On 14 May 2022, a familial cluster of two cases of monkeypox was reported in the United Kingdom (UK) by the UK Health Security Agency (UKHSA). Monkeypox typically presents clinically with fever, rash and swollen lymph nodes and may lead to a range of medical complications. An antiviral agent known as tecovirimat that was developed for smallpox was licensed by the European Medicines Agency (EMA) for monkeypox in 2022 based on data in animal and human studies. Monkeypox primarily occurs in central and west Africa, often in proximity to tropical rainforests, and has been increasingly appearing in urban areas. More information can be found here. Eating inadequately cooked meat and other animal products of infected animals is a possible risk factor. After about a week, at its third meeting, the WHO has declared the outbreak a Public Health Emergency of International Concern (PHEIC). WHO regional director for Europe Hans Kluge said that "as we enter the summer season with mass gatherings, festivals and parties, I am concerned that transmission could accelerate". These cases have no relation to a travel-related case from Nigeria that was previously reported on 7 May 2022 in the UK. Serology and antigen detection methods are therefore not recommended for diagnosis or case investigation where resources are limited. It has been 40 or more years since all countries ceased routine smallpox vaccination with vaccinia-based vaccines. The initial symptoms include a high fever, swollen lymph nodes and a chickenpox-like rash. Thus, specimens should be packaged and shipped in accordance with national and international requirements. Patient specimens must be safely prepared for transport with triple packaging in accordance with WHO guidance for transport of infectious substances. Smallpox was more easily transmitted and more often fatal as about 30% of patients died. * PANAMA confirmed its first case on July 4. read more. The industry leader for online information for tax, accounting and finance professionals. * NORWAY had reported 53 cases by Aug. 1. In North America, three cases have been confirmed in Canada (2), and the US (1). For this, optimal diagnostic samples for monkeypox are from skin lesions the roof or fluid from vesicles and pustules, and dry crusts. * LUXEMBOURG had confirmed 23 cases as of July 29. For severe cases, treatment with a registered antiviral can be considered, if available in the country., ECDC will continue to monitor this event through epidemic intelligence activities and report relevant news on an ad-hoc basis. A process in EpiPulse has been created to allow countries to share information with one another, WHO, and ECDC. A PHEIC is defined as an extraordinary event which is determined to constitute a public health risk to other States through the international spread of disease and to potentially require a coordinated international response. * SOUTH KOREA reported two cases on June 22. read more, * TAIWAN confirmed its first case on June 24. read more, * THAILAND had confirmed two cases as of July 29. read more. Vaccination against smallpox was demonstrated through several observational studies to be about 85% effective in preventing monkeypox. As the source of this outbreak is being investigated, it is important to look at all possible modes of transmission in order to safeguard public health. * CANADA had confirmed 803 infections as of July 29. Portugal has reported another 20 suspected cases, and Spain has reported another 23 suspected cases which are awaiting laboratory confirmation., In total, since 14 May, there have been 37 confirmed, non-travel related cases of monkeypox worldwide, with 26 in EU/EEA countries. As orthopoxviruses are serologically cross-reactive, antigen and antibody detection methods do not provide monkeypox-specific confirmation. All Rights Reserved. The majority of cases have been in young men, many self-identifying as men who have sex with men (MSM), and none with recent travel history to areas where the disease is endemic. Of these, 26 cases have been confirmed in the following EU/EEA countries: Belgium (2), France (1), Italy (1), Portugal (14), Spain (7), and Sweden (1). It appears that experts had issued a warning for the monkeypox disease three years ago, a report by the Sunday Telegraph suggestsed. * POLAND had reported 53 cases by July 27. Previously, WHO said that it expects more cases of monkeypox to emerge globally. Build the strongest argument relying on authoritative content, attorney-editor expertise, and industry defining technology. Also affected are oral mucous membranes (in 70% of cases), genitalia (30%), and conjunctivae (20%), as well as the cornea. Unprotected contact with wild animals, especially those that are sick or dead, including their meat, blood and other parts must be avoided. Where feasible, biopsy is an option. With the eradication of smallpox in 1980 and subsequent cessation of smallpox vaccination, monkeypox has emerged as the most important orthopoxvirus for public health. Episode 22 out now. You have permission to use, distribute, and reproduce these in any medium, provided the source and authors are credited. * AUSTRIA had confirmed 118 cases as of July 29. This is the first time that chains of transmission are reported in Europe without known epidemiological links to West or Central Africa. Screen for heightened risk individual and entities globally to help uncover hidden risks in business relationships and human networks. "We don't know if we are just seeing the peak of the iceberg," Sylvie Briand, WHO's epidemic and pandemic preparedness and prevention chief, acknowledged in a briefing to countries on the "unusual" spread of the virus. * BERMUDA confirmed its first case on July 21. * SWEDEN had confirmed 85 cases by July 28. Raising awareness of risk factors and educating people about the measures they can take to reduce exposure to the virus is the main prevention strategy for monkeypox. In 2003, the first monkeypox outbreak outside of Africa was in the United States of America and was linked to contact with infected pet prairie dogs. * COLOMBIA had reported 12 cases as of July 26. * HUNGARY had confirmed 37 cases by July 27. Various animal species have been identified as susceptible to monkeypox virus. * BELGIUM had detected 393 cases by July 25. The production of a Rapid Risk Assessment has been launched with prospective publication on Monday 23 May.. The World Health Organization (WHO) cautioned on May 27 that some 200monkeypoxcases found in recent weeks outside of countries where the virus usually circulates could be just the beginning. * ECUADOR had confirmed three cases as of July 23. Transmission can also occur via the placenta from mother to fetus (which can lead to congenital monkeypox) or during close contact during and after birth. Although vaccination against smallpox was protective in the past, today persons younger than 40 to 50 years of age (depending on the country) may be more susceptible to monkeypox due to cessation of smallpox vaccination campaigns globally after eradication of the disease. During human monkeypox outbreaks, close contact with infected persons is the most significant risk factor for monkeypox virus infection. In 2019, experts attended a seminar in London and discussed the need to develop "new generation vaccines and treatments". Since 2017, Nigeria has experienced a large outbreak, with over 500 suspected cases and over 200 confirmed cases and a case fatality ratio of approximately 3%. Suspected cases should be isolated and tested and notified promptly. As of 20 May 2022, there have been a total of 38 confirmed cases reported worldwide, 37 of which have no history of travel to endemic countries.. * ISRAEL had reported 146 cases as of July 31. You will be subject to the destination website's privacy policy when you follow the link. REUTERS/Susana Vera. Monkeypox virus is an enveloped double-stranded DNA virus that belongs to the Orthopoxvirus genus of the Poxviridae family. People across the world are worried that is monkeypox is spreading Covid? Reuters, the news and media division of Thomson Reuters, is the worlds largest multimedia news provider, reaching billions of people worldwide every day. * SERBIA had reported 10 cases as of July 27. Most people recover within weeks., Public health institutions/authorities and community-based organisations should take steps to raise awareness on the potential spread of monkeypox in the community, especially among men who have sex with other men that engage in casual sex, or who have multiple sexual partners. Individuals engaging in casual sex or who have multiple sexual partners who are not MSM should also be vigilant. Confirmation of monkeypox depends on the type and quality of the specimen and the type of laboratory test. * SLOVENIA had reported 33 cases as of July 27. On January 30, the World Health Organization declared the coronavirus outbreak a Global Public Health Emergency. * CHILE had reported 55 cases as of July 29. * The UNITED STATES had confirmed 5,189 cases by July 29. * JAMAICA had confirmed two cases as of July 26. Over time, most human infections have resulted from a primary, animal-to-human transmission. However, the longest documented chain of transmission in a community has risen in recent years from 6 to 9 successive person-to-person infections. * The NETHERLANDS had confirmed 878 cases as of July 28. Compiled by Alizee Degorce, Andrey Sychev and Louise Rasmussen in Gdansk; Editing by Milla Nissi, Barbara Lewis, Jonathan Oatis and Ed Osmond, India confirms Asia's first monkeypox death, FACTBOX-Monkeypox cases around the world - Reuters News, Inside the super-secure Swiss lab trying to stop the next pandemic, 'The government didn't do anything': Mexican, Brazilian monkeypox responses draw concern, Macau to reopen city as no COVID infections detected for 9 days, See here for a complete list of exchanges and delays. This definition implies a situation that is: Copyright Worldometers.info - All rights reserved -, Q&A on coronaviruses and novel coronavirus, the mortality rate is estimated at 2.0% but still to early, Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV), International Health Regulations Emergency Committee on novel coronavirus in China, International Health Regulations (IHR) Emergency Committee for Pneumonia due to the Novel Coronavirus 2019-nCoV. European Centre for Disease Prevention and Control, As of 16 May 2022, there is a multi-country outbreak of monkeypox affecting the UK, EU/EEA states, and North America. Butmonkeypoxis much less severe, with a fatality ratio of three to six per cent. There are two distinct genetic clades of the monkeypox virus: the central African (Congo Basin) clade and the west African clade. While speaking to India-based news agency ANI, Dr Aparna Mukherjee, Scientist C, ICMR said, "India is prepared for the infections as it is rapidly spreading in non-endemic countries like Europe, USA and others. The US health body added that household disinfectants can kill the virus on surfaces. Multi-lateral meetings between affected countries, WHO IHR and ECDC have taken place to share information and coordinate response. Some countries have, or are developing, policies to offer vaccine to persons who may be at risk such as laboratory personnel, rapid response teams and health workers. Aug 1 (Reuters) - Around 70 countries where monkeypox is not endemic have reported outbreaks of the viral disease as confirmed cases crossed 22,100 and the World Health Organization declared the outbreak a global health emergency. It is not Covid or other diseases that spread fast.". It also added that more cases are likely to be reported as surveillance expands. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The most comprehensive solution to manage all your complex and ever-expanding tax and compliance needs. Mortality is higher among children and young adults, and immunocompromised individuals are especially at risk of severe disease. The extent to which asymptomatic infection may occur is unknown.The case fatality ratio of monkeypox has historically ranged from 0 to 11 % in the general population and has been higher among young children. More broadly, health officials say that people should avoid close personal contact with someone who has a rash illness or who is otherwise unwell. * GEORGIA confirmed its first case on June 15. If monkeypox is suspected, health workers should collect an appropriate sample and have it transported safely to a laboratory with appropriate capability. While many of the cases have been linked to men having sex with men, experts stress there is no evidence it was a sexually transmitted disease. Two samples of suspected cases of monkeypox go through a process of nucleic acid extraction as they get tested at a microbiology lab at La Paz Hospital in Madrid, Spain, June 1, 2022. by Edouard Mathieu, Fiona Spooner, Saloni Dattani, Hannah Ritchie and Max Roser. Multi-National Monkeypox Outbreak Technical Report, Centers for Disease Control and Prevention. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Help us do this work by making a donation. Thus, prior smallpox vaccination may result in milder illness. Will it be like COVID-19 pandemic. An antiviral agent developed for the treatment of smallpox has also been licensed for the treatment of monkeypox. These are also the first cases worldwide reported among MSM. Lymphadenopathy is a distinctive feature of monkeypox compared to other diseases that may initially appear similar (chickenpox, measles, smallpox). Below is a list of non-endemic countries that have reported monkeypox cases: * AUSTRALIA had confirmed 44 cases as of July 25. * GREECE had confirmed 32 cases by July 29. however, the health authorities in the country are keeping a close watch over the spread of the virus. The Congo Basin clade has historically caused more severe disease and was thought to be more transmissible. Transmission via droplet respiratory particles usually requires prolonged face-to-face contact, which puts health workers, household members and other close contacts of active cases at greater risk. CDC is urging healthcare providers in the United States to be alert for patients who have rash illnesses. The rash evolves sequentially from macules (lesions with a flat base) to papules (slightly raised firm lesions), vesicles (lesions filled with clear fluid), pustules (lesions filled with yellowish fluid), and crusts which dry up and fall off. * INDIA had confirmed four cases as of July 24. * FRANCE had confirmed 1,955 cases by July 28. We will always indicate the original source of the data in our documentation, so you should always check the license of any such third-party data before use and redistribution. As the world continues to reel under coronavirus (COVID-19) and its impacts, global concerns have been raised over the recent increase in rare monkeypox infections in different parts of the world. This includes rope squirrels, tree squirrels, Gambian pouched rats, dormice, non-human primates and other species. India confirmed its first monkeypox death on Monday, a young man in the southern state of Kerala, in what is only the fourth known fatality from the disease in the current outbreak. Additionally, recent or remote vaccination with a vaccinia-based vaccine (e.g. the invasion period (lasts between 05 days) characterized by fever, intense headache, lymphadenopathy (swelling of the lymph nodes), back pain, myalgia (muscle aches) and intense asthenia (lack of energy). Secondary bacterial infections should be treated as indicated. All of our charts can be embedded in any site. Our World In Data is a project of the Global Change Data Lab, a registered charity in England and Wales (Charity Number 1186433). * The UNITED KINGDOM had 2,469 confirmed cases as of July 28, including 2,359 in England, 61 in Scotland, 19 in Northern Ireland and 30 in Wales. The geographical division between the two clades has so far been in Cameroon, the only country where both virus clades have been found. Most cases presented with lesions on the genitalia or peri-genital area, indicating that transmission likely occurs during close physical contact during sexual activities. The clinical presentation of monkeypox resembles that of smallpox, a related orthopoxvirus infection which was declared eradicated worldwide in 1980. * GIBRALTAR had confirmed five cases as of July 20. In order to interpret test results, it is critical that patient information be provided with the specimens including: a) date of onset of fever, b) date of onset of rash, c) date of specimen collection, d) current status of the individual (stage of rash), and e) age. * SINGAPORE had confirmed 11 cases as of July 29. Further information on this outbreak can be found here. As far as the treatment is concerned, it doesn't exist, but the symptoms usually clear up after two to four weeks. * MALTA had confirmed 17 cases as of July 20. Additionally, all foods containing animal meat or parts must be thoroughly cooked before eating. Underlying immune deficiencies may lead to worse outcomes. If used for patient care, tecovirimat should ideally be monitored in a clinical research context with prospective data collection. Monkeypox is a disease of global public health importance as it not only affects countries in west and central Africa, but the rest of the world. This may reflect declining immunity in all communities due to cessation of smallpox vaccination. As per US Centers for Disease Control and Prevention, anyone "can spread monkeypox through contact with body fluids, monkeypox sores, or shared items (such as clothing and bedding) that have been contaminated with fluids or sores of a person with monkeypox". No monkeypox case has been identified yet in India. There's a recent spike in cases that were confirmed (or suspected) in Europe and some other countries. * ICELAND had reported nine cases as of July 25. Our Standards: The Thomson Reuters Trust Principles. * The UNITED ARAB EMIRATES had reported 16 infections as of July 24. Back-wards and forwards contact tracing should be initiated for positive cases, and exposed mammalian pets should be quarantined. * NEW ZEALAND reported its second case on July 12. The monkeypox virus is transmitted to humans through a bite or direct contact with an infected animals blood, body fluids or cutaneous/mucosal lesions. Health workers caring for patients with suspected or confirmed monkeypox virus infection, or handling specimens from them, should implement standard infection control precautions. * FINLAND had confirmed 17 cases as of July 27. 2022. Clinical care for monkeypox should be fully optimized to alleviate symptoms, manage complications and prevent long-term sequelae. Animal hosts include a range of rodents and non-human primates. People who suspect they havemonkeypoxshould isolate and seek medical care. The monkeypox virus is considered to have moderate transmissibility among humans and can be transmitted through droplets and/or contact with infected lesions. * COSTA RICA confirmed three cases on July 28. Licenses: All visualizations, data, and articles produced by Our World in Data are open access under the Creative Commons BY license. Captive animals that are potentially infected with monkeypox should be isolated from other animals and placed into immediate quarantine. Scientific studies are now underway to assess the feasibility and appropriateness of vaccination for the prevention and control of monkeypox. * DENMARK had confirmed 99 cases by July 29. Occasionally it spreads elsewhere. Also, read about monkeypox symptoms and causes. Further investigations are underway to determine the likely source of infection and limit further onward spread. The likelihood of transmission between individuals without close contact is considered to be low. When autocomplete results are available use up and down arrows to review and enter to select. regarding the multi-country monkeypox outbreak, IHR Emergency Committee regarding the multi-country outbreak of monkeypox, Independent Oversight and Advisory Committee, Further information on this outbreak can be found here, Recovering from monkeypox at home (infographic), Vaccines used during the smallpox eradication programme also provided protection against monkeypox. An epidemiological update will be posted on 20 May. ECDC: On Air - podcast on European epidemiology. In India, health authorities are alarmed as monkeypox cases are being identified across the world. Any animals that might have come into contact with an infected animal should be quarantined, handled with standard precautions and observed for monkeypox symptoms for 30 days. People living in or near forested areas may have indirect or low-level exposure to infected animals. anyone vaccinated before smallpox eradication, or more recently vaccinated due to higher risk such as orthopoxvirus laboratory personnel) might lead to false positive results. For example, in 199697, an outbreak was reported in the Democratic Republic of the Congo with a lower case fatality ratio and a higher attack rate than usual. In the UK, nine cases have been confirmed. Surveillance and rapid identification of new cases is critical for outbreak containment. Since the UKHSA reporting of cases, several other European countries have reported cases of monkeypox. * PERU had confirmed 305 cases by July 31. * BRAZIL had confirmed 1,369 cases and one death as of July 31. read more. * ROMANIA had confirmed 21 cases as of July 29. Monkeypox is caused by monkeypox virus, a member of the Orthopoxvirus genus in the family Poxviridae. * BOSNIA reported its first case on July 13. read more. * QATAR confirmed its first case on July 20. Cases continue to be reported until today. The disease is considered endemic in 11 African nations. * PORTUGAL had confirmed 633 cases as of July 28. Transmission between sexual partners, due to intimate contact during sex with infectious skin lesions seems the likely mode of transmission among MSM., Given the unusually high frequency of human-to-human transmission observed in this event, and the probable community transmission without history of traveling to endemic areas, the likelihood of further spread of the virus through close contact, for example during sexual activities, is considered to be high. When citing this entry, please also cite the underlying data sources. The clinical manifestation of monkeypox is usually mild. The West African clade, which has so far been detected in the cases reported in Europe, has been observed to have a case fatality rate of about 3.3%in Nigeria. * PUERTO RICO had confirmed 21 cases as of July 29. As vaccination also protected against monkeypox in west and central Africa, unvaccinated populations are now also more susceptible to monkeypox virus infection. Health authorities across counties have stated that further cases are expected. Access unmatched financial data, news and content in a highly-customised workflow experience on desktop, web and mobile. If possible, persons previously vaccinated against smallpox should be selected to care for the patient. Whereas smallpox no longer occurs naturally, the global health sector remains vigilant in the event it could reappear through natural mechanisms, laboratory accident or deliberate release. PCR blood tests are usually inconclusive because of the short duration of viremia relative to the timing of specimen collection after symptoms begin and should not be routinely collected from patients. EUROPE:Spain, Portugal, Sweden, France, Belgium, Germany, Italy, Switzerland,Czech Republic, Austria, Slovenia,Ireland. Monkeypoxis related to smallpox, which killed millions around the world every year before it was eradicated in 1980. In the seminar, the experts apparently discussed that a large part of the world population (said to be 70%) is not protected against smallpox as, after the eradication of the disease, smallpox vaccinations have been stopped (or paused). CDC is tracking an outbreak of monkeypox that has spread across several countries that dont normally report monkeypox, including the United States. CDC twenty four seven. Here's the list of countries where cases have been detected. * ITALY had detected 479 cases as of July 29. The identification in May 2022 of clusters of monkeypox cases in several non-endemic countries with no direct travel links to an endemic area is atypical. There are antiviral drugs for smallpox that could also be used to treatmonkeypoxunder certain circumstances, a spokesperson for the U.S. Department of Health and Human Services said in a statement. As of 19 May 2022, 38 cases have been confirmed worldwide. This is the first time that chains of transmission are reported in Europe without known epidemiological links to West or Central Africa, where this disease is endemic. Severe cases occur more commonly among children and are related to the extent of virus exposure, patient health status and nature of complications. It reported first death on Aug. 1. read more. To ensure global preparedness in the event of reemergence of smallpox, newer vaccines, diagnostics and antiviral agents are being developed. * LEBANON had reported four cases as of July 21. All other material, including data produced by third parties and made available by Our World in Data, is subject to the license terms from the original third-party authors. Monkeypox has only been fatal in rare cases. The incubation period (interval from infection to onset of symptoms) of monkeypox is usually from 6 to 13 days but can range from 5 to 21 days. * MEXICO had confirmed 60 cases as of July 27. 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