WHO declares monkeypox outbreak a public health emergency?

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World Health Organization designated the unprecedented monkeypox outbreak around the world a public health emergency on Saturday, allowing the agency to take additional measures in an effort to stop the virus’s spread around the world.

Although a committee of experts had failed to come to a consensus, WHO Director-General Tedros Adhanom Ghebreyesus made the proclamation anyway, despite their lack of support. An emergency of international concern (PHEIC) was rejected just one month previously by the same committee.

A poll of the committee’s nine members found that nine of them believed that a PHEIC should not be declared, while six of them believed the opposite. As of the group’s June meeting, there were 11 people against and three people for.

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In a press conference held to make the announcement, Tedros observed, “Nine and six is very, very near.” Due to the committee’s role in advising, I was therefore forced into the position of being a tie-breaker.”

A global movement will be sparked as a result, we believe. Coordination and not just coordination but also a sense of community are necessary, he said.

When asked why they didn’t think a PHEIC should be declared at Saturday’s meeting, members of the emergency committee indicated they were worried it would lead to abuse and stigmatization of men who have sex with men, the population where the great majority of this outbreak’s cases are occurring. As a result, the World Health Organization was adamant that this would not happen.

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When a public health emergency is declared of international concern and surveillance and control efforts are ramped up, WHO’s Health Emergencies Program head Mike Ryan warns that this should not be used as a pretext for enforcing surveillance or imposing measures that violate people’s dignity and human rights. “It’s critical that we strike the correct balance here.”

Only a handful of countries in Central and Western Africa are known to have an endemic form of monkeypox. There were six instances in London residents who had not gone to endemic nations in May, according to the city’s health officials. There were four men who had intercourse with other men in the group of six.

Cases worldwide have risen to more over 16,000 in 75 countries across Europe, North and South America, the Middle East and new sections of Africa as well as Asia and Australia in recent weeks. Nearly 2,900 instances have been reported in the United States.

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For example, Tedros has the ability to indicate how governments should respond to crises using the PHEIC (pronounced like “fake”). Additionally, it has the potential to mobilize global cooperation for a more cohesive response. The equitable distribution of vaccines and treatments, both of which are in short supply, may be part of that endeavor.

There are four groups of WHO recommendations: those for countries that have not yet detected a case of monkeypox; those for countries with ongoing human-to-human transmission; those for countries where the virus is endemic in nature; and those for countries with the capacity to produce monkeypox vaccine and therapeutics. The WHO released its recommendations on Saturday. It was recommended, for example, that countries with no known cases beef up their surveillance and get ready to deal with outbreaks when they do develop. Pharma- and vaccine-producing nations were exhorted to increase and share their produce.

According to the World Health Organization, the outbreak thus far has been centered primarily among gay, bisexual, and other men who have had sexual relations with other men, with many happening in men who have had numerous recent sex partners.

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We can stop this pandemic by putting in place the correct tactics and groups, according to Tedros.

Pregnant women, those with impaired immune systems, and children are all at risk from the outbreak, according to health officials. On Thursday, Dutch researchers revealed a case in a 10-year-old child who had no apparent connection to any other cases. Meanwhile, the virus has spread to two children in the United States, most likely through contact with infected family members.

The outbreak of monkeypox has sparked concerns among specialists that it may be too late to contain it and that the disease could spread to other countries around the world.

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It is common in the United States for sexual health clinics to identify cases. Earlier this week, the National Coalition of STD Directors encouraged the Biden administration to follow the World Health Organization’s lead and declare monkeypox a national public health emergency. An emergency fund of $100 million was also requested by the group.

Monkeypox vaccine distribution has been speeded up, and funds have been allocated for monkeypox research. However, according to the group’s executive director, David C. Harvey, these measures are still insufficient.

We have left cities and states all throughout the country on their own, making hard judgments about how and when vaccines should be allocated, therapeutic treatments to be provided and public education to be provided.”

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Ashish Jha, the White House Covid-19 coordinator, stated that the Department of Health and Human Services is debating whether declaring an emergency will aid in the response.

It’s vital to ask “really explicit questions about what exactly would that allow us to do differently than we are doing today, and would that make it easier to respond to this outbreak,” Jha added. A “very vigorous discussion” is taking place within the Department of Health and Human Services.

Lesions and rashes caused by monkeypox infections include vesicles on the palms. In contrast to previous outbreaks, which showed more widespread rashes, those affected by the present outbreak have mostly only had a few vaginal or anal lesions.

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In order to spread the monkeypox virus, people need to be in close proximity to one other and come into touch with a lesion, infected clothing or linens, or respiratory droplets. The virus has not yet claimed any lives in the United States or Europe, despite a surge in the number of cases. Five deaths have been reported in the Central African Republic and Nigeria, two nations where monkeypox is endemic.

Britain’s Wellcome Trust head of epidemics and epidemiology Josie Golding has urged international leaders to strengthen the global ability to respond to infectious disease outbreaks.

This endemic disease in Africa has been neglected for decades, but now there is a unique outbreak affecting vulnerable groups as well as an ever-increasing number of cases. In a statement, Golding urged governments throughout the world to take this outbreak more seriously and act together to put it under control. As a society, we can no longer wait for a condition to worsen before taking action.

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