Ministry of Public Health announces to increase symptoms of “smallpox”

The Ministry of Public Health issued an announcement to increase symptoms of “smallpox” with fever, headache, swollen lymph nodes, sore throat, rash or blisters on the skin that look like blisters or pustules. In Thailand, there are 13 suspected cases.

On July 8, 2022, the website “Royal Gazette” Publish the Notification of the Ministry of Public Health Re: Names and Significant Symptoms of Communicable Diseases to Watch Out (No. 2) B.E. 2022 for smallpox or monkey pox This notification shall come into force as from the day following the date of its publication in the Government Gazette.

Add the following as (56) of Article 4 of the Notification of the Ministry of Public Health Re: Names and Signs of Communicable Diseases to Be Watched for, B.E. 2562 (2019)

“(56) smallpox or Monkeypox (Monkeypox) Fever, headache, swollen lymph nodes, sore throat, rash or skin blisters that look like blisters or pustules This can occur on the head, trunk, genitals and around the anus, arms or legs. Some blisters may occur on the palms or soles of the feet.”

Smallpox is a surveillance disease.

Before that, the academic committee under the National Communicable Disease Committee It was approved to classify smallpox as a communicable disease that must be monitored. because there are no patients in the country The spread of the disease is characterized by a very close proximity to a specific group and has not spread across many continents. Mortality rates are also less severely ill species.

It will monitor travelers entering the country with a fever over 38 degrees Celsius, along with at least one illness, namely sore throat, headache, muscle aches, back pain, enlarged lymph nodes. or a blistering rash along with a history of traveling or living in a country with reported outbreaks have a history of participating in activities in which cases have been identified or confirmed And has a history of close contact with wildlife such as rodents, monkeys, mammals imported from Africa.

It also monitors patients who are hospitalized. Dermatology Clinic sexually transmitted disease In addition, preparations for laboratory testing, disease investigation teams, and medical supplies and equipment have been prepared.

There are two types of smallpox.

There are two types of chickenpox:

  1. West African Clade The mortality rate is 1%, lower than the Central African Clade.
  2. Central African Clade which has a mortality rate of 10%

There are rodents and monkeys. contact from animals to humans through exposure to secretions or wounds of sick animals The transmission from person to person will be through very close contact with the patient Direct contact with wounds or patient secretions or clothing used by patients with secretions in which some countries have relaxed measuresCOVID more grouping causing more outbreaks in the past 2-3 weeks The incubation period is 5-21 days. Most illnesses are mild. During the first 5 days, symptoms are fever, headache, enlarged lymph nodes, back pain, muscle pain, and exhaustion. At this stage, the infection has begun to spread. And during the onset of the rash 2-3 days following the fever, the rash starts from the face, body, limbs, as well as soft tissue areas such as the mouth and genitals, starting from small red blisters, clear blisters, pustules. pitted scar Most heal on their own. Some people may have scars. and some severe symptoms especially children with pre-existing health problems may have pneumonia meningitis bloodstream infection Infection of the cornea causing vision loss.

13 suspected smallpox cases in Thailand

On July 6, 2022, Dr. Opas Karnkawinpong Director-General of the Department of Disease Control said that for the situationsmallpoxIn Thailand, there is a surveillance system for patients treated in specialized hospitals and clinics. From surveillance, there are no confirmed cases in Thailand. But there are reports of people who are eligible for disease investigation. There were 13 suspected cases, 3 contacts, of which all 3 contacts completed the follow-up period and had no symptoms. As for the laboratory test results of all 13 suspected cases, no smallpox was found. But the herpes virus was found (Herpes Simplex Virus), which was infected by touch. and use things together

Smallpox epidemic in the regionEuropeAt the moment there is less violence. Only 10% required hospitalization. Most of which are person-to-person contact. by being in close contact with the patient and in contact with respiratory secretions blistered skin Once the infection enters the body, there will be an incubation period of 7-14 days, or may be up to 21 days. The initial symptoms are fever, headache, muscle aches, back pain, enlarged lymph nodes, fatigue. After 1-3 days, a rash appears on the arms. leg The rash turns into pustules. In the last stage, it will become a scab and come off. Will have symptoms for regarding 2-4 weeks. Most patients will recover from the disease on their own.

The Ministry of Public Health is ready toCope with smallpox The Department of Medical Sciences can detect the infection by RT-PCR method immediately and in the diagnosis can be done by collecting samples. including nagging wounds, blood, nasopharyngeal smears and throat smears and used to decode the genetic material The test results will be issued within 24 hours. For more information, please contact the Department of Disease Control hotline, call 1422.

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