Thread by @KrutikaKuppalli

✨@WHO published its first situation report for the multi-country #Monkeypox outbreak with data till 4 July 2022 there has been

👉6027 cases and 3 deaths in 59 countries in 5 WHO regions
👉2614 new cases (77% ⬆️) & 2 new deaths since last DON

Full🧵👇

who.int/publications/m…

✨Demographics
Sex is available for 73% (4406/6027) of cases
👉Of these, 99.5% (4385/4406) are males (median age 37 yrs)
👉Males 18-44 years of age account for 79% of cases
👉0.1% (6/5584) of cases with age data are aged 0-17 years of age.

✨Demographics
Among cases with reported sexual orientation
👉60% (1214/2025) identified as gay, bisexual and other men who have sex with men
👉41% (335/827) of cases with known #HIV status were positive for #HIV

✨Healthcare worker infections
👉 25 cases reported are health workers
👉Health care-associated infections cannot be ruled out
👉Further investigation is ongoing to determine whether infection in health workers was due to occupational exposure.

✨Clinical Presentation
Many not presenting with classic clinical picture for #MPX (fever, lymphadenopathy, followed by centrifugal rash)
Among cases reporting at least 1 symptom,
👉 81% presented with systemic rash
👉 50% presented with fever
👉 41% presented with genital rash

✨WHO Advice - Surveillance and Lab
👉Patients meeting clinical definition for suspected case should be offered testing
👉If high suspicion for #MPX the identification of alternate pathogen should not preclude testing, as co-infection occurs.
👉Primary diagnostic test is #PCR

✨Surveillance and Lab (continued)
👉Most often suspected & reported route of transmission has been sexual contact
👉All known contacts or persons who think they may have been exposed should monitor symptoms for 21 days and seek testing if signs/symptoms of #MPX appear

✨IPC
👉Appropriate IPC measures are essential to mitigate & control transmission
👉Transmission-based precautions (contact & droplet) be implemented for suspect/confirmed cases in health settings including use of respirators by health workers outlined 👇 who.int/publications/i…

✨Clinical Management
👉Patients should receive symptomatic care
👉Monitor & treat complications-secondary bacterial infection, ocular lesions, dehydration, pneumonia, or sepsis
👉Remain in isolation till lesions have crusted, scabs fallen off & fresh layer of skin has formed

✨Vaccines and Therapeutics
👉@WHO encourages member states using #MPX #vaccines and therapeutics to do so within a framework of collaborative clinical studies using standardized design methods and data collection

✨RCCE and Gatherings
👉Focus efforts to raise awareness, manage risk perceptions, maintain trust, and proactively support people to make informed decisions

Huge thanks to the Alert and Response Coordination team in the Health Emergencies Programme @WHO for putting out this this situation report which can be found at
who.int/publications/m…