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Quarantine can last 28 days when first case of monkeypox is detected

Ministry of Health Coronavirus Scientific Committee Member Prof. Dr. Serap Simsek Yavuzmade statements about the cases of monkeypox, which reached 21 countries in 20 days. prof. Dr. Pointing out that Turkey is one of the high-risk geographies in terms of cases, as it is a transit country for international travels, Yavuz noted that if the disease is detected in our country, the first case will have to be kept in quarantine for about 4 weeks, which is the recovery period.

President of the Turkish Society of Clinical Microbiology and Infectious Diseases (KLİMİK) and a member of the Ministry of Health’s Coronavirus Science Board Prof. Dr. Serap Şimşek Yavuz made statements about the latest situation in Kovid-19 and the monkeypox epidemic, which is watched with concern in the world. Stating that the number of deaths and cases in coronavirus tend to decrease all over the world, Prof. Dr. Yavuz noted that there is a concern about the new variants “will it cause new waves in summer or autumn” and that the process is closely followed.

prof. Dr. Yavuz, “In addition, the World Health Organization has an organization just like the flu vaccines in order to determine the content of the vaccines to be made from now on. In other words, we will see how the flu vaccines are renewed every year, whether there is a need for such a renewal, towards autumn. Because right now, BA is in the world. 2 variants are also decreasing now. Other variants, BA. 4, 5, BA.12 variants, which came out in the USA, have become dominant because their contagious properties are higher. They are also avoiding vaccine immunity. Therefore, will a change in the vaccination schedule be required? we’re searching” said.

“There is an epidemic, but we do not expect it to turn into a pandemic”

Giving important information about the monkeypox epidemic, Prof. Dr. Yavuz pointed out that in 20 days since the first case detected in England on 7 May, new cases were detected in 21 countries.Although a great pandemic is not expected as in the coronavirus, the biggest problem here is; Since the virus can also pass through animal hosts, it may be difficult to control. he said.

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prof. Dr. Yavuz, “In 20 days, cases were detected in 21 countries. This shows us that it is quite an epidemic. We do not know the exact size of it. This is just the cases that have been caught. Cases caught by countries with good surveillance (follow-up) systems. In fact, it is estimated that there are many more cases than is known. According to the available data, it is thought that the pandemic capacity is not very high. Because it cannot be transmitted very effectively through the respiratory tract, or it is considered to be non-infectious in the asymptomatic period. It is estimated that since it is a DNA virus, it will not undergo many mutations. But of course, microorganisms need to be followed closely. Because coronaviruses were not known to be this contagious before. For example, SARS was not spreading at all.” said.

“For the first contact, vaccination and 21 days quarantine”

prof. Dr. Yavuz explained that no cases have been detected in Turkey yet, but what should be done if the first case occurs, with the following words:

“If you think about it, it is a disease that has never been seen in Turkey. The first patient will have to stay in isolation until the rash completely dries up. Because it is a disease that has never been seen in the society, which will be the first time. It is a disease that has not spread before, so maybe we can prevent its spread in this way. Lesions will dry out, their crusts will fall off, because there can be contamination from there, which takes 2 to 4 weeks.After the symptoms appear and the rash starts, the person who is sick needs to be isolated between 14-28 days.If contacted, vaccination before symptoms occur and up to 21 days there may be isolation.

“It has been shown that 10 percent of the household is infected”

Pointing out that the transmission route of the disease is through close contact with rashes, Prof. Dr. Yavuz said, “There are plenty of viruses in the rashes. It is transmitted by close contact with the rash or the patient’s interests (body fluids). It has been determined that it is transmitted by close contact,” he said.

Pointing out that although the spread of the disease is more difficult than Kovid, it is a virus that can be almost more deadly than Kovid. Dr. Yavuz, “Another problem is that although it is a virus related to smallpox, it can be found in animal reservoirs. We don’t even know which is the real animal reservoir. When there is such a disease, if it can be effective in animals, we also know from Kovid, then it is more difficult to control. In addition, after the person becomes symptomatic, that is, after the symptoms of the disease begin, the contagiousness lasts for a long time. All of the crusts can be contagious until all the rashes on the body disappear. But since it is easy to catch the patients, it is thought that it can be controlled when you recognize the rash immediately, isolate the patient, and vaccinate the surrounding area as we call ‘ring vaccination’. he said.

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“Physicians also need to be informed”

“We, as Turkey, need to identify cases quickly and increase surveillance (follow-up),” said Prof. Dr. Yavuz continued his words with the following warnings:

“We need to increase people’s awareness. We need to increase the training of physicians who will see the case because it is a disease that has not been seen for a long time. Today, as KLİMİK Association, we are holding a training meeting for our physicians in this direction, for example. In Turkey, there was vaccination until 1980, vaccinated after 80” “There is no one who has been vaccinated. Therefore, it has been 42 years since the vaccination of the most recently vaccinated group. There are those who have been vaccinated and caught the disease. How much does the vaccine protect, it will still have partial protection. But it is not expected to be at the level of 80-90 percent, frankly.”

“Turkey also received some smallpox vaccine”

He also mentioned that after the anthrax attack in the USA in 2001, countries were alarmed about the smallpox virus and that smallpox vaccine was provided against the threat of biological attack. Dr. Yavuz concluded his words by saying that Turkey also received a certain amount of smallpox vaccine in those years:

“Some countries stocked up on smallpox vaccines. I think a certain amount of vaccine was taken in Turkey in 2011. In fact, the monkeypox epidemic was foreseen. Because it suddenly appeared in Nigeria in 2017, a model of the current one had already been experienced there. There was such a preparation. For this reason, EMA and FDA approved the MVA (non-replicated attenuated live vaccine) vaccine, which has fewer side effects, in 2019. However, since that vaccine has not yet been widely used in mass vaccinations, I wonder what its effectiveness will be regarding its protection. mostly children and pregnant women. That’s why extra attention needs to be paid in this group.”

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