The rapidly spreading Monkeypox outbreak can be stopped, the World Health Organization (WHO) said on Tuesday, “with the right strategies in the right groups”.
More than 15000 cases, over two thirds reported in the WHO European Region.— WHO/Europe (@WHO_Europe) July 24, 2022
We spoke to two clinicians in Portugal and Italy about their experience of treating patients with #monkeypox to find out how concerned they are about the outbreak.https://t.co/Rkq1O9S12a
A public health emergency
On Saturday, WHO Director-General Tedros Adhanom Ghebreyesus declared the spread of the virus to be a public health emergency of international concern (PHEIC), the organization’s highest level of alert. “Through this, we hope to enhance coordination, cooperation of countries and all stakeholders, as well as global solidarity,” Dr Lewis said.
WHO assessed the risk posed to public health by Monkeypox in the European region as high, but at the global level as moderate.
With “other regions not at the moment as severely affected”, declaring a PHEIC was necessary “to ensure the outbreak was stopped as soon as possible”.
This year, there have been more than 16,000 confirmed cases of monkeypox in more than 75 countries. Dr Lewis said the real number was probably higher.
She pointed out that in the Democratic Republic of the Congo, several thousand cases were suspected, but testing facilities are limited. “The global dashboard did not include suspected cases,” she said.
Some 81 children under the age of 17 were reported as having been infected globally, she added, with the majority of cases being among young men, with the median age being 37.
‘Stigma as dangerous as virus’
First identified in monkeys, the virus is transmitted chiefly through close contact with an infected person (you can read our detailed explainer on the disease, here).
Until this year, the virus which causes Monkeypox has rarely spread outside Africa where it is endemic. But reports of a handful of cases in Britain in early May signalled that the outbreak had moved into Europe.
Dr. Lewis pointed out that stigma and discrimination must be avoided, as that would harm the response to the disease.
“At the moment the outbreak is still concentrated in groups of men who have sex with men in some countries, but that is not the case everywhere,” she said. “It is really important to appreciate also that stigma and discrimination can be very damaging and as dangerous as any virus itself,” she said.
Monkeypox could cause a range of signs and symptoms, including painful sores. Some people developed serious symptoms that need care in a health facility. Those at higher risk for severe disease or complications include pregnant women, children, and immunocompromised persons.
Dr. Lewis said WHO was working with Member States and the European Union on releasing vaccines, and with partners to determine a global coordination mechanism. She emphasized that mass vaccination was not required, but the WHO had recommended post-exposure vaccination.
Vaccine sharing should be done according to public health needs, country by country and location by location. Not all regions had the same epidemiology, she explained.
Dr. Lewis stressed that countries with manufacturing capacity for smallpox and Monkeypox diagnostics, vaccines or therapeutics should increase production.
Countries and manufacturers should work with WHO to ensure they are made available based on public health needs, solidarity and at a reasonable cost to countries where they were most needed.
Dr. Lewis explained that some 16.4 million vaccines were currently available in bulk but needed to be finished. The countries currently producing vaccines are Denmark, Japan, and the United States.
She reminded that the current recommendation for persons with Monkeypox was to isolate and not travel until they recovered; contact cases should be checking their temperature and monitoring possible other symptoms for the period of 9 to 21 days.
“When someone is vaccinated it takes several weeks for the immune response to be generated by the body”, she said.
What's in a name?
According to Dr. Lewis, the name “Monkeypox” is already present in the International Classification of Diseases, and a process had to be followed in order to potentially change its name.