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2022–2023 mpox outbreak in Singapore

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2022–2023 mpox outbreak in Singapore
DiseaseHuman mpox
LocationSingapore
First reported21 June 2022
Date21 June 2022 – ongoing (2 years, 5 months, and 2 days)
Confirmed cases15

The 2022–2023 mpox outbreak in Singapore is a part of the global outbreak of human mpox caused by the West African clade of the monkeypox virus. According to the Ministry of Health (MOH), Singapore's first imported mpox case was reported on 20 June 2022.[1] It was the first ever confirmed case in Southeast Asia.[2]

Background

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Mpox (/ˈɛmpɒks/, EM-poks; formerly known as monkeypox)[3] is an infectious viral disease that can occur in humans and other animals. Symptoms include a rash that forms blisters and then crusts over, fever, and swollen lymph nodes. The illness is usually mild, and most infected individuals recover within a few weeks without treatment. The time from exposure to the onset of symptoms ranges from three to seventeen days, and symptoms typically last from two to four weeks. However, cases may be severe, especially in children, pregnant women, or people with suppressed immune systems.[4][5][6]

The disease is caused by the monkeypox virus, a zoonotic virus in the genus Orthopoxvirus. The variola virus, which causes smallpox, is also in this genus.[7] Human-to-human transmission can occur through direct contact with infected skin or body fluids, including sexual contact.[7] People remain infectious from the onset of symptoms until all the lesions have scabbed and healed.[4] The virus may spread from infected animals through handling infected meat or via bites or scratches.[4] Diagnosis can be confirmed by polymerase chain reaction (PCR) testing a lesion for the virus's DNA.[7]

Vaccination is recommended for those at high risk of infection.[7] No vaccine has been developed specifically against mpox, but smallpox vaccines have been found to be effective.[8] There is no specific treatment for the disease, so the aim of treatment is to manage the symptoms and prevent complications.[7][9] Antiviral drugs such as tecovirimat can be used to treat mpox,[7] although their effectiveness has not been proved.[10]

Arrival

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The Ministry of Health (MOH) detailed that the patient is a 42-year-old British man who works as a flight attendant.[1] He was reportedly in Singapore between 15 and 17 June 2022 and again on 19 June as he flew in and out of Singapore.[1] He tested positive for mpox on 20 June.[1]

On 6 July, it was confirmed that a 45-year-old Malaysian man tested positive becoming the first locally unlinked infection in the country.[11]

Situation

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As of 5 August 2022, there are 10 locally transmitted cases and 5 imported cases in the country, all of whom are in stable conditions or ready to be discharged.[12]

Notes

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References

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  1. ^ a b c d "MOH | News Highlights". www.moh.gov.sg. Retrieved 6 August 2022.
  2. ^ "Singapore confirms case of monkeypox, first in Southeast Asia". Reuters. 21 June 2022. Retrieved 6 August 2022.
  3. ^ "WHO recommends new name for monkeypox disease" (Press release). World Health Organization (WHO). 28 November 2022. Archived from the original on 1 December 2022. Retrieved 29 November 2022.
  4. ^ a b c "Mpox". World Health Organization (WHO). 17 August 2024. Archived from the original on 19 August 2024. Retrieved 22 August 2024.
  5. ^ "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  6. ^ "Mpox Symptoms". U.S. Centers for Disease Control and Prevention (CDC). 15 March 2024. Archived from the original on 2 April 2024. Retrieved 22 August 2024.
  7. ^ a b c d e f "WHO Factsheet – Mpox (Monkeypox)". World Health Organization (WHO). 18 April 2023. Archived from the original on 21 April 2022. Retrieved 21 May 2023.
  8. ^ Christodoulidou MM, Mabbott NA (1 January 2023). "Efficacy of smallpox vaccines against Mpox infections in humans". Immunotherapy Advances. 3 (1): ltad020. doi:10.1093/immadv/ltad020. PMC 10598838. PMID 37886620.
  9. ^ "Mpox (formerly Monkeypox)". NIH: National Institute of Allergy and Infectious Diseases. 6 December 2022. Archived from the original on 23 May 2023. Retrieved 24 May 2023.
  10. ^ "Patient's Guide to Mpox Treatment with Tecovirimat (TPOXX)". U.S. Centers for Disease Control and Prevention (CDC). 28 November 2022. Archived from the original on 24 May 2023. Retrieved 24 May 2023.
  11. ^ "Singapore confirms first local case of monkeypox infection". Reuters. 6 July 2022. Retrieved 6 August 2022.
  12. ^ "What to know about monkeypox and the situation in Singapore (updated 5 Aug)". sg.news.yahoo.com. Retrieved 6 August 2022.
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