October 3, 2022

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Viruela del mono: ¿qué significa que se la considera de emergency internacional?

Last Wednesday, the WHO announced that it had convened its Emergency Committee again to evaluate the evolution of the smallpox outbreak, which is already present in 58 countries with more than 6,000 confirmed cases.

Los casos aumentan y la Organización Mundial de la Salud (OMS) sigue de cerca la viruela del mono. Therefore, El pasado miércoles la OMS He announced that he convened again his Comité de Emergencia to evaluate how to evolve the smallpox outbreakque ya está presente en 58 countries with more than 6000 cases Confirmed.

The infected increased by 77% in one week and two new deaths were reportedlo que eleva a tres el número de víctimas fatales en el mundo. In total, the confirmed cases now rise to 6,027 in 58 nations, indicó la OMS en su último informe epidemiológico publicado hoy. Of those cases, 4.920 have been diagnosed in the region of Europe.

In this context, as cases of smallpox continue to increase worldwide, the WHO plans to reevaluate if the outbreak constitutes a public health emergency of international interest. A fines de junio, el Comité de Emergencias de la OMS había determinado que el brote no complía con los crícios para tal statement.

The WHO defines an emergency of public health of international interest, or PHEIC, as “an extraordinary event” that constitutes a “risk for the public health of other States through the international propagation of diseases” and that “potentially requires a response international coordination” (Foto/Gettyimages)
The WHO defines an emergency of public health of international interest, or PHEIC, as “an extraordinary event” that constitutes a “risk for the public health of other States through the international propagation of diseases” and that “potentially requires a response international coordination” (Foto/Gettyimages)

La OMS defines una emergencia de salud pública de interes international, o PHEIC, como “un evento extraordinario” que constitue un “risk for the public health of other States through the international propagation of diseases” y que “Potentially puede requirar una respuesta internacional coordinada”.

“Sobre la viruela del mono, sigo público por la escala y la propagation del virus. Worldwide, more than 6,000 cases have been registered in 58 countries”, said Tedros. “Las pruebas siguen siendo un desafío, y es muy probable que haya una candidad significativa de casos que no se resuelvan”, agregó. Europe is the actual epicenter of the outbreak, registering more than 80% of cases globally. The WHO is working with countries and vaccine manufacturers to coordinate the exchange of vaccines against smallpox, which are in short supply. The organization is also working with groups to break the stigma around the virus and spread information to help protect people.

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But as the virus continues to spread, the director general of the WHO, Tedros Adhanom Ghebreyesus, wants the committee to revisit the topic, based on the most recent data on the epidemiology and evolution of the outbreak. Tedros said on Wednesday that he would convene the committee during the week 18 de julio, o antes si es necesario.

The director general of the WHO insisted on Wednesday that he was concerned about the increase in cases of smallpox and announced that he would convene the emergency committee to study the magnitude of the crisis.
The director general of the WHO insisted on Wednesday that he was concerned about the increase in cases of smallpox and announced that he would convene the emergency committee to study the magnitude of the crisis.

La viruela del monoa viral disease, occurs primarily in central and western Africa, where the virus is endemic, but as part of the most recent outbreak, the virus has propagated to many regions of the world where it is not normally seen. También se están reporting cases in African countries that previously were not affected by the virus, and in those places where the virus is endemic, record numbers are being recorded, said Tedros on Wednesday. The teams of the WHO are following the data, he said.

Los primeros datos sobre el brote han sugerido que los hombres homosexuales y bisexuales y otros hombres que tienen relaciones sexuales con hombres constitución una gran candidad de casos informados, lo que genera concernobre la stigmatización de la enfermedad y la comunidad LGBTQ. Sin embargo, cualquier persona que haya estado en contacto cercano con alguien que tenga el virus puede estar en riesgo.

The virus of the smallpox is transmitted with greater frequency through direct contact with the eruption or sores of someone who has the virus. También puede propagarse via través del contacto con la ropa, la ropa cama y otros artículos utilizados por una persona con enfermedad, o por las dropitas respiratoryas que pueden transmissarse via través del contacto prolongedo cara cara. Aún no se conoce del todo el risego de transmission por aerosol. La OMS recommenda que el personal sanitario que atiende a los pacientes con ruela del mono lleve una maskarilla.

Smallpox can be spread through contact with clothing, bedding and other items used by a person with the disease, or by respiratory droplets that can be transmitted through prolonged contact.
Smallpox can be spread through contact with clothing, bedding and other items used by a person with the disease, or by respiratory droplets that can be transmitted through prolonged contact.

The monovirus can be propagated from person to person through direct contact with infectious bodily fluids or with the rash, scabs and sores that can cause the disease. Propagation can also occur through indirect contact, such as through clothing or bedding contaminated with the virus.

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Other forms are through respiratory secretions during extended face-to-face contact or intimate physical contact, such as kisses, caresses or sexual relations. The symptoms of simian pox can be included fever, dolor de cabeza, dolores musculares, ganglios limfáticos inflamados, escalofríos, agotamiento y una erupción en la piel que puede parecer granos o ampollas. La eruption pasa por diferentes etapas, convirtiendo en pústulas antes de curarse.

Alrededor de 41.500 ciclos de la vacuna contra la ruela del mono Jynneos se han distribuido en estados y otras jurisdicciones de Estados Unidos, según datos publicados el miércoles por el Departamento de Salud y Servicios Humanos de EE.UU. Un ciclo de Jynneos implica dos dosis con cuatro semanas de diferencia.

Desde Estados Unidos announced last week that the strategy to distribute vaccines against smallpox will be centered in areas with higher case rates and higher general risks. The District of Columbia has the largest number of notified cases per capita, by much, and has received the largest number of vaccine doses per capita, according to new HHS data.

IMAGEN DE ARCHIVO.  Una illustration muestra tubos con etiquetas de "Virus de Viruela del Mono positivo y negativo".  May 23, 2022. REUTERS/Dado Ruvic/Ilustración
IMAGEN DE ARCHIVO. Una illustration shows tubos con etiquetas de “Virus de Viruela del Mono positivo y negativo”. May 23, 2022. REUTERS/Dado Ruvic/Ilustración

The distribution of vaccines has also been concentrated to a large extent in California, Illinois and New York, particularly in the three largest cities in the EU: New York, Los Angeles and Chicago. Massachusetts, Hawaii and Colorado also received a large part of the distribution of vaccines until the end.

Once estados no han received ninguna vacuna contra la viruela símica, según los datos; None of them have reported any cases to the CDC.

“The capacity of commercial laboratories to evaluate monkey pox is a key pillar in our integral strategy to combat this disease”, dijo el miercoles la directora de los CDC, la Dra. Rochelle Walensky. “This will not only increase the capacity of the test, but will make it more convenient for the providers and the patients to access the tests through the use of the existing relationships between the provider and the laboratory”.

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La Red de Respuesta de Laboratorio de los CDC has been carrying out the majority of specific tests for smallpox in the EE.UU., but on June 22, the Department of Health and Human Services of the EE.UU. It was announced that the tests of the viruela símica will expand to cinco laboratorios comerciales: Aegis Science, Labcorp, Mayo Clinic Laboratorios, Quest Diagnostics and Sonic Healthcare.

Omar Sued, médico infectólogo y expresidente de la Sociedad Argentina de Infectología (SADI), cited un primer studio que muestra the asymptomatic circulation of smallpox in Belgium. “Primer article que muestra la circulación asintomática de viruela simica en Bélgica en Mayo. 3/224 hisopados rectales (hechos para identificador Chlamydia y Gonococo), fueron positivos para MPX”, sostuvo el experto en su cuenta de Twitter.

“The simian pox is transmitted by close contact with symptomatic cases, and it is assumed that the infected are uniformly symptomatic.. The evidence of subclinical infection of monkeypox is limited to a few immunological studies that found evidence of immunity against orthopoxviruses in asymptomatic patients, people who were exposed to cases of monkeypox”pointed out that the study was not reviewed by peers.

In the samples collected from 224 men, identificaron tres casos con una PCR anorectal positiva para la viruela del simio. “Los tres hombres negaron haber tenido symptoms en las semanas previas y posteriores a la toma de la sample. None of them reported having been exposed to a case diagnosed with simian virus, and none of their contacts developed clinical simian virus.

Follow-up samples were taken 21 to 37 días después de la muestra inicial, momento en el cual the specific PCR for la viruela simica was negative, probably as a result of the spontaneous elimination of the infection”, indicated the document.

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