MonkeyPox - Medtick

MonkeyPox

What is it?

Monkeypox is a rare virus infection similar to chickenpox disease  (smallpox-like disease) that occurs mainly in the rain forest countries of central and west Africa.

Countries affected are:

Europe & Russia

  • United Kingdom

Africa

  • Cameroon
  • Central African Republic
  • Congo
  • Democratic Republic of Congo
  • Nigeria
Symptoms occur after 7-14 days of exposure but can range from 5-21 days and illness last from two to four weeks.
  • The rash normally develops 1-3 days later after fever symptoms often beginning at the face and then spreading to the rest of the body including hand palms and soles of feet.

Exposed person can receive a Mpox vaccine for post exposure prophylaxis (reduced severity), Vaccination with in 4 days provide the best chance to prevent onset of the disease: Vaccination with 4 – 14 days afterwards may reduce severity of disease but may not prevent it.

Centers for Disease Control and Prevention. Considerations for Monkeypox Vaccination. Reviewed: April 22, 2024. Available at: https://www.cdc.gov/poxvirus/
monkeypox
/considerations-for-monkeypox-vaccination.html.
Accessed: June 2, 2024.

Cause

  • Viral: Monkeypox virus 
  • Spread to humans from an infected animal (monkeys, gambian giant rats, squirrels, rabbits) through an animal bite or direct contact with the animal’s lesions or body fluids and/or consumption of small mammals particularly rodents.
  • Disease also can be spread from person to person:
    • The virus is thought to be transmitted by respiratory droplets (Coughing or sneezing) during direct and prolonged face-to-face contact.
    • Person who has spent one night with a person who has monkey pox during infectious period.
    • Inhalation of dust from cleaning contaminated rooms.
    • Touching clothing, bedding or towels they use
    • Touching their skin blisters or scabs
    • Prolonged skin to skin contact especially those who have damage and injured skin.
    • In addition, it is possible monkey pox can be spread by direct contact with body fluids of an infected person including eyes, nose , mouth and genitals or with virus-contaminated objects, such as bedding or clothing.
    • Gay to Gay sexual contact (men who have sex with other men).

medicinenet.com

Symptoms

  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?
  • Aching, painful muscles, muscle cramps/spasms/stiffness?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • A new rash that has appeared or existing rash getting worst (a red rash which starts as small itchy red spots, then approximately 12 hours later the spots turn into fluid filled blisters, when they burst it is contagious. Blisters can form on hands, feet, inside mouth or on genitals as open sores. After 1-4 days blisters dry out and begin to crust over. One or two week’s later skin will fall off naturally. It can vary to a few spots to all over body rarely on back)?
  • Enlargement of lymph nodes (side of throat, armpits and/or groin)?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for an ambulance if have or develop:


Treatments and what this condition can lead to:

Talk to your medical doctor immediately


Complications can occur to the following:

General tips

  • This condition is contagious hence appropriate personal protective equipment should be worn.
  • If exposed contact all those who have had close contact and ring the emergency services, do not go to hospital (unless having severe emergency symptoms) and/or Medical Doctor practices.
  • Patient is contagious until all scabs have been covered and fall off.
  • Monkey pox vaccine is available to high risk groups and those with weak immunity.
  • Self isolating practices maybe required.

Isolate and Prevention

  • Everyone – regardless of age – should now be stopping non-essential contact with others to help stop the spread of the virus and protect the most vulnerable.
  • Avoid gatherings with friends and family as well as crowded places.
  • Stay one metre apart  and wear an appropriate respiratory PPE equipment (face mask) if one is affected and have no choice to be  in contact with others.
  • Persons over 70 of age and those with underlying health conditions because they are at higher risk of developing more severe symptoms if they become infected.
  • Persons at the highest risk of complications are being asked to isolate at home for  minimum six weeks to protect themselves (contact your Medical Doctor to check if you are at high risk) or patient is contagious until all scabs have been covered and fall off.
  • Coughing and sneezing into tissues and then bin it, if you have no tissue then in the crook (inside)  of your elbow.
  • If possible obtain a  Fit-tested FFP3 respirator mask to prevent infection to spread to others when talking.
  • Do not touch your face with unwashed hands
  • Avoid close contact with people:
    • Do not invite or allow social visitors, such as friends and family, to visit
      you at home.
    • Avoid close contact with people you live with, take the following steps
      to reduce the chance of passing your infection on to the people you
      live with:
    • Sleep in a separate room, if available, and do not share bedding.
      You may need to change your sleeping arrangements to
      accommodate this
    • Use a separate bathroom from the rest of your household, if
      available. If you do not have a separate bathroom, follow the
      cleaning instructions below

      • Make sure you use separate towels from other people in your home
    • Eat in a separate room.
      • Ask the people you live with to bring your meals to you, do not share food and drinks
  • Do not share towels and utensils, dishes , drinking glasses
  • Clean and disinfect frequently touched objects and surfaces
  • Keep your laundry items separate from the rest of the household’s
    laundry and wash them using your normal detergent, following
    manufacturer’s instructions. If possible use the highest temperature
    which the items can withstand, do not overload the washing machine
    (aim for half or two-thirds full) and avoid shorter ‘economy cycles’
    (those which reduce water and save energy) until you have fully
    recovered.
  • How to wash Hands

Point to consider on when to end isolation:
  • No new lesions for 48 hours
  • No oral mouth ulcers/lesions present
  • Al lesions are crusted over
  • All scabs have dropped off and fresh new skin has formed beneath (face arms and hands)
  • Non- exposed skin with scabbed lesions can remain covered when patient is at home or is in contact with strangers
  • Avoid contact with anyone aged under 12 years old and/or immunosuppressed even if it means to stay of work.
  • Self isolation is up to 28 days.

Full De-isolation

  • When all lesions have crusted over and have fallen off and new intact skin is remains beneath.

This condition may show similar symptoms to:
Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: MonkeyPox in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

    Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help (British National Health Service).

  • Medscape

    Latest medical news and expert commentary in your specialty as well as disease information.

  • Pharmaceutical Journal

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  • Healthline

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  • ChatGPT

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  • Medical News Today

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  • WebMD

    Better Information. Better Health.

  • Cleveland Clinic

    Pushing the Standards of care.

  • Mayo Clinic

    No.1 Hospital in the Nation (America)

  • Drugs.com

    Know more. Be sure.

  • National Organisation of Rare Diseases

    NORD is dedicated to supporting education, elevating care, advancing research, and driving policy for rare diseases.

  • Verywell Health

    Know more. Fell better.

  • Fit for Travel

    Information on how to stay safe and healthy abroad.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies

References

https://www.england.nhs.uk/wp-content/uploads/2022/06/B1692-virtual-management-of-confirmed-monkeypox-cases.pdf