Monkeypox: A New Challenge for Global Health System?

The COVID-19 pandemic, starting in 2020, has presented a major challenge in terms of early diagnosis and the subsequent containment and management of severe cases. The spread of viruses such as monkeypox in non-endemic countries is now creating new difficulties for healthcare professionals. Proper c...

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Main Authors: Francesca Spirito, Agostino Guida, Vito Carlo Alberto Caponio, Lorenzo Lo Muzio
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/6/1250
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author Francesca Spirito
Agostino Guida
Vito Carlo Alberto Caponio
Lorenzo Lo Muzio
author_facet Francesca Spirito
Agostino Guida
Vito Carlo Alberto Caponio
Lorenzo Lo Muzio
author_sort Francesca Spirito
collection DOAJ
description The COVID-19 pandemic, starting in 2020, has presented a major challenge in terms of early diagnosis and the subsequent containment and management of severe cases. The spread of viruses such as monkeypox in non-endemic countries is now creating new difficulties for healthcare professionals. Proper case definition and clinical examination are crucial for the early identification of suspected cases. For this reason, we performed a review of the literature in order to report the first signs, which are useful for healthcare providers for early case identification. Since 2022 to date, 86,930 laboratory-confirmed cases and 1051 probable cases have been reported worldwide, and of these, 116 were fatal cases and, for the first time, most of the cases were registered in countries that have not historically reported monkeypox and that lack direct or immediate epidemiological links to areas of West or Central Africa where the disease is endemic. Patients with Monkeypox experience prodromal symptoms, such as fever, fatigue, headache, muscle aches, and a rash after an incubation period of 5–21 days. The disease is usually self-limiting within 2–4 weeks but can lead to complications, such as pneumonia, encephalitis, kidney injury, and myocarditis in children, pregnant individuals, and those with weakened immune systems. The case–fatality ratio is between 1 and 10%. Today, prevention campaigns and the control of human monkeypox are the best weapons to prevent infection and stop transmission. Prevention strategies, such as avoiding contact with sick or dead animals, and the proper preparation of all foods containing animal meat or parts, should be adopted. Furthermore, close contact with infected people or contaminated materials should be avoided to prevent human-to-human transmission.
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spelling doaj.art-86228674891845d98ff093cbfc4bb7122023-11-18T11:16:42ZengMDPI AGLife2075-17292023-05-01136125010.3390/life13061250Monkeypox: A New Challenge for Global Health System?Francesca Spirito0Agostino Guida1Vito Carlo Alberto Caponio2Lorenzo Lo Muzio3Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli, 71122 Foggia, ItalyU.O.C. Odontostomatologia, A.O.R.N. “A. Cardarelli”, 80131 Naples, ItalyDepartment of Clinical and Experimental Medicine, University of Foggia, Via Rovelli, 71122 Foggia, ItalyDepartment of Clinical and Experimental Medicine, University of Foggia, Via Rovelli, 71122 Foggia, ItalyThe COVID-19 pandemic, starting in 2020, has presented a major challenge in terms of early diagnosis and the subsequent containment and management of severe cases. The spread of viruses such as monkeypox in non-endemic countries is now creating new difficulties for healthcare professionals. Proper case definition and clinical examination are crucial for the early identification of suspected cases. For this reason, we performed a review of the literature in order to report the first signs, which are useful for healthcare providers for early case identification. Since 2022 to date, 86,930 laboratory-confirmed cases and 1051 probable cases have been reported worldwide, and of these, 116 were fatal cases and, for the first time, most of the cases were registered in countries that have not historically reported monkeypox and that lack direct or immediate epidemiological links to areas of West or Central Africa where the disease is endemic. Patients with Monkeypox experience prodromal symptoms, such as fever, fatigue, headache, muscle aches, and a rash after an incubation period of 5–21 days. The disease is usually self-limiting within 2–4 weeks but can lead to complications, such as pneumonia, encephalitis, kidney injury, and myocarditis in children, pregnant individuals, and those with weakened immune systems. The case–fatality ratio is between 1 and 10%. Today, prevention campaigns and the control of human monkeypox are the best weapons to prevent infection and stop transmission. Prevention strategies, such as avoiding contact with sick or dead animals, and the proper preparation of all foods containing animal meat or parts, should be adopted. Furthermore, close contact with infected people or contaminated materials should be avoided to prevent human-to-human transmission.https://www.mdpi.com/2075-1729/13/6/1250monkeypoxvirus diseasesvaccine
spellingShingle Francesca Spirito
Agostino Guida
Vito Carlo Alberto Caponio
Lorenzo Lo Muzio
Monkeypox: A New Challenge for Global Health System?
Life
monkeypox
virus diseases
vaccine
title Monkeypox: A New Challenge for Global Health System?
title_full Monkeypox: A New Challenge for Global Health System?
title_fullStr Monkeypox: A New Challenge for Global Health System?
title_full_unstemmed Monkeypox: A New Challenge for Global Health System?
title_short Monkeypox: A New Challenge for Global Health System?
title_sort monkeypox a new challenge for global health system
topic monkeypox
virus diseases
vaccine
url https://www.mdpi.com/2075-1729/13/6/1250
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