update June 9, 2022

Cases of monkey pox 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 the light of the current alarms, the monitoring of these infections is being stepped up by Public Health France, and information and alarm messages are being sent to healthcare professionals.

Case of Monkeypox: update in France

From June 9, 2022 at At 14:00, 91 confirmed cases of monkey pox have been reported in France: 64 in Ile-de-France, 10 in Occitanie, 8 in Auvergne-Rhône-Alpes, 2 in Normandy, 2 in Hauts-de-France, 1 in Center-Val de Loire, 1 in PACA, 1 in Burgundy-Franche-Comté and 2 in Nouvelle-Aquitaine.

Out of 91 cases confirmed per. June 9, 2022 at 14.00, 85 have been the subject of an investigation, one has rejected it and is still unreachable, and 4 are under investigation. All the cases examined are men between the ages of 20 and 63 (median age: 35 years). Among the cases examined, 4 are immunocompromised, two were admitted, but are no longer; no one died.

To date, as in other European countries, these cases have mainly, but not exclusively, occurred in men having sex with men (MSM), with no direct connection to people returning from endemic areas. Most cases report multiple sexual partners. Most of the cases investigated state that they cannot identify the person who allegedly infected them.

Finally, 4 of the investigated cases are secondary cases, not vaccinated.

Among the cases examined, 39 traveled, stayed or worked abroad before their symptoms began, some of them in several different countries: 18 trips were thus reported in Spain, 6 in Belgium, 5 in Germany, 1 in Portugal, 1 in the United Kingdom, 1 in the Netherlands, 1 in Morocco, 1 in India, 2 in Switzerland, 1 in the USA, 2 in Mali and 1 in Colombia. These trips do not systematically constitute the cause of the pollution.

The next update of this report will take place on Tuesday 14 June.

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, Monkeypox’s long-term monitoring of the mandatory reporting system is being stepped up, and information and warning messages are being 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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