151/n Germany has ordered 40,000 doses of a Bavarian Nordic vaccine to be ready to vaccinate contacts of those infected with monkeypox.Rest 150 news here ctd)
152/n Spanish woman tests positive for monkeypox, the 1st woman to be conclusively linked to the outbreak ctd)
153/n First case of monkeypox in a school aged child was confirmed in Quebec. And no, they did not isolate the class. That’s a really poor decision. Ctd)
154/n CDC says some of the monkeypox cases in the U.S. had no travel history, thereby indicating community spread and the urgent need to make efforts to stop it spelling into animals ctd)
155/n Quebec's public health director said that 25 cases of monkeypox have now been confirmed. Fourteen of them are in the city of Montreal, all cases are tied to the greater Montreal area
About 20 to 30 more under investigation, vaccination of contacts to start soon ctd)
156/n Positive update on monkeypox in NYC:7 days since first patient was identified there have been no additional cases confirmed.Close contacts of the sole case are receiving an approved vaccine preventively. EARLY & CONSISTENT EFFORTS are the key .ctd)
157/n MGH vaccinating its workers against monkeypox, the first time the shots have been used in the U.S . Quebec in works to do the same ctd)
158/n While SA is willing and ready to help countries that have been hit by the monkeypox outbreak, President Cyril Ramaphosa says he prays it does not come to SA. we all need to be better prepared with global cooperation on #vaccines this time .ctd)
159/n South African disease experts said they didn't think there was a need for mass vaccination campaigns globally #monkeypox & that vaccines should be prioritized,urging the general public to avoid looking for vaccines & squeezing supplies for those most at risk.ctd)
160/n Guangdong( China) -based Shenzhen Patho-Genesis and Guangzhou Daan Gene, have developed #monkeypox virus nucleic acid test kits to meet the future global requirements ctd)
161/n The number of confirmed #monkeypox cases in Spain rises to 84 after the country's Ministry of Health reported another 25 new cases.UK meanwhile breaches 90. Ctd)
162/n pregnant women are at huge risk to #monkeypox, it leads to miscarriages,deaths of children in womb & if by chance pregnancy continues it may lead to child been born with lesions.ctd)
doi: 10.1093/infdis/jix342 ImageImage
163/n pregnant women should be shielded from infection and if exposed then immediate vaccination is a good strategy, other treatment modalities like antibodies and antivirals may not be an easy way out ctd) ImageImage
164/n eye issues due to small pox & in some cases of #monkeypox are expected , it is not a happy situation to have , one that should be zealously protected against ctd) ImageImage
165/n Spanish Authorities have now revealed that the earliest 2 cases of #monkeypox that they had were in people with HIV , did that make the virus a little more fitter?? There is small changes BUT these small changes may allow the same ctd) ImageImage
166/n the @DailyMirror UK reports that European experts are asking #monkeypox patients to stay away from pet rodents & also dogs / cats, fearing the virus may jump species , also talks of culling in extreme cases being discussed ctd) Image
@DailyMirror 167/n @VicLeungIDdoc has kindly shared the Public Health Canada guidelines which accepts #airborne spread of the #monkeypox not falling into the just the contact & droplet dogma , fair game. 🙏❤ ctd) Image
@DailyMirror @VicLeungIDdoc 168/n so we have gene deletions that have been seen ,which virologists feel MAY be lead to better transmission, WHETHER it may happen or not , if we block transmission we may prevent these changes in #monkeypox , the precautionary principle is important ctd) ImageImage
@DailyMirror @VicLeungIDdoc @DonEford @EnemyInAState @NjbBari3 @HZiauddeen @ZafrinChowdhury @DocZing @alexjzimmer @YouAreLobbyLud @elizabethics @YeroviH 169/n The Bavarian Nordic vaccine 1st dose works faster than standard vaccines & if given in 1st 4 days may prevent transmission, within the 1st 2 weeks may prevent serious side effects but may not be able to save the disease per se #monkeypox ctd)
doi: 10.1126/science.add1068 Image
@DailyMirror @VicLeungIDdoc @DonEford @EnemyInAState @NjbBari3 @HZiauddeen @ZafrinChowdhury @DocZing @alexjzimmer @YouAreLobbyLud @elizabethics @YeroviH 170/n As UK crosses 100 cases of #monkeypox , Ireland buys vaccines @WHO says it is still possible to extinguish the #monkeypox outbreak provided we act NOW ctd)
@DailyMirror @VicLeungIDdoc @DonEford @EnemyInAState @NjbBari3 @HZiauddeen @ZafrinChowdhury @DocZing @alexjzimmer @YouAreLobbyLud @elizabethics @YeroviH @WHO 172/n As the community spread becomes obvious @WHO put cut out date of 15th May , the Europeans put it to 1st May and now the British go a step further and go all the way to 15th March ,there is surely so much more that we need to understand epidemiologically . Ctd) Image
173/n A nice diagram to understand how #monkeypox enters cell and multiplies in the cytoplasm, where the drugs act to block the replication ctd)
viralzone.expasy.org/9957 Image
174/n 74 labs across 46 US states are currently using an FDA-cleared test to spot viruses in orthopox family. The CDC then process +ve test results to determine whether #monkeypox, specifically, has been found.However very important need is to make all labs self sufficient ctd)
175/n As we enter a new chapter in #COVID19 pandemic with a new threat we need to remember what @DrMikeRyan said , speed trumps perfection , we need to move fast to contain #monkeypox. We have reached 150 updates will update again tomorrow.🙏. Hope u all enjoyed reading .RT 🙏 Image
Sorry 175 updates 😂😂

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More from @Rpshahmemorial1

May 31
Top 225 updates on #monkeypox, we posted until 200 here , again posting them & will start a thread from 201 onwards below this tweet
Here you go ....
201/n @mdc_martinus posted how #PublicHealthOntario accepted potential for #airborne transmission of #monkeypox, agree that this is the correct public health policy ctd) Image
202/n @BNODesk reported 134 cases globally today with the peak crossing the previous high of 100 , globally 700 plus cases ctd) Image
Read 12 tweets
May 28
After touching 175 we will try and keep everyone updated about #monkeypox, will post the 175 first followed by the updates all the way till 200 .Here we go
Updates below ctd)
176/n @karmonyk has graciously shared a story, these delays have cost the patient the chance to prevent a bad outcome , vaccine best within 4 days and works all the way till 2 weeks , we've lost that window period , we are up for a bad outcome if we treat #monkeypox this way ctd) Image
177/n As Argentina logs up its second case, Mexico joins the league logging its first one ctd)
Read 26 tweets
May 25
After 120 updates on #monkeypox we will now put up 150 updates . The previous 120 are herein below
The next set will start from 121 & further in thread below ctd)
121/n WHO warns that the outbreak is "only the tip of the iceberg" It , however, does not believe that the spread of the monkeypox virus outside of Africa requires mass vaccinations as measures like good hygiene & safe sexual behaviour will help control its spread🤔 ctd)
122/n Moderna's preclinical exploration on a #monkeypox jab will join the biotech's work on a host of vaccines beyond Covid, including shots to defend against the flu, common cold and RSV. Ctd)
Read 31 tweets
May 24
After top 100 updates we will put the top 120 updates , we will start with a thread of top 100 & then move along .
It is a concerning since we may end up seeing either multiple pandemics together or relay race as new organisms try jump into humans ctd)
101/n Whie people like all of us were fighting #Covid , #Hepatitis in kids we all missed how 1284 people got #monkeypox with lethality of 4.5 % ctd)
102/n Interesting paper on efficacy of soaps shows that 1 min hand washing to be effective in cell free virus but not as much in intracellular virus doi.org/10.1016/S0166-…
Ctd)
Read 21 tweets
May 22
Small Thread on who are " ASHA workers " & why did the WHO recognize them . These million plus workers have helped India put more than 1.8 billion doses in arms over rough terrain , mountains , snow filled gorges & overwhelmed rivers, sometimes at huge risk to their lives ctd) ImageImage
2/n They climbed over difficult terrains , over snow full mountains , across deep gorges.... these are strong women of #India 🇮🇳🙏ctd) ImageImage
3/n Sometimes we may see them go into homes , go to fields, barns... no place is unapproachable for these women ..🙏🇮🇳ctd) ImageImage
Read 6 tweets
May 22
Top 100 updates about #MonkeyPox & why I think it has become the biggest outbreak in the last 50 years outside Africa , the earlier 70 are here

And I will start after 70 now in the thread below
71/n Biden finally comments on monkeypox , saying: "It's something that everybody should be concerned about."😢😢. So there is definitely more than we know , it is not everyday that the President comments on stuff. Ctd)
72/n A child has been rushed to the intensive care unit of a London hospital after they were diagnosed with monkeypox, as per reports. 😢😢 ctd)
Read 31 tweets

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