- All the Monkeypox cases in Delhi were mild and had good recovery
- People infected were not vaccinated against smallpox or monkeypox virus
- Urine, oral, swabs are also appropriate specimens for Monkeypox detection
New Delhi: Three out of the five Monkeypox cases reported from Delhi had a history of heterosexual contact, said the preliminary study done by Indian Council of Medical Research (ICMR)-National Institute of Virology (NIV), Pune. “Cases 2, 3 and 5 shared the history of heterosexual contact within 21 days of onset of symptoms not under influence of drugs or alcohol,” revealed the study. However, the rest of the two cases amongst five have no sexual contact.
Also Read: ICMR Plans Sero-Survey Among Contacts Of Monkeypox Patients
Cases 1 and 4 had denied any sexual contact, the study said.
On active surveillance of Monkeypox, the study said,
All the cases were mild and had good recovery. These Monkeypox cases suggest the underdiagnosed monkeypox infection in the community. This emphasises the need for active surveillance of MPXV in high-risk population such as Men having sex with men (MSM) and female sex workers (FSW).
The study report revealed all five cases denied homosexual or bisexual exposure.
All the cases denied a history of same sex contact or bisexual contact. This report describes the five cases of human monkeypox infection detected from India without any international travel history.
The study said that the viral load kinetics and viral clearance was estimated in oropharyngeal swab (OPS), nasopharyngeal swab (NPS), EDTA blood, serum, urine and various lesion specimens at every fourth day of follow-up ranging from 5-24 post onset day (POD) of illness. All five cases presented with mild to moderate grade intermittent fever, myalgia and lesions on the genitals, groins, lower limb, trunk and upper limb, it said.
According to the report no sexually transmitted infections were found, but in one case HBV (hepatitis B virus) has been reported.
Four cases had nontender firm lymphadenopathy. No secondary complications or sexually transmitted infections were recorded in these cases except for HBV in one case, the report said.
Also Read: Monkeypox Vs Chickenpox: What Are The Key Differences, Doctors Explain
All the cases were not vaccinated against smallpox or monkeypox virus. The confirmed monkeypox cases presented between 5-14 days post onset day (POD) of illness. Of five cases, three were male and two female with mean age of 31.2 years and presented with mild to moderate grade intermittent fever with myalgia.
The study has also revealed that urine, oral, throat swabs are also appropriate specimens for Monkeypox detection.
The presence of high viral load in the lesion specimens of the cases demonstrates it as the best specimen type for the detection of MPXV DNA. However, OPS, NPS and urine were also found to be the other appropriate specimens. Considering the evolvement in the clinical presentation of monkeypox cases [single lesion/other symptoms without lesions/asymptomatic], OPS, NPS and urine samples could be utilized for the MPXV diagnosis, it said.
Also Read: WHO Announces New Names For Monkeypox Variants To Avoid Causing Offence
(This story has not been edited by NDTV staff and is published from a syndicated feed.)
NDTV – Dettol have been working towards a clean and healthy India since 2014 via the Banega Swachh India initiative, which is helmed by Campaign Ambassador Amitabh Bachchan. The campaign aims to highlight the inter-dependency of humans and the environment, and of humans on one another with the focus on One Health, One Planet, One Future – Leaving No One Behind. It stresses on the need to take care of, and consider, everyone’s health in India – especially vulnerable communities – the LGBTQ population, indigenous people, India’s different tribes, ethnic and linguistic minorities, people with disabilities, migrants, geographically remote populations, gender and sexual minorities. In wake of the current COVID-19 pandemic, the need for WASH (Water, Sanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign will continue to raise awareness on the same along with focussing on the importance of nutrition and healthcare for women and children, fight malnutrition, mental wellbeing, self care, science and health, adolescent health & gender awareness. Along with the health of people, the campaign has realised the need to also take care of the health of the eco-system. Our environment is fragile due to human activity, which is not only over-exploiting available resources, but also generating immense pollution as a result of using and extracting those resources. The imbalance has also led to immense biodiversity loss that has caused one of the biggest threats to human survival – climate change. It has now been described as a “code red for humanity.” The campaign will continue to cover issues like air pollution, waste management, plastic ban, manual scavenging and sanitation workers and menstrual hygiene. Banega Swasth India will also be taking forward the dream of Swasth Bharat, the campaign feels that only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and the country can become a Swasth or healthy India.
August 30, 2022 at 1:50 pm
thanks for info