Monkeypox arrives in India, first case reported from Kerala

Thiruvananthapuram: India's first case of monkeypox has been reported in Kerala with the suspected case which was sent to NIV, Pune has turned positive.

The results have come from the laboratory of NIV, Pune, the strict containment protocols have been followed and there is no need for concern.

Also Read:WHO concerned as monkeypox spreads to children, pregnant women

The patient, who arrived from the UAE on July 12, was at his house in Kollam.

When he developed the symptoms he was taken to a hospital at Kollam and from there he was shifted to the Trivandrum Medical College hospital where he is under close observation.

Medical Dialogues team had earlier reported that the Union Ministry of Health and Family Welfare has issued 'Guidelines on Management of Monkeypox Disease' to states and Union Territories to safeguard them from the outbreak of Monkeypox in India.

The first case of Monkekpox was reported on 7 May 2022 in an individual who travelled from the United Kingdom to Nigeria and subsequently returned to the United Kingdom. 

Monkeypox is a sylvatic zoonosis with incidental human infections that usually occur sporadically in forested parts of Central and West Africa. It is caused by the monkeypox virus which belongs to the orthopoxvirus family. Monkeypox can be transmitted by contact and droplet exposure via exhaled large droplets.

The incubation period of monkeypox is usually from 6 to 13 days but can range from 5 to 21 days. The disease is often self-limiting with symptoms usually resolving spontaneously within 14 to 21 days.

Symptoms can be mild or severe, and lesions can be very itchy or painful. The animal reservoir remains unknown, although is likely to be among rodents. Contact with live and dead animals through hunting and consumption of wild game or bush meat are known risk factors.

George said his parents are also under observation and so are 11 passengers who might have come in close contact with him in the aircraft.

Meanwhile, the authorities have also identified the auto-rickshaw and taxi drivers who have carried this patient in their vehicles.

The patient was identified as in close contact with a person who tested positive for monkeypox and had been kept under close surveillance since July 12.

"There need be no cause of worry as everything is under control and the incubation period is 21 days. The Health Department is fully geared to handle this," George said.

The Union Health Ministry on Thursday rushed a high-level multi-disciplinary team to Kerala to collaborate with the state health authorities in instituting public health measures in view of the confirmed case of monkeypox.

The Central team includes experts from the National Centre for Disease Control (NCDC), a doctor from RML Hospital, New Delhi, and a senior official from the Ministry of Health & Family Welfare along with experts from its regional office.

The team will take a stock of the on-ground situations and recommend necessary public health interventions. The state Health Department will work closely with the central team.

Meanwhile, earlier in the day, the ministry asked states to increase surveillance on monkeypox disease which has been reported in many countries across the world. The ministry in a letter said that the continued expansion of the spread of the disease globally calls for proactive strengthening and operationalisation of requisite public health actions for preparedness and response against the disease in India.

The Centre, in the letter, said that orientation and regular re-orientation of all key stakeholders including health screening teams at points of entry, disease surveillance teams, doctors working in hospitals about common signs and symptoms, differential diagnosis, case definitions for suspects, probable or confirmed cases should be carried out.

Also Read:WHO considers declaring monkey pox a global health emergency