Case of Monkeypox: update June 7, 2022

Cases of monkeys not directly related to travel to Central or West Africa, or people returning from travel, have been reported in Europe and around the world, suspected cases are being assessed in many countries and the situation is therefore changing significantly. quickly. In France, infections with this virus are subject to long-term surveillance through mandatory reporting. In view of the current alarms, the monitoring of these infections is being stepped up by Public Health France and information and warnings are being sent to healthcare professionals.

Case of Monkeypox: update in France

From 7 June 2022 at At 14.00, 66 confirmed cases of monkey pox have been reported in France: 48 in Ile-de-France, 8 in Occitanie, 5 in Auvergne-Rhône-Alpes, 2 in Normandy, 1 in Hauts-de -France, 1 in Center-Val de Loire and 1 in Paca.

Out of 66 cases confirmed per. June 7, 2022 at 14.00, 61 have been the subject of an investigation, one has rejected it and is still unattainable, and 3 are under investigation. All the cases examined are men between the ages of 22 and 63 (median age: 35 years). Among the cases examined, 3 are immunocompromised, one was hospitalized but is no longer; no one died.

To date, these cases, as in other European countries, have occurred mainly, but not exclusively, in men who have sex with men (MSM), with no direct connection to people returning from endemic areas.

Among the cases examined, 28 traveled abroad before their symptoms began, some of them to several different countries: 14 trips are thus reported to Spain, 4 to Belgium, 4 to Germany, 1 to Portugal, 1 to United United, 1 in the Netherlands , 1 in Morocco, 1 in India, 1 in Switzerland, 1 in the USA and 1 in Mali. These trips do not systematically constitute the cause of the pollution.

Most of the cases investigated state that they cannot identify the person who allegedly infected them. Finally, 3 of the cases investigated are secondary cases, including 2 unvaccinated and under investigation, of confirmed cases in France.

The next update of this report will take place on Thursday, June 9, 2022.

Given what has been observed in Europe about the disease, targeted communication was quickly implemented towards MSM people. The messages remember the modes of transmission, the symptoms and what to do in case of symptoms. They are currently being broadcast digitally on the Sexosafe site dedicated to MSM and via social networks. At the same time, posters, flyers and advisory sheets were distributed in the field thanks to the associative actors, ARS and the Sexofe teams present in the field. Preventive measures will adapt to the development of the situation.

In the usual absence of Monkey Cups in Europe and a link reported by the cases identified with a risk zone, the current European context constitutes a warning and indicates pollution in Europe. That is why, in France, the long-term monitoring of Monkeypox by means of the mandatory reporting system is strengthened and information and alarm messages are sent to healthcare professionals.. Exchanges also continue with other European countries, the WHO and the ECDC.

What is Monkeypox?

Monkey pox is an infectious disease caused by an orthopedic virus. This zoonotic disease is usually transmitted to humans in forest areas in Central and West Africa by wild rodents or primates, but human-to-human transmission is also possible, especially in the family home or in the care environment.

How is it transmitted?

Monkey copper virus can be transmitted by direct contact with lesions on the skin or mucous membranes of a sick person, as well as by drops (saliva, sneezing, splashing, etc.). You may also become contaminated by contact with the patient’s surroundings (bedding, clothing, crockery, towels, etc.). It is therefore important that patients observe isolation throughout the duration of the disease (until the last scabs disappear, usually 3 weeks).

In Central or West Africa, humans can also be infected by contact with animals, wild or in captivity, dead or alive, such as rodents or monkeys.

Monkeypox virus infection is not known as an STI, but direct contact with damaged skin during sex facilitates transmission.

What are the symptoms?

Monkey pox virus infection most often begins with fever, which is often high and accompanied by headaches, body aches and asthenia. After approx. 2 days, a blister rash appears, consisting of fluid-filled blisters that develop into dehydration, crusting and then scarring. Itching may occur. The vesicles tend to be concentrated on the face, palms and soles of the feet. The mucous membranes are also affected, in the mouth and genital area. The lymph nodes are swollen and painful, below the jaw and in the neck.

The incubation of the disease can vary from 5 to 21 days. The fever phase lasts about 1 to 3 days. The disease usually heals spontaneously, after 2 to 3 weeks, but sometimes 4 weeks.

Are Monkey Cups Serious?

The disease is more severe in children and in immunocompromised people. It can be complicated by superinfection of skin lesions or by respiratory, digestive, ophthalmological or neurological disorders.

At this stage, cases reported in Europe are mostly mild and there are no reported deaths.

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