Monkeypox / Health Ministry Circular: quarantine, contacts and transmission

The Ministry of Health has issued in recent days a circular concerning the monkeypoxa series of indications regarding reporting, contact tracking and case management by monkeypox. As regards the vaccinationsthe circular specifies that: “post-exposure vaccination, ideally within 4 days of exposure” to the monkeypox “It can be considered for higher risk contacts such as healthcare professionals, including laboratory staff, after careful evaluation of the risks and benefits”. On the other hand, regarding the use of antiviral drugs: “The adoption of medical-pharmacological countermeasures, including specific antivirals – he explains – can be considered in the context of experimental or compassionate use protocols, in particular for those who have severe symptoms or who may be at risk of scarce results, like immunosuppressed people ”.

In case of positive monkeypox, in some cases it is necessary to do forty, and in this regard the provisions of the ministry of health let it be known that: “in specific environmental and epidemiological contexts, on the basis of the assessments of the health authorities, the application of quarantine measures may be required”. THE asymptomatic contacts of the positives, “they must not donate blood, cells, tissues, organs, breast milk or sperm while they are under surveillance”, in addition, they “must be monitored at least daily for the onset of signs / symptoms for a period of 21 days from last contact with a patient or his contaminated materials during the infectious period. Symptoms include headache, fever, chills, sore throat, malaise, asthenia, rash and lymphadenopathy ”.


During the 21 days of surveillance, contacts of people who are positive for monkeypox always “must avoid contact with immunosuppressed people, pregnant women and children under the age of 12 “. Fundamental will be the tracking of contacts, which “allows the rapid identification of new cases, to interrupt the transmission of the virus and contain the epidemic. It also allows for early identification and management of any contacts at a higher risk of developing a serious disease “. It is also specified that the transmission is high through se * sual activities, “In the current outbreak of human MPX, the nature of the lesions present in some cases suggests that transmission occurred during sexual intercourse. Transmission through contact with intact skin is less likely, but cannot be ruled out ”.

But how does the infection happen? Also in this case it is the circular of the ministry of health that specifies it: “through close contact with infected material coming from the skin lesions of an infected person, as well as through droplets in case of prolonged face-to-face contact and through fomites. Furthermore, the virus can be transmitted by direct contact with the body fluids of an infected person, the contact of mucous membranes or non-intact skin with open exanthematous lesions or with contaminated objects such as fomites or clothing “. However, not much is known about the possible transmissibility of the monkeypox virus to petsBut, he concludes: “Such a spill-over event could ultimately lead the virus to settle in European wildlife and the disease to become an endemic zoonosis.”


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