Monkeypox Virus: Another deadly virus on the prowl

    The monkeypox virus causes the disease monkeypox. It is similar to smallpox but rare. Primarily found in Africa, monkeypox is now spreading to other parts. There are no proven treatments for this disease, and it usually goes away on its own. Monkeypox usually lasts for about two to four weeks. If one is exposed to monkeypox, they need to be monitored for 21 days. Though it is milder than smallpox, it can be fatal. 

    What is monkeypox disease?

    Monkeypox is a communicable disease spread by the monkeypox virus that may take place in particular creatures, including human beings.

    Monkeypox Symptoms 

    Monkeypox symptoms are the same as smallpox, but they are slightly milder. The early signs are chills, fever, headache, fatigue, muscle aches, and swollen lymph nodes. 

    How to prevent Monkeypox infection? 

    Smallpox vaccination can protect monkeypox, but currently, they are limited to people who work in laboratories with the variola virus. Other ways of monkeypox prevention are to avoid contact with infected animals and humans and to limit the spread of infection. One can follow these guidelines to prevent disease:

    • Avoid contact with sick or dead or infected animals.
    • Avoid contact with infected beddings.
    • Washing hands thoroughly with soap and water after coming in contact with an animal.
    • Cooking all foods that contain meats properly. 
    • Avoid contact with infected people.
    • Use personal protective equipment (PPE) when caring for or examining infected people. 

    How does monkeypox infection spread?

    The monkeypox virus infection might be spread from packing bushmeat, a creature scrape or bite, dirty stuff, body fluids, or coming close to an infected individual.

    Usually, the monkeypox virus disseminates among particular rodents.

    Most human monkeypox virus infections originate from an infected creature; however, the trail of contagion stays unidentified. The monkeypox virus is believed to get into the human body via the respiratory tract, ruptured skin, or the mucous membranes of the nose, eyes, or mouth.

    As soon as a human being gets contaminated, spread to other human beings is frequent, with hospital personnel and next of kin at a specifically high chance of transmission.

    Where is the monkeypox virus found?

    The monkeypox virus is a double-stranded DNA virus, and it belongs to the Orthopoxvirus genus and Poxviridae family. The monkeypox virus is mostly observed in tropical rainforest areas of West and Central Africa. The virus is categorized into West African and Congo Basin clades, corresponding to the geographic regions.



    How is the diagnosis of the monkeypox virus made?

    Diagnosis of the monkeypox virus can be substantiated by screening a wound for the virus’s DNA (deoxyribonucleic acid). 

    The infection can seem to resemble chickenpox. The preferable lab test used to diagnose this disease is the Polymerase chain reaction testing (PCR) of samples taken from skin wounds. PCR blood examination is usually indecisive since the virus does not stay in the blood lengthily.

    For translating test outcomes, data is necessary on the date of commencement of fever, date of sample collection, date of the beginning of skin complaint, present condition of skin eruption, and age of the affected person.

    Differential diagnosis must consider other rash ailments like rubeola, chickenpox, itching, bacterial skin diseases, syphilis, and drug-related allergic reactions.

    How many types of monkeypox viruses are seen?

    Monkeypox is a zoonotic pox virus contagion that may take place in both human beings and particular other creatures. Two standard clear-cut forms are depicted as the gentler West African clade and the Congo Basin clade.

    How to prevent monkeypox virus infection?

    The smallpox vaccine is a valuable means to prevent the monkeypox virus infection, and it has 85% efficacy in curing the ailment. TPOXX (generic name tecovirimat) is the prescribed medication for treating monkeypox and smallpox, and it is also the oldest antipoxviral medicine sanctioned in the United States. However, in 2019, Jynneos, a vaccine for monkeypox, was accepted for grown-up individuals in the U.S.

    Tecovirimat has also been okayed to cure monkeypox in the E.U. region. Brincidofovir or cidofovir might also be helpful.

    What are the complications associated with the monkeypox virus?

    Complications include respiratory disorder, secondary infections, encephalitis, sepsis, and visual impairment if a severe eye infection occurs.

    If the contagion occurs at some stage in pregnancy, congenital anomalies or miscarriages might occur. The illness might be moderate in individuals immunized versus smallpox in infancy.

    What are the chances of death from the monkeypox virus?

    Information corroborates that the chances of death, if unattended, are as elevated as ten percent to eleven percent in the Central African (Congo Basin) clade of the disease.

    How is monkeypox transmitted?

    The most common way for humans to get monkeypox is to contact an infected animal directly. However, airborne transmission cannot be ruled out. When dealing with animals with suspected monkeypox, care providers and veterinarians should follow these precautions:

    • Hand hygiene – washing hands with soap and water properly after coming in contact with the patient and surrounding surfaces that may be contaminated. 
    • Using PPE – when dealing with sick animals, using gowns and gloves, a face shield, and tight-fitting goggles is a must, especially if body splash or spray happens. Use NIOSH certified N-95 respirator masks before entering the room with the animal patient. The PPE kits, gloves, and masks should be appropriately handled to avoid contamination with other clothing or skin.
    • Laundry – all infected clothes should be washed with detergent and hot water, and the use of chlorine bleach can be an added measure. Care should be taken when handling infected clothes, as they should not touch the skin or be kept in a place where infection may spread.  
    • Waste disposal should be contained or disposed of after consultation with health officials and should not be dumped in landfills. The infected animals’ bedding, food, and water bowls should be carefully disposed of as they can be potentially infectious. Items that cannot be discarded or disposed of should be disinfected like a contaminated surface. 
    • Environmental protection – environmental surfaces around the infected animals may be contaminated. Procedures should be in place to ensure that they are cleaned and disinfected, and hospital detergent disinfectant recommended for health care facilities should be used.

    Interesting facts about monkeypox  

    Where did monkeypox originate?

    Monkeypox was first found in western and central parts of Africa. The first case was detected in 2003 during an outbreak associated with imported animals in the USA.  

    Spread of monkeypox

    Humans can get infected with the monkeypox virus if they are bitten by animals infected with it or touch infected parts of an animal or human. In 2003, people in the U.S. were infected after they came in contact with sick prairie dogs infected with the monkey virus after coming in contact with imported rodents from Africa. 

    Symptoms of monkeypox

    A couple of days after the fever, blisters like rash first appear on the face and then on the other body parts. They take a few weeks to dry and form crusts and then fall off. Even after the drying, it is infectious. 

    How is monkeypox diagnosed?

    Samples taken from the patient are tested in the laboratory with special tests. 

    Conclusion 

    The disease is known as monkeypox, as it was first identified and discovered in the monkey colonies that were kept for research in 1958. Later it was found in Humans in 1970. The latest outbreak worldwide in 2022 has led researchers to try to understand whether they can be contained from their origin.



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