Committee sets maximum alert for monkeypox in Brazil

Committee sets maximum alert for monkeypox in Brazil

The Emergency Operations Center, set up by the Ministry of Health to monitor the progress of monkeypox in Brazil, has set the maximum alert level for the disease. Classification in the national emergency plan for Monkeypox was released on Saturday (6).

Contingency levels range from I to III. The maximum level recognizes the threat of national importance, which can culminate in a declaration of ESPN (Public Health Emergency of National Importance).

According to the Ministry of Health, the alert is set when there is an “exceptional danger”.

To assess risks, the committee is considering the possibility of monkeypox transmission, exacerbation of confirmed cases, population vulnerability, availability of preventive measures – such as vaccines and antiviral drugs – and recommendations of the World Health Organization (WHO).

Today, Brazil has 2,293 confirmed cases of monkeypox, according to the Ministry of Health. São Paulo is the state with the highest number of disease records (1636), followed by Rio de Janeiro (253), Minas Gerais (101), Federal District (92), Parana (52) and Goiás (51). Other regions have fewer than 20 cases identified.

Last week, the bulletin had indicated 1962 suspected cases, 38 probable cases and one death.

The level to be considered for this plan is level III, since there are already confirmed cases of the disease in Brazil, with community transmission, and there is still no availability of immunization and treatment measures in the national territory.
Excerpt from the National Emergency Plan for monkeypox

The COE document says the Brazilian government is having difficulties procuring supplies to treat monkeypox.

“SUS has made efforts to obtain these supplies for the population of Brazil, but it is worth noting that, at present, there are no vaccines or drugs for treatment available on the international market in order to be obtained by Brazil.”

Last week, the Minister of Health, Marcelo Quiroga, said that Brazil would receive the antiviral treatment tecovirimat to treat severe cases of monkeypox. He did not specify a date for the arrival of the drug, which was done through the Pan American Health Organization (PAHO).

The file also says that he ordered 50,000 doses of the vaccine against the disease. The first shipment is expected to be delivered in September. Countries that have already started implementing vaccination, such as the United States, began buying into negotiations nine months ago.

The Monkeypox Center of Excellence directs the design of the national virus vaccination strategy taking into account the epidemiological scenario and the availability of vaccines.

contact tracing

The protocol developed by the Center of Excellence also recommends tracking people who have had contact with a confirmed case for up to 21 days before symptoms appear. The procedure allows to control the outbreak of the disease.

The COE emphasizes that tracing must be done with sensitivity and caution. “Those are identified, informed of their exposure and invited to attend for advice and where necessary, for testing and/or treatment. The identity of the contact’s indexed case is not disclosed, and it is important to respect the basic principle of confidentiality.”

If contacts cannot be identified, the use of publicity materials or non-individual messages can be sent to participants in events or venues to report potential exposure.
Excerpt from the National Emergency Plan for monkeypox

For tracking, the Ministry of Health will adopt a program from the World Health Organization called “Go.data”.

What are the symptoms of monkeypox disease?

The illness begins with fever, fatigue, headache, muscle aches, any nonspecific symptoms similar to the common cold or flu.

In general, one to five days after the onset of the fever, skin lesions called rashes or rashes appear hasty Skin (red spots). These lesions initially appear on the face, and spread to other parts of the body. It is accompanied by itching and swollen lymph nodes.

It should be noted that a person is contagious until all the shells have fallen off – the shells contain an infectious viral substance – and the skin is completely healed.

How is monkeypox transmitted?

Monkeypox does not spread easily between people – proximity is a necessary factor for infection. Thus, disease occurs when an individual has very close and direct contact with an infected animal (the rodent is believed to be the main animal reservoir for humans) or with other infected individuals through secretions from the skin and mucous lesions or droplets from the respiratory tract.

Transmission can also occur through contact with objects contaminated with fluids from the wounds of an infected patient – this includes skin contact or items that come into contact with the skin, for example towels or sheets used by a sick person.


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