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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

I am having fever nausia and bp low

Female | 52

Fever, nausea, and low blood pressure can stem from various issues, such as infections, dehydration, or bodily stress. These symptoms often indicate that your body is fighting something off. To support your recovery, ensure you stay well-hydrated, consume light meals, and rest when possible. Monitoring your symptoms is crucial; if they persist or worsen, please seek guidance from a healthcare professional. They can provide a comprehensive evaluation and may recommend tailored treatments. 

Answered on 18th Jan '25

Dr. Babita Goel

Dr. Babita Goel

ڈاکٹر صاحب/صاحبہ، مجھے درج ذیل مسائل کا سامنا ہے: 1. جسمانی کمزوری: میرا جسم دن بدن کمزور ہو رہا ہے، اور میں خود کو چست محسوس نہیں کرتا۔ 2. ہڈیوں میں آوازیں: حرکت کرنے پر ہڈیوں سے آوازیں آتی ہیں، خاص طور پر جوڑوں میں۔ 3. نیند کی کمی: مجھے رات کو نیند نہیں آتی، اور دن بھر بے سکونی محسوس ہوتی ہے۔ 4. بھوک نہ لگنا: میری بھوک تقریباً ختم ہو گئی ہے، اور میں صرف ایک وقت کا کھانا کھاتا ہوں۔ 5. چڑچڑا پن: میرا مزاج اکثر چڑچڑا رہتا ہے، اور میں چھوٹی باتوں پر غصہ محسوس کرتا ہوں۔ 6. خاموشی پسند کرنا: مجھے اکیلا رہنا اور خاموشی میں وقت گزارنا اچھا لگتا ہے۔ 7. زیادہ سوچنا: میرا ذہن ہر وقت کچھ نہ کچھ سوچتا رہتا ہے، جو ذہنی دباؤ کا سبب بنتا ہے۔ براہ کرم رہنمائی کریں: کیا یہ علامات کسی خاص بیماری کی نشاندہی کرتی ہیں؟ کون سے ٹیسٹ کروانے کی ضرورت ہو سکتی ہے؟ مجھے اپنی صحت بہتر بنانے کے لیے کیا اقدامات کرنے چاہییں؟

Male | 22

ڈاکٹر صاحب/صاحبہ، آپ کی علامات کئی عوامل کی عکاسی کر سکتی ہیں، جیسے جسمانی کمزوری یا ذہنی دباؤ۔ ہڈیوں میں آوازیں ممکنہ طور پر جوڑوں کی صحت کی نشانی ہو سکتی ہیں۔ نیند کی کمی اور بھوک کا کم ہونا بھی عام طور پر ذہنی صحت سے جڑے مسائل کی وجہ بنتے ہیں۔ میں مشورہ دیتا ہوں کہ آپ ایک طبی معائنہ کروائیں تاکہ ایک درست تشخیص ہو سکے۔ اپنے روزمرہ کے معمولات میں ورزش، متوازن غذا، اور نیند کی بہتر عادات کو شامل کریں۔ ایک ماہر صحت سے مشورہ کریں تاکہ آپ کی حالت کو مزید بہتر بنایا جا سکے۔

Answered on 18th Jan '25

Dr. Babita Goel

Dr. Babita Goel

Hlo mam Can i ask question on whtsappp

Female | 23

Symptoms can vary widely depending on the condition, from physical signs like pain or swelling to emotional issues like anxiety. Typical causes may include stress, infections, or underlying health issues. Solutions often involve lifestyle changes, over-the-counter remedies, or specific treatments, depending on the underlying cause. Please keep in mind that while I can provide general advice, it’s important to connect with a healthcare professional for a thorough evaluation tailored to your situation.

Answered on 15th Jan '25

Dr. Babita Goel

Dr. Babita Goel

Fever to me pls consult me doctors

Female | 21

Fever is a common sign that your body is fighting off an infection or illness. Symptoms may include sweating, chills, headaches, or body aches. It can arise from various causes, including viral infections, bacterial infections, or even inflammatory conditions. To manage it, ensure you stay hydrated, rest appropriately, and consider over-the-counter medications like acetaminophen to reduce discomfort. However, if symptoms persist for over a few days, or if you experience severe pain, difficulty breathing, or persistent vomiting, it’s important to seek medical assistance. A healthcare professional can provide personalized care and determine the underlying cause effectively.

Answered on 15th Jan '25

Dr. Babita Goel

Dr. Babita Goel

Mam mujhy 2 din pahely Bukhar Tha ab kuch aaram Hai but Kisi chiz me sy smell or test nhi aarhi or kuch Acha nhi lag rha Khana wagera

Male | 38

Aapki symptoms, jaise ki bhukh na lagna aur taste aur smell ka na aana, vishesh taur par viral infection ya flu se jude ho sakte hain. Yeh aam hai, aur kisi any viral illness ke baad kabhi-kabhi hota hai. Hydration par dhyan dena zaroori hai, to paani ya clear soups piyein. Thoda rest karein aur halka khana khane ki koshish karein. Agar symptoms kuch dino me theek nahi hote ya badhte hain, to doctor se milna uchit hoga. Professional care aapki sehat ka dhyan rakhne me madad karega.

Answered on 15th Jan '25

Dr. Babita Goel

Dr. Babita Goel

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