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Monkeypox - A public health emergency

An ongoing outbreak of monkeypox, a viral disease, was confirmed in May 2022. The outbreak marked the first time monkeypox has spread widely outside Central and West Africa. From 18 May onwards, cases were reported from an increasing number of countries and regions.

  • General Physicians
By Mayuri Bhagat 15th Sept '22 23rd Mar '24
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The 18th and 19th centuries, which are most known for the industrial revolution and the conquering of empires, were also known as the 'age of pandemics'. Between 1817 and 1920, cholera, plague, and influenza pandemics occurred, each of which killed 70 million lives.
The cycle of plagues had the potential to become a global phenomena thanks to imperialism and international trade. 

The irony of our progress in preventing infection-related deaths over the past 200 years is that it has contributed to foster the ideal environment for the emergence of new outbreaks, which will have devastating worldwide social and economic effects. Does that mean we are entering a new age of pandemics? As the COVID-19 pandemic slogs on, another viral disease has captured the world's eye; 'Monkeypox'


Global picture of monkeypox at present

Since the start of May, the U.S. has officially documented more than 21,000 cases. While India reporting 10 cases in August and More than 56,000 people are involved globally. as per reports from August.

The monkeypox virus, is a zoonotic virus that typically only spreads from animals to humans but is related to the virus that causes smallpox, was first identified in humans in the Democratic Republic of the Congo in 1970. Africa has had sporadic outbreaks of illness, usually brought on by contact with wildlife reservoirs (particularly rodents). Due to the limited secondary spread of such epidemics and instances related with travel outside of Africa, it has been shown that human-to-human transmission is ineffective.

The World Health Organization declared monkeypox a "evolving danger of moderate public health concern" on June 23, 2022, after more than 3000 monkeypox virus infections were detected in more than 50 nations across five regions since early May 2022. Currently, countries in the European and North American regions are reporting the highest numbers of cases.

It's been there longer than we knew

The monkeypox virus has been circulating for decades in areas where it has been historically endemic, but research on the disease has been neglected and underfunded. Since 1958, when it was discovered in monkeys, the virus that causes monkeypox is not new. It was originally recognized as a human pathogen in 1970 after being first found in 1958 in study at a lab with monkeys. In west and central Africa, the illness has a long history of low endemicity. According to UNLV infectious disease expert Brian Labus, an epidemiologist and professor "There was a small outbreak in the U.S. Midwest in 2003, when pet prairie dogs – infected after being housed near rodents imported from Ghana – came in contact with humans."


All you need to know about Monkeypox

How is monkeypox transmitted?
The virus can spread among humans, primarily through close physical contact with an infected person or contaminated objects like clothes or bedding, or by the respiratory droplets produced when someone coughs, talks, or sneezes. Historically, people typically contracted monkeypox after coming into contact with infected animals.


What is driving the outbreak?
Data strongly suggests that sexual contact is the main mode of transmission because the vast majority of persons impacted by the global pandemic are (MSM). However, Professor Brian Labus adds that "There is a false belief, in my opinion, that monkeypox primarily affects males who have sex with other men (MSM) and that having MSM automatically guarantees you will contract monkeypox. Although it is true that the illness has spread among MSMs, we have also seen cases in children, family members, and non-MSMs."

How can monkeypox be treated?

The disease is usually self-limiting, meaning symptoms usually go away without the need for treatment within 2–3 weeks. Some people may require antibiotics and analgesia to treat secondary infections and local pain. While a new vaccine has been approved for the prevention of monkeypox, and the smallpox vaccine has also been demonstrated to provide protection. Dr. Faith Alex practicing medical doctor at Nationaltasc adds "Sometimes treatments for monkeypox help relieve symptoms but the virus will go away on its own. And, you can help yourself feel better by resting and drinking plenty of fluids."

What are the symptoms?
Monkeypox can cause flu-like symptoms like fever, headache, fatigue, chills, and enlarged lymph nodes and most people will develop a distinctive rash, though the extent of this can vary and clinicians have reported symptoms that are milder or more localized to genital and anorectal areas than previously expected 
Someone who has contracted monkeypox usually starts to show symptoms between around 6–13 days after contact with an infected, symptomatic person, or their belongings, but it can take up to 21 days.  

 

To conclude

With little resources for surveillance, diagnostics, and even patient care, the African nations where monkeypox is prevalent are still in the same condition as they have always been. Placide Mbala, a virologist at the Congo Institute of Biomedical Research, claimed that despite all the attention the West has given to monkeypox, nothing has changed in Africa. The UN health agency pleaded with the globe to aid African nations in preventing the tragic vaccination inequality that afflicted the COVID-19 outbreak.

 

Although new or previously confined infectious illnesses have been on the rise for decades, it seems as though we are currently witnessing a special uptick, from COVID-19 and monkeypox to Marburg and the new langya virus. We need to make our surveillance systems more robust in many parts of the world such that we are better able to identify outbreaks of novel pathogens.

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Question and Answers

Hello I am feeling Unwell today and also feeling dizzy. All the body is paining and also getting some weird feeings.

Male | 24

Feeling dizzy, experiencing body aches, and unusual sensations might have different causes. It possibly is a viral infection, dehydration, or stress. Drink enough water, rest, and try to eat light and clean food. If the condition lasts or gets worse, it is necessary to consult a health professional. 

Answered on 19th Nov '24

Dr. Babita Goel

Dr. Babita Goel

I am 20 years male, i am losing my weight more. I don't know what to do

Male | 20

Losing weight without any effort can be due to different reasons. One of the ruminations you've got to delve into is adequate food intake, and also if there are preclinical horrifying conditions like hyperthyroidism. Try to maintain a healthy diet, exercise, and consult your doctor for a medical check-up to the cause of the problem to be determined.

Answered on 18th Nov '24

Dr. Babita Goel

Dr. Babita Goel

I take ebastine and hyphoral (ketacolozole) together 2times is it dangerous

Male | 20

Combining ebastine and hyphoral (ketoconazole) twice can be risky. The sum of those two drugs might lead to dizziness, drowsiness, confusion, and stomach issues. Refrain from using them together as it can be dangerous. You should consult a general physician before taking any new medications. You should adhere to the instructions of your medications and you should also inform your doctor about all the drugs you are taking.

Answered on 14th Nov '24

Dr. Babita Goel

Dr. Babita Goel

I am 23 year old female studying in abroad in Latvia. I have been doing the part time job which requires standing for 9 hours straight. In here I'm not having any sunlight, and now I have been here for one year,and the winter is coming...there is no sunlight in here, food is not proper, and I have been eating fast foods....and getting fat day by day, even if I'm not eating anything fat is increasing,I cannot walk,getting tired easily, and there is issue while climbing the stairs...and there is pain in my legs everyday for the standing...I don't have any energy...feeling dizzy. And I'm not even able to tie my shoe lace...feeling suffocated while doing this...can you please recommend any solution for this....and can you please recommend supplements to take and what all needs to be take care when we are taking the supplements??

Female | 23

These symptoms, such as fatigue, weight gain, leg pain, and dizziness, could be caused by healthy foods that your diet lacks, like Vitamin D and proper nutrition. This means that junk foods that you eat do not guarantee the demand for adequate vitamins and minerals required by our bodies. To get rid of it, switch to a meal plan that contains ultra-low vegetables, more fruits, whole grains, and lean proteins. Moreover, take a Vitamin D supplement because sunshine is lacking in your area. Make sure to take the correct dosage from the package and ask your doctor if needed when taking supplements. Drink water and exercise to increase your energy and overall health. 

Answered on 13th Nov '24

Dr. Babita Goel

Dr. Babita Goel

Fever 103.9 what do i do now

Male | 50

A fever of 103.9 is no joke. Your body is struggling to handle some kinds of infections. Apart from infections such as the flu or a bacterial illness, these are also common causes. You can reduce the fever by taking over-the-counter antipyretics such as acetaminophen, drinking lots of clear fluids and taking a rest. Then, you have no choice but to go to the doctor.

Answered on 14th Nov '24

Dr. Babita Goel

Dr. Babita Goel

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