Monkey pox: three cases in Germany – evidence in many countries News

BERLIN (dpa-AFX) – After detecting the first cases of monkey pox in Germany in Munich and Berlin, experts expect further infections. In this country, however, do not expect a large wave of contagion. This is assumed by both the doctors treating the patient in Munich and the authorities in Berlin. Meanwhile, other countries report the first evidence of infection, such as Israel and Switzerland.

On Saturday, the Senate Department of Health in Berlin reported two cases of a rare infection in the capital. It is not yet known which of the two known variants of the virus has infected those affected. Appropriate genetic analysis is ongoing. He said the patients’ condition was stable.

The first case of monkey pox was reported in Munich on Friday. The 26-year-old is from Brazil and suffers from West African virus, the milder of the two known variants of the virus. According to his doctor, he is fine. The man traveled from Portugal to Munich via Spain, and previously stayed in Düsseldorf and Frankfurt am Main.

According to the Ministry of Health of North Rhine-Westphalia, there are indications of “possible human exposure to the monkey pox virus”. A spokesman for the ministry said on Saturday that these guidance would be continued. The National Health Center is in close contact with the permanent working group of the centers of competence and treatment of diseases caused by highly pathogenic pathogens (STAKOB) at the Robert Koch Institute (RKI).

“I am confident that overall there will be more cases in Germany,” said Clemens Wendtner, chief physician of the Schwabing Infectious Disease Clinic, on request. There the patient from Munich is accommodated in a single room with an upper lock. According to Wendtner, the clinic is one of the seven STAKOB centers in Germany.

“The general assumption is that monkey pox in West Africa has an overall death rate of 1 percent, which mainly affects children under the age of 16,” said Wendtner. “But you have to remember that this data from Africa cannot necessarily be transferred to the healthcare system in Europe or the US. Mortality would be lower here. threat to the population ”. Infected patients are contagious for about three to four weeks.

Caution should be exercised in groups of immunocompromised patients, i.e. those with a weakened immune system. “This includes, for example, HIV patients without adequate pharmacological disease control, but also, for example, cancer patients who are severely immunosuppressed, for example after stem cell therapy,” said Wendtner. It is debatable whether these risk groups can be protected by vaccination. Imvanex has been approved in the EU since 2013.

“We assume that the older generation that was vaccinated against classical smallpox before 1980 also has a very high level of protection against monkey pox. These people have very little or no risk at all. ‘ There is also an EU-approved treatment option for monkey pox with Tecovirimat.

Meanwhile, the number of countries reporting evidence of a rare communicable disease is increasing. The canton of Bern announced on Saturday that the first case had been discovered in Switzerland. According to the Ministry of Health, the test in Israel was also positive. Cases have also been confirmed in Australia, Canada and the US in the past few days – and so in other regions of the world outside of Africa, where the virus comes from.

Most of the cases currently under investigation are mild, the WHO Regional Director for Europe, Hans Kluge, announced Friday. Recently detected infections are unusual as most of those affected have not traveled to West or Central Africa, where the disease is endemic, Kluges said in a statement. It is also striking that most of the infections initially discovered were detected in homosexual men. The fact that these cases occur all over Europe suggests that the virus has been transmitted over a period of time.

According to health authorities, the virus usually only causes mild symptoms, but can also lead to severe symptoms. In isolated cases, fatal diseases are possible. The virus is transmitted mainly through direct contact or contact with contaminated materials. / Cho / DP / jha

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