Monkeypox Virus Credit CDC PHIL
With public health agencies around the world attempting to quantify both the size, and likely impact, of this multi-national outbreak of Monkeypox (now with suspected or confirmed cases in 12 countries), this morning Reuters is reporting the WHO to hold emergency meeting on monkeypox on Friday -sources.
This meeting reportedly will be of the Strategic and Technical Advisory Group on Infectious Hazards with Pandemic and Epidemic Potential (STAG-IH), not the advisory committee that would make recommendations on the declaration of a PHEIC (Public Health Emergency of International Concern).Today WHO Europe released two statements. First a brief overview of the Monkeypox situation in Europe, and a statement by their Regional Director.
Monkeypox cases reported in the WHO European Region
320-05-2022
Over the last week, monkeypox cases have been reported in the WHO European Region in several countries.
Monkeypox is a rare viral disease that usually occurs in forested parts of central and west Africa, where the animal reservoir lives.
Monkeypox is transmitted during close contact between individuals (via infected skin lesions, exhaled droplets or body fluids) including sexual contact, or through contact with contaminated materials.
The disease is often self-limiting, with symptoms usually resolving within 14–21 days. Symptoms can be mild but the infectious lesions it causes can be itchy or painful – occasionally infection can be more severe.
While the number of cases in the Region is still relatively small, what is concerning is that some of the cases appear to have been acquired in the Region without a link to travel to countries where monkeypox is known to be endemic. In addition, many cases have been detected in clinics specialized in sexually transmitted infections. It is not clear at this stage what the extent of wider community transmission is, but it is likely that more cases will be identified in the coming days.
WHO is working with concerned countries – facilitating information sharing and supporting case detection and event investigation. It continues to closely monitor the rapidly evolving situation and will be producing updated editions of Disease Outbreak News on monkeypox as new information becomes available.
Statement - Investigations ongoing into atypical cases of monkeypox now reported in eight countries in Europe
Statement by Dr Hans Henri P. Kluge, WHO Regional Director for Europe
20 May 2022
To date, at least eight countries in the WHO European Region – Belgium, France, Germany, Italy, Portugal, Spain, Sweden and the United Kingdom - have reported cases of monkeypox in recent days. Outside of countries where monkeypox is known to be endemic, recent similar cases have also been reported in Australia, Canada and the United States
Monkeypox is a rare viral infection, that can be spread from person to person, and is caused by the monkeypox virus.
These recent cases are atypical for several reasons. Firstly, because in this instance all but one of the recent cases have no relevant travel history to areas where monkeypox is endemic, in West Africa or Central Africa. Secondly, because most of the initial cases found are being detected through sexual health services and are among men who have sex with men. And thirdly, because of the geographically dispersed nature of the cases across Europe and beyond, this suggests that transmission may have been ongoing for some time.
WHO is working closely with the countries concerned to investigate these cases further, determine the likely source of infection, how the virus is spreading, and how to limit further transmission. We are also providing guidance and support on surveillance, testing, infection prevention and control, clinical management, risk communication and community engagement, as well as facilitating information sharing across countries and health networks.
Let me emphasize that most of the cases currently under investigation in Europe are so far mild. Monkeypox is usually a self-limiting illness, and most of those infected will recover within a few weeks without treatment. However, the disease can be more severe, especially in young children, pregnant women, and individuals who are immunocompromised.
Anyone who is concerned about an unusual rash should consult their doctor or healthcare provider.
People with suspected monkeypox should be investigated and isolated from the first appearance of symptoms. Monkeypox does not normally spread easily between humans, and requires close contact, with the virus entering the body through broken skin, the respiratory tract, eyes, nose and mouth, and via bodily fluids. The main way it can spread is through close physical contact, including sexual contact, with someone who has monkeypox.
As we enter the summer season in the European Region, with mass gatherings, festivals and parties, I am concerned that transmission could accelerate, as the cases currently being detected are among those engaging in sexual activity, and the symptoms are unfamiliar to many.
Hand and respiratory hygiene, along with personal protective equipment and adequate isolation of suspected and confirmed cases are also critical to reduce transmission in healthcare settings - the measures we have all been following for COVID-19.
That these cases are being detected and reported shows that our surveillance systems are working, and I would like to thank the countries concerned for their prompt action and transparent information sharing. It is crucial that this collaboration continues as the situation evolves further.
Finally, I would like to emphasize that individuals contracting monkeypox must not be stigmatized or discriminated against in any way. Timely risk communication with the general public is important, and public health bodies should widely disseminate accurate and practical advice on prevention, diagnosis and treatment.
We will continue to provide updates as the situation develops.
This outbreak is not only highly unusual, it has literally come out of left field over the past week - and like everyone else - the WHO is trying to figure out how much of a threat this outbreak really poses to public health, and how best to respond.
And frankly, we don't have enough data to know at this point.
While Monkeypox isn't normally highly transmissible, the unusually large geographic spread being reported is an unexpected and worrisome finding, and requires serious investigation.
Stay tuned.
