case on May 20, had confirmed 54 as of June 7.
  • NORWAY reported its first case on May 31.
  • PORTUGAL confirmed 25 new cases on June 8, bringing its total to 191.
  • SLOVENIA has reported a total of six cases since its first one on May 24.
  • SPAIN confirmed 27 new cases on June 7, bringing the total to 225.
  • SWEDEN confirmed its first case on May 19 and a total of five by June 2.
  • SWITZERLAND had confirmed a total of 10 cases as of June 7, with first on May 21.
  • The UNITED KINGDOM had confirmed 321 cases as of June 7, including 305 cases in England, 11 in Scotland, two in Northern Ireland and three in Wales.

MIDDLE EAST & AFRICA​

  • ISRAEL had reported two cases as of June 2, with its first on May 21.
  • MOROCCO reported its first case on June 2.
  • The UNITED ARAB EMIRATES had reported a total of 13 infections since its first on May 24.

ASIA-PACIFIC​

  • AUSTRALIA, which on May 20 reported its first case, had confirmed six cases as of June 3.
(Reporting by Mrinalika Roy and Jennifer Rigby; Editing by Toby Chopra, Janet Lawrence and Mark Porter)''
 

More than 1,000 monkeypox cases reported globally, says WHO​

THE RISK OF monkeypox becoming established in non-endemic nations is real, the WHO has warned, with more than a thousand cases now confirmed in such countries.

World Health Organization chief Tedros Adhanom Ghebreyesus said the UN health agency was not recommending mass vaccination against the virus, and added that no deaths had been reported so far from the outbreaks.

(...)

The zoonotic disease is endemic in humans in nine African countries but outbreaks have been reported in the past month in several other states – mostly in Europe, and notably in Britain, Spain and Portugal.

“More than 1,000 confirmed cases of monkeypox have now been reported to WHO from 29 countries that are not endemic for the disease,” Tedros said.

“So far, no deaths have been reported in these countries. Cases have been reported mainly, but not only, among men who have sex with men.

“Some countries are now beginning to report cases of apparent community transmission, including some cases in women.”

(...)

Tedros said he was particularly concerned about the risk the virus poses to vulnerable groups, including pregnant women and children.

He said the sudden and unexpected appearance of monkeypox outside endemic countries suggested that there might have been undetected transmission for some time, but it was not known for how long.

One case of monkeypox in a non-endemic country is considered an outbreak.

Tedros said that while this was “clearly concerning”, the virus had been circulating and killing in Africa for decades, with more than 1,400 suspected cases and 66 deaths so far this year.

“The communities that live with the threat of this virus every day deserve the same concern, the same care and the same access to tools to protect themselves,” he said.

(...)

In the few places where vaccines are available, they are being used to protect those who may be exposed, such as healthcare workers.

Tedros added that post-exposure vaccination, ideally within four days, could be considered for higher-risk close contacts, such as sexual partners or household members.

Tedros said the WHO would issue guidance in the coming days on clinical care, infection prevention and control, vaccination and community protection.

He said people with symptoms should isolate at home and consult a health worker, while people in the same household should avoid close contact.

Few hospitalisations have been reported, apart from patients being isolated, the WHO said at the weekend.

(...)

 
The WHO wants to give monkeypox a new name

Monkeypox is poised to get a new name, the World Health Organization says, after scientists recently criticized the current name as "discriminatory and stigmatizing." The researchers say it's also inaccurate to name versions of the virus after parts of Africa.

The WHO is working with experts "on changing the name of monkeypox virus, its clades and the disease it causes," WHO Director-General Tedros Adhanom Ghebreyesus said at a briefing on the outbreak on Tuesday.

Tedros is also calling an emergency meeting next week to discuss the virus, which he says is not behaving the way it has in the past.

[More at link]
 
From yesterday:

The World Health Organization convenes its emergency committee Thursday to consider if the spiraling outbreak of monkeypox warrants being declared a global emergency...it did not expect to announce any decisions...before Friday.
 
Pictures showing examples of rashes and lesions caused by the monkeypox virus are seen in this undated handout image obtained by Reuters on July 1, 2022.
Pictures showing examples of rashes and lesions caused by the monkeypox virus are seen in this undated handout image obtained by Reuters on July 1, 2022. PHOTO BY UK HEALTH SECURITY AGENCY /Handout via REUTERS
1 July 2022
''LONDON — Patients with monkeypox in the U.K. have noticeably different symptoms from those seen in previous outbreaks, according to researchers in London, raising concerns cases are being missed.''

Patients reported less fever and tiredness and more skin lesions in their genital and anal areas than typically seen in monkeypox, the study of 54 patients at London sexual health clinics in May this year found.

Monkeypox, a usually relatively mild viral illness that is endemic in several countries in western and central Africa, has caused more than 5,000 cases and one death outside those areas – mainly in Europe – since early May. Cases have also risen in the countries where it more usually spreads, according to the World Health Organization.

The research from London, published in the Lancet Infectious Diseases Journal, follows suggestions from public health bodies like the United States Centers for Disease Control and Prevention that the outbreak – which is spreading chiefly among men who have sex with men – is presenting unusually.''
 
''MONTREAL - Quebec health officials are reporting a dozen new cases of monkeypox for a total of 248 since the outbreak began in the province.

Earlier this week, authorities had reported 236 declared cases in the province.

Quebec’s Health Department says 9,437 doses of vaccine have been administered since May 27 to curb the biggest outbreak of the disease in Canada.''


''Monkeypox generally does not spread easily between people and is transmitted through prolonged close contact via respiratory droplets, direct contact with skin lesions or bodily fluids, or through contaminated clothes or bedding.''
 
July 19, 2022
''The number of confirmed cases of monkeypox in Ontario has risen by 47 per cent in the past five days, health officials say, with the bulk of cases still appearing in Toronto.
There are now 230 confirmed cases in Ontario, up from 156 on July 14, 133 on July 11, and 101 on July 6.
Public Health Ontario says all but one confirmed case are in men, and 172 of the cases confirmed so far involve residents of Toronto.''

''UK orders more doses of monkeypox vaccine as cases pass 2,000​

Confirmed cases no longer required to isolate at home if they do not have symptoms''

''As the United States confirms 1,814 monkeypox cases from 45 states, some public health experts are expressing fears that the virus is becoming entrenched in the country, and the window to control the outbreak and eliminate the virus from the country is closing quickly.

Several media outlets over the weekend reported that access to treatments and vaccines is still far from streamlined, with doctors required to make formal requests from the national stockpile each time they wish to treat a patient with Tpoxx, an antiviral used to treat smallpox that can also be used for monkeypox.''

''The spread of monkeypox has ignited a debate within the New York City Health Department over whether the agency should encourage gay men to reduce their number of sexual partners during this summer’s outbreak.
Inside the department, officials are battling over public messaging as the number of monkeypox cases has nearly tripled in the last week, nearly all of them among men who have sex with men. A few epidemiologists say the city should be encouraging gay men to temporarily change their sexual behavior while the disease spreads, while other officials argue that approach would stigmatize gay men and would backfire.
The internal divisions peaked when the health department issued an advisory last week suggesting that having sex while infected with monkeypox could be made safer if people avoided kissing and covered their sores. Several officials at the agency were outraged, saying the agency was giving misleading and even dangerous health advice, according to several epidemiologists within the department and a review of internal emails.''
 
''The spread of monkeypox has ignited a debate within the New York City Health Department over whether the agency should encourage gay men to reduce their number of sexual partners during this summer’s outbreak.
It seems ridiculous that NYC is debating this. Of course they should encourage limiting partners.
 

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