The CDC is issuing new guidelines on the symptoms of monkey disease as the number of cases in the United States increases

The United States has reported 72 cases of monkey disease in 18 states in the past month, making it the country’s largest ape epidemic.

Since the beginning of June, this figure has increased significantly, with only 19 cases confirmed.

The Centers for Disease Control and Prevention on Tuesday issued a new guideline on how to detect smallpox during the epidemic, based on symptoms already observed by doctors. Some recent infections have turned out to be different from previous cases in Africa, where smallpox is endemic in 11 countries.

As a rule, people with smallpox develop a fever, swollen lymph nodes, headaches and muscle aches, and then rashes on the face or mouth, which spread to other parts of the body, especially the arms and legs.

However, in the United States, rashes have recently appeared in patients’ mouths or around the genitals or anus. Instead of the common rash, some patients have scattered or localized sores on the face, arms, or legs. In some cases, flu-like symptoms appeared after the rash, but other people did not have these symptoms at all.

The rash also looks more progressive than in previous cases. Chickenpox ulcers usually start flat and then rise, then they turn into liquid blisters, then purulent blisters appear, scab and fall off. But the CDC said on Tuesday that among the last patients, ulcers appeared at different stages in one area of ​​the body. For example, fluid and pus blisters may coexist.

In addition, some American patients reported pain in or around the rectum and rectum, bleeding from the rectum, proctitis (painful inflammation of the lining of the rectum), or a feeling of bowel movements even when the bowel was empty. None of these symptoms were previously associated with monkey smallpox.

On Tuesday, the World Health Organization said it had identified a unique pattern of rash that was limited to certain areas of the body, including the genitals or mouth, among recent cases outside Africa.

“It is now clear that there is an emergency, and even the virus is behaving as normal as before,” said WHO Director-General Tedros Adhanom Gebreius at a briefing.

Last week, Tedros warned that a window containing a global epidemic could be narrowed, noting that “the risk of monkey smallpox occurring in non-endemic countries is real.”

On Friday, CDC Director Rochelle Wallenski said the United States should step up testing to keep the virus from spreading.

“We need to step up testing for specific, acne-like or blister-like rashes for quick diagnosis,” he said at a briefing.

No casualties have been reported outside Africa since the latest epidemic. The prevalent version of monkey smallpox, a West African strain, has a 1% mortality rate, according to the CDC.

The agency said the threat to the community was small, but urged travelers to be careful and not to come into contact with sick people and wild animals, dead or alive.

People with abnormal rashes or ulcers should seek medical attention, especially if they meet the following criteria:

  • Contact a case of suspected or confirmed monkey smallpox.
  • Contact with similar rashes.
  • A recent trip to countries where monkeys have contracted smallpox.
  • Close personal contact with men who have sex with men they have met partners through an online website, app, or social event.
  • Contact with dead or live wild animals or endemic exotic domestic animals of Africa, or products derived from such animals.

People with flu-like symptoms and one or more of these risk factors should be self-quarantined, the CDC said. If the rash does not appear within five days, the monkey’s rash can be ruled out.

Because the disease could be similar to smallpox, herpes or syphilis, anyone who develops ulcers associated with these diseases should be tested for monkey smallpox, the CDC said. If a doctor prescribes treatment for a sexually transmitted infection and the patient does not respond, it is an indication that another test is needed, the agency added.

The CDC recommends that people who test positive for orthopoxviruses, such as monkeys, be isolated until a new layer of skin appears. Symptoms of smallpox in monkeys usually last two to four weeks.

Leave a Comment

Your email address will not be published.