2022–2023 mpox outbreak in Israel explained

Disease:Mpox
Virus Strain:Monkeypox virus (West African clade)
Location:Israel
First Case:Ichilov General Hospital, Tel Aviv
Date:20 May 2022 – ongoing
Confirmed Cases:121
Suspected Cases:0
Deaths:0
Website:Ministry of Health (Israel)

The 2022–2023 mpox outbreak in Israel is a part of the ongoing outbreak of human mpox caused by the West African clade of the monkeypox virus. The outbreak was first reported in Israel on 20 May 2022 when the Health Ministry announced a suspected case which was confirmed on 21 May 2022. One month later, on 21 June, the first locally transmitted case was reported.

Currently, Israel is the most affected country in Asia and the 14th most affected country in the world. Israel was also the first in Asia to report a case.

Transmission

A large portion of those infected were believed to have not recently traveled to areas of Africa where mpox is normally found, such as Nigeria, the Democratic Republic of the Congo as well as central and western Africa. It is believed to be transmitted by close contact with sick people, with extra caution for those individuals with lesions on their skin or genitals, along with their bedding and clothing. The CDC has also stated that individuals should avoid contact and consumption of dead animals such as rats, squirrels, monkeys and apes along with wild game or lotions derived from animals in Africa.[1]

In addition to more common symptoms, such as fever, headache, swollen lymph nodes, and rashes or lesions, some patients have also experienced proctitis, an inflammation of the rectum lining. CDC has also warned clinicians to not rule out mpox in patients with sexually transmitted infections since there have been reports of co-infections with syphilis, gonorrhea, chlamydia, and herpes.[2]

History

Imported case before the outbreak

In 2018, an imported case was detected in Israel. A 38-year-old man came from Rivers State, Nigeria in late September. He showed the symptoms of the disease on that month. Later on October the patient sought medical attention at Shaare-Zedek Medical Center in Jerusalem. He was confirmed to be infected with the West African Clade of monkeypox virus that month. All of the patient's contacts were traced and followed up but no virus transmission were detected.[3]

Arrival

As the outbreak was spreading in Europe in the middle of May 2022, the Israeli Health Ministry reported a suspected mpox case in the country on 20 May. The case was confirmed by testing on 21 May, becoming the first case in Israel during the outbreak. The 30-year-old man returned from Western Europe and contracted the disease from there. The ministry reported that he was in isolation in the Ichilov General Hospital in Tel Aviv.[4] [5]

Spread

The Ministry of Health reported the first case of community transmission on 21 June 2022.[6]

Timeline

July 2022

See also

Notes and References

  1. Web site: Vargas . Ramon Antonio . 2022-06-07 . US raises monkeypox alert level but says risk to public remains low . 2022-06-09 . the Guardian . en.
  2. Web site: Monkeypox update: Where the outbreak stands now .
  3. Erez . Noam . Achdout . Hagit . Milrot . Elad . Schwartz . Yuval . Wiener-Well . Yonit . Paran . Nir . Politi . Boaz . Tamir . Hadas . Israely . Tomer . Weiss . Shay . Beth-Din . Adi . Shifman . Ohad . Israeli . Ofir . Yitzhaki . Shmuel . Shapira . Shmuel C. . Melamed . Sharon . Schwartz . Eli . Diagnosis of Imported Monkeypox, Israel, 2018 . Emerging Infectious Diseases. 25 May 2019 . 25 . 5 . 980–983 . 10.3201/eid2505.190076 . 30848724 . 6478227 .
  4. News: Ido. Efrati. Israel Confirms First Case of Monkeypox Virus. en. Haaretz. 11 July 2022.
  5. Web site: Israel, Switzerland report first monkeypox cases as virus spreads . 11 July 2022. . en.
  6. Web site: שלושה גברים נוספים אובחנו בישראל כחולים באבעבועות הקוף . Three other men diagnosed with monkeypox in Israel . 11 July 2022 . . he.