President Joe Biden assured Americans the nation has enough vaccines to handle the monkeypox outbreak Monday, as the WHO warned its spread may accelerate in the summer and health chiefs probed links to festivals in Spain and Belgium as being centers of transmission for the virus.
Speaking on his first visit to Japan since taking office, Biden pointed out the U.S. had faced ‘larger numbers’ of monkeypox cases in the past and said there was ‘no need’ to impose any extra restrictions at this time.
It was a shift in tone from the weekend in South Korea, where the President warned before boarding Air Force One that ‘everyone’ should be concerned about the disease spreading outside west Africa — where it is endemic.
As many as 92 cases have been detected so far across 16 nations — mostly in Europe — with at least another 28 being probed, the World Health Organization (WHO) says. American officials have confirmed one case of monkeypox in Massachusetts, and are probing two others in New York City and Florida.
Dr David Heymann, who formerly headed the WHO’s emergencies department, said the unprecedented outbreak was a ‘random event’ that may be explained by risky sexual behavior at two mass events in Europe.
Cases are being disproportionately detected among gay and bisexual men, with a number in people who attended a Gay Pride festival that drew a crowd of 80,000 in Gran Canaria, Spain, and a fetish festival in Antwerp, Belgium.
European countries have been told to move to red alert and prepare a vaccination plan for people who come into contact with an infectious case.
Three US states have so far revealed they are probing cases of monkeypox. In both Massachusetts and Florida they have been linked back to international travel
The outbreak has now spread to 16 countries, with Argentina becoming the 17th to say it is probing a suspected case
President Joe Biden tried to assure Americans while speaking at a press conference in Japan Monday. He said the spread of the virus did not raise as much concern as that of Covid back in March 2020
Asked if the outbreak was similar to the early days of Covid, Biden said: ‘I just don’t think it rises to the level of the kind of concern that existed with Covid.
‘Look, we’ve had this monkeypox in larger numbers in the past.
‘Number two, we have vaccines to take care of it. Number three, thus far, there doesn’t seem to be the need for any kind of extra efforts beyond what’s going on.’
Biden said yesterday: ‘Well, [the health advisors] haven’t told me the level of exposure yet, but it is something that everybody should be concerned about.
‘We’re working on it hard to figure out what we do and what vaccine, if any, may be available for it.
‘But it is a concern — if it were to spread, it’s consequential. But that’s all they’ve told me.’
America has faced several outbreaks of monkeypox in the past with the largest in 2003, when 47 cases were traced back to dogs infected with the virus by squirrels imported from Ghana in Africa.
Last week it ordered another 13million doses of a smallpox vaccine that can also work against monkeypox for $119million, although health chiefs insisted this was not related to the recent outbreak.
Florida became the third U.S. state to reveal it was probing a suspected case of the virus on Sunday.
The patient is now in isolation at Fort Lauderdale, and had recently travelled internationally.
New York City officials revealed over the weekend that a patient had tested positive for the family of viruses including monkeypox. Its Centers for Disease Control and Prevention (CDC) is now working to confirm whether this was a case of the virus.
Massachusetts revealed it had detected an infection last week in a man who travelled from Canada by car.
Monkeypox patients can be infectious for up to four weeks, or as long as they have symptoms.
Symptoms include a fever up to 21 days after infection, with a rash then appearing three days later on the face before spreading to the rest of the body.
Most cases are mild, but experts say the strain now spreading through the western world kills about one in 100 people it infects — similar to the fatality rate when Covid first took off.
Transmission occurs through contact with the infectious lesions, or droplets expelled by patients into the air.
But Dr David Heymann, an infectious disease specialist at the WHO, says physical contact is likely the key route of transmission in this outbreak — and warned it looked to be being spread sexually.
He said: ‘What seems to be happening now is that it has got into the population as a sexual form, as a genital form, and is being spread as are sexually transmitted infections, which has amplified transmission around the world.’
He added: ‘We know monkeypox can spread when there is close contact with the lesions of someone who is infected, and it looks like sexual contact has now amplified that transmission.’
Health chiefs are probing links to a Gay Pride festival in Gran Canaria, Spain, after linking numerous monkeypox cases in Madrid, Tenerife and Italy to the event held between May 5 and 15 which attracted people from across the continent.
A health source told Spanish newspaper El Pais: ‘Among the 30 or so [monkeypox cases] diagnosed in Madrid, there are several who attended the event, although it is not yet possible to know if one of them is patient zero in this outbreak or if they all got infected there.’
People infected with the virus in both Italy and Germany attended the festival in Gran Canaria, health chiefs in the countries say.
In Belgium, three cases have been linked with a large-scale fetish festival in Antwerp, which ran from May 5 to May 8. Organisers said there is ‘reason to assume that the virus has been brought in by visitors from abroad to the festival after recent cases in other countries’.
Undated handout file image issued by the UK Health Security Agency of the stages of Monkeypox
Monkeypox is a rare viral infection which kills up to one in ten of those infected but does not spread easily between people. The tropical disease is endemic in parts of Africa and is known for its rare and unusual rashes, bumps and lesions (file photo)
For the disease to spread sexually is a significant departure from its typical pattern in western Africa where many people are infected by animals — typically squirrels.
WHO chiefs fear many more cases will be detected in the coming weeks as the virus appears to have been transmitting outside west Africa for some time.
Dr Hans Kluge, its top Europe official, said Friday: ‘As we enter the summer season… with mass gatherings, festivals and parties, I am concerned that transmission [of monkeypox] could accelerate.’
He added that cases were being detected ‘among those engaging in sexual activity’ with many not recognizing the symptoms.
America has ordered doses of a smallpox vaccine — which works against monkeypox because of the close relationship between the two.
The jab, called Jynneous, is given as two doses about four weeks apart. It can be administered to people shortly after exposure to the virus to bolster their immunity.
It is about 85 percent effective against the virus, studies show.
Patients can also be given a smallpox drug approved by the Food and Drug Administration (FDA) last week to treat patients.
In Europe, countries have been told to prepare vaccination plans to tackle the surging outbreak as Denmark became the latest country to be struck down with the virus.
European Union authorities are also set to publish a risk assessment, which will advise all member states to draw up an inoculation strategy to control the spread of tropical diseases.
The strategy, called ring vaccination, involves jabbing and monitoring anyone around an infected person to form a buffer of immune people to limit the disease’s spread.
Belgium yesterday became the first country to impose a compulsory 21-day monkeypox quarantine for anyone who tests positive for the virus, after recording three cases in the country.
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