Monkeypox in Argentina: confirmed case did not travel abroad and they are investigating whether there was a local transmission

The patient started with symptoms on May 31 and on June 9 the positive PCR result for monkeypox was confirmed (REUTERS / Given Ruvic)

The third case of monkeypox in Argentina This was confirmed on June 9 by the National Ministry of Health following the results of the ANLIS Malbrán laboratory. It is about a 36 year old man resident of the autonomous city of Buenos Aires. This patient is the first to be infected with the monkeypox virus in the country, who has not reported a history of travel abroad. The other two confirmed cases were in Spain.

The man is inside good health and adherence to isolation corresponding as reported national health authorities.

According to the National Ministry of Health, the man committed the first consultation on June 6 at a private clinic in Buenos Aireswith a report from Date of onset of symptoms May 31, on presentation of headache and muscle pain, fever, back pain. On June 2, he began to develop vesicular rashes, skin lesions characteristic of monkeypox.

On 7 June the case was reported and the sample was sent to the ANLIS Malbrán laboratory, which June 9 confirmed a positive PCR test for monkeypox.

Worldwide, more than 1,800 cases of monkeypox have already been confirmed in 34 countries that are not endemic for the disease since last May (REUTERS / Lukas Barth / File Photo)
Worldwide, more than 1,800 cases of monkeypox have already been confirmed in 34 countries that are not endemic for the disease since last May (REUTERS / Lukas Barth / File Photo)

To start epidemiological studiesthe man was asked your latest activities and contacts. According to the patient, has not moved abroad in previous weeks.

So far, the patient did not provide precise details about his last close contacts or sexual activity which are sufficient for epidemiological surveillance by the authorities. This situation is common in cases registered in Europe in which patients do not provide accurate information for contact identification.

Without this information it is complicated for the health authorities transmission circuit study, and find out if there has been contact with someone who has traveled to countries with endemic or recent circulations of the virus. Without specific data on these close contacts, the possibility of local transmission should be investigated..

“A single case of monkeypox in which the epidemiological link has not been established does not mean that there is community transmission in Argentina. Close contacts are also sought if they have traveled or are involved in other confirmed cases. So far, this single case needs a bigger approach to his close contacts, mainlyHe told Infobae the doctor Javier Farina, member of the Argentine Society of Infectious Diseases (SADI) and Head of Infectious Diseases at the Cuenca Alta de Canuelas Hospital of Advanced Complex, in the province of Buenos Aires.

The most common symptoms of smallpox are fever, headache, muscle or back pain, swollen glands and fatigue. Photo: UK Health Security Agency
The most common symptoms of smallpox are fever, headache, muscle or back pain, swollen glands and fatigue. Photo: UK Health Security Agency

It cannot be said that today there is a transmission of monkeypox in the country. There is still no evidence. “An investigation is still pending because it is possible that a person who was in Europe and was infected and then transmitted the infection to someone else in our country may happen,” the doctor said. Thomas Orduna, Infectious Diseases Specialist at Muñiz Hospital in Buenos Aires and former President of the International Society of Road Medicine.

“Regarding Due to the follow-up of close contacts, in more than 40% of confirmed cases in other regions of the world it was difficult to identify in order to conduct an epidemiological investigation to find the origin of the outbreak.“, he added.

The modes of transmission during sexual intercourse remain unknownAlthough close physical contact is known to lead to transmission, it is not clear what role sexual body fluids, including semen and vaginal fluids, playin the show “, informs in Ministry of Health of the Nation when he confirmed the case.

In the other two cases reported in Argentina, patients reported a history of travel abroad. The first patient, a 40-year-old man living in northern Buenos Aires, had visited Spain from April 28 to May 16. The ANLIS Malbrán laboratory confirmed the monkeypox infection on May 27. The same day, health authorities reported a second case of infection in a man who came to visit Argentina from Spain.

In the world, 1806 cases of people with monkeypox have already been confirmed in 34 countries which are not endemic to the disease from last May.

Some countries have launched a ring vaccination strategy, which consists of administering the human measles vaccine to close contacts of those infected (Reuters).
Some countries have launched a ring vaccination strategy, which consists of administering the human measles vaccine to close contacts of those infected (Reuters).

How is the infection?

Monkeypox is spread from person to person through close contact with lesions, respiratory particles and contaminated materials such as bedding.. In outbreaks registered in Europe, the clinical picture is usually described as mild and most cases present – in the same way as those found so far in Argentina – lesions of various parts of the body, including the genitals or perigenital area, indicating that transmission is likely to occur through physical contact during sexual activity.

The most common symptoms are fever, headache, muscle or back pain, swollen glands and fatigue. After the first to fifth day of symptoms, a skin rash that goes through various stages until it forms a crust that then falls off. Infected people are contagious until all the scabs fall off.

Preventive measures include avoiding close contact with people with compatible symptoms (including intimate or sexual contact with people during the period of illness).

WHO analyzes name change in monkeypox to avoid stigma and racism (AFP)
WHO analyzes name change in monkeypox to avoid stigma and racism (AFP)

Those people who show any of the described symptoms should consult immediately to be evaluated by a health professionalwear a properly fitted chin strap and avoid close contact with other people.

WHO will gather urgently

The World Health Organization said it had called emergency meeting on 23 June to determine whether to classify the outbreak as a public health emergency of international importancewhich is the maximum concern that the UN Health Agency can give.

So far, it has released this level of concern only for influenza, polio, Ebola, Zika and COVID-19, which have caused the current pandemic since the end of 2019.

IN WHO Director-General Tedros Adanom Gebrejesusnoted this week that the current situation is “unusual, the virus behaves differently from the past and affects more countries”. The current spread of cases is “unusual and alarming”“, he added.

WHO Emergency Response Leader Ibrahima Sose Fol said it was being assessed. the risk is “high” in Europe and “moderate” in the rest of the worldand that there are gaps in knowledge about this virus.

CONTINUE READING:

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