The dreaded but rare viral zoonotic disease (from animal to man) caused by Monkey pox virus that recently began in Bayelsa has reportedly hit Lagos state with two cases allegedly recorded. The first case of monkeypox in Bayelsa has been traced to a monkey, but the biology of the virus allows it to be transmitted from human to human once it gets into human populations
KEY FACTS WE NEED TO KNOW ABOUT THE MONKEYPOX OUTBREAK.
If you are like me, you won't have heard of monkeypox before. I
most certainly had never heard of it. But following the outbreak in Bayelsa
State, it is important that we keep ourselves informed on this supposedly rare
disease (obviously not so rare now is it). According to the Commissioner, the
index case in Bayelsa State originated from Agbura, where the victim had
reportedly killed and eaten a monkey.
Monkeypox has been shown to cause death in as many as 1 in 10
persons who contract the disease.
Monkeypox virus was first seen in monkeys,thus its name, but can
also be found in all bush animals, such as rats, squirrels and antelopes.
Secretions from dead animals are particularly dangerous and highly contagious.
TO BE FOREWARNED IS TO BE FOREARMED AS THERE IS NO SPECIFIC
TREATMENT OR VACCINE.
Thus, the only way to reduce infection in people is by raising
awareness of the risk factors and educating people about the measures they can
take to reduce exposure to the virus
If we all know what exactly it is, what to look out for; what to
avoid, we might be able to ensure it certainly does not spread and stop it dead
in its tracks, because apparently it can spread so easily from human-to-human
interaction.
SO WHAT IS MONKEYPOX EXACTLY?
Monkeypox is a rare disease that occurs primarily in remote
parts of Central and West Africa, near tropical rainforests.
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.
The monkeypox virus is transmitted to people from various wild
animals but has limited secondary spread through human-to-human transmission.
Typically, case fatality in monkeypox outbreaks has been between
1% and 10%, with most deaths occurring in younger age groups.
There is NO TREATMENT OR VACCINE AVAILABLE although prior
smallpox vaccination was highly effective in preventing monkeypox as well.
SO HOW DOES IT SPREAD??
Infection of index cases results from direct contact with the
blood, bodily fluids, or cutaneous or mucosal lesions of infected animals.
Human infections have been documented through the handling of
infected monkeys, giant rats and squirrels, with rodents being the major
reservoir of the virus. Eating inadequately cooked meat of infected animals is
a possible risk factor".
Secondary, or human-to-human, transmission can result from close
contact with infected respiratory tract secretions, skin lesions of an infected
person or objects recently contaminated by patient fluids or lesion materials.
Transmission occurs primarily via droplet respiratory particles
usually requiring prolonged face-to-face contact, which puts household members
of active cases at greater risk of infection.
SIGNS & SYMPTOMS
The incubation period (interval from infection to onset of
symptoms) of monkeypox is usually from 6 to 16 days but can range from 5 to 21
days.
The infection can be divided into two periods:
The invasion period (0-5 days) characterized by fever, intense
headache, lymphadenopathy (swelling of the lymph node), back pain, myalgia
(muscle ache) and an intense asthenia (lack of energy);
The skin eruption period (within 1-3 days after appearance of
fever) where the various stages of the rash appears, often beginning on the
face and then spreading elsewhere on the body. The face (in 95% of cases), and
palms of the hands and soles of the feet (75%) are most affected.
REDUCING THE RISK OF INFECTION IN PEOPLE
During human monkeypox outbreaks, close contact with other
patients is the most significant risk factor for monkeypox virus infection.
Reducing the risk of animal-to-human transmission -
thoroughly cook all animal products (blood, meat) before eating.
thoroughly cook all animal products (blood, meat) before eating.
Gloves and other appropriate protective clothing should be worn
while handling sick animals or their infected tissues, and during slaughtering
procedures.
Reducing the risk of human-to-human transmission -close physical
contact with monkeypox infected people should be avoided.
Gloves and protective equipment should be worn when taking care
of ill people.
Regular hand washing should be carried all times but most
especially after caring for or visiting sick people.
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