Confirmed cases of monkey pox in Brazil are from a traveler who has been to Portugal and Spain

From the newsroom

The first confirmed case of monkey pox in Brazil is a 41-year-old man hospitalized in isolation at Hospital Emílio Ribas in São Paulo. According to the São Paulo Ministry of Health, the man was recently in Europe and passed through Spain and Portugal,

In Portugal alone, 209 confirmed cases of human infection with Monkeypox virus were confirmed by the Directorate-General for Health (DGS) plus 18 patients within the last 24 hours.

As of Wednesday, one of the nine suspected cases of monkey pox (monkey poop) in Brazil had already been ruled out, in Ceará. Among the other suspects, five are men and three are women. There are two cases under surveillance in hospitals, as reported by the Monkeypox Situation Room in the Department of Health.

The situation space aims to provide guidelines for responding to cases of this disease in Brazil, as well as direct monitoring actions regarding case definition, notification process, laboratory flow and epidemiological investigation in the country.

Patrícia Carvalho, a member of the command in space, said during a webinar promoted by the ministry that among the eight suspected cases were two in Santa Catarina in the municipalities of Blumenau and Dionísio Cerqueira. Two others are being monitored in Rondônia. “They’re a couple from Rio Crespo (RO),” he said.

“Of the suspected cases, three have stories of travel outside Brazil,” she added, referring to people who came from Portugal, Argentina and Bolivia.

The representative of the Department of Health Surveillance, Janaína Sallas, elaborated that five of the eight cases in a suspicious situation are up to 28 years old. The five males are between 15 and 51 years old; and women of the female sex, aged between 25 and 27 years.

So far, according to the Brazilian authorities, there is an increase in confirmed cases in at least 31 countries. The number is 1,077 cases, most of them in countries where the disease is endemic, located on the African continent.

“This disease is an unusual and unexpected event in non-endemic areas. It is a means with a high potential for transmission by contact through droplets, mainly through body fluids, and there is a need for assistance – which includes treatment, laboratory capacity, protective equipment. and decontamination, ”said Janaína Sallas.

Patrícia Carvalho also stressed the importance of notifying suspected cases as soon as possible, showing signs and symptoms such as fever, skin rash and adenomegaly (a type of tongue). Since infection can occur through body fluids, drops or contaminated materials, she suggests, as a preventative measure, the use of masks and hand washing.

The Oswaldo Cruz Foundation (Fiocruz) also hosts the 9th the first training in laboratory diagnosis of monkey smallpox for healthcare professionals from seven Latin American countries. The training is an initiative of the Pan American Health Organization (PAHO / WHO), the Ministry of Health and the Oswaldo Cruz Foundation (Fiocruz). Technicians from national health institutes in Bolivia, Ecuador, Colombia, Peru, Paraguay, Uruguay and Venezuela are participating.

Until the 10th, virus detection and diagnosis procedures will be discussed in preparation for and response to a possible health emergency. The training includes practical training in performing molecular diagnosis using the real-time PCR method (standard protocol adopted by the World Health Organization). In addition to learning to perform diagnostic testing, professionals will be able to identify viral strains that are from Central and West Africa.

Europe
The representative of the Pan-American Health Organization (PAHO), Wildo Navegantes, spoke about the international epidemiological scenario, especially about cases of smallpox in monkeys registered in Europeans who have contracted the disease without having traveled to endemic countries.

‘The eruption apparently started in mid-April. There are some cases of transfers related to sexual activities. For the most part, it involves casual sexual relationships and having multiple partners, ”he said.

According to experts, the vaccine against smallpox shows good results against this version, which is usually more present in monkeys and rodents. “Unfortunately, a study conducted in the UK showed that only 14% of the population in the community would get the vaccine if they had access to it,” he said.

“But the most incredible thing is that only 69% of the contacts who belong to a group of health workers said that if they had the vaccine available, they would agree to take it. We believe that data like this involving health professionals, 100 % should comply with them ”, the PAHO representative lamented.

Historic
Monkey smallpox was first discovered in 1958, when two outbreaks of a smallpox-like disease occurred in colonies of monkeys kept for research. The first human case of this variant was recorded in 1970 in the Congo. It was later reported in humans in other Central and West African countries.

Monkey poops reappeared in Nigeria in 2017 after more than 40 years with no reported cases. Since then, there have been more than 450 reported cases in the African country. Between 2018 and 2021, seven cases of monkey pox were reported in the UK, mostly in people with a history of travel to endemic countries.

Monckeypox is endemic in the West and Central African countries, but per. On May 13, 780 cases were confirmed in 27 countries outside the area where the disease normally circulates. According to Fiocruz, most people with confirmed cases reported traveling to countries in Europe and North America instead of West or Central Africa. In North and South America, there are confirmed cases in Mexico (1), Argentina (2), USA (19) and Canada (58). In Brazil, there were eight suspected cases in a balance released by the Ministry of Health.

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