The Ministry of Health confirmed this Sunday (12) the third case of monkeypox in Brazil. The patient, a 51-year-old man, is in isolation in Porto Alegre, and his health status is stable.
According to the statement, the patient traveled to Portugal and returned to Brazil last Friday (12). The man is at home, and being monitored by the Health Departments of Porto Alegre and Rio Grande do Sul.
“All containment and control measures were adopted immediately after the communication that it was a suspected case of monkeypox, with the isolation of the patient and tracing of their contacts, both nationally and on the international flight, which had the support of the Agency. National Health Surveillance (Anvisa)”, says the note from the Ministry of Health.
The other two confirmed cases were in the state of São Paulo. The most recent, notified yesterday by the São Paulo State Health Department, is a 29-year-old man who lives in Vinhedo, in the countryside, where he is isolated. The Epidemiological Surveillance of the municipality and the state are monitoring the patient and their respective contacts.
The first case of the disease in the country was confirmed on Thursday (9). He is a 41-year-old resident of the capital of São Paulo, who is hospitalized at the Emílio Ribas Institute of Infectious Diseases “with a good evolution of the clinical picture”, according to SES. He has a history of traveling to Spain and Portugal.
Other cases under investigation
Yesterday, the Minas Gerais Health Department reported that a person had died on suspicion of monkeypox. Details of the age and sex of the patient, who resided in Uberlândia and worked in Araguari, both in Triângulo Mineiro, were not provided, according to the government.
Also on Saturday (11), Maranhão notified the first suspected case in the state. The State Department of Health reported that the Central Laboratory of Public Health of Maranhão started the analysis of the samples. The patient is a 30-year-old man, resident in São Luís, hospitalized on June 8 in the municipal public network.
In Rio de Janeiro, the State Department of Health is investigating a possible case in Macaé. The patient is 43 years old, works aboard an oil platform, and reports having had contact with people from other countries. The man is admitted to a private hospital in the city, isolated and stable.
In the country there are also suspected cases in Pacatuba (CE), Blumenau (SC), Dionísio Cerqueira (SC), and Rio Crespo (RO) where there are two suspects. Another case, which was being followed up in Mato Grosso do Sul, was discarded.
How contamination happens
Monkeypox is a rare viral disease transmitted by close/intimate contact with an infected person with skin lesions. This contact can be for example by hugging, kissing, massages, sexual intercourse or respiratory secretions close and for a long time.
“Transmission also occurs by contact with objects, fabrics (clothes, bedding or towels) and surfaces that were used by the patient. There is no specific treatment, but in general the clinical pictures are mild and require care and observation of the lesions” , informed the government of São Paulo, in a note.
- Avoid close/intimate contact with the sick person until all wounds have healed;
- Avoid contact with any material, such as bedding, that has been used by the sick person;
- Hand hygiene, washing them with soap and water and/or use of alcohol gel.
Know the symptoms
The first symptoms may be fever, headache, muscle and back pain, swollen lymph nodes, chills or tiredness. One to three days after the onset of these symptoms, people develop skin lesions that may be located on the hands, mouth, feet, chest, face, and/or genital regions. Read more in this UOL report.
Risk of death is low
Monkeypox can be lethal, but the risk is low. There are two distinct groups of the disease virus circulating in the world, grouped together based on their genetic characteristics: one predominantly in Central African countries — with a fatality rate of around 10% — and another circulating in West Africa, with a much lower rate. , of 1%.
The still incipient genomic surveillance shows that the virus circulating outside the African continent is the least lethal.
Complications can occur, especially secondary bacterial infections of the skin or lungs, which can progress to sepsis and death or spread of the virus to the central nervous system, generating a condition of severe brain inflammation called encephalitis, which can have serious sequelae or lead to death. .
In addition, as with any acute viral disease, depending on the patient’s immune status and conditions and access to adequate medical care, some cases can lead to death.
Smallpox vaccine protects
Studies show that prior smallpox vaccination can be effective against monkeypox by up to 85%. This is because both viruses belong to the same family and therefore there is a degree of cross protection due to the genetic homology between them. However, as smallpox was eradicated over 40 years ago, there are currently no vaccines available to the general public.