Monkeypox: 78% of Campinas cases had sexual intercourse as a probable form of infection; understand disease and know how to prevent yourself | Campinas and Region

For the first time, the Health Department of Campinas (SP) released detailed data on the 20 cases of smallpox in monkeys registered in the city. Based on them and what is known about the disease in the world, the folder also guided the population on how to prevent it and what the most recurrent symptoms are.

  • Cases rise in Campinas and 3 more cities register infected

The information was communicated in a live on the afternoon of this Friday (5), the date on which the city had two more confirmations of the disease. According to the investigation by the Department of Health Surveillance (Devisa), 78% of cases had sexual intercourse as a possible source of transmission.

The department warns, however, that contamination does not occur exclusively through sexual intercourse and the disease is not even classified as a Sexually Transmitted Infection (STI). Therefore, the use of condoms (condoms) is not an effective method of prevention.

Probable mode of transmission of monkeypox cases in Campinas

Investigation was carried out by Devisa

Source: Campinas City Hall

This is because transmission occurs mainly through contact with the skin lesions that monkeypox generates. In addition, there is a chance of contamination by droplets and even objects.

“Anyone in close contact with someone with a wound on the skin can have the disease. Remember that contaminated objects, clothes, towels and sheets of contaminated people can also be a way of transmission”, explained the director of Devisa, Andrea von Zuben.

“Sexual contact increases exposure to the wounds, because there will be the sexual act and it is very close, and droplets for kisses and other types,” he added.

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Andrea von Zuben said that the growth in the number of cases is “quite fast”, which creates the need for attention. Despite the advance, deaths do not follow the rise in cases. In Brazil, one person died as a result of the disease.

“At first, we thought it would be a more self-limiting disease. There had already been outbreaks in other parts of the world, not only in Africa, which is endemic, but never with this explosive characteristic. This is drawing our attention.”

According to the director, the virus that circulates in Brazil is the same as in the Nigeria region, which is positive because it is less lethal. However, it may be more transmissive because symptoms are less prominent.

“What is the problem with diseases that begin to transmit a lot? The greater the transmission, the greater the chance of finding someone with biological characteristics that cause seriousness and death”.

Symptoms reported by residents of Campinas infected with monkeypox — Photo: Devisa Campinas

Monkeypox is caused by a DNA virus, which differentiates it from Covid-19’s Sars-CoV-2, which is RNA. This characteristic indicates that monkeypox is less mutated than Sars-CoV-2.

“There are not so many variants. That thing that there will be a wave for a new variant, such as Sars-CoV-2. [monkeypox] it is a more stable virus”, explains von Zuben.

In addition, it is a virus similar to, but not equal to, the traditional smallpox, eradicated in 1980 in the world.

Andrea points out that the disease is not new, as there were already reports in the Congo region and Nigeria. In 2003, there was a major outbreak in the United States.

“The only difference is that the outbreaks were limited to household contacts, very intimate. This time the characteristic is very different”.

3. Age group and gender most affected?

Of the 20 residents of Campinas infected, 18 are men and there are two women – one of them pregnant. The vast majority are between 30 and 39 years old.

Age range of confirmed cases of monkeypox in Campinas

Predominance is men aged between 30 and 39 years

Source: Campinas City Hall

The director of Devisa is careful to inform that, at the moment, most of those infected are men who have relationships with other men. This is because the infection occurs through close contact with infected people.

“Today, at this epidemiological moment, it is characterized by people who report mainly, 95% to 98%, men who report having sex with other men and multiple partnerships. [Mas] It’s not just a disease with this audience, on the contrary.”

As the virus does not choose gender or sexual orientation, there is contamination of women and children.

“It has nothing to do with monkeys. When we experienced yellow fever here in Campinas, there were many stories of people afraid of monkeys and even killing monkeys. And again the monkey appears here because it was reported. It is a non-human primate , is as much a victim as we are, has the same symptoms”.

In 1958, the virus was found in captive-bred monkeys. The monkey is neither the host nor the reservoir.

5. Mammals can get the disease

Director of Devisa, Andrea says that infected residents should maintain isolation, including from mammals, such as dogs and cats, as there may be transmission.

The infected transmit the disease until the lesions are fully healed. “She needs to be isolated for 21 days, including animals, because any mammals can have the disease,” she said.

6. How do I know if I have monkeypox?

Injury sites of confirmed cases of monkeypox in Campinas — Photo: Devisa Campinas

Residents with symptoms of the disease should isolate themselves and seek health services. The diagnosis is made by the public and private networks.

The exam is collected and sent to the Adolfo Lutz Institute, but it is from the symptoms that patients must isolate themselves until the report arrives.

  • Avoid direct contact with characteristic lesions
  • Wash your hands frequently and use alcohol gel
  • Frequently clean high contact surfaces
  • Wearing a mask in crowded places
  • Avoid physical contact (skin to skin) in crowded environments
  • Stay informed about the disease with reliable sources
  • Be careful when handling clothes, sheets and towels

Andrea von Zuben, director of Devisa in Campinas — Photo: Reproduction/Facebook

Coordinator of the Center for Strategic Information in Health Surveillance, Valéria Almeida reported that the woman is 37 years old and has already passed the transmissibility stage. Surveillance also monitors the baby’s health status.

Valéria added that her transmission must have occurred through direct contact with lesions, without sexual intercourse. There was no need for the woman to be hospitalized, added the coordinator.

The number of monkeypox cases in the Campinas region rose to 29. The bulletin of the Secretary of State for Health this Friday (5) points to two more records of infected in the metropolis, which totals 20, and three other cities joined the list: Hortolândia, Amparo and Jaguariúna.

The main form of transmission has been through intimate and sexual contact. The incubation period of this disease varies from 5 to 21 days.

“The current outbreak does not involve the participation of monkeys in the transmission to humans. The Monkeypox virus, which is part of the same family as smallpox, is transmitted between people and the current outbreak has a prevalence of transmission from intimate and sexual contact,” he said. the Health of SP, in a note.

In the state, the total reaches 1,404 positive cases of the disease this Friday, which is manifested by skin lesions, which may be associated with fever and inflamed lymph nodes.

Monkeypox cases are in 8 cities in the region

  • Campinas: 20
  • Indaiatuba: 2
  • Paulínia: 2
  • American: 1
  • Hortolândia: 1
  • Vineyard: 1
  • Support: 1
  • Jaguariúna: 1

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