Preparing to prepare for monkeypox

Monkeypox cases are increasing worldwide and now with India seeing more infections, public health experts have warned that Nepal needs to be vigilant.

While the disease does not pose the same degree of threat as Covid-19, officials say it is better to remain cautious. The World Health Organization (WHO) has already declared a health emergency.

“Monkeypox symptoms take time to show. If the infection spreads in Nepal, it could be too late by the time it gets identified,” warns Sher Bahadur Pun, infectious disease specialist at Kathmandu’s Teku hospital. Infected people may be reluctant to be tested.

Meanwhile, officials say they have already started preparations against monkeypox with increased surveillance at the Nepal-India border area and health workers on high alert.

“We have instructed border personnel to check people with visible rashes and send them to dermatologists,” says Sameer Adhikari of the Health Ministry. “Lab personnel have been alerted and health workers have been provided with guidelines.”

Monkeypox is not a new disease but is a rare zoonotic infection caused by a virus similar to smallpox but not as severe. The virus was first discovered in monkeys in 1958 and the first human case was identified in 1970. The disease was previously confined to central and West Africa.

Monkeypox is primarily transmitted from rats and monkeys, and from one person to another by coming in contact with an infected person’s lesion, by touching a contaminated object or from respiratory droplets. It can also be spread by kissing, hugging, touching, or sex.

A person taking care of an infected individual, children, infants, pregnant women and immune-compromised individuals are especially at a high risk of contracting monkeypox.

Monkeypox does not yet have a vaccine but some smallpox jabs can prevent the infection, including the ACAM2000 and Jynneos shots. Because smallpox and monkeypox are caused by related viruses, smallpox inoculation is effective for both.

Monkeypox is usually a mild condition and symptoms appear within 6 to 13 days and resolve within 3 weeks. Common symptoms include fever, headache, back and muscle ache and swollen lymph nodes and exhaustion. People quickly develop rashes that are contagious till they dry up and burst.

Monkeypox is rarely fatal, however, it can be dangerous and cause pneumonia, and skin and eye conditions in some individuals. Previously up to 10% of infected individuals died due to the infection.

At least 75 countries have reported monkeypox cases so far with Spain registering the highest at 3,125 followed by the US at 2,316, the UK 2,137, Germany 2,268, France 1,453, Canada 615, the Netherlands 712, Brazil 592 and Portugal 588.

Most monkeypox cases do not need medical attention but if fever is too high, certain medicines can be taken. Individuals need to hydrate themselves, have a healthy diet and get good sleep. Scabs should not be scratched, hands should be kept clean and the skin dry.

The good news is that many of the safety measures to prevent Covid-19 from transmitting such as masking up, avoiding crowded spaces and sanitising can also keep monkeypox at bay.

Translated by Aria Parasai from the Nepali original at Himalkhabar.com

Read more: 1. Mask Up. 2. Avoid Crowds. 3. Get Boosters, Sonia Awale