There may be as many as 300 cases of monkey disease in the United States, nine times the official figure, but hundreds of cases have been missed due to a lack of testing, an expert warned Monday.
Dr. Boguma Titanji, an infectious disease expert at Emory University in Georgia, confirmed that the United States has the same infections as the United Kingdom, which is the epicenter of monkey smallpox.
However, he said the difficult process of inspecting tampons – which had to be sent to one of the 74 local laboratories and then to the Centers for Disease Control and Prevention (CDC) for confirmation – was poorly done and many were missed.
Other experts say that infections can go unnoticed because they can be mild and go away on their own, leading to patient absenteeism or misdiagnosis as a sexually transmitted disease such as syphilis.
In the United States, monkeys are most common among gay and bisexual people, and international travel, especially in Europe, has seen nearly 900 of the 1,000 global cases in 21 countries.
However, at least one patient in the United States has not recently traveled or has been linked to another known disease, which means the virus is spreading in an unidentified state. CDC officials did not disclose the patient’s whereabouts, but it could be Florida or Pennsylvania.
This week, the head of the World Health Organization warned that the virus – from West Africa – could persist for years around the world before being detected after an outbreak of unsafe sex in two raids in Europe.
The United States has now confirmed 31 cases of monkey disease in 12 states and Washington
Titanji warned that there could be hundreds of cases of tropical disease in the country: “There are many cases in the United States, such as Canada or the United Kingdom.
According to Dr. Boguma Titanji of Emory University, the United States may have as many cases as the United Kingdom.
“We haven’t been tested enough to be able to say for sure that there are only 25 cases. I think we need to test more than we do.
Titanji spoke to the press before being updated to 31 in 12 states and Washington.
The UK identified 302 cases – the most in the world – 95 in Canada – the fourth in the world, followed by Spain (230) and Portugal (153).
In the current epidemic, most monkey smallpox infections start with rashes in the genital area, the CDC said at a briefing last week.
According to an expert from the World Health Organization, smallpox has been unnoticed around the world for “years”.
A World Health Organization expert has confirmed that monkeys may have been unnoticed around the world for “a year or two.”
Dr. Rosamund Lewis, the agency’s technical director for tropical diseases, said a briefing was underway to determine how long it had been infected.
But he said tropical disease could remain in the population for years after jumping from animals to humans.
Experts say monkeys have been quietly spreading on social and sexual networks for some time, before the super-tragic events of two raids in Europe ignited the current epidemic.
It is unclear how long the virus has been spreading in the United States, but senior advisers say it could be “possible” in the country until the first case was reported in Massachusetts last month, but “not to a large extent.”
In contrast to the progression of the infection, patients develop a fever during the first 21 days of infection, followed by rashes on the face and then spread to the rest of the body.
Dr. Joseph Osmundson, a molecular microbiologist at New York University, has raised concerns that the disease could lead to misdiagnosis as a common disease.
He also warned that many infections are mild and will go away on their own, which can lead to patients not coming to medical care and therefore being missed.
Last week, the CDC found that it was monitoring more than 400 “contacts” of patients who tested positive for smallpox. About 55 of them are considered “high risk”, which means that they are more likely to become infected.
However, despite the large number, he performed only about 120 PCR swabs for the family of orthopox virus – monkey and smallpox viruses.
CDC officials say they have the capacity to test more than 74,000 people a day for the virus and are urging state health departments to send tampons.
However, many experts say the testing process is too complicated, and instead demand that tests against monkeys be sent directly to the states.
The current process sees a tampon of a suspected patient sent to one of 74 laboratories to test for the orthopox virus.
If the test is positive, it is passed to the CDC, which can confirm that the case is monkey smallpox.
Each orthopox virus case is more likely to be positive for monkey pox. The other major virus in this family, smallpox, has been eradicated for decades.
Despite the large population of the United States, there is now the smallest epidemic of smallpox in the world – 31 cases.
The UK is currently the global epicenter of this epidemic with 302 cases, followed by Spain, Portugal and Canada.
The virus has already been reported in a total of 12 states. They are: California, Colorado, Florida, Georgia, Hawaii, Illinois, Massachusetts, New York, Pennsylvania, Utah, Virginia and Washington. The same thing happened in Washington
WHO experts estimate that the virus may have spread in the UK for up to four years but gone unnoticed.