The recent
Monkey pox outbreak in Bayelsa State ans parts of southern Nigeria is the third
in the nation’s history.
There were a total of 3 recorded human cases
previously in 1971 and 1978 according to the Centres for Disease Control, CDC.The Monkey pox virus was first identified in 1970 as the cause of a smallpox-like illness in humans in remote African locations first discovered in 1958 when two outbreaks of a pox-like disease occurred in colonies of monkeys kept for research, hence the name “monkeypox.” The first recorded human case of monkeypox was recorded in 1970 in the Democratic Republic of Congo during a period of intensified effort to eliminate smallpox. There were also reports of cases in Liberia and Sierra Leone. The following year, 1971, there was 1 case in Cote d’ivoire and 2 cases in Nigeria. Then in 1976 there were 2 cases in Cameroon and again in Nigeria in 1978, 1 case was recorded. Since then monkeypox has remains strictly a disease of Central and Western African countries, except in 2003, when 47 cases were reported in the USA. The 2003 US outbreak is the only time monkeypox infections in humans were documented outside of Africa. Most of those affected had close contact with pet prairie dogs. The current outbreak in Nigeria is of West African origin and associated with milder disease, fewer deaths, and limited human-to-human transmission. Studies have shown that the monkeypox virus can cause a fatal illness in humans and, although it is similar to human smallpox which has been eradicated, it is much milder. Following are things you should know about monkeypox.
Causes
Monkeypox is a rare disease caused by
infection with monkeypox virus, that belongs to the same family of viruses that
includes variola virus (the cause of smallpox), vaccinia virus (used in the
smallpox vaccine), and cowpox virus. The natural reservoir remains unknown.
However, African rodent species are expected to play a role in transmission.
The Monkeypox virus can cause an illness with a generalised vesicular skin
rash, fever, and painful jaw swelling. In previous outbreaks, it has led to
death in about 1-10 per cent of infected cases. There is no specific medicine to
treat the disease, but intensive supportive care helps patients to recover
fully.
Prevention
Measures
that can be taken to prevent infection with Monkeypox virus include avoiding
contact with infected animals especially those that are sick or found dead in
areas where Monkeypox occurs. The public is advised to always wash hands with
soap and water after contact with animals or when caring for sick relatives
humans or soiled beddings. Health care workers are strongly advised to practice
universal precautions while handling patients and/or body fluids at all times.
They are also urged to be alert, be familiar with the symptoms and maintain a
high index of suspicion. All suspected cases should be reported to the Local
Government Area or State Disease Surveillance and Notification Officers. “As
long as universal infection prevention and control practices are strictly
adhered to by all clinical staff, the chances of transmission are minimal
Transmission
Usually by
direct contact with infected animals or possibly by eating poorly cooked meat
from an infected rodent or monkey.
Person-to-person
transfer
Possible
by infected respiratory droplets possible but not often documented. Although
infrequent, can be reduced or prevented by avoiding direct physical contact
with the patient and having the patient’s caregivers wear gloves and face
masks.
Diagnosis
A history
of association with rodents or other animals and presence of pox lesions is
presumptive evidence for a diagnosis of monkeypox. Infectious-disease
consultants and personnel should be notified. Definitive diagnosis is urged.
Risk
factors
Animal
bites and scratches from infected animals. Eating any meat from such animals is
advised. Several species of mammals can be infected with monkeypox, even though
the species had never been associated with the virus in their normal
environment.
Signs
& Symptoms
Fever, sweating, malaise, cough, nausea, and
shortness of breath. After 2-4 days a rash with papules and pustules develops
most often on the face and chest including mucus membranes inside the nose and
mouth. These pox lesions can ulcerate, and then begin to heal in about 14-21
days. In addition, lymph nodes usually swell and some pox lesions may die.
Things
to know about the viral infection
- The primary source of contact is from a monkey, whether through eating inadequately cooked monkey meat or meat of an infected animal.
- The secondary channel of transmission is from human to human, especially through body fluid.
- Another channel of contact is contact with materials contaminated with the virus.
- The illness can be fatal in humans, between one per cent and 10 per cent, with most deaths occurring in younger age groups.
- There is no treatment or vaccine available, although prior smallpox vaccination was highly effective in prevention.
- Its incubation period is from six to 16 days, but it can also range from five to 21 days.
- Its symptoms could last from 14 to 21 days.
- The invasion period could last from zero to five days.
- The symptoms include fever, intense headache, back pain, abnormal physical weakness or lack of energy, muscular pains and lymphadenopathy.
- Physical manifestation include skin eruption, with 95 per cent on the face and 75 per cent on palms of the hands and sole of feet
- Rashes, characterised by flat, red spot on the skin, covered with small confluent bumps
- If there is no symptom from either partners, there is no need to create tension at home
How
to avoid being infected
These
are some of the tips suggested by the LUTH CMD:
- Avoid eating monkey meat for now
- Cook all animal products thoroughly
- Avoid body contact with an infected person
- Say no to unnecessary touching like handshakes
- Maintain very high index of suspicion
- Health officers must use protective devices, such as hand gloves
- Report to the hospital if you observe strange feeling
- Wash your hands regularly
- During slaughtering of animal, avoid contact with the animal’s fluid
- Avoid food items like monkey meat, particularly if not properly cooked
- Avoid roasting of monkey meat prior to consumption as most, not all, of the bacteria are destroyed by heat
The recent Monkey pox
outbreak in Bayelsa State ans parts of southern Nigeria is the third in
the nation’s history. There were a total of 3 recorded human cases
previously in 1971 and 1978 according to the Centres for Disease
Control, CDC.
Monkey-pox disease
The Monkey pox virus was first identified in 1970 as the cause of a
smallpox-like illness in humans in remote African locations first
discovered in 1958 when two outbreaks of a pox-like disease occurred in
colonies of monkeys kept for research, hence the name “monkeypox.”
The first recorded human case of monkeypox was recorded in 1970 in the
Democratic Republic of Congo during a period of intensified effort to
eliminate smallpox. There were also reports of cases in Liberia and
Sierra Leone.
The following year, 1971, there was 1 case in Cote d’ivoire and 2 cases
in Nigeria. Then in 1976 there were 2 cases in Cameroon and again in
Nigeria in 1978, 1 case was recorded. Since then monkeypox has remains
strictly a disease of Central and Western African countries, except in
2003, when 47 cases were reported in the USA. The 2003 US outbreak is
the only time monkeypox infections in humans were documented outside of
Africa. Most of those affected had close contact with pet prairie dogs.
The current outbreak in Nigeria is of West African origin and associated
with milder disease, fewer deaths, and limited human-to-human
transmission. Studies have shown that the monkeypox virus can cause a
fatal illness in humans and, although it is similar to human smallpox
which has been eradicated, it is much milder. Following are things you
should know about monkeypox.
Causes
Monkeypox is a rare disease caused by infection with monkeypox virus,
that belongs to the same family of viruses that includes variola virus
(the cause of smallpox), vaccinia virus (used in the smallpox vaccine),
and cowpox virus.
The natural reservoir remains unknown. However, African rodent species
are expected to play a role in transmission.
The Monkeypox virus can cause an illness with a generalised vesicular
skin rash, fever, and painful jaw swelling. In previous outbreaks, it
has led to death in about 1-10 per cent of infected cases.
There is no specific medicine to treat the disease, but intensive
supportive care helps patients to recover fully.
Prevention
Measures that can be taken to prevent infection with Monkeypox virus
include avoiding contact with infected animals especially those that
are sick or found dead in areas where Monkeypox occurs.
The public is advised to always wash hands with soap and water after
contact with animals or when caring for sick relatives humans or soiled
beddings.
Health care workers are strongly advised to practice universal
precautions while handling patients and/or body fluids at all times.
They are also urged to be alert, be familiar with the symptoms and
maintain a high index of suspicion.
All suspected cases should be reported to the Local Government Area or
State Disease Surveillance and Notification Officers.
“As long as universal infection prevention and control practices are
strictly adhered to by all clinical staff, the chances of transmission
are minimal.”
Further information can be obtained from NCDC toll-free number:
0800–970000–10; SMS: 08099555577 Whatsapp: 07087110839.
Twitter/Facebook: @NCDCgov
KEY FACTS
Transmission
Usually by direct contact with infected animals or possibly by eating
poorly cooked meat from an infected rodent or monkey.
Person-to-person transfer
Possible by infected respiratory droplets possible but not often
documented. Although infrequent, can be reduced or prevented by avoiding
direct physical contact with the patient and having the patient’s
caregivers wear gloves and face masks.
Diagnosis
A history of association with rodents or other animals and presence of
pox lesions is presumptive evidence for a diagnosis of monkeypox.
Infectious-disease consultants and personnel should be notified.
Definitive diagnosis is urged.
Risk factors
Animal bites and scratches from infected animals. Eating any meat from
such animals is advised. Several species of mammals can be infected with
monkeypox, even though the species had never been associated with the
virus in their normal environment.
Signs & Symptoms
Fever, sweating, malaise, cough, nausea, and shortness of breath. After
2-4 days a rash with papules and pustules develops most often on the
face and chest including mucus membranes inside the nose and mouth.
These pox lesions can ulcerate, and then begin to heal in about 14-21
days. In addition, lymph nodes usually swell and some pox lesions may
die.
Read more at: https://www.vanguardngr.com/2017/10/what-you-should-know-about-monkeypox/
Read more at: https://www.vanguardngr.com/2017/10/what-you-should-know-about-monkeypox/
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