Massachusetts public health officials confirm case of monkeypox

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The US' Massachusetts Department of Public Health on Wednesday confirmed a single case of monkeypox virus infection in an adult male with recent travel to Canada, the Commonwealth of Massachusetts said in a press release. According to the release, the initial testing was completed on late Tuesday at the State Public Health Laboratory in Jamaica Plain while the confirmatory testing was completed at the US Centers for Disease Control and Prevention (CDC).

Currently, the Department of Public Health is closely working with the CDC, relevant local boards of health, and the patient's health care providers in order to identify the individuals who may have contacted the patient while he was infectious. According to the release, the case poses no risk to the public, and the individual is hospitalized and in good condition.

"Monkeypox is a rare but potentially serious viral illness that typically begins with flu-like illness and swelling of the lymph nodes and progresses to a rash on the face and body. Most infections last 2-to-4 weeks. In parts of central and west Africa where monkeypox occurs, people can be exposed through bites or scratches from rodents and small mammals, preparing wild game, or having contact with an infected animal or possibly animal products," the statement reads.

This virus does not spread easily between people but transmission can occour through the contact with the body fluids, monkeypox sores, items that have been contaminated with fluids or sores (clothing, bedding, etc.), or through respiratory droplets following prolonged face-to-face contact. Earlier, no monkeypox cases have been identified in the US in 2022, while in Texas and Maryland, one case has been reported in 2021 in people with recent travel to Nigeria.

While the United Kingdom has identified 9 cases of monkeypox, in early May 2022; the first case had recently traveled to Nigeria. None of the other cases have reported recent travel. UK health officials report that the most recent cases in the UK are in men who have sex with men.

"Based on findings of the Massachusetts case and the recent cases in the UK, clinicians should consider a diagnosis of monkeypox in people who present with an otherwise unexplained rash and 1) traveled, in the last 30 days, to a country that has recently had confirmed or suspected cases of monkeypox 2) report contact with a person or people with confirmed or suspected monkeypox, or 3) is a man who reports sexual contact with other men. This clinical guidance is consistent with recommendations from UK health officials and US federal health officials, based on identified cases," the statement reads.

According to the statement, suspected cases may present with early flu-like symptoms and progress to lesions that may begin on one site on the body and spread to other parts and the illness could be clinically confused with a sexually transmitted infection like syphilis or herpes, or with varicella zoster virus.

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