A meeting of top health experts convened by the Center on the need to review the existing guidelines on the management of monkey pox is underway on Thursday amid rising cases of the disease in the country. Nine cases of monkeypox have been reported in India so far, including one death. “This is a technical meeting to review the existing guidelines,” said an official.
The meeting is chaired by Director of Emergency Medical Relief Dr. L Swasticharan and is attended by representatives of National AIDS Control Organization, National Center for Disease Control and World Health Organization (WHO). According to the ‘Guidelines for the Management of Monkey Pox Disease’ issued by the Centre, any person with a history of travel to affected countries within the last 21 days with unexplained severe rash and swollen lymph nodes, fever, headache Symptoms such as pain, body ache appear. And deep weakness should be considered a ‘suspicious case’. A ‘probable case’ must be a person who meets the case definition for a suspected case, is clinically relevant and has an epidemiological link such as face-to-face exposure, including health without appropriate PPE. Care workers, skin or direct physical contact with skin. Lesions, including sexual contact, or contact with contaminated materials such as clothing, bedding or utensils.
A laboratory-confirmed case for monkeypox virus is considered by detection of unique viral DNA sequences by polymerase chain reaction (PCR) and/or sequencing. In defining contacts, the guidelines state that a contact is defined as a person who, during the period starting from the onset of the first symptoms of the source case, and when all rashes have disappeared. , have had one or more exposures—face-to-face exposure, direct physical contact, including sexual contact, contact with contaminated materials such as clothing or bedding—with a probable or confirmed case of monkeypox. Cases may be asked to identify contacts through home, workplace, school/nursery, sexual contact, health care, places of worship, transportation, sports, social gatherings, and any other interaction. . Contacts should be monitored at least daily for the onset of signs/symptoms for a period of 21 days from the last contact with a patient or their contaminated material during the period of infection. Clinical/laboratory testing is warranted in the presence of fever.
Asymptomatic contacts should not donate blood, cells, tissue, organs or semen while they are under surveillance. Preschool children may be excluded from daycare, nursery, or other group settings.
Human-to-human transmission occurs primarily through large respiratory droplets, which usually require prolonged close contact, the ministry’s guidelines said. It can also be spread through direct contact with bodily fluids or wounds, and through indirect contact with wound materials such as contaminated clothing or clothing from an infected person. Animal-to-human transmission can occur through bites or scratches from infected animals or through the preparation of bush meat.
The incubation period is usually six to 13 days, and case fatality rates for monkeypox have historically been as high as 11% in the general population and higher in children. In recent times, the death rate has been around three to six percent. Symptoms include sores that usually begin within one to three days of the onset of fever, which last about two to four weeks and often heal when they become itchy. are considered painful.
The WHO recently declared monkeypox a global public health emergency of international concern. According to the WHO, monkeypox is a viral zoonosis – a virus that is transmitted from animals to humans – with symptoms similar to smallpox although clinically less severe.
Monkey pox usually presents with fever, rash and swollen lymph nodes and can lead to a variety of medical complications. It is usually a self-limiting illness with symptoms lasting two to four weeks. International travelers are asked to avoid contact with dead or live wild animals such as small mammals including rats and squirrels and non-human primates such as monkeys and apes.
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