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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 23rd, 2022, 3:13 pm

Catching monkeypox can mean extreme pain, hospital trips — and weeks of isolation

https://www.cbc.ca/news/health/monkeypox-isolation-patients-1.6497838

In late May, not long after he'd gotten through a mild bout of COVID-19, Peter Kelly spiked a sudden fever. He quickly realized it wasn't the tail end of a COVID infection.

Over a period of several days, the Toronto resident became exhausted, and his muscles began to ache. His temperature oscillated between chills and night sweats. Then, strange sores started to appear on different parts of his body — eventually around two dozen that he could see, mostly on his legs, and painful ones hidden from view in his rectum.

As a professional dancer, Kelly is used to pain. He's been injured a lot — most recently, a broken rib that's still healing — and has serious eczema, a skin condition that can cause an itchy or burning sensation.

But Kelly had never experienced something as excruciating as the unexplained lesions emerging on sensitive areas of his body.

"This was on another level," he later recalled. "You can't control it. It feels like razor blades in a way, shocking you constantly."

What followed was nearly a month of tests, three emergency room trips, one infected sore, and finally, a lab-confirmed diagnosis: Monkeypox virus or, as it's known throughout the scientific community, MPXV.

"The physical aspect of what I went through was pretty bad, for certain moments. But what I realized was the mental health aspect of all of this was probably the main thing I was dealing with," he said.

"It's such a long quarantine period."

He's not the only one facing pain, uncertainty and what can be a period of weeks-long isolation.

More than 200 Canadians and counting have been infected with MPXV as a result of a global outbreak that began in May. It's a virus known for long-lasting, often painful symptoms, and people are contagious until they recover.

Physicians, advocates, and health officials are now calling for more financial and housing support to ensure people can quarantine safely, if needed, for weeks on end — with COVID offering some key lessons on how to handle this emerging public health emergency.

Patients isolate until no longer contagious
The world is now used to terms like isolation and quarantine, thanks to the COVID pandemic.

Recommendations meant to curb transmission of the coronavirus typically outlined isolation periods of five to 10 days, with governments and businesses offering various supports from isolation hotels to paid sick leave to the Canada Emergency Response Benefit, or CERB, which provided funding to people who couldn't work for COVID-related reasons.

For MPXV, current federal guidance suggests public health authorities isolate patients until they're deemed no longer contagious, which can take weeks — even a month or more in some cases.

"Many folks during that long period, if they're forced to isolate, are not going to be able to go to work, are not going to be able to pay their bills, pay the rent, put food on the table," said Dr. Darrell Tan, an infectious diseases specialist who has treated multiple patients with MPXV at St. Michael's Hospital in Toronto.

"And these very, very real challenges that people face, because of their willingness to adhere to public health principles, is something that I think we, as a society, have to take responsibility for."

Quebec health officials say there are 171 confirmed monkeypox cases in province
Governments can take cues from measures used against COVID, he added, whether that's more sick leave or support to ensure people can access essentials while alone at home.

"Things that can allow folks to successfully isolate at a time when they want to do the right thing, they want to protect their friends and family from getting something that they just suffered through."

'I've lost all my work'
Through his painful weeks-long MPXV ordeal, Kelly remained in isolation in his downtown Toronto apartment — only leaving for medical appointments — hoping to keep others from going through the same experience.

Speaking to CBC News on a video call, the 28-year-old said he had to cancel his gig work throughout most of June and, worried about how he'd pay his rent, mainly relied on friends to drop off food and cash for his building's coin-operated laundry machine.

Monkeypox can 'masquerade' as other conditions, with wide range of symptom severity
"Financially, I've lost all my work," said the self-employed dancer and personal trainer, whose salary job at a Toronto dance company doesn't include the summer season. "There's a lot of layers to this."

While those stresses piled up, he endured an uncomfortable daily routine of wound care, constantly changing the bandages on his many lesions and doing regular rounds of laundry to kill any traces of virus on his blood-covered sheets.

Kelly also visited an emergency room several times: once to get an MPXV test to figure out what was going on, a second time because of extreme pain caused by his internal lesions, and a third time several weeks into his illness after a wound on his foot became red and infected.

Toronto Public Health hosts 2 clinics to vaccinate against monkeypox
Even before his lab results officially confirmed an MPXV infection in mid-June, Kelly said Toronto Public Health did provide support, including phone check-ins, access to a social worker who could link him to medication deliveries, and a grocery store gift card that he wasn't sure how to use since he couldn't leave the house.

But as the weeks passed, and several of his lesions still wouldn't fully heal, he said the isolation period in his basement apartment became nearly unbearable. Still, he said it was easier than having to separate from roommates or family members in the same house.

"Luckily, I live alone and I have a full apartment," he said. "I can't imagine people who are isolating for over 21 days in a room."
Image

Toronto exploring use of COVID isolation site
As cases began popping up in Montreal, then Toronto, then other Canadian cities in recent weeks, federal officials met with medical experts, provincial officials, and local health departments to explore "all the different ways we can break the chains of transmission," Canada's chief public health officer Dr. Theresa Tam said in response to questions from CBC News last week.

Governments are working alongside community organizations, she said, to develop non-stigmatizing messaging, while vaccination campaigns against MPXV are underway in both Ontario and Quebec. More than 8,000 doses have been provided so far, mainly around Montreal and Toronto.

CBC EXPLAINSWhat's the monkeypox vaccine and who should get it?
"I think all levels of government need to do what they can to support people in isolation, because we've learned, of course, throughout COVID-19 that people want to follow public health measures — but they need to be supported in certain instances to do so," Tam said.

Federally funded isolation sites could be one avenue, according to Toronto Public Health. The team there is exploring whether it's possible to use a voluntary COVID isolation facility for people who test positive for MPXV as well, if they can't isolate at home.

World Health Organization holding emergency session next week on monkeypox
Tan, the infectious disease specialist from St. Michael's Hospital, said he wishes those kinds of efforts "were moving faster."

"I will say also that it's ironic that we have to even ask for these things to be put in place, because, again, we learned this lesson the hard way during COVID," he said.

"And I think the court of public opinion really landed on the side of recognizing just how important these things are."

Cases largely involve men who have sex with men

When this virus enters someone's body, it can take up to 21 days before symptoms appear. Cases can range in severity, and some people experience few — if any — of the telltale lesions.

But when they do emerge, for the majority of patients, the often painful, evolving rash typically lasts around two weeks to a month, and people are thought to be contagious from the onset of their symptoms until the last scab has fallen off.

During that time, multiple forms of close contact can spread the virus: skin-to-skin contact such as touching or sex, respiratory droplets in a conversation, or even being exposed to someone's contaminated clothes or bedding.

Perhaps through a stroke of initial bad luck, or due to a shift in how this virus transmits between humans — scientists aren't sure about the precise reasons — infections began emerging globally among sexual networks, primarily impacting men who have sex with men.


Last edited by redmanjp on June 23rd, 2022, 8:04 pm, edited 1 time in total.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 23rd, 2022, 7:57 pm

^^all dem band aid and ting d man using oui. painful sores that might need hospital treatment. allyuh eh want to get this.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 23rd, 2022, 7:59 pm

https://guardian.co.tt/news/monkeypox-added-to-list-ofdangerous-infectious-diseases-6.2.1510177.3b9ea659cb

Monkeypox added to list of dangerous infectious diseases

Monkeypox has been added to the list of dangerous infectious diseases in accordance with Section 103 of the Public Health Ordinance. The Cabinet has also approved the making of an Order by the Quarantine Authority to allow special measures to be taken in light of the emergency of the spread of the Monkeypox Virus.

The following is a press release from the Ministry of Health: 

The Cabinet of the Republic of Trinidad and Tobago has approved with immediate effect the recommendation of the Honourable Terrence Deyalsingh, Minister of Health, to proclaim the Monkeypox Virus a dangerous infectious disease, in accordance with Section 103 of the Public Health Ordinance, Chap. 12 No. 4.

The Cabinet has further approved the making of an Order by the Quarantine Authority to allow special measures to be taken in light of the emergency of the spread of the Monkeypox Virus and in particular, to allow for surveillance of the crew and passengers on board a ship of aircraft, for twenty-one (21) days from the last date of possible exposure to infection, in accordance with Section 6 (1) of the Quarantine Act, Chapter 28:05.

The Attorney General is to prepare the necessary Orders to give effect to the above.

Monkeypox is a viral zoonosis (a virus transmitted to humans from animals or human to human) with symptoms very similar but usually clinically less severe than those seen in smallpox patients.

The public is further advised that the main symptoms of Monkeypox are fever, rash, and swollen lymph nodes. The virus is transmitted to humans through close contact with an infected person or animal or contaminated material such as bedding. The virus may also be transferred from one person to another by close contact with lesions, body fluids and respiratory droplets.

Additionally, if you or anyone close to you have had a recent travel history from any country where cases have been detected and are symptomatic, as described above, please visit your nearest health care provider. For a full list of these countries, please visit the WHO website at http://www.who.int/emergencies/emergency-events/item/monkeypox.

The public should note that no case(s) of the Monkeypox Virus have been confirmed in Trinidad and Tobago at this time.

As more information becomes available, the Ministry of Health will keep the public abreast of any new developments regarding this emerging public health threat via the MoH website at www.health.gov.tt and social media channels.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby aaron17 » June 24th, 2022, 3:07 pm

So we have any vaccines yet in tnt?

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Re: Monkeypox cases reported in Europe, US and Canada

Postby adnj » June 25th, 2022, 3:54 am

......

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 25th, 2022, 12:25 pm

So WHO had their meeting to decide whether to call this a global emergency on Thursday. What was the outcome?

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 25th, 2022, 1:58 pm


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Re: Monkeypox cases reported in Europe, US and Canada

Postby aaron17 » June 25th, 2022, 3:20 pm

U know i get chain up thinking it was the WHO

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 26th, 2022, 1:36 am

aaron17 wrote:U know i get chain up thinking it was the WHO


but like WHO meeting still going on for 3 days straight :roll:


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Re: Monkeypox cases reported in Europe, US and Canada

Postby Duane 3NE 2NR » June 27th, 2022, 5:23 pm

9b557769-0e76-4460-8db4-4929076291d6.jpg

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Re: Monkeypox cases reported in Europe, US and Canada

Postby bluefete » June 27th, 2022, 5:25 pm

So unlike AIDS, is this a highly contagious virus?

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Re: Monkeypox cases reported in Europe, US and Canada

Postby Duane 3NE 2NR » June 27th, 2022, 6:09 pm

bluefete wrote:So unlike AIDS, is this a highly contagious virus?

Monkeypox spreads in different ways. The virus can spread from person-to-person through:
• direct contact with the infectious rash, scabs, or body fluids
• respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
• touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
• pregnant people can spread the virus to their fetus through the placenta
https://www.cdc.gov/poxvirus/monkeypox/ ... ssion.html

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Re: Monkeypox cases reported in Europe, US and Canada

Postby paid_influencer » June 27th, 2022, 6:25 pm

so d plane contaminated with monkeypox now? lol

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Re: Monkeypox cases reported in Europe, US and Canada

Postby DTAC » June 27th, 2022, 7:35 pm

redmanjp wrote:
aaron17 wrote:U know i get chain up thinking it was the WHO


but like WHO meeting still going on for 3 days straight :roll:

Well they want to give it a nice, non-regional (ie. Non-Africa" non-threatening (ie Pox) name before declaring it's uncontrollable.

"Monkeypox Outbreak" vs. "H4N7 Outbreak". Which headline you think sounds less frightening?

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Re: Monkeypox cases reported in Europe, US and Canada

Postby bluefete » June 27th, 2022, 7:51 pm

Duane 3NE 2NR wrote:
bluefete wrote:So unlike AIDS, is this a highly contagious virus?

Monkeypox spreads in different ways. The virus can spread from person-to-person through:
• direct contact with the infectious rash, scabs, or body fluids
• respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
• touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
• pregnant people can spread the virus to their fetus through the placenta
https://www.cdc.gov/poxvirus/monkeypox/ ... ssion.html


Thank you. Oh, good ole CDC. LOL.

Anyways, I am trying to make sense as to how the flight attendant got it.

Unfortunately, it is not making sense to me. So did the crew member immediately get infected, on the flight, and the skin blistered?

Or was the crew member infected before and the blisters only appeared during the flight?

From CDC:

The first symptoms include fever, malaise, headache, sometimes sore throat and cough, and lymphadenopathy (swollen lymph nodes). Lymphadenopathy is a distinguishing feature of monkeypox from smallpox. This typically occurs with fever onset, 1–2 days before rash onset, or rarely with rash onset.


CDC https://www.cdc.gov › poxvirus › monkeypox › clinicians

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Re: Monkeypox cases reported in Europe, US and Canada

Postby pugboy » June 27th, 2022, 8:07 pm

for most viral diseases the skin part(pox, chikv rash etc) shows up after you are well infected, past incubation

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Re: Monkeypox cases reported in Europe, US and Canada

Postby bluefete » June 27th, 2022, 9:10 pm

pugboy wrote:for most viral diseases the skin part(pox, chikv rash etc) shows up after you are well infected, past incubation


Thank you. So the flight attendant might be - - shakes hand like Fred Sanford!

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Re: Monkeypox cases reported in Europe, US and Canada

Postby DMan7 » June 27th, 2022, 9:26 pm

bluefete wrote:
pugboy wrote:for most viral diseases the skin part(pox, chikv rash etc) shows up after you are well infected, past incubation


Thank you. So the flight attendant might be - - shakes hand like Fred Sanford!



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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » June 29th, 2022, 4:07 pm

https://trinidadexpress.com/newsextra/no-covid-test-to-enter-t-t-quarantine-facility-at-caura-for-monkeypox-victims/article_6c6907ac-f7c2-11ec-8b95-678f83e555cc.html

No Covid test to enter T&T, quarantine facility at Caura for monkeypox victims

The monkeypox virus has been deemed a dangerous infectious disease in Trinidad and Tobago.

Speaking during Wednesday’s virtual Covid-19 press conference, Health minister Terrence Deyalsingh said: “Last Thursday I would have taken a note to Cabinet on matters relating to monkeypox, and Cabinet would have considered the note and would have agreed to proclaim monkeypox virus as a dangerous infectious disease, under Section 103 of the Public Health Ordinance, with immediate effect.

"Also, you would have seen that Legal Notice 126 has been issued by the Office of the President, who would have signed off on that.

"The Cabinet Note also spoke to the approval of an order by the quarantine authority to allow special measures to be taken in light of the emergency of the spread of the monkeypox under Section 6(1) of the Quarantine Act, Chap 28:05."

He said the decision will allow them quarantine persons with a foreign travel history, who are entering Trinidad and Tobago and are either a suspected or confirmed case of the virus.

"Under the Public Health Regulations, these are to isolate and treat persons with no link to travel.

"The Cabinet Note and the decision under these two pieces of legislation, also allow the minister to designate a facility specifically for the treatment and isolation of persons with monkeypox. We have taken a decision that the Caura facility (Caura Hospital) will be designated as the facility to isolate and treat any suspected or confirmed case of monkeypox.

"We urge people to pay attention to the global issues surrounding monkeypox. Please note there was one case on a flight into a Caricom country but nobody disembarked, and so far there is no threat to Trinidad and Tobago from that particular incident."

The Health Minister also stated that effective Friday (July 1), persons entering Trinidad and Tobago will no longer have to produce a negative PCR or antigen test as a requirement for entry.

“So that is one other relaxation of measures,” Deyalsingh said.

On the issue of childhood vaccination as it relates to polio, Deyalsingh said the country is at 94 per cent, one per cent short of the targeted figure of 95 per cent.

Stating that between two and three hundred children need to be vaccinated for the country to achieve it target, Deyalsingh urged parents to have their children vaccinated.

“Regrettably, what is happening globally and in Trinidad and Tobago, the misinformation and disinformation being put out by individuals in Trinidad and Tobago about the Covid vaccine for children has contaminated the information pool about vaccinations in general. And what is happening globally, regionally and locally, the unsuspecting parent is not making the distinction between the Covid vaccine for children and other vaccinations. And this is a regrettable outcome of the misinformation and disinformation being put out there by persons who should really know better.

“Unfortunately we now have to work so much harder to get parents to vaccinate their children against childhood diseases that they have been vaccinating against for decades.”

Noting that the country’s vaccination programme has been for decades one that they boast about, Deyalsingh urged parents and guardians to be reminded that it is their guarantee against their child attracting preventable childhood diseases such as polio, measles, mumps, rubella, yellow fever and all of those things.

“Please read these bits of disinformation with a discerning ear and make an informed decision to continue the practice of childhood vaccinations that has been encouraged in this country for decades.”

The Health Minister also provided the following update with respect to the status of the country’ health facilities in the aftermath of Tuesday’s expected weather system:

South West Regional Health Authority – all health centres are open for normal service with the exception of the Rochard Douglas Health Centre
North West Regional Health Authority – full service at all their health centres will resume tomorrow (Thursday) inclusive of their mass vaccination sites.
Eastern Regional Health Authority – all facilities are open inclusive of vaccination sites.
North Central Regional Health Authority – all clinic health centres are open, hospital clinics will reopen from Thursday.
Deyalsingh noted that the Rochard Douglas Health Centre is functional but had to be closed due to the access road being under flood waters, while the Covid tents North West and North Central RHAs were dismantled on Tuesday in the anticipation of the storm, and will now have to be re-erected.

He stated that two of the mass vaccinations sites under the North Central RHA will not reopen due to low or non-existent demand.

“The UTT Campus at Munroe Road will no longer be a mass vaccination site. They need that Campus to start back face-to-face classes. Also, the Larry Gomes Stadium is going to be returned to SportTT, so sporting activities can start back there in full,” Deyalsingh said.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » July 4th, 2022, 3:18 pm

...without any mitigation measures the total number of monkeypox cases worldwide could reach 100,000 by August and 1 million by late September.


https://www.wsws.org/en/articles/2022/07/04/monk-j04.html

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » July 4th, 2022, 3:49 pm

they said it wont become a pandemic, but this exponential trend suggest otherwise

https://content.fortune.com/wp-content/uploads/2022/07/monkeypox.png

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Re: Monkeypox cases reported in Europe, US and Canada

Postby aaron17 » July 4th, 2022, 4:49 pm

So it spreading much like covid then?

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » July 4th, 2022, 5:29 pm

aaron17 wrote:So it spreading much like covid then?


it has mutated so it could be spreading in other ways. things is the death rate is very low but hospitalization rate is 10%.

if it spreading via face to face contact then we go see mask mandate come right back.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby aaron17 » July 4th, 2022, 6:42 pm

Oh so it could mutate to survive better in the host...spreadability.

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Re: Monkeypox cases reported in Europe, US and Canada

Postby Dizzy28 » July 6th, 2022, 4:53 pm

Jamaica announces their 1st case of Monkeypox

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Re: Monkeypox cases reported in Europe, US and Canada

Postby bluefete » July 6th, 2022, 5:25 pm

Dizzy28 wrote:Jamaica announces their 1st case of Monkeypox


The irony!

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Re: Monkeypox cases reported in Europe, US and Canada

Postby paid_influencer » July 6th, 2022, 5:31 pm

Dizzy28 wrote:Jamaica announces their 1st case of Monkeypox


stink and dutty #2 going to be interesting

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Re: Monkeypox cases reported in Europe, US and Canada

Postby Duane 3NE 2NR » July 6th, 2022, 5:59 pm

Dizzy28 wrote:Jamaica announces their 1st case of Monkeypox

d617aad4-6f98-4c63-8c85-70dad89c5b58.jpg

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Re: Monkeypox cases reported in Europe, US and Canada

Postby redmanjp » July 6th, 2022, 6:41 pm

Is he a member of the MSM community?

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