Monkey pox: Should we be worried?

Monkey pox causes visible skin lesions. Photo: Getty Images / file
Monkey pox causes visible skin lesions. Photo: Getty Images / file
Explainer - Global health officials have sounded the alarm over rising cases in Europe and elsewhere of monkey pox, a type of viral infection more common to west and central Africa.

As of the weekend, 92 confirmed cases and 28 suspected cases of monkey pox have been reported from 12 member states that are not endemic for the virus, according to the World Health Organisation.

A rash, fever, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion - these are the symptoms of monkey pox, which is a rare viral disease now infecting humans.

So far there are no cases in New Zealand that we know about. Australia confirmed a case of monkey pox on Friday with cases also found in the United States, Canada, France, Italy, Sweden, the United Kingdom, Portugal and Spain.

The UN said it expects to identify more cases of monkey pox as it expands surveillance in countries where the disease is not typically found, and will provide further guidance and recommendations in coming days for countries on how to mitigate the spread of monkey pox.

The following is what is known about the current outbreak and relative risk of monkey pox:

How dangerous is it?

The risk to the general public is low at this time, a US public health official told reporters at a briefing on Friday.

Monkey pox is a virus that can cause symptoms including fever and aches and presents with a distinctive bumpy rash.

It is related to smallpox, but is usually milder, particularly the West African strain of the virus that was identified in a US case, which has a fatality rate of around 1 percent. Most people fully recover in two to four weeks, the official said.

The virus is not as easily transmitted as the SARS-CoV-2 virus that spurred the global Covid-19 pandemic.

Experts believe the current monkey pox outbreak is being spread through close, intimate skin on skin contact with someone who has an active rash. That should make its spread easier to contain once infections are identified, experts said.

"Covid is spread by respiratory route and is highly infectious. This doesn't appear to be the case with the monkey pox," said Dr Martin Hirsch of Massachusetts General Hospital.

"What seems to be happening now is that it has got into the population as a sexual form, as a genital form, and is being spread as are sexually transmitted infections, which has amplified its transmission around the world," WHO official David Heymann, an infectious disease specialist, told Reuters.

What has health experts concerned?

The recent outbreaks reported so far are atypical, according to the WHO, as they are occurring in countries where the virus does not regularly circulate. Scientists are seeking to understand the origin of the current cases and whether anything about the virus has changed.

Most of the cases reported so far have been detected in the UK, Spain and Portugal. There have also been cases in Canada and Australia, and a single case of monkey pox was confirmed in Boston, with public health officials saying more cases are likely to turn up in the United States.

WHO officials have expressed concern that more infections could arise as people gather for festivals, parties and holidays during the coming summer months in Europe and elsewhere.

How can people protect against infection?

The UK has begun to inoculate healthcare workers who may be at risk while caring for patients with the smallpox vaccine, which can also protect against monkey pox. The US government says it has enough smallpox vaccine stored in its Strategic National Stockpile to vaccinate the entire US population.

There are antiviral drugs for smallpox that could also be used to treat monkey pox under certain circumstances, a spokesperson for the US Department of Health and Human Services said in a statement.

More broadly, health officials say that people should avoid close personal contact with someone who has a rash illness or who is otherwise unwell. People who suspect they have monkey pox should isolate and seek medical care.

What might be behind the cases?

"Viruses are nothing new and expected," said Angela Rasmussen, a virologist at the Vaccine and Infectious Disease Organisation at the University of Saskatchewan in Canada.

Rasmussen said a number of factors including increased global travel as well as climate change have accelerated the emergence and spread of viruses. The world is also more on alert to new outbreaks of any kind in the wake of the Covid-19 pandemic, she said.

-Additional reporting RNZ


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