Monkeypox homosexual spread
July 7, 2022
947,692
25,959
10,332
3.83%
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Dr John Campbell Episodes Around July 7, 2022
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19:45Now PlayingMonkeypox homosexual spread
YouTube Description
as posted by the channelMonkeypox
WHO Reconsiders considering calling a Public Health Emergency
UK
Level 2
Transmission within a defined sub-population with high number of close contacts.
Monkeypox is a zoonotic infection
Monkeypox virus
Endemic in West and Central Africa
UK, between 2018 and 2021
7 cases
Epidemiological links to imported cases
4 were imported
2 were cases in household contacts
1 health care worker
No documented community transmission until 6th May 2022
Outbreak mainly (96%) been in homosexual and bisexual men
(without history of travel to endemic countries)
Cases, history of a sexually transmitted infection (STI) in the last year (54.2%),
and 10 or more sexual partners in the last 3 months (31.8%)
Monkeypox is being transmitted in interconnected sexual networks that sustain STI transmission
UK, up to 4 July 2022
1,351 laboratory confirmed cases
(Rare and Imported Pathogens Laboratory,RIPL)
40 in Scotland
11 in Northern Ireland
15 in Wales
1,285 in England (77% in London)
6 confirmed cases in women
Median age, 36 years (interquartile range 31 to 43)
Monkeypox outbreak: vaccination strategy
Smallpox Modified Vaccinia Ankara – Bavarian Nordic
For pre and post exposure
The committee
Using markers of high-risk behaviour,
Similar to those used to assess eligibility for HIV pre-exposure prophylaxis (PrEP)
These risk criteria would include
a recent history of multiple partners,
participating in group sex,
attending sex on premises venues,
or a proxy marker such as recent bacterial STI
European Centre for Disease Control (ECDC) and the World Health Organization (WHO) Regional Office for Europe (WHO/Europe)
5,949 cases of monkeypox, from 33 European countries
99 cases where sequencing was available,
confirmed to be of the West African clade
Implications for HIV-Positive Men
40% of cases were also (364/917) HIV-positive
99% of those with known sexual orientation stated they were MSM or bisexual
ECDC and WHO/Europe
Reported cases presented with a rash (96.1%)
Systemic symptoms (69%)
fever, fatigue, muscle pain, vomiting, diarrhoea, chills, sore throat, or headache
Hospitalised, 9.9%
intensive care, 0.2%
Fifteen European cases, health workers
Dr Tedros Adhanom Ghebreyesus
I continue to be concerned by the scale and spread of the virus
Testing remains a challenge and it's highly probable that there are a significant number of cases not being picked up
Guests & Subjects Covered
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