New Delhi:

The government on Monday recommended screening and testing of all suspected Mpox, or monkeypox patients, and isolation of confirmed cases, as well as contact tracing to “prevent and/or minimise risk of any case or death due to Mpox in the country”.

States and union territories have been urged to identify hospitals to prep isolation facilities and stand ready to receive suspected and confirmed cases, which will need increased resources.

It is “crucial”, the government also said to guard against “undue panic amongst the masses”.

To that end, the Health Ministry has recommended dissemination of guidelines on “management of monkeypox disease” and of a detailed surveillance strategy for tracking of suspected cases and contact tracing – similar to exhaustive measures at the height of the Covid pandemic.

It also offered a list of “laboratories operationalised to undertake testing, clinical management protocol, infection prevention and control practices, as well as risk communication strategies.

The ministry further called for a “review of public health preparedness, particularly at health facility level at state and districts by senior officials”.

This should include briefing healthcare workers, “especially those working in skin/STD (sexually transmitted disease) clinics, about symptoms, differential diagnoses, and action to be taken following detection of a Mpox case”.

To ensure information about Mpox and its common symptoms are widely available, the Health Ministry referred to the latest update by the World Health Organization, which indicated that a majority of monkeypox patients are men between the age of 18 and 44, and present with rash (systemic or genital) followed by fever as the most common symptoms.

Last month Mpox was declared a PHEIC, or Public Health Emergency of International Concern, by the WHO which had assessed the risk of spread of the current outbreak from beyond Africa, where a surge in cases has been reported from the Democratic Republic of Congo and also from other nations like Burundi, Kenya, Rwanda, and Uganda. There is also a new strain from the DRC, scientists said.

READ | Pakistan’s Peshawar Is Mpox ‘Epicentre’? Tally Reaches 5: Report

No confirmed case has been reported from India so far, although five have been reported from Pakistan, according to Geo News. The latest patient, a 47-year-old man, tested positive after being isolated by Border Health Services staff on August 29. He had returned from the Gulf region.

READ | India’s 1st Mpox Case? Centre Says Man Isolated, No Cause For Alarm

In India, a man who recently returned from a country where confirmed cases have been reported was isolated on Sunday and his samples are being tested. His conditions is reported as stable.

According to the WHO, so far over 120 countries have reported Mpox cases from January 2022 to August 2024. There have been over 100,000 lab-confirmed cases and around 220 deaths.

READ | Serum Institute Says Working To Develop Monkeypox Vaccine

The WHO says a vaccine can help prevent infection and can also be administered after a person has been in contact with someone who has Mpox. “In these cases, the vaccine should be given less than four days after contact (and) can be given for up to 14 days if the person has no symptoms…”

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New Delhi:

The World Health Organization (WHO) said today that droplets were a “minor” route of transmission for mpox compared to physical contact, adding that more research is required to understand how the virus spreads.

The UN health agency declared mpox a public health emergency of international concern on August 14 amid a surge of cases across the Democratic Republic of Congo (DRC) and its neighbouring countries.

Mainly, two distinct clades of the virus, Ia and Ib, are causing significant concern in the DRC. A third variant, Clade II, originated in Nigeria and has been responsible for the global outbreak that began in 2022.

What is Mpox?

The mpox virus is an orthopoxvirus that causes mpox (monkeypox), a disease with symptoms similar to smallpox, although less severe, according to the WHO website. 

What are the symptoms of Mpox?

1. Fever
2. Extensive characteristic rash 
3. Swollen lymph nodes
4. Headache
5. Back pain and muscle ache
6. Lack of energy

The incubation period of mpox can range from 5 to 21 days. The febrile stage of illness (when fever persists) usually lasts 1 to 3 days, according to WHO. This is followed by the skin eruption stage, which can last for 2 to 4 weeks.

How does Mpox spread?

WHO has said that mpox spreads between people mainly through close physical contact with someone who has the virus. “Close contact includes skin-to-skin (such as touching or sex) and mouth-to-mouth, or mouth-to-skin contact (such as kissing),” it said.

However, WHO spokeswoman Margaret Harris said today that if a person with the virus had lesions, “if you’re talking closely to someone, breathing on them, physically close, face-to-face, there is a possibility” of viral spread, “but this is a minor source”.

“When you’re talking to somebody, you’re spitting out droplets,” but “it’s not a very major form of transmission — and it’s not a… through-the-air, long-distance sort of transmission,” she added.

The WHO recommends the use of facemasks for those with mpox, their close contacts and health workers treating them.

Does mpox have a vaccine?

Yes, there are vaccines recommended by WHO for use against mpox. However, only people who are at risk should get the vaccine. WHO has not recommended mass vaccination against mpox.

How has India prepared for a possible mpox outbreak?

India currently has no active mpox cases. The government had ordered the authorities in airports, ports and borders with Bangladesh and Pakistan to remain alert about incoming international passengers who show mpox symptoms.

The All India Institute for Medical Sciences (AIIMS) had issued protocols for handling suspected mpox cases in India. Various government hospitals were directed to set up isolation rooms for suspected and confirmed cases of mpox.

The institute has recommended setting up a screening process in the triage area wherein, upon arrival, patients with fever, rash, or a history of contact with confirmed mpox cases should be flagged for immediate assessment.

According to an assessment, the risk of a large outbreak with sustained transmission is low, officials had said.
 

(With inputs from AFP)

Manila:

The Philippines has confirmed two more mpox virus infections of the milder clade 2 variety, its health ministry said Monday, bringing the number of active cases to three.

“We continue to see local transmission of mpox clade II here in the Philippines, in Metro Manila in particular,” Health Minister Teodoro Herbosa said in a statement.

The newly confirmed cases were a 37-year-old male in Metro Manila who had rash on his body last week and was brought to a government hospital, and a 32-year-old male from the capital who had skin lesions on his body.

The Philippines announced last week it had detected a case of the mpox virus’ milder variant in a 33-year-old male who had no travel history outside the Philippines.

The three cases this year means the Philippines has had 12 laboratory-confirmed case since July 2022.

The World Health Organization earlier this month declared mpox a global public health emergency, its highest form of alert, for the second time in two years, because of an outbreak in the Democratic Republic of Congo that had spread to neighbouring countries.

A new form of the virus has triggered global concern as it seems to spread easily though routine close contact.

The disease, caused by the monkeypox virus, leads to flu-like symptoms and pus-filled lesions. It is usually mild but can kill, with children, pregnant women and people with weakened immune systems, such as those with HIV, all at higher risk of complications.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

A health worker attends to a girl suffering from mpox, at a treatment centre in Munigi, eastern Congo, Friday, Aug. 16, 2024.
| Photo Credit: AP

A total of 18,737 suspected or confirmed cases of mpox were reported in Africa since the beginning of the year, including 1,200 cases in one week alone, the African Union health agency said on Saturday.

The figure accounts for three strains of the virus, of which one is the new more deadly, and more transmissible Clade 1b which prompted the World Health Organization (WHO) on Wednesday (August 14, 2024) to declare an international health emergency — the agency’s highest alert.

Also Read: Mpox virus: Tamil Nadu airport, port officials put on alert

To date, 3,101 confirmed and 15,636 suspected cases have been reported from 12 African Union member states, resulting in 541 deaths — a fatality rate of 2.89 percent, the Africa Centres for Disease Control and Prevention (CDC) said in a statement.

The hardest hit country, the Democratic Republic of Congo (DRC) where the new Clade 1b strain was first detected in September 2023, has reported 1,005 cases (222 confirmed, 783 suspected) and 24 deaths in one week.

Also Read:WHO declares mpox outbreaks in Africa a global health emergency

All 26 provinces in the DRC, home to some 100 million people, have reported cases.

Neighbouring Burundi reported 173 cases — 39 confirmed and 134 suspected — which marks a rise of 75% in one week.

More cases have been reported since the beginning of the year than all of 2023, which saw a total of 14,383 cases, according to the Africa CDC.

The first cases of the mpox outside of Africa were recorded this week, in Sweden and Pakistan.

The WHO will soon publish its first recommendations by its emergency committee and, along with NGOs, has also called for the ramping up of vaccine production.

Mpox is a viral disease that can spread from animals to humans, but also human-to-human through sexual or close physical contact. Symptoms include fever, muscular aches and large boil-like skin lesions

The Clade 1b causes skin eruptions all over the body, whereas previous variants caused localised lesions around the mouth, face or genitals.

The disease, formerly known as monkeypox, was first detected in humans in the DRC in 1970. The deadlier Clade 1 has been endemic in the Congo Basin in central Africa for decades.

DR Congo:

An mpox outbreak in the Democratic Republic of Congo has killed 548 people since the start of the year, with all provinces affected by the virus, the health minister said on Thursday in a statement.

The World Health Organization (WHO) on Wednesday declared the mpox surge in Africa a global public health emergency, worried by the rise in cases in DRC and the spread to nearby countries.

“According to the latest epidemiological report, our country has recorded 15,664 potential cases and 548 deaths since the beginning of the year,” Health Minister Samuel-Roger Kamba said in a separate video message seen by AFP on Thursday.

The DRC is made up of 26 provinces and has a population of around 100 million.

The most affected provinces are South Kivu, North Kivu, Tshopo, Equateur, North Ubangi, Tshuapa, Mongala and Sankuru, Kamba said.

The UN health agency’s decision came the day after the African Union’s health watchdog declared its own public health emergency over the growing outbreak.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)