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It's coming nearer...

 

Pakistan reports first case of deadly mpox virus

 

16 Aug 2024

 

ISLAMABAD: Pakistan health officials announced on Friday (Aug 16) their first case of the deadly mpox virus this year

 

"The affected person has come from a Gulf country," a Ministry of Health statement said, adding the strain was yet to be confirmed.

 

The Pakistan patient is a 34-year-old man and is being treated in Khyber Pakhtunkhwa province, said Irshad Roghani, director of public health there.

 

Full news:

 

https://www.channelnewsasia.com/asia/pakistan-mpox-virus-first-case-4550416

 

 

Surely for a country like that they wouldn't mention if it was M2M sexual contact...

 

 

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Looks like Gov here changed the stance on Mpox...

 

Low immediate risk of mpox, but Singapore likely to see cases due to global connectivity: Ong Ye Kung

 

17 Aug 2024

 

https://www.channelnewsasia.com/singapore/mpox-cases-monkeypox-outbreak-singapore-africa-transmission-ong-ye-kung-4552221

 

 

 

 

 

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Yes, there is a vaccine: MVA-BN vaccine 

 

Vaccines to protect against an Mpox infection do exist, but currently no available vaccines specifically target the monkeypox virus. How is this possible?

The monkeypox virus belongs to a genus of viruses called Orthopoxvirus, which are all complex DNA viruses.

Among others, viruses in this genus include the variola virus, which causes smallpox, the cowpox virus, and the vaccinia virus.

Viruses from this genus have a great share of genetic similarity, which makes it possible for vaccines developed against other viruses to also be used to protect from Mpox infection.

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Guys, please seek medical advice first prior to doing any vaccination.

 

Just for the awareness:

 

Mpox vaccination can be still done 14 days after the initial contact of an infected person.

 

Note that the second Mpox vaccine is only administered after 28 days following the first.

 

People who had been vaccinated against smallpox may not require any additional Mpox vaccination. It depends whether the vaccine is still sufficiently active. (A blood test can ascertain this).

 

Please check first whether you had a smallpox vaccination as a kid (or adult) but please seek medical advice first. This also as there are people with certain allergies or developing allergies after vaccinations.

 

Not sure if in Singapore you received a vaccination cert for your vaccines you received during childhood or later. (Used to be this yellow booklet).

 

 

Here the facts:

 

Mpox vaccine can be given as post-exposure prophylaxis (PEP) both to people with known or presumed exposure to monkeypox virus (MPXV). Mpox vaccine can also be given to people with certain risk factors and recent experiences that might make them more likely to have been exposed to mpox. As PEP, vaccine should be given as soon as possible, ideally within four days of exposure; administration 4 through 14 days after exposure may still provide some protection against mpox.

 

People with prior history of smallpox vaccination

Previous smallpox vaccination probably does provide some protection, but it may not necessarily be lifelong. During the 2003 mpox outbreak and during the current outbreak, several people who were infected with mpox had previously been vaccinated against smallpox decades prior.

 

https://www.cdc.gov/poxvirus/mpox/interim-considerations/overview.html

 

 

 

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For information purposes as Thailand is a common and frequently used tourist location for Singaporeans also in raising awareness:

 

Surprisingly Thailand has not stocked up any Mpox Vaccine. Vaccines are not available currently in Thailand.

 

In September 2022 Thailand ordered one batch of 500 vaccines to distribute to "high risk groups". But after that nothing happened. Actually, nobody really knows who got the vaccine (probably the political elite? 🤣)

 

Visitors to Thailand should be aware of the recently released numbers of Mpox infections in the country, which looks like Thailand never really resolved the previous Mpox surge from 2022 and Mpox is still spreading around in Thailand.

 

Note that Clade 2 is not the more dangerous African new strain (Clade 1 / 1B),  which is more severe and has a higher death rate.

 

Some excerpts from the recent media in Thailand:

Mpox in Thailand different from African strain: Health authorities

AUGUST 15, 2024

 

In Thailand, Clade 2 cases number 827, with 11 deaths between January 1 to August 10, 2024. Of these, 97.46% are male and 2.54% are female.

 

The department's website lists the top 10 provinces with the highest Mpox case numbers: Bangkok (441 cases), Chonburi (78), Nonthaburi (42), Samut Prakan (31), Phuket (31), Rayong (25), Pathum Thani (25), Chiang Mai (23), Songkhla (12), and Khon Kaen (12).

 

https://www.nationthailand.com/health-wellness/40040593

 

 

=> Certain high risk groups might be more probably to get infected.

Be informed that Singapore currently imposes a 21 day quarantine, of which are 7 day monitoring phase.

The quarantine period may be increased again, once the first cases arrive in Singapore.

 

 

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The Philippines reported the first case of Mpox in 2024.

But the person did not travel overseas but was infected in the Philippines, which means source may be another person who travelled overseas or it was a visitor to the Philippines.

 

 

Philippines detects first mpox case this year, yet to determine strain

By Reuters

August 19, 2024

 

MANILA, Aug 19 (Reuters) - The Philippines has detected a new case of the mpox virus in the country, the first since December last year, its health department said on Monday, adding it was awaiting test results before being able to determine the strain.
 
The patient was a 33-year-old Filipino male who had no travel history outside the Philippines, the Department of Health (DOH) said.
 
"We are awaiting sequencing results and will update once available," its spokesperson Albert Domingo said when asked about the strain.
 
 
 

 

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The Mpox cases in Pakistan increased to 4 as of today.

 

Mpox reaches Pakistan Kashmir, total 4 cases

Aug 20 2024

 

Mpox outbreak latest updates: A suspected case of viral mpox, formerly called Monkeypox, was reported in Pakistan Kashmir on Monday, taking the total number of affected individuals in the country to four.
The patient, a 47-year-old resident of PoK, recently returned to Pakistan from Jeddah, Saudi Arabia.
 
In the last week, three other cases have been reported from the Khyber-Pakhtunkhwa province of Pakistan.
 
 
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The point is after reading that there is no list published on what arriving flights will be screened...

Actually, as for example Bangkok has a new Clade 1B case, flights from Bangkok would be screened.

 

Pity for those who might have some skin issues (Neurodermatitis) and may need to undergo some "visual screening"...

 

Precautionary mpox screening to be set up at Changi, Seletar airports and sea checkpoints

 

Updated Aug 23, 2024, 01:00 AM
 

SINGAPORE - Temperature and visual screening will be carried out at Changi and Seletar airports from Aug 23 as a precautionary measure against the import of mpox from abroad.

 

The Ministry of Health (MOH), Ministry of Transport and Immigration and Checkpoints Authority said they will enhance Singapore’s surveillance capabilities against the infectious viral disease at the borders.

 

Similar screening measures will also be implemented at sea checkpoints for crew and passengers arriving on ships from mpox-affected areas.

 

MOH said that while there are no direct flights between Singapore and any country with an mpox outbreak, there will be temperature and visual screening at Changi and Seletar airports for inbound travellers and crew arriving on flights from places that may be exposed to the risk of mpox outbreaks.

 

...

 

The current vaccination approach focuses on people at high risk of infection, such as close contacts of mpox cases. MOH is monitoring the situation closely and will adjust its vaccination strategy accordingly.

 

...

 

Travellers, especially those visiting places affected by mpox, are to take the necessary precautions, such as maintaining a high standard of personal hygiene; avoiding direct contact with skin lesions of infected people or animals; avoiding high-risk activities like having multiple sex partners or casual sex; and avoiding contact with wild animals and consumption of bushmeat.

 

 

https://www.straitstimes.com/singapore/precautionary-mpox-screening-to-be-set-up-at-changi-seletar-airports-and-sea-checkpoints

 

 

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Seems quite contagious

 

https://www.who.int/news-room/questions-and-answers/item/mpox#:~:text=What do we know about,partners are most at risk.

From person to person:

Mpox spreads from person to person mainly through close contact with someone who has mpox. Close contact includes skin-to-skin (such as touching or sex) and mouth-to-mouth, or mouth-to-skin contact (such as kissing), and can also include being face-to-face with someone who has mpox (such as talking or breathing close to one another, which can generate infectious respiratory particles). ... ...

It is also possible for the virus to persist for some time on clothing, bedding, towels, objects, electronics and surfaces that have been touched by a person with mpox. Someone else who touches these items may become infected, particularly if they have any cuts or abrasions or touch their eyes, nose, mouth or other mucous membranes without first washing their hands. Cleaning and disinfecting surfaces/objects and cleaning your hands after touching surfaces/objects that may be contaminated can help prevent this type of transmission.

 

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Guest My Mpox Experience

The holiday I had was wild. I never expected that the sauna was packed to the brim and there were ample actions. Massages were excellent (and sexual), and hook ups via apps were easy. I returned back to Singapore fresh, ready for work the next day. 

 

Over the next couple of days, my nose turned runny and throat went sore - not the very sore kind, but generally irritated. I was relieved it wasn't Covid, and I thought it must've been the heatiness from my holiday. Other than these, I was generally feeling ok, and continued my work as normal, meeting clients. I live with my elderly parents, and dinner with them is something that I look forward to, together with visits by my brother and his family.

 

Things were absolutey ok - my runny nose and sore throat went away after two days, and by the coming weekend I was ready for my usual gathering in Sentosa.

 

Day -1
I was in the shower early in the morning for my day in Sentosa when I noticed what looked like three pimples on my groin area, above my cock. The only thing is that they don't look like pimples - they have this black indentation in the middle. Somehow by instinct, I suspected what they were - the dreaded Mpox. If you ever had the feeling that the sky suddenly fell on you and the phrase "It's happening to me" - this was how I felt. I have read before what happens to those with Mpox.

What should I do? Shall I ignore? Shall I continue with my plans for the day at Sentosa, with the rest of the guys? What will happen to me? Who can I turn to for help? Will I be disgraced, shamed? 

 

In a stupor, I finished my shower, got dressed, and headed out. I wasn't alone for my holiday. My partner was with me. I had to call him.

 

He was calm, and asked me to head to an A&E straight away and will meet me there. I was in a daze throughout my journey. I called to cancel my presence with the group, giving a lousy excuse. I met my partner at the A&E - I felt shameful, guilty and... dirty. He assured me and got me to sort out my thoughts that we'll take things one step at a time and look forward to what comes next and not look back at what happened. I cannot imagine having to face this without him. 

 

I explained and showed the doctor the lesions - I had to tell him my suspicion that it was Mpox. He looked at me quizzically and said that he's not familiar with that. He had to consult the more senior doctors. I was escorted to an isolation room, and waited for quite a while, before two other doctors came in. They were infectious disease specialists, and indeed, they suspected that it was Mpox and informed me that the Ministry of Health has to be reported for all suspected cases. After what it seemed to be more than two hours of wait, I was finally told that I should go back home, and wait for the National Centre for Infectious Diseases NCID to contact me to arrange for a further appointment. In the meantime, I should isolate myself.

 

Head back home? And infect my parents? How am I going to explain to them? How am I going to face them? How am I to explain to my bosses? My colleagues?

 

The moment I reached home, I immediately packed my work things, some belongings, told my parents that I had to go on a last minute work trip, and head out. I cannot stay with my parents.

 

Where should I go? How do I keep my job?

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13 minutes ago, Guest My Mpox Experience said:

The holiday I had was wild. I never expected that the sauna was packed to the brim and there were ample actions. Massages were excellent (and sexual), and hook ups via apps were easy. I returned back to Singapore fresh, ready for work the next day. 

 

Over the next couple of days, my nose turned runny and throat went sore - not the very sore kind, but generally irritated. I was relieved it wasn't Covid, and I thought it must've been the heatiness from my holiday. Other than these, I was generally feeling ok, and continued my work as normal, meeting clients. I live with my elderly parents, and dinner with them is something that I look forward to, together with visits by my brother and his family.

 

Things were absolutey ok - my runny nose and sore throat went away after two days, and by the coming weekend I was ready for my usual gathering in Sentosa.

 

Day -1
I was in the shower early in the morning for my day in Sentosa when I noticed what looked like three pimples on my groin area, above my cock. The only thing is that they don't look like pimples - they have this black indentation in the middle. Somehow by instinct, I suspected what they were - the dreaded Mpox. If you ever had the feeling that the sky suddenly fell on you and the phrase "It's happening to me" - this was how I felt. I have read before what happens to those with Mpox.

What should I do? Shall I ignore? Shall I continue with my plans for the day at Sentosa, with the rest of the guys? What will happen to me? Who can I turn to for help? Will I be disgraced, shamed? 

 

In a stupor, I finished my shower, got dressed, and headed out. I wasn't alone for my holiday. My partner was with me. I had to call him.

 

He was calm, and asked me to head to an A&E straight away and will meet me there. I was in a daze throughout my journey. I called to cancel my presence with the group, giving a lousy excuse. I met my partner at the A&E - I felt shameful, guilty and... dirty. He assured me and got me to sort out my thoughts that we'll take things one step at a time and look forward to what comes next and not look back at what happened. I cannot imagine having to face this without him. 

 

I explained and showed the doctor the lesions - I had to tell him my suspicion that it was Mpox. He looked at me quizzically and said that he's not familiar with that. He had to consult the more senior doctors. I was escorted to an isolation room, and waited for quite a while, before two other doctors came in. They were infectious disease specialists, and indeed, they suspected that it was Mpox and informed me that the Ministry of Health has to be reported for all suspected cases. After what it seemed to be more than two hours of wait, I was finally told that I should go back home, and wait for the National Centre for Infectious Diseases NCID to contact me to arrange for a further appointment. In the meantime, I should isolate myself.

 

Head back home? And infect my parents? How am I going to explain to them? How am I going to face them? How am I to explain to my bosses? My colleagues?

 

The moment I reached home, I immediately packed my work things, some belongings, told my parents that I had to go on a last minute work trip, and head out. I cannot stay with my parents.

 

Where should I go? How do I keep my job?

oh man, I'm so sorry this happened to you. I hope you're getting the needed treatment or rest while you heal

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Guest My Mpox Experience
1 minute ago, bigboyclubsg said:

oh man, I'm so sorry this happened to you. I hope you're getting the needed treatment or rest while you heal

Thank you - this was over for more than a year. There were no local community support, no local survivor first hand sharing, no information in local context and certainly no bragging on social media as with Covid 19 isolation. You are ALONE. You will be one of the dozens of anonymous cases reported in MOH's infectious disease circular. You don't require physical healing, but mental healing. I'll try my best to share each of my days in isolation. 

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Just now, Guest My Mpox Experience said:

Thank you - this was over for more than a year. There were no local community support, no local survivor first hand sharing, no information in local context and certainly no bragging on social media as with Covid 19 isolation. You are ALONE. You will be one of the dozens of anonymous cases reported in MOH's infectious disease circular. You don't require physical healing, but mental healing. I'll try my best to share each of my days in isolation. 

i'm sure your sharing will be helpful! 💙

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5 hours ago, Guest Peace is beautiful said:

Another circuit breaker will be awesome.

 

that should be wishful thinking.

 

The big issue with Mpox seems that it lingers in the body for about 3 weeks until clear signs of an infection turn up but it is infectious for others already after a few days...

 

 

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Guest My Mpox Experience
22 hours ago, Guest My Mpox Experience said:

The holiday I had was wild. I never expected that the sauna was packed to the brim and there were ample actions. Massages were excellent (and sexual), and hook ups via apps were easy. I returned back to Singapore fresh, ready for work the next day. 

 

Over the next couple of days, my nose turned runny and throat went sore - not the very sore kind, but generally irritated. I was relieved it wasn't Covid, and I thought it must've been the heatiness from my holiday. Other than these, I was generally feeling ok, and continued my work as normal, meeting clients. I live with my elderly parents, and dinner with them is something that I look forward to, together with visits by my brother and his family.

 

Things were absolutey ok - my runny nose and sore throat went away after two days, and by the coming weekend I was ready for my usual gathering in Sentosa.

 

Day -1
I was in the shower early in the morning for my day in Sentosa when I noticed what looked like three pimples on my groin area, above my cock. The only thing is that they don't look like pimples - they have this black indentation in the middle. Somehow by instinct, I suspected what they were - the dreaded Mpox. If you ever had the feeling that the sky suddenly fell on you and the phrase "It's happening to me" - this was how I felt. I have read before what happens to those with Mpox.

What should I do? Shall I ignore? Shall I continue with my plans for the day at Sentosa, with the rest of the guys? What will happen to me? Who can I turn to for help? Will I be disgraced, shamed? 

 

In a stupor, I finished my shower, got dressed, and headed out. I wasn't alone for my holiday. My partner was with me. I had to call him.

 

He was calm, and asked me to head to an A&E straight away and will meet me there. I was in a daze throughout my journey. I called to cancel my presence with the group, giving a lousy excuse. I met my partner at the A&E - I felt shameful, guilty and... dirty. He assured me and got me to sort out my thoughts that we'll take things one step at a time and look forward to what comes next and not look back at what happened. I cannot imagine having to face this without him. 

 

I explained and showed the doctor the lesions - I had to tell him my suspicion that it was Mpox. He looked at me quizzically and said that he's not familiar with that. He had to consult the more senior doctors. I was escorted to an isolation room, and waited for quite a while, before two other doctors came in. They were infectious disease specialists, and indeed, they suspected that it was Mpox and informed me that the Ministry of Health has to be reported for all suspected cases. After what it seemed to be more than two hours of wait, I was finally told that I should go back home, and wait for the National Centre for Infectious Diseases NCID to contact me to arrange for a further appointment. In the meantime, I should isolate myself.

 

Head back home? And infect my parents? How am I going to explain to them? How am I going to face them? How am I to explain to my bosses? My colleagues?

 

The moment I reached home, I immediately packed my work things, some belongings, told my parents that I had to go on a last minute work trip, and head out. I cannot stay with my parents.

 

Where should I go? How do I keep my job?

I called my partner (I asked him to return home first at the hospital as it was a long wait) and sought his help. We were lucky that his brother had recently been posted overseas for a stint and his wife followed and they won't return for another 3 months. He had access to the flat and told me the password to the electronic lock.

 

My mind was in a blank when I got there. Although the place was a small 3 room flat, everything was good and tried to settle in, at the same time not to create too much of a mess. I was given a 5 day mc by the hospital - I have to let my boss know that I'm given the mc, but I'm still able to work from home. He was fine with that, but concerned about what's wrong with me. I assured him that I'm fine, nothing serious. 

 

After what seemed like a tortuous afternoon, NCID called. I am expected to be there for the mpox test tomorrow, and I shouldn't be out and about until my test was conclusive. 

 

It was a difficult night in a new place, clouded by uncertainty. 

 

Day 1

 

I headed to NCID the following morning. It was a cold and sterile place. My particulars were noted and I was escorted to a room. The whole facility there seemed prepared for a pandemic - after all it used to be ground zero for the covid outbreak. I waited for quite a while before a doctor in full PPE came in. He examined me, poked the pustules in my groin area for samples to be tested. The poking was painful and I felt like a lab animal. I was then told everything about the protocols on mpox in Singapore if I am a confirmed case:

 

- isolation order for 28 days, unless determined to be recovered 

- contact tracing

- order to clean and disinfect premises upon release of isolation order

- access to telemed services

 

I was further given a document with more details, but I was in no mood to register any of the instructions. My test results would be conveyed to me via phone. Formally, I was then on isolation order and then conveyed back to my now isolation premises by an ambulance. 

 

spacer.png

 

It was indeed surreal to be transported by ambulanc. I felt perfectly fine.

 

The laboratory must be efficient. Very soon in the evening I received the following 

 

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Singapore residents returning from countries with mpox do not need to be quarantined: Health experts

 

Aug 24, 2024

 

SINGAPORE - Singapore residents holidaying in the African continent during the peak safari season from July to September need not worry about having to be quarantined upon their return home.

 

Despite the new and potentially more deadly clade Ib strain of the mpox virus rapidly spreading in Democratic Republic of the Congo (DRC) and neighbouring countries Burundi, Central African Republic, Rwanda and Uganda, infectious disease specialists say residents and visitors coming from these places do not need to be quarantined if they are not suffering from any symptoms of the disease.

 

 

All travellers are required to report mpox-related symptoms and travel history on the SG Arrival Card, the Ministry of Health (MOH) said.

 

Mpox, which has been declared a global public health emergency by the World Health Organisation (WHO), “doesn’t seem to spread through casual community contact as Covid-19 did”, said Professor Dale Fisher of the NUS Yong Loo Lin School of Medicine.

 

He added that quarantine is not necessary at this stage, unless people coming here from African countries have had contact with someone who may have mpox or have been engaging in high-risk behaviour.

 

 

Regardless of sexual orientation, persons engaging in high-risk sexual behaviour, such as having multiple or casual sexual partners, are most at risk of infection in the context of the current outbreak.

 

...

 

“Sars and Covid-19 primarily spread through respiratory droplets, making measures such as face masks and social distancing highly effective. In contrast, mpox spreads mainly through close contact with bodily fluids, particularly from skin lesions, and through sexual contact, requiring a different approach,” said Dr Teo.

 

...

 

At least four countries outside the African continent have recently reported clade I mpox cases, with Thailand being the most recent to confirm its first case of the more virulent strain on Aug 22.

 

Ramping up precautions against the import of mpox from abroad, Singapore has enhanced its surveillance capabilities against the infectious viral disease at its borders by carrying out temperature and visual screening at both its air and sea checkpoints from Aug 23.

 

 

Those found to have fever, rash and/or symptoms compatible with mpox will be referred for medical assessment.

 

 

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Full details here:

https://www.straitstimes.com/singapore/s-pore-residents-returning-from-countries-with-mpox-do-not-need-quarantine-health-experts


 

 

 

 

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Singapore approves Bavarian's mpox vaccine Jynneos

By Reuters August 27, 2024
 
 
COPENHAGEN, Aug 27 (Reuters) - Danish biotech Bavarian Nordic (BAVA CO)
said on Tuesday its mpox vaccine Jynneos had been approved by Singapore's medicines regulatory authority for use in the country.
 
The vaccine was approved to prevent smallpox and mpox in individuals at the age of 18 or older who are determined to be at high risk for the disease, marking the transition to a full approval for Jynneos in Singapore, Bavarian said in a statement.
 
 
Edited by singalion
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after a week no further updates?

https://www.instagram.com/p/C_e654eOBua/?igsh=MTZwcjM1Y25kM2dqag%3D%3D

 

Contact tracing will be carried out for close contacts of mpox clade I cases in Singapore and they will be quarantined for 21 days, the incubation period observed in Africa.

Vaccinations will also be given to healthcare workers who are at highest risk of exposure to the disease, and to close contacts of confirmed cases, said Health Minister Ong Ye Kung on Sept 4.

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No update is good, it means so far no infected case from this new clade 1 travelled to Singapore.

 

The only interesting thing is that the Minister identifies homosexual men as being at risk, but doesn't offer the vaccine to them but only healthcare workers and those who have been in close contact with a person already infected with Mpox.

Maybe good to check if you got a smallpox vaccine when young.

 

 

Mpox vaccine to be offered to healthcare workers at highest risk and close contacts of confirmed cases

04 Sep 2024

 

SINGAPORE: Singapore will offer the mpox vaccine to healthcare workers who are at the highest risk of exposure to the disease, as well as close contacts of confirmed cases.

 

...

 

In addition, given that smallpox vaccination was required in Singapore until early 1981, there will be some mpox immunity among a “significant” segment of the population, or those who are 45 years old and above, MOH noted.

"There is good evidence indicating that smallpox vaccination renders cross-protection against mpox," it added.

 

 

...

 

Clade 1 is the deadlier subtype of mpox.

 

A mutated strain - clade 1b - emerged in September 2023 and was first detected among sex workers in the Democratic Republic of Congo. It has driven the recent surge in cases in African countries.

 

Singapore has not detected any clade 1 infection to date. All 14 mpox cases in the country so far this year have been of the less severe clade 2 subtype.

 

...

 

Symptoms of mpox include intense headaches, fever or rash. It is mainly spread from human to human through close contact with an infected person. This can include sex, kissing or just merely touching. 

 

“What makes clade 1 different from clade 2 is that the global outbreak of clade 2 is mostly among men who have sexual relationships with men, within those circuits,” Mr Ong said.

 

However, clade 1 in the Democratic Republic of Congo does not spread primarily through “just sexual networks”, but also through family members living in the same household where there is some close and physical contact, he noted.

 

 

https://www.channelnewsasia.com/singapore/mpox-vaccine-healthcare-workers-close-contacts-no-mask-wearing-4573951

 

 

 

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  • 3 weeks later...
57 minutes ago, Starwal said:

Mpox spread through body contact... covid is air-borne. Wearing mask won't protect you from getting mpox. 😅😅😅

 

The more recent research since the Clade 1 Mpox outbreak says, mpox can also be transmitted by aerosols in close face contact to an infected person.

 

WHO has amended the description in August 2024 due to the new evidence.

 

Close contact includes skin-to-skin (such as touching or sex) and mouth-to-mouth, or mouth-to-skin contact (such as kissing), and can also include being face-to-face with someone who has mpox (such as talking or breathing close to one another, which can generate infectious respiratory particles).

https://www.who.int/news-room/fact-sheets/detail/mpox

 

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On 9/24/2024 at 1:33 PM, singalion said:

 

The more recent research since the Clade 1 Mpox outbreak says, mpox can also be transmitted by aerosols in close face contact to an infected person.

 

WHO has amended the description in August 2024 due to the new evidence.

 

Close contact includes skin-to-skin (such as touching or sex) and mouth-to-mouth, or mouth-to-skin contact (such as kissing), and can also include being face-to-face with someone who has mpox (such as talking or breathing close to one another, which can generate infectious respiratory particles).

https://www.who.int/news-room/fact-sheets/detail/mpox

 

So no differences with Covid?

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Sure there are differences to Covid. The coughing probably releases more respiratory droplets than the breathing or talking of Monkey pox infected person. 

 

It all depends how close proximity you have to an infection person. 

 

While for Covid, there can be respiratory droplets flying around in a small room even when the person left but had been coughing a lot in that room earlier. 

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