Checking Spread Of Monkeypox

Just when the world thought it had taken a furlough from global pandemics, and to an extent had accepted that COVID-19 was here to stay, the monkeypox disease suddenly reared its hideous head. The recrudescence of the virus is rapidly generating anxiety that could likely put the entire world on alternate health surveillance. Little is known of this disease, except that it does not spread as rapidly as the Coronavirus, but has obvious symptoms without a cure.
A reported case of the virus by the United Kingdom Health Security Agency (UKHSA) in London has snowballed into a substantial epidemic of another round of the malady in Nigeria, following its corroboration by the Nigeria Centre for Disease Control (NCDC). The report raised immediate questions over speculation that monkeypox may be disappearing on a global scale. Strangely enough, UKHSA stated that the patient had recently departed Nigeria. Why was the malady not detected in Nigeria?
Already devastated by many other deadly infections, the eruption of the monkeypox virus this year is adding to Nigeria’s alarming health problems. According to the NCDC, as of May 29, there had been 21 confirmed cases in nine states and the Federal Capital Territory. The only death was a 40-year-old patient with an initial substrate condition. The nation’s anti-disease mechanisms must be activated to contain this illness and others.
Nigeria is plunged into health wars on many fronts, spurred by poor health infrastructure, inadequate investments in health care, inaccessibility of quality health services and a stagnant health workforce. Diseases are dispersed across the country. These include Lassa fever, cholera and measles, to name a few. Our country has also been impacted by COVID-19. Now, monkeypox has declared its disturbing presence.
Monkeypox is a transmissible viral zoonotic disease (transmitted to humans by animals) caused by infection with the monkeypox virus. It is transmitted to humans by infected animals, usually rodents. There is also the potential for human-to-human transmission of the disease when one person comes in contact with another who is infected with the virus. The disease can also be acquired in association with materials contaminated by the virus which causes it.
Experts say the symptoms of monkeypox are similar to those of smallpox. They include fever, rash, headache, back pain, swollen lymph nodes, chills and unusual tiredness, etc. These signs can last two to three weeks as a period of manifestation. This means that the incubation period (infection to manifestation of symptoms) is about 14 to 21 days – that is how long it takes for someone to know if he or she has monkeypox.
In the aftermath of the outbreak, the Federal Government banned the sale and consumption of bushmeat to prevent the spread of the monkeypox pathogen. The ban was issued by the Ministry of Agriculture and Rural Development after the disease was officially confirmed in the country.
The Minister of Agriculture, Dr Abubakar Mohammed, issued a statement urging hunters and bushmeat traders to suspend the endeavour. The ban should be sustained as the virus is thought to be disseminating in some rodents and squirrels. The consumption of such animals for food purposes may be a source of transmittance.
There is a need for Nigeria to avoid a repeat of the dereliction that enabled Coronavirus to gain easy access into the country despite weeks of advance warning to put premonitory preventive measures in place. The country has gone through complete or partial lockdowns in its most productive states and has spent monumental sums of money battling the plague and furnishing services to assuage its effects. Such blunders, including the failure to purchase, stock and make adequate arrangements to administer vaccines, should be prevented from occurring.
Recently, the European Centre for Disease Prevention and Control implemented a series of measures, including the isolation of suspected cases, the accumulation of smallpox vaccines and a community awareness campaign. Nigeria can do the same through containment measures to reduce the spread. Although general vaccination has been excluded for the moment, the government at all levels should quickly acquire medicines and isolation centres to manage the disease and the victims.
The authorities should not wait until the state of affairs worsens before assuming their responsibilities. The anticipatory measures already put in place should be maintained to stem a public health concern which could weaken a large part of the population if not controlled. Nigerians travel extensively in all parts of their country, which is why the disease has the potential to spread easily.
Monkeypox is endemic in West and Central Africa. It was first identified as a laboratory monkey in 1958. The first human infection occurred in 1970 in the Democratic Republic of Congo. An outbreak in the United States in 2003 was attributed to a pet store selling imported Gambian rodents. Controls include isolating suspected or confirmed cases, strict adherence to universal precautions, especially frequent hand washing with soap and water, and the use of personal protective equipment.
Experts say there is as yet no single confirmed cure for monkeypox, but they support the use of drugs used to treat smallpox and other remedies. Some physicians are hopeful that the smallpox vaccine will be useful for monkeypox. Consequently, surveillance measures should be enhanced to ensure the adequacy of all essential medicines. A task force similar to the Presidential Steering Committee on COVID-19 should be established to coordinate the anti-monkeypox fight.
The Nigerian government should be proactive in controlling the monkeypox epidemic in the country. Since the virus encompasses countries all over the world, it should be seen as important to global public health. In this regard, we strongly advise the nation’s health authorities to raise awareness of the disease, prevention measures and treatment options available. All travellers from countries with an outbreak of the virus must be screened prior to admission to the country.