High skin lesions, low fever new symptoms of monkeypox: Lancet - CanIndia News | Canada News Media
Connect with us

Health

High skin lesions, low fever new symptoms of monkeypox: Lancet – CanIndia News

Published

 on



Higher prevalence of skin lesions in the genital and anal area and lower tiredness and fever were seen among new monkeypox patients than among those infected during previous outbreaks of the virus, according to a study published in The Lancet Infectious Diseases.

To date, more than 5,000 monkeypox cases have been reported from 51 countries worldwide not endemic to the disease, according to the US Centers for Disease Control and Prevention. The number of infections in Europe represents about 90 per cent of the global total, with the UK reporting 1,235 cases – the highest in the continent.

Researchers from the Chelsea & Westminster Hospital NHS Foundation Trust looked at 54 patients who attended four sexual health clinics in London and were diagnosed with monkeypox during a 12-day period in May 2022.

Of the 54 patients, all except two of the patients were not aware of having been in contact with a known case and none reported travel to sub-Saharan Africa, but many had recently visited other European countries.

All patients identified as men who have sex with men, and 47 of 52 reported at least one new sexual partner during the three weeks prior to symptoms, and 49 of 52 reported inconsistent condom use in this same time period.

Over half of the patients had more than five sexual partners in the 12 weeks prior to their monkeypox diagnosis.

The patients were all symptomatic and presented with skin lesions – 94 per cent of patients had at least one skin lesion on the genital or perianal skin. Mostly the patients had a mild illness and recovered whilst isolating at home, but five individuals required hospital admission due to pain or infection of the skin lesions.

All improved and were discharged with a median of seven days of hospital admission.

“The commonly observed symptom of skin lesions in the anal and penile areas, and the fact that a quarter of the patients tested positive for gonorrhea or chlamydia at the same time as the monkeypox infection, suggests that transmission of the monkeypox virus in this cohort is occurring from close skin-to-skin, for example in the context of sexual activity,” said Dr. Ruth Byrne, from the Trust.

She added that “it is possible that at various stages of the infection monkeypox may mimic common STIs, such as herpes and syphilis, in its presentation. It’s important that sexual health clinicians and patients are aware of the symptoms of monkeypox as misdiagnosis of the infection may prevent the opportunity for appropriate intervention and prevention of onward transmission”.

The study also observed important differences in the clinical features of this cohort compared to previous cases reported from earlier outbreaks in other countries.

A lower proportion of patients in this cohort reported feeling weak and tired and/or having a fever than in studies on cases in previous outbreaks.

In addition, 18 per cent (10/54) of patients in this cohort did not report any early symptoms before the onset of skin lesions.

“Given the suggested route of infection via contact during sexual activity and the number of clinical findings differing from previous descriptions, we suggest that case definitions currently detailing symptoms such as acute illness with fever should be reviewed to best adapt to the current findings, as at least one in six of this cohort would have not met the current ‘probable case’ definition,” said Dr. Nicolo Girometti, from the Trust.

The researchers also predict that the high prevalence of genital skin lesions in patients and the high rate of co-occurring sexually transmitted infections means that sexual health clinics are likely to see additional monkeypox cases in the future.

However, the team cautioned that their findings might not be representative of the overall outbreak. They said that it is important to remain alert to the possibility of spread to other groups whilst still balancing targeted health promotion to groups disproportionately affected by the current outbreak.

20220703-164204

Adblock test (Why?)



Source link

Continue Reading

Health

How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

Published

 on

 

HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Health

Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

Published

 on

 

ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Health

Bizarre Sunlight Loophole Melts Belly Fat Fast!

Published

 on

Product Name: Bizarre Sunlight Loophole Melts Belly Fat Fast!

Click here to get Bizarre Sunlight Loophole Melts Belly Fat Fast! at discounted price while it’s still available…

 

All orders are protected by SSL encryption – the highest industry standard for online security from trusted vendors.

Bizarre Sunlight Loophole Melts Belly Fat Fast! is backed with a 60 Day No Questions Asked Money Back Guarantee. If within the first 60 days of receipt you are not satisfied with Wake Up Lean™, you can request a refund by sending an email to the address given inside the product and we will immediately refund your entire purchase price, with no questions asked.

(more…)

Continue Reading

Trending

Exit mobile version