Monkeypox is a viral zoonotic illness, i.e. a disease
primarily transmitted from animals to humans. It was first identified in humans
in 1970 in the Democratic Republic of Congo and has been found to occur
sporadically in other parts of Africa, including Nigeria. It is normally spread
by direct contact with bodily fluids (blood, secretions) or mucosal lesions of
infected animals such as monkeys and rodents (squirrels, bush meat).
Human-to-human transmission can occur following contact with infected
respiratory tract secretions or skin lesions of an infected person or objects
recently contaminated by patient fluids or lesion materials. It can also spread
from mother to child through the placenta (congenital monkeypox).
The illness is characterized by fever, headache, body aches,
feeling tired, swollen lymph nodes and its characteristic rash. About 1 to 3
days of fever, the rash erupts, beginning on the face and then spreading to the
body with the face and palms/soles being most affected. This mostly
self-limiting illness often lasts for 2−4 weeks.
The Nigeria Centre for Disease Control (NCDC) has been
supporting the Bayelsa State Government to carry out measures to control the
spread of the disease including actively searching for cases, isolation of
identified cases, contact tracing, laboratory support and increasing disease
awareness in the community and among health care workers.
To prevent Monkeypox, members of the public are advised to
● Avoid contact with wildlife (bushmeat) especially those
found sick or dead especially in the area affected by the Monkeypox outbreak,
i.e. Bayelsa.
● Avoid close physical contact with persons infected with
Monkeypox.
● Wash hands with soap and water after caring for or
visiting sick people.
● Cooking all animal food products properly before eating.
● Appropriate protective clothing and gloves should be worn
while handling sick animals or their infected tissues and during slaughtering
procedures.
● Report all cases with the above-mentioned symptoms to the
nearest health facility for care.
Healthcare workers:
● Health care workers are strongly advised to always
practice universal standard care precautions (including droplet precautions)
when caring for patients, regardless of their presumed diagnosis.
● Wash hands with soap and water after contact with patients
and/or their environment.
● Maintain a high index of suspicion for Monkeypox
especially for patients presenting with fever and vesicular/pustular rash in
areas with reported outbreaks.
● During triage, use precautionary measures such as placing
a surgical mask over the nose and mouth of suspected patients and covering any
exposed skin lesions with a sheet or gown.
● Isolate all patients suspected of having Monkeypox as soon
as possible.
● Wear personal protective equipment (gloves, gown and
masks) before close contact with suspected cases and dispose properly.
● Correctly disinfect all contaminated equipment (including
bedding) using bleach unless otherwise indicated and dispose all waste
properly.
● Samples taken from humans for investigation of Monkeypox
virus be handled by trained staff and sent to the Nigeria Centre for Disease
Control.
● Report all cases to the State Epidemiologist/LGA Public
Health Department immediately
0 Comments