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ICS warns on monkeypox

With monkeypox spreading around the world, the International Chamber of Shipping has issued an advisory.

Monkeypox is a viral zoonosis with symptoms like smallpox patients, although clinically less severe. It is caused by the monkeypox virus part of the orthopoxvirus genus. There are two clades of monkeypox virus: West African and Congo Basin. The name monkeypox originates from initial discovery in monkeys in Denmark in 1958. The first human case was identified in a child in the Congo in 1970.

Monkeypox virus transmits from one person to another by close contact with lesions, body fluids, respiratory droplets, and contaminated materials such as bedding. The incubation period of monkeypox is usually from six to 13 days but can range from five to 21 days.

Current available evidence suggests those most at risk have close physical contact with someone with monkeypox, while symptomatic.

To date, all case samples confirmed by PCR were of the West African clade. Genome sequence from a swab sample from a confirmed case in Portugal, indicated a close match of the monkeypox virus causing the current outbreak, to exported cases from Nigeria to the United Kingdom, Israel, and Singapore in 2018 and 2019.

Available information suggests that human-to-human transmission is occurring among people in close physical contact with cases who are symptomatic.

Monkeypox is usually self-limiting but may be severe in some individuals, such as children, pregnant women, or those with immune suppression due to other health conditions. Human infections with the West African clade appear to cause less severe disease than the Congo Basin clade, with a fatality rate of 3.6% and 10.6% for the Congo Basin clade.

Historically, vaccination against smallpox had protected against monkeypox. While a vaccine (MVA-BN) and tecovirimat were approved for monkeypox, in 2019 and 2022 respectively, these countermeasures are not yet widely available.

The World Health Organization (WHO) has said countries should identify signals related to patients presenting with an atypical rash that progresses in sequential stages – macules, papules, vesicles, pustules, scabs, at similar development over all affected body areas that may be associated with fever, enlarged lymph nodes, back pain, and muscle aches.

If people develop a rash, accompanied by fever or a feeling of discomfort or illness, they should contact their health care provider and assessed for monkeypox. Persons suspected or confirmed as having monkeypox should isolate until the scabs have fallen off

Based on current available information WHO does not recommend that countries adopt any international travel-related measure for both, incoming and outgoing travellers.

Sam Chambers

Starting out with the Informa Group in 2000 in Hong Kong, Sam Chambers became editor of Maritime Asia magazine as well as East Asia Editor for the world’s oldest newspaper, Lloyd’s List. In 2005 he pursued a freelance career and wrote for a variety of titles including taking on the role of Asia Editor at Seatrade magazine and China correspondent for Supply Chain Asia. His work has also appeared in The Economist, The New York Times, The Sunday Times and The International Herald Tribune.

Comments

  1. Stop putting pictures of only African-Americans with monkeypox like we’re the only ones that are getting it.

    1. Maybe photos of African-Americans are the only photos available. Stop whining.

    2. It’s just a picture, we all know it can affect any human on earth. Don’t make this picture a racist commentary. There’s more important issues going on in the world. God bless.

    3. That’s an African, not an African American, the reason the stock pics are Africans is that is it’s origin, there isn’t a widely available to use database of pictures of anyone else getting it, so chill out, stop acting like everything is racist for Pete’s sake.

    4. While it was first identified in labs in Denmark, there are “two clades of monkeypox virus: West African and Congo Basin.”
      Basically, chances are the images depict African people, not African American people.
      All in all I hope none of us get this. I really don’t care what skin color anyone is. I think we are all quite pandemic-ed out.. and Covid isn’t even actually “over”..
      Ugh..

  2. It says right in the photo who is responsible for the image stock so the photographer gets credit for his reporting / journaling work. Nigeria Center for Disease Control 🧐

  3. Another scam to keep us in fear and under control. Wake up! Covid had a 99.6% survival rate and look how the sheeple begged to have their freedoms taken off them to stay “safe”. All the politicians and big pharma made $$billions and we lost our jobs, our freedoms, our human rights and our minds. Just ignore this monkeypox scam.

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