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China issues monkeypox guidance
Published on: 2022-06-17
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China's health authorities on Wednesday issued monkeypox diagnosis and treatment guidelines via official social media accounts as cases have been reported across nearly 30 non-endemic countries and regions since May, with experts calling for monitoring the potential risk of the virus being imported into China.
 

No monkeypox cases have been reported in China. At present, there are no specific treatments available, and treatment for it remains supportive and targeted on symptoms, according to the guidelines.
 

More than 1,600 confirmed cases and almost 1,500 suspected cases have been reported to the World Health Organization (WHO) so far this year, across 39 countries and regions, according to a report by the UN on Tuesday. The WHO has evaluated the monkeypox risk as moderate at the global level, said the latest report by the WHO on June 10.
 

WHO experts will meet on June 23 to evaluate whether the outbreak represents "a public health emergency of international concern," which is the highest level of global alert, applying only to the COVID-19 pandemic and polio, said the report.
 

China's customs authorities have enhanced their monitoring. It is still necessary to conduct strict prevention and control measures for inbound personnel from countries and regions where monkeypox cases were reported and issue travel warnings to people going to areas with monkeypox outbreaks, said a Beijing-based expert on condition of anonymity.
 

The virus is transmitted to humans through close contact with an animal or an infected person, or droplets, or with virus-contaminated objects. It can also be passed from a mother to a baby via the placenta, and sexual transmission cannot be ruled out, according to the guidance.
 

The incubation period for the disease is mostly from six to 13 days but it also can range from five to 21 days, with early syndromes such as chills and fever (a body temperature above 38.5 C), along with the syndromes like headache, fatigue, back pain and myalgia.
 

国家卫健委印发猴痘诊疗指南

今年5月以来,世界多个非流行国家报告了猴痘病例。为提前做好猴痘医疗应对工作准备,提高临床早期识别和规范诊疗能力,国家卫生健康委会同国家中医药管理局组织制定了《猴痘诊疗指南(2022年版)》。
 

指南介绍,猴痘是一种由猴痘病毒感染所致的人兽共患病毒性疾病,临床上主要表现为发热、皮疹、淋巴结肿大。主要传染源为感染猴痘病毒的啮齿类动物。灵长类动物(包括猴、黑猩猩、人等)感染后也可成为传染源。
 

猴痘病毒如何传播?指南指出,病毒经黏膜和破损的皮肤侵入人体。人主要通过接触感染动物病变渗出物、血液、其它体液,或被感染动物咬伤、抓伤而感染。人与人之间主要通过密切接触传播,也可通过飞沫传播,接触被病毒污染的物品也有可能感染,还可通过胎盘垂直传播。尚不能排除性传播。
 

指南指出,猴痘为自限性疾病,大部分预后良好。严重病例常见于年幼儿童、免疫功能低下人群,预后与感染的病毒分支、病毒暴露程度、既往健康状况和并发症严重程度等有关。既往接种过天花疫苗者对猴痘病毒存在一定程度的交叉保护力。

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