The São Paulo State Department of Health confirmed the second case of monkeypox in Brazil. This is a 29-year-old man who traveled to Europe and is isolated at his home in Vinhedo, in the interior of São Paulo.
The Epidemiological Surveillance of the municipality, in partnership with the state government, monitors the case and their respective contacts.
The case is considered imported, since the patient has a history of traveling to Portugal and Spain and had the symptoms and the first skin lesions still in Europe. The positive result was only confirmed by a Spanish laboratory after the landing in Brazil, which took place on June 8.
The first case of the disease in the country was confirmed on Thursday (9) by the Instituto Adolfo Lutz. The patient, a 41-year-old man who traveled to Spain, the second country with the highest number of cases of the disease, was placed in isolation at the Instituto de Infectologia Emílio Ribas, in the West Zone of the capital. He is in good clinical condition.
In a report to TV Globo, the patient stated that he is fine. “I’ve already counted 60 wounds, but I’m doing great. There’s no reason to panic. I can’t wait to get out of here to get back to work. In fact, I’ve even worked here at the hospital.”
All people who had contact with the patient are being monitored.
“I’m not worried about being seen as the first Brazilian with monkeypox. I want to be able to show people that I’m fine, that I was and am being taken care of by excellent doctors. May a moment of pain serve for Brazilian science to develop protection for all. The best protection is true information. I am in favor of science and I accept to participate in research”, he said.
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In addition to this case, the City of São Paulo reported that it monitors the health status of a 26-year-old woman, with no history of travel abroad, hospitalized with suspicion of having contracted the disease. According to Mayor Ricardo Nunes (MDB), the patient is doing well. Family members and people close to her are also being monitored by the municipal management.
In a note released on Wednesday (8), the Ministry of Health reported that eight cases are under investigation nationwide. According to the ministry, Ceará, Mato Grosso do Sul, Rio Grande do Sul and São Paulo each have one suspected case, and there are still two cases being monitored in Rondônia and another two in Santa Catarina.
On Sunday (5), the World Health Organization (WHO) reported having confirmed 780 cases of monkeypox worldwide. The data correspond to the interval between May 13 and June 2 and take into account only patients identified in places where the disease is not endemic. According to the entity, there were no reported deaths.
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Monkey pox: see 5 points about the disease
Note Secretary of Health
“The São Paulo State Department of Health confirmed this Thursday (9) the first case of Monkeypox in Brazil. The confirmation was made by the Instituto Adolfo Lutz after performing a differential diagnosis of detection by RT-PCR of the Varicella Zoster virus (with negative result) and metagenomic analysis of the genetic material, when the Monkeypox virus genome was identified.
The case is a 41-year-old man, a resident of the Capital, with a history of travel to Portugal and Spain, who is hospitalized at the Instituto de Infectologia Emílio Ribas, in good clinical condition. All patient contacts are being monitored by surveillance teams.
The state Epidemiological Surveillance Center (CVE) and the city of São Paulo have also been investigating since last week another patient, a 26-year-old woman, also a resident of the capital.
About Monkeypox (monkey pox)
Monkeypox is a rare viral disease transmitted by close/intimate contact with an infected person with skin lesions. This contact can be for example by hugging, kissing, massages, sexual intercourse or respiratory secretions close and for a long time. Transmission also occurs by contact with objects, fabrics (clothes, bedding or towels) and surfaces that have been used by the patient. There is no specific treatment, but in general the clinical pictures are mild and require care and observation of the lesions.
The first symptoms may be fever, headache, muscle and back pain, swollen lymph nodes, chills or tiredness. 1 to 3 days after the onset of these symptoms, people develop skin lesions that may be located on the hands, mouth, feet, chest, face, and/or genital regions.
– Avoid close/intimate contact with the sick person until all wounds have healed;
– Avoid contact with any material, such as bedding, that has been used by the sick person.
– Hand hygiene, washing them with soap and water and / or use of alcohol gel.
The WHO said monkeypox poses a “moderate risk” to global public health after cases were reported in countries where the disease is not endemic.
“The risk to public health could become high if this virus establishes itself as a human pathogen and spreads to groups more likely to be at risk of serious illness, such as young children and immunosuppressed people,” the WHO said.
The organization says there is no recommendation to use a smallpox vaccine for monkeypox cases.
Microscope image shows monkeypox virus — Photo: Cynthia S. Goldsmith, Russell Regner/CDC via AP
The initial symptoms of monkeypox are usually fever, headache, muscle aches, back pain, swollen glands (lymph nodes), chills, and exhaustion.
“After the incubation period [tempo entre a infecção e o início dos sintomas]the individual begins with a nonspecific manifestation, with symptoms we see in other viruses: fever, malaise, tiredness, loss of appetite, prostration”, explains Giliane Trindade, virologist and researcher at the Department of Microbiology at the Federal University of Minas Gerais (UFMG).
Within 1 to 3 days (sometimes longer) after the fever appears, the patient develops a rash, usually starting on the face and spreading to other parts of the body.
“What is an indicative differential: the development of lesions – lesions in the oral cavity and on the skin. They begin to manifest themselves first on the face and spread to the trunk, chest, palms, soles of the feet.“, adds Trindade, who is a consultant to the group created by the Ministry of Science, Technology and Innovation to monitor the cases of smallpox in monkeys.