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Cases around the world, therefore sped for past few weeks, Severe cases occur more commonly among children Monkeypox Key facts https://www.who.int/news-room/fact-sheets/detail/monkeypox https://www.telegraph.co.uk/news/2022/05/20/monkeypox-outbreak-doubles-health-authorities-set-announce-11/ Transmission Contact with an infected animal or human Respiratory droplets Lesions Skin contact Broken skin Bodily fluids Mucous membranes Contaminated materials, bed linens, clothing, towels Fomites https://www.ecdc.europa.eu/en/news-events/epidemiological-update-monkeypox-outbreak Mortality is higher among children and young adults, and immunocompromised individuals are especially at risk of severe disease. Most people recover within weeks. Most cases presented with lesions on the genitalia or peri-genital area, indicating that transmission likely occurs during close physical contact during sexual activities. US https://www.nytimes.com/article/what-is-monkeypox.html President Biden https://www.nytimes.com/2022/05/22/world/asia/monkeypox-biden-concern.html They haven’t told me the level of exposure yet, but it is something that everybody should be concerned about We’re working on it hard to figure out what we do and what vaccine may be available But it is a concern in the sense that if it were to spread it would be consequential everybody should be concerned about the rise in cases 92 confirmed cases outside Africa in the current outbreak Massachusetts, Florida, New York City https://www.cdc.gov/poxvirus/monkeypox/treatment.html Currently, there is no proven, safe treatment for monkeypox virus infection. For purposes of controlling a monkeypox outbreak in the United States, smallpox vaccine, antivirals, and vaccinia immune globulin (VIG) can be used. Spain Cases, 30, most linked to, Enrique Ruiz Escudero, cabinet minister for health Superspreader event, adult sauna, Madrid The Public Health Department will carry out an even more detailed analysis...to control contagion, cut the chains of transmission and try to mitigate the transmission of this virus as much as possible An internationally advertised gay party in Spain, being investigated as the root cause of the global monkeypox cases UK https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates#seven-may https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates Cases, 20 Contact tracing Quarantine of close contacts Belgium 3 cases inked to The Darklands Festival, Antwerp There’s reason to assume that the virus has been brought in by visitors from abroad to the festival after recent cases in other countries (Festival organisers) Darklands, ticketed event, various tribes in the gay fetish community come together to create a unique spectacle of fetish brotherhood Gay pride events Starts nowish Dr Hans Kluge, the World Health Organisation Europe As we enter the summer season in the European region, with mass gatherings, festivals and parties, I am concerned that transmission could accelerate, as the cases currently being detected are among those engaging in sexual activity, and the symptoms are unfamiliar to many Monkeypox is normally a virus that is hard to spread from one person to another, and this is the first time there has been sustained human to human transmission outside Africa. Bavarian Nordic, Bernard Hoet, (biotechnology company) an undisclosed European country, order for vaccine doses The reason why this vaccine was developed was to have a safe vaccine for stockpiling in case of outbreaks of smallpox. We are in contact with the UK authorities about the use of the vaccine. Sajid Javid Procured further doses of vaccine that are effective against monkeypox NHSE High Consequence Infection Diseases (airborne) Network / WHO Incubation, 6 to 13 days https://www.gov.uk/government/news/monkeypox-case-confirmed-in-england-1 https://www.nhs.uk/conditions/monkeypox/ https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON381 https://www.who.int/emergencies/outbreak-toolkit/disease-outbreak-toolboxes/monkeypox-outbreak-toolbox An acute illness with fever more than 38.3⁰C (101⁰F) Chills Intense headache Prodromal lymphadenopathy Back pain and muscle aches Myalgia and intense asthenia Followed one to three days later by a progressively developing rash, often beginning on the face (most dense), and then spreading elsewhere on the body, including soles of feet and palms of hands. Symptomatic, then rash, 1 to 5 days after first symptoms The rash changes and goes through different stages before finally forming a scab, which later falls off. (can look like chickenpox or syphilis) Starts as raised spots, forming into fluid filled blisters, then scabs which fall off Lesions can be very itchy or painful

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