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Monkeypox - should we be worried?

80 replies

curiousitygotthebetterofme · 23/07/2022 21:02

I’m not sure, but what are we meant to make of today’s announcement that the WHO have now declared it a global health emergency?

The thing that worries me is that I’m pretty sure the same thing happened with covid in early 2020 then less than 3 months later it was a global pandemic. Hopefully this isn’t the same

OP posts:
OneFrenchEgg · 23/07/2022 22:42

Smallpox vaccine was last routinely given in 1971 in the UK - I had to check this recently. I'm slightly more concerned than a month ago as it will be making its way into families of those affected and into the wider population.

Neverendingdust · 23/07/2022 23:06

The numbers are doubling around every 2 weeks, I think. Right now the demographic with the highest rates are gay males. However once these numbers starting going into the hundreds of thousands and millions, the spread will be across all demographics. I’m quite concerned in all honesty. Something feels off with this, the rate at which it’s spreading globally is new territory, surely it should have happened before considering how it is in Africa? Has it mutated?

ALongHardWinter · 23/07/2022 23:08

I read the announcement and thought 'Oh ffs! Here we go again'.

Interested in this thread?

Then you might like threads about this subject:

curiousitygotthebetterofme · 23/07/2022 23:14

ALongHardWinter · 23/07/2022 23:08

I read the announcement and thought 'Oh ffs! Here we go again'.

Me too! I really cannot be arsed with another pandemic and more bloody lockdowns… 😢

OP posts:
curiousitygotthebetterofme · 23/07/2022 23:18

Neverendingdust · 23/07/2022 23:06

The numbers are doubling around every 2 weeks, I think. Right now the demographic with the highest rates are gay males. However once these numbers starting going into the hundreds of thousands and millions, the spread will be across all demographics. I’m quite concerned in all honesty. Something feels off with this, the rate at which it’s spreading globally is new territory, surely it should have happened before considering how it is in Africa? Has it mutated?

I just don’t like the thought of this becoming another pandemic.. I remember when they declared COVID an “international emergency” in January 2020 and I was concerned about it becoming serious enough to warrant a pandemic but most people were dismissive and said that it won’t be a pandemic and look what happened

OP posts:
Notcontent · 23/07/2022 23:31

I am not an expert on this at all but it is slightly worrying.

OneFrenchEgg · 24/07/2022 06:03

The self isolation guidance is actually more stringent than for Covid. Don't shake laundry in case you spread particles. Three steps away from people. Don't recycle until you are well. I feel a bit stressed about where this is heading tbh.

GoodVibesHere · 24/07/2022 06:23

Does anyone know what the connection is with gay men, is it the rate of spread? Why gay men in particular?

By all accounts anal sex between men and women is now quite common, would that mean spread would be equally as likely? It's an interesting thought.

Overall I don't know what to make of this monkeypox. I expect it doesn't help reduce predjudices against gay people, you know the type of person who sees the news and hears the words 'monkeypox' and 'gay men' and that's it they've decided gay men are spreading disease, and they use that to add to their hatred.

FavouritePi · 24/07/2022 07:00

GoodVibesHere · 24/07/2022 06:23

Does anyone know what the connection is with gay men, is it the rate of spread? Why gay men in particular?

By all accounts anal sex between men and women is now quite common, would that mean spread would be equally as likely? It's an interesting thought.

Overall I don't know what to make of this monkeypox. I expect it doesn't help reduce predjudices against gay people, you know the type of person who sees the news and hears the words 'monkeypox' and 'gay men' and that's it they've decided gay men are spreading disease, and they use that to add to their hatred.

I could be wrong but I thought the most likely thing would be that the first case or one of them (as I understand 3 members of the same family were found to have had it first) was a gay male, who had sex with a man. Then spread the same way, with the whole six degrees of separation? I can't imagine it's necessarily the type of sex.

As it can be spread through close contact, bedding, etc., I worry this will spread quickly to the wider public over the coming months and especially in childcare settings. Very weird that this has occurred to this extent though. I think it's entirely possible that more people have it than realise or perhaps want to admit. Also, (and this really isn't a GP bash) but I doubt the way some GP surgeries are being run at the moment, that cases are being picked up that way. Surely some telephone consults would be missing Monkeypox entirely?

I don't like the thought of the increased prejudice either. The first one with it being a disease that was mostly isolated to Africa, then the fact that it's impacting gay and bisexual men and mostly spread by having sex. We have some very bigoted people who won't be able to stop themselves sharing their thoughts.

RoseAndRose · 24/07/2022 07:04

Does anyone know what the connection is with gay men, is it the rate of spread? Why gay men in particular?

It is spread by skin to skin contact.

Yes it could easily spread in to other communities, and definitely should not be seen as a something that is linked to homosexuality.

Its just that right now, by little more than fluke, it has reached a section of the population, and it is a group which tend to touch each other (and have less contact by touch with other groups, as there is a lower rate of parenthood)

Flopisfatteningbingforchristmas · 24/07/2022 07:08

FavouritePi · 24/07/2022 07:00

I could be wrong but I thought the most likely thing would be that the first case or one of them (as I understand 3 members of the same family were found to have had it first) was a gay male, who had sex with a man. Then spread the same way, with the whole six degrees of separation? I can't imagine it's necessarily the type of sex.

As it can be spread through close contact, bedding, etc., I worry this will spread quickly to the wider public over the coming months and especially in childcare settings. Very weird that this has occurred to this extent though. I think it's entirely possible that more people have it than realise or perhaps want to admit. Also, (and this really isn't a GP bash) but I doubt the way some GP surgeries are being run at the moment, that cases are being picked up that way. Surely some telephone consults would be missing Monkeypox entirely?

I don't like the thought of the increased prejudice either. The first one with it being a disease that was mostly isolated to Africa, then the fact that it's impacting gay and bisexual men and mostly spread by having sex. We have some very bigoted people who won't be able to stop themselves sharing their thoughts.

I believe similar to HIV its behaviour related. Gay men are more likely to have multiple sex partners so will be rubbing their naked skin against others with is one of the main ways of contracting it.

AllyCatTown · 24/07/2022 07:11

By all accounts anal sex between men and women is now quite common, would that mean spread would be equally as likely? It's an interesting thought

It’s not an STD as previous posts have said. So anal sex has nothing to do with it. It’s touch. Gay males have more partners on average than other groups which might count for it spreading more in that group.

110APiccadilly · 24/07/2022 07:18

My understanding is that it's not an STD but it does generally need close contact to spread, which means a high proportion of cases are transmitted between sexual partners as that's a close contact situation. It's also my understanding that quite a high proportion of people who have it also have AIDS. Basically it looks to me like it's found its way into some groups with weakened immune systems and higher than average numbers of people they're in close personal contact with.

Obviously that's concerning for those in those groups, and it's also worth thinking about who else might fit that description (nursing homes, for instance, and some hospital wards, are full of people with weakened immune systems and, for personal care reasons, higher than average levels of close personal contact) and what precautions might need to be taken in those settings - though let's please not panic and isolate the elderly for months on end yet again. But I don't think the risk to the general population is high.

Festoonlights · 24/07/2022 07:24

Vaguely concerned but have no energy to care very much. I don’t think we will be doing another lockdown either way.

nether · 24/07/2022 07:37

though let's please not panic and isolate the elderly for months on end yet again. But I don't think the risk to the general population is high

Do remember that the 500,000 most immune suppressed people in UK are still advised to shield. That's similar somewhere maybe the size of Bristol still being under restrictions. This is because the government is refusing to fund Evushield (ironically created in UK) - a preventative treatment in wide international use, which would mean the end of shielding, as they would then be on the same footing as the immunised population.

So don't count on any governmental inhibitions on isolating swathes of society, especially if they can be 'othered' and not talked about

RedToothBrush · 24/07/2022 08:30

Ok there seems to be a lot of information on this thread which isn't great.

Firstly whilst monkeypox isn't new, its been largely confined to West Africa populations so far. They believe that the fatality rate has been between 3 and 6% but it has been higher with some variants. Obviously this is a population with different access to health care and underlying health to the UK.

There are two real concerns with this current outbreak. Firstly whilst its currently confined to mainly gay men, there is still a risk it will enter different populations. I don't think its a coincidence that the WHO alert level has been raised immediately after 2 child cases in the US and 1 in the Netherlands have been identified. In the Dutch case they don't know where its come from and they explicitly ruled out sexual abuse. The family had recently been on holiday to turkey. This was about 3 weeks ago which is longer than average incubation but not out of the window which is possible.

Who are concerned about new patterns of transmission because they don't fully understand it or why its suddenly jumped from west africa.

So far there have been 16000 cases in over 70 countries with 5 deaths recorded. The issue is that this isn't representative of the population as a whole due to the restricted population its currently circulating in.

It is much more severe in children under 8 and pregnant women. There is no natural immunity and countries don't have enough supplies of vaccine nor drugs to treat the disease. Hence the alert to sort this shit out.

The disease is very painful and can require specialist hospital treatment. It can cause severe permenant scaring. Spots are common on face and genitals.

So the real risk here is you get an outbreak in a reception class or nursery full of licky, huggy young kids. And thats becoming high.

Its not going to be a covid type thing but the idea that we won't see school closures is not realistic. Without sufficient vaccine and drugs for treatment there isn't much of an alternative to stop the spread apart from quarantine.

Its not really a surprise that there is an outbreak. A big pandemic is usually accompanied by other pandemics of different diseases, partly because changes in behaviour which have caused isolation reduce immunity to other things thus when that contact resumes other things run rife.

So should we panic yet? No

Should we be concerned and vigilant? Yes

Should WHO be putting out a warning? Definitely because countries haven't learnt from covid and are rapidly ramping up production of smallpox vaccine and monkeypox treatment drugs.

The biggest difference between this and monkeypox is that we don't have to develop new treatments and trial them. This means we only have production issues. (remember the scramble for vaccines when they did become available though).

The uk has the capability to do this better than many other countries. Its just whether we are taking this seriously and doing this. Especially with a prime minister who has potentially checked out mentally from the job.

Am I concerned? Yes. I have family members who would be extremely vulnerable and the disease itself is nastier than chicken pox. And no I don't much fancy class closures when my sons class is already the wildest in the school due to being so badly affected by covid closures and I know they are all massively behind where they should be. DS is doing well despite of everything but the effect on his classmates has massively impacted on him nontheless.

So don't panic. Be concerned. Put pressure on government. Is the point we are at.

RedToothBrush · 24/07/2022 08:40

GoodVibesHere · 24/07/2022 06:23

Does anyone know what the connection is with gay men, is it the rate of spread? Why gay men in particular?

By all accounts anal sex between men and women is now quite common, would that mean spread would be equally as likely? It's an interesting thought.

Overall I don't know what to make of this monkeypox. I expect it doesn't help reduce predjudices against gay people, you know the type of person who sees the news and hears the words 'monkeypox' and 'gay men' and that's it they've decided gay men are spreading disease, and they use that to add to their hatred.

Most likely to be spread with contact on sore. Sores tend to be on genitals and mouth.

But this is not exclusive to and its probably possible that you might have something and not realise that its a sore immediately.

So think about this with patterns of behaviour with gay men.

etulosba · 24/07/2022 09:13

No, people who have been vaccinated have been getting it.

Apparently, the smallpox vaccine is 85% effective against monkeypox. That is what is being given to vulnerable people.

CrunchyCarrot · 24/07/2022 11:38

Imvanex is the vaccine that would likely be given in the UK against monkeypox (as it's a smallpox vaccine). It's a subcutaneous injection. You can read more details about that here:

www.ema.europa.eu/en/documents/product-information/imvanex-epar-product-information_en.pdf

That could be used to 'ring vaccinate' individuals in contact with those who have been infected to help prevent further spread.

An antiviral agent, tecovirimat, has been approved by the European Medicines Agency, Health Canada, and the United States FDA for the treatment of smallpox. It is also approved for use in the European Union for the treatment of monkeypox.

x2boys · 24/07/2022 11:45

sleepyhoglet · 23/07/2022 22:04

How do you catch it. I thought it was like a STD but obviously not. Not sure where to get info

By close bodily contact, it's not an STD but obviously if you have sex with an infected person you would be in extremely close bodily contact with them .

ArcticSkewer · 24/07/2022 11:48

Do you have anonymous sex in darkrooms with multiple partners who you can't actually see so you don't notice the sores they are rubbing against you?
No? Then you are unlikely to catch it.

There is a reason why it is 99% cases in the gay/bi male groups and it's not because they are gay/bi as such, it's because of the environment they are having sex in.

LetsGoRound · 24/07/2022 12:12

Five people die out of a global population of billions and it's panic stations!
Maybe people ought to just stop sleeping around.
Am I worried? In a ( monkey ) nut shell...no!.

Familyhistorynamechange · 24/07/2022 12:22

@HermioneWeasley wow what an awful comment. You do realise that’s now how STI’s work, it takes one go with someone infected and also plenty other factors.

Familyhistorynamechange · 24/07/2022 12:24

It’s panic stations because you don’t want it to become endemic. Read the statement by WHO might help. Gay men aren’t the most at risk, it’s more of a risk to children. There was a vacuum created when we eradicated smallpox and this should have been addressed 5 years ago when clinicians and researchers across the world started to sound the alarm.

Familyhistorynamechange · 24/07/2022 12:24

www.who.int/news-room/fact-sheets/detail/monkeypox