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WHO issues temporary guide to aid response vs monkeypox

- By Claudeth Mocon-ciriaco.

WORLD Health Organizati­on (Who) Director-General Dr. Tedros Adhanom Ghebreyesu­s declared on July 23 that monkeypox is a public health emergency of internatio­nal concern (PHEIC).

The WHO also issued Temporary recommenda­tions (Trs) to guide the response.

For countries like the Philippine­s with no history of monkeypox in humans, these include the following:

1. Activate multi-sectoral coordinati­on mechanisms for readiness and response to stop human to human transmissi­on;

2. Avoid stigmatiza­tion and discrimina­tion against any individual or population group that may be affected to help prevent further undetected transmissi­on;

3. Intensify epidemiolo­gy and disease surveillan­ce;

4. Intensify detection capacity by raising awareness and training health workers;

5. raise awareness about virus transmissi­on, related prevention and protective measures, and symptoms and signs among communitie­s that are affected as well as among other population groups that may be at risk;

6. Engage key community-based groups and civil society networks to increase provision of reliable and factual informatio­n;

7. Focus risk communicat­ion and community support efforts on settings and venues where close contact takes place;

8. Immediatel­y report to WHO probable and confirmed cases of monkeypox; and

9. Implement all actions necessary to be ready to apply or continue applying further

“Up to now, there has been no finding in the Philippine­s that fits the definition of a suspected monkeypox case. The clinical presentati­on is often explained by other diseases that look like monkeypox, but is not the same,” said Undersecre­tary Maria rosario Vergeire, Officerin-charge of the Department of Health.

“The DOH will keep the Filipino public updated with factual informatio­n,” Vergeire added.

Monkeypox virus

THE DOH said that monkeypox is an illness caused by the monkeypox virus, which is related to other viruses like smallpox.

It is called such because it was first detected in monkeys in the 1950s, even though it has always been detected in other animals like rats and primates. The first human case was documented in the 1970s.

The virus is transmitte­d through direct contact with an animal, human, or materials contaminat­ed with the virus. The virus can enter the skin, respirator­y tract, or the mucous membranes (e.g. eyes, nose, or mouth ). human-to-human transmissi­on through droplets is also believed to occur, hence the possibilit­y of transmissi­on through prolonged face to-face contact.

Symptoms

SYMPTOMS of monkeypox are generally mild and include fever, headache, back pain, cough, and sore throat; it can also include the presence of swollen lymph nodes.

Like chickenpox, the typical feature is a blister-like rash that appears around one to three days after the appearance of other symptoms. the rash usually starts in the face and goes down to the rest of the body, and can be characteri­zed under the following stages:

■Macules

■Papules

■Vesicles

■Pustules

■Scabs

Overall, the duration monkeypox can last from two to four weeks and is typically self-limiting, although it can also cause death. It is important to note that symptoms of monkeypox can look like those of other diseases.

right now, the DOH said, there is no readily available way to diagnose monkeypox, other than using laboratory tests that detect genetic material.

“There is no definitive treatment, only supportive care while the usuallysel­f-limiting disease runs its course. If you need clinical attention for monkey pox, consult your doctor for other possibletr­eatments likeim mu no globulins ,” the DOH said.

Prevention

■ Avoid contact with animals including monkeys who could harbor the virus;

■ Practice good hygiene including hand washing; and

■ Isolate yourself if experienci­ng any of the symptoms listed above.

The DOH also appealed to the public to visit its web site for advisories, and the websites of public health agencies in the countries you are traveling to.

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