San Diego Union-Tribune

COUNTY IDENTIFIES ADDITIONAL MONKEYPOX CASE

News comes as coronaviru­s appears to be plateauing

- BY PAUL SISSON paul.sisson@sduniontri­bune.com

A third monkeypox case has been identified in San Diego County, health officials announced Friday afternoon, though none of the three has yet been confirmed by the U.S. Centers for Disease Control and Prevention.

The new case has no connection to the first two announced Wednesday, other than recent internatio­nal travel and the fact that symptoms are mild and have not required hospitaliz­ation.

In a statement, Dr. Wilma Wooten, the county’s public health director, said that all three are “managing their symptoms in home isolation.”

“Most individual­s who become infected experience mild to moderate symptoms, and the risk of contractin­g the virus remains very low for the general population,” Wooten said.

The news came as UC San Diego and partners updated estimates of the amount of coronaviru­s detected in local wastewater. The shape of the graph continued to be f lat, with an estimated

6.7 million coronaviru­s copies detected per liter of sewage Wednesday nearly identical to the 6.9 million copies documented one week earlier but far, far lower than the peak of

47.6 million recorded on Jan. 10 at the peak of the winter Omicron wave.

Weekly case totals roughly reflect the plateau seen in wastewater analysis, with 1,773 new cases reported to the public health department Wednesday, just slightly lower than the 1,857 reported one week earlier.

Monkeypox is much less contagious than coronaviru­s because it mainly spreads through direct skinto-skin contact with another person. While the virus can spread through the air, it is much less likely and requires a much longer period of close contact than coronaviru­s does.

Risk assessment guidelines published by the U.S. Centers for Disease Control and Prevention consider a “high” level of exposure to include anyone who had unprotecte­d contact with an infected person’s skin, mucous membranes, or bodily fluids. The CDC considers a high level of exposure through the air to be possible in situations where people are within 6 feet of a person during medical procedures that cause large amounts of bodily fluids to enter the air in an enclosed space and others are not protected by N95 masks.

An intermedia­te degree of exposure is calculated for those who spent at least three hours within six feet of an infected person without wearing at least a surgical mask, meaning that those who simply shared the same space for a few minutes or even two solid hours have very low chances of becoming infected.

By comparison, the original estimate for the first few waves of the coronaviru­s held that it took about 15 minutes sitting and talking with an infected person to become infected, and estimates of Omicron variant transmissi­on are quicker still.

A county spokespers­on said Thursday that public health investigat­ions learned of two people who had contact with one of the two monkeypox patients announced Wednesday, though it was not clear which CDC risk level their exposures fell into. No informatio­n was available Friday regarding contacts of the third patient.

As of Friday, the United States has documented 113 monkeypox cases, including 24 in California.

 ?? CENTERS FOR DISEASE CONTROL AND PREVENTION ?? A magnified image of skin tissue harvested from a lesion on a monkey infected with monkeypox virus. A third case in San Diego County was reported Friday.
CENTERS FOR DISEASE CONTROL AND PREVENTION A magnified image of skin tissue harvested from a lesion on a monkey infected with monkeypox virus. A third case in San Diego County was reported Friday.

Newspapers in English

Newspapers from United States