Centre alerts states, UTs about key actions to take for containing spread of Monkeypox

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NEW DELHI: The Centre on Thursday wrote a letter to all the states and Union Territories, reiterating some of the key actions that are required to contain the spread of the disease.

Health secretary Rajesh Bhushan cited the letter sent by the ministry on May 31 in which it had issued a comprehensive ‘Guidelines for Management of Monkeypox Disease’ As of now, there is no reported case of Monkeypox in India.

The health secretary asked all the states and UTs to take key actions like orientation and regular re-orientation of all key stakeholders including health screening teams at points of entries (PoEs), disease surveillance teams, doctors working in hospitals about common signs and symptoms, differential diagnosis, case definitions for s for suspect/probable/confirmed cases and contacts, contact tracing and other surveillance activities that need to be undertaken following the detection of a case, testing, IPC protocols, clinical management etc.

He further asked to screen and test all suspect cases at points of entries and in the community. “Patient isolation (until all lesions have resolved and scabs have completely fallen off), protection of ulcers, symptomatic and supportive therapies, continued monitoring and timely treatment of complications remain the key measures to prevent mortality,” he said.

Bhushan said that the intensive risk communication directed at healthcare workers, identified sites in health facilities (such as skin, paediatric OPDs, immunization clinics, intervention sites identified by NACO etc.) as well as the general public about simple preventive strategies and the need for prompt reporting of cases needs to be undertaken.

Hospitals must be identified and adequate human resource and logistic support should be ensured at identified hospitals equipped to manage suspect/confirmed cases of Monkeypox.

“I am sure, states/UTs shall make all efforts to ensure effective preparedness and take required action as per the guidelines. Union Ministry of Health shall continue to monitor the situation closely and will extend all requisite support in this regard,” he added.

The Centre’s directive came after a suspected case of monkeypox, the first in India, has been reported from Kerala. A traveller who arrived in Kerala three days ago from the United Arab Emirates (UAE) was hospitalised after he displayed symptoms of monkeypox.

Samples from the traveller have been sent for testing to the National Institute of Virology in Pune, health minister Veena George said today adding that the case can be confirmed only after the results of the test are obtained.

According to World Health Organization (WHO), monkeypox is a viral zoonosis (a virus transmitted to humans from animals) with symptoms similar to those seen in the past in smallpox patients, although it is clinically less severe.

Monkeypox is transmitted to humans through close contact with an infected person or animal, or with material contaminated with the virus. It is usually a self-limited disease with symptoms lasting from two to four weeks, WHO said.

Monkeypox virus is transmitted from one person to another by close contact with lesions, body fluids, respiratory droplets and contaminated materials such as bedding.

As reported by WHO, Since January 1, 2022, and as of June 22, 2022, a total of 3413 laboratory-confirmed cases of Monkeypox and one death have been reported to WHO from 50 countries/territories.

The majority of these cases have been reported from the European Region (86 per cent) and the Americas (11 per cent). This points to a slow but sustained increase in the spread of cases globally. Considering this is the first time that cases and clusters are being reported concurrently in five WHO Regions, WHO has assessed the overall risk of spread of cases as “Moderate” at the global level. (ANI)

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