April 25, 2024

What Is Monkeypox? A Microbiologist Explains What’s Known About This Disease

By Rodney E. Rohde, Texas State University
May 20, 2022

Monkeypox is caused by the monkeypox infection, which belongs to a subset of the Poxviridae household of viruses called Orthopoxvirus. While an animal tank for monkeypox infection is unknown, African rodents are believed to play a part in transmission. Due to the fact that monkeypox is closely related to smallpox, the smallpox vaccine can supply security versus infection from both viruses. Monkeypox produces smallpox-like skin sores, but symptoms are normally milder than those of smallpox. The CDC currently suggests smallpox vaccination only in people who have been or are likely to be exposed to monkeypox.

Monkeypox triggers lesions that look like pus-filled blisters, which ultimately scab over. Credit: CDC
A cousin of smallpox
Monkeypox is caused by the monkeypox infection, which belongs to a subset of the Poxviridae household of infections called Orthopoxvirus. While an animal tank for monkeypox virus is unknown, African rodents are presumed to play a part in transmission.
The name “monkeypox” originates from the first recorded cases of the disease in animals in 1958, when two outbreaks happened in monkeys kept for research. The infection did not leap from monkeys to human beings, nor are monkeys significant carriers of the disease.
Monkeypox comes from the Poxviridae family of infections, which consists of smallpox. Credit: CDC
Public health
Given that the very first reported human case, monkeypox has actually been discovered in several other main and western African nations, with the majority of infections in the DRC. Cases outside of Africa have actually been linked to global travel or imported animals, including in the U.S. and in other places.
The first reported cases of monkeypox in the U.S. remained in 2003, from an outbreak in Texas connected to a shipment of animals from Ghana. There were also travel-associated cases in November and July 2021 in Maryland.
Because monkeypox is closely related to smallpox, the smallpox vaccine can supply defense versus infection from both infections. Because smallpox was officially removed, nevertheless, routine smallpox vaccinations for the U.S. general population were dropped in 1972. Because of this, monkeypox has been appearing progressively in unvaccinated individuals.
Transmission
The virus can be transmitted through contact with a contaminated person or animal or contaminated surface areas. Human-to-human transmission rates for monkeypox have actually been restricted.
Health authorities are stressed the virus might presently be spreading out unnoticed through community transmission, potentially through a brand-new mechanism or route. Where and how infections are happening are still under examination.
Signs and symptoms
After the virus goes into the body, it starts to replicate and spread through the body through the bloodstream. Symptoms generally do not appear till one to 2 weeks after infection.
Monkeypox produces smallpox-like skin lesions, but signs are normally milder than those of smallpox. Flu-like symptoms prevail at first, ranging from fever and headache to shortness of breath. One to 10 days later on, a rash can appear on the extremities, head or upper body that ultimately becomes blisters filled with pus. Overall, signs usually last for 2 to 4 weeks, while skin lesions typically scab over in 14 to 21 days.
While monkeypox is unusual and normally non-fatal, one version of the disease kills around 10% of infected people. The type of the virus presently flowing is believed to be milder, with a fatality rate of less than 1%.
Treatments and vaccines
Treatment for monkeypox is mainly concentrated on easing symptoms. According to the CDC, no treatments are readily available to cure monkeypox infection.
The smallpox vaccine can secure against both illness since smallpox is carefully associated to monkeypox.
Evidence recommends that the smallpox vaccine can assist prevent monkeypox infections and reduce the severity of the signs. One vaccine referred to as Imvamune or Imvanex is certified in the U.S. to prevent monkeypox and smallpox.
Vaccination after direct exposure to the infection may also help reduce opportunities of extreme disease. The CDC currently suggests smallpox vaccination just in people who have actually been or are likely to be exposed to monkeypox. Immunocompromised people are at high threat.
Composed by Rodney E. Rohde, Regents Professor of Clinical Laboratory Science, Texas State University.
This post was first published in The Conversation.

The first human case of monkeypox was recorded in 1970 in the Democratic Republic of the Congo (DRC) during a period of intensified effort to eliminate smallpox. Credit: CDC
On May 18, 2022, Massachusetts health officials and the Centers for Disease Control and Prevention (CDC) confirmed a single case of monkeypox in a patient who had actually recently taken a trip to Canada. Cases have also been reported in the United Kingdom and Europe.
Monkeypox isnt a brand-new disease. Quite uncommon and normally moderate, monkeypox can still potentially cause severe disease.
Im a scientist who has actually operated in public health and medical labs for over 3 decades, particularly in the world of diseases with animal origins. Exactly what is happening in the current break out, and what does history inform us about monkeypox?