From Transmission Conundrum to Timing Factor, Experts Puzzle Over Outbreak of Monkeypox

Svetlana Ekimenko – May 21, 2022

With symptoms commonly including fever, swollen lymph nodes and a rash with blisters, confirmed or suspected cases of monkeypox – a rare disease previously limited to Western and Central Africa – have been spreading across Europe this spring.

As cases of monkeypox, both confirmed and suspected, have been reported in the US, Canada and several European countries – such as the UK, Portugal, Spain, Sweden France and, most recently, Germany – the medical community is racking its brains to figure out how the outbreak started.

The World Health Organization (WHO) has decided to convene an emergency meeting of experts to discuss the outbreak, with a focus on transmission of the virus, its high prevalence in gays and bisexual men, as well as the situation with vaccines, The Daily Telegraph has reported.

The rare disease, a version of the smallpox virus that was eradicated in 1980 but is less transmissible, has previously been limited to Western and Central Africa.

On 7 May the UK Health Security Agency (UKHSA) was the first health authority in Europe to announce a case of monkeypox publicly. It was confirmed in a person who had recently flown into the country from Nigeria.

According to the European Centre for Disease Prevention and Control (ECDC), virus transmission appeared to have occurred as a result of homosexual contacts between men, at least in the UK case.

Since then, 19 more cases have been confirmed in the UK bringing the total up to 220, although the source remains elusive, as the infections appear to have been “locally acquired”, according to the World Health Organisation (WHO).

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Undiagnosed HIV rising in Eastern Europe, Central Asia: agencies

Terra Daily – November 26, 2020

The EU’s disease control agency and the WHO on Thursday called for better HIV testing to spot cases early following rising undiagnosed cases especially in Eastern Europe, Russia and Central Asia.

Early detection of the virus that causes AIDS mitigates the impact on the patient and prevents further spread.

A report by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization’s (WHO) regional office for Europe showed that in 2019, more than 136,000 cases of HIV were diagnosed across the WHO European region, with 80 percent of cases in its eastern parts.

The WHO’s European Region comprises 53 countries and includes Russia and several countries in Central Asia.

The report did however not include data from member states Andorra, Belgium, Monaco, North Macedonia, Turkmenistan and Uzbekistan.

Roughly half of the European HIV cases were diagnosed at a late stage of infection, “when the immune system has already started to fail,” the agencies said, calling it “a sign that testing strategies in the region are not working properly to diagnose HIV early.”

The authors of the report added that late diagnosis increased the risk of “ill health, death and onward HIV transmission,” and called for new strategies to improve testing.

“Despite the focus on Covid-19 right now, we must not lose sight of other public health issues like HIV. Earlier diagnosis of HIV is an urgent priority,” ECDC director Andrea Ammon said in a statement.

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