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HEALTH

Italy reports first case of monkeypox

Italy on Thursday reported its first case of monkeypox, joining a number of other European and North American nations in detecting the disease endemic in parts of Africa.

Monkeypox is a rare viral infection that’s endemic to West and Central Africa, and unlike human smallpox, it hasn’t been eradicated.
Monkeypox is a rare viral infection that’s endemic to West and Central Africa, and unlike human smallpox, it hasn’t been eradicated. Photo: WHO

Monkeypox was identified in a young adult who had recently returned from the Canary Islands, Rome’s Spallanzani Institute for infectious diseases said.

He is being treated in isolation and is in a reasonable condition, it said in a statement carried by Italian news agencies, adding that two other suspected cases were being investigated.

Alessio D’Amato, health commissioner for the Lazio region that includes Rome, confirmed on social media that it was the country’s first case, adding that the situation was being “constantly monitored”.

Cases of monkeypox have also been detected in Spain and Portugal – where more than 40 possible and verified cases have been reported – as well as Britain, Sweden, the United States and Canada.

The illness has infected thousands of people in parts of Central and Western Africa in recent years, but is rare in Europe and North Africa.

Its symptoms are similar but somewhat milder than smallpox’s: fever, headache, muscle aches, back pain, chills, exhaustion, although it also causes the lymph nodes to swell up.

Within one to three days, the patient develops a rash, often beginning on the face then spreading to other parts of the body. Although most monkeypox cases aren’t serious, studies have shown that one in ten people who contract the disease in Africa die from it.

The World Health Organization on Tuesday said it was coordinating with UK and European health officials over the new outbreaks.

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HEALTH

WHO says European festivals should go ahead despite monkeypox risk

Most new cases of monkeypox are currently detected in Western Europe. The World Health Organisation says this is no reason to cancel more than 800 festivals scheduled to take place on the continent this summer.

WHO says European festivals should go ahead despite monkeypox risk

The World Health Organization said Friday that European summer festivals should not be cancelled due to the monkeypox outbreak but should instead manage the risk of amplifying the virus.

A surge of monkeypox cases has been detected since May outside of the West and Central African countries where the disease has long been endemic.

Most of the new cases have been in Western Europe.

More than 3,200 confirmed cases and one death have now been reported to the WHO from 48 countries in total this year.

“We have all the summer festivals, concerts and many other events just starting in the northern hemisphere,” Amaia Artazcoz, the WHO’s mass gatherings technical officer, told a webinar entitled “Monkeypox outbreak and mass gatherings: Protecting yourself at festivals and parties”.

The events “may represent a conducive environment for transmission”, she said.

“These gatherings have really close proximity and usually for a prolonged period of time, and also a lot of frequent interactions among people,” Artazcoz explained.

“Nevertheless… we are not recommending postponing or cancelling any of the events in the areas where monkeypox cases have been identified.”

Sarah Tyler, the senior communications consultant on health emergencies at WHO Europe, said there were going to be more than 800 festivals in the region, bringing together hundreds of thousands of people from different countries.

“Most attendees are highly mobile and sexually active and a number of them will have intimate skin-to-skin contact at or around these events,” she said.

“Some may also have multiple sexual contacts, including new or anonymous partners. Without action, we risk seeing a surge in monkeypox cases in Europe this summer.”

Risk awareness

The UN health agency recommends that countries identify events most likely to be associated with the risk of monkeypox transmission.

The WHO urged festival organisers to raise awareness through effective communication, detect cases early, stop transmission and protect people at risk.

The outbreak in newly-affected countries is primarily among men who have sex with men, and who have reported recent sex with new or multiple partners, according to the WHO.

People with symptoms are advised to avoid attending gatherings, while people in communities among whom monkeypox has been found to occur more frequently than in the general population should exercise particular caution, it says.

The normal initial symptoms of monkeypox include a high fever, swollen lymph nodes and a blistery chickenpox-like rash.

Meg Doherty, from the global HIV, hepatitis and sexually-transmitted infection programmes at WHO, said: “We are not calling this a sexually-transmitted infection.

“Stigmatising never helps in a disease outbreak,” she added.

“This is not a gay disease. However, we want people to be aware of what the risks are.”

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