samedi 23 juillet 2022

The head of the United Nations health agency has declared the monkeypox epidemic a worldwide emergency.

 The head of the United Nations health agency has declared the monkeypox epidemic a worldwide emergency.

The head of the World Health Organization has declared that the expanding monkeypox outbreak in more than 70 countries is a "extraordinary" situation that now meets the criteria for a global emergency. This declaration, which took place on Saturday, has the potential to encourage additional investments in the treatment of the once-rare disease and to make the competition for scarce vaccines even more intense.


The decision to issue the statement was taken by WHO Director-General Tedros Adhanom Ghebreyesus, despite the fact that there was a lack of consensus among the experts participating on the emergency committee of the United Nations health organization. It was the first time that the head of the United Nations organization in charge of health had ever taken such a step

"We have an outbreak that has moved over the world swiftly through new means of transmission about which we understand too little and which satisfies the requirements under the international health rules," Tedros said. "We do not fully understand any of these new modes of transmission."

"I am aware that this has not been a simple or clear-cut procedure, and that there are different points of view held by the members of the committee," he went on to say.

The World Health Organization (WHO) has designated a global emergency as its highest level of alert; however, this does not always signify that a disease is very contagious or fatal. Dr. Michael Ryan, who is in charge of emergencies at the WHO, stated that the director-general took the decision to place monkeypox in that category in order to make certain that the global community takes the recent outbreaks seriously.

Prior to the month of May, when authorities discovered dozens of epidemics in Europe, North America, and other regions, it was not known that monkeypox could spark large outbreaks beyond the continent or that it could spread widely among people. This is despite the fact that monkeypox has been present in certain regions of central and west Africa for decades.


The epidemic of monkeypox has been deemed a "extraordinary occurrence" worthy of a worldwide emergency declaration, which implies it has the potential to spread to additional nations and necessitates a concerted response on a global scale. In the past, the World Health Organization (WHO) has proclaimed emergencies in response to significant threats to public health, including the COVID-19 pandemic, the Ebola epidemic in West Africa in 2014, the Zika virus outbreak in Latin America in 2016, and the ongoing campaign to eliminate polio.


The emergency declaration is primarily used as a rallying cry to attract additional resources and attention from around the world to an epidemic. Given that the United Nations health agency is essentially impotent in forcing governments to act, previous pronouncements had a mixed influence on the situation.


The expert committee of the WHO stated one month ago that the ongoing global outbreak of monkeypox did not yet constitute an international emergency; nonetheless, the group has reassembled this week in order to review the situation.


Since about May, the Centers for Disease Control and Prevention in the United States have received reports from 74 countries detailing the occurrence of over 16,000 cases of monkeypox. To this day, deaths from monkeypox have only been documented in Africa, namely in Nigeria and Congo, both of which are experiencing an outbreak of a more deadly strain of the virus.


Monkeypox is most commonly transmitted to humans in Africa by infected wild animals such as rats. These transmissions occur in localized epidemics that, in most cases, do not cross international boundaries. However, monkeypox is spreading around the globe, including in Europe, North America, and other regions, even among individuals who have little contact with animals and have not recently traveled to Africa.


This week, the leading specialist on monkeypox at the World Health Organization (WHO), Dr. Rosamund Lewis, stated that men accounted for 99 percent of all instances of monkeypox outside of Africa, and that of those cases, 98 percent involved men who had intercourse with other men. The experts believe that the monkeypox epidemics that occurred in Europe and North America were caused through sexual contact at raves that took place in Belgium and Spain.


"Although I am declaring a public health emergency of international concern for the time being, this is an outbreak that is concentrated among men who have sex with other men, particularly those who have multiple sexual partners," Tedros said. "This outbreak is concentrated among men who have sex with other men." This indicates that we are dealing with an outbreak that can be contained if the appropriate tactics are implemented by the appropriate organizations.


Ryan, the head of the Emergency Response Team, detailed the events that led up to the director-decision: general's


"(Tedros) found that the committee did not reach a consensus, despite having a very open, very useful, and very considered debate on the issues," said Ryan. "And that since he's not going against the committee, what he's recognizing is that there are deep complexities in this issue." Tedros found that the committee did not reach a consensus despite having a very open, very useful, and very considered debate on the issues. There are unanswered questions in every direction. This ambiguity is reflected in his statements, as does his conviction that "the event" is a worldwide catastrophe.


Prior to the announcement that took place on Saturday, Michael Head, a senior research fellow in global health at Southampton University, stated that it was surprising that WHO had not already declared monkeypox a global emergency. He went on to explain that the conditions were arguably met weeks before Saturday's announcement.



The disease isn't severe enough to warrant the attention, and wealthy countries that are fighting monkeypox already have the funds to do so; most people recover without needing medical attention, although the lesions may be painful. Some experts had questioned whether or not such a declaration would help, arguing that the disease isn't severe enough to warrant the attention.


"I believe it would be better to be proactive and overreact to the problem rather than waiting to respond when it's too late," Head said. "I think it would be better to be proactive and overreact to the situation." He went on to say that the WHO's designation of an emergency might assist donors such as the World Bank in making cash available to put a halt to the outbreaks in both the West and in Africa, which is where animals are most likely to be the natural reservoir of monkeypox.


Some medical professionals in the United States are beginning to wonder whether or not the illness known as monkeypox is on the approach of becoming an established sexually transmitted disease in the country on par with gonorrhea, herpes, and HIV.


According to Dr. Albert Ko, a professor of public health and epidemiology at Yale University, "the basic fact is that we've witnessed a change in the epidemiology of monkeypox where there is now broad, unanticipated transmission." "There are some genetic alterations in the virus that suggest why that may be occurring, but we do need a worldwide coordinated response to keep it under control," he added. "There are some genetic abnormalities in the virus that suggest why that may be happening." [Citation needed]


Ko stated that, just as in the early days of COVID-19, there were large gaps in monitoring, and he demanded that testing be immediately expanded up swiftly.

He stated that the incidents that we are now witnessing are only the top of the iceberg. It is not too late to stop monkeypox from inflicting great harm to poorer nations who do not have the capacity to handle it, but the window of opportunity for us to rapidly stop the outbreaks in Europe and the United States has probably closed.


Officials in the United States estimate that there are 1.5 million males who are at a high risk of becoming infected with the monkeypox virus. This has led some specialists in that country to worry that monkeypox might become established there as the newest sexually transmitted illness.

A virologist named Dr. Placide Mbala, who oversees the global health section at Congo's Institute of National Biomedical Research, expressed his hope that any worldwide attempts to stem the spread of monkeypox would be fair. Although numerous nations, including the United States, Canada, and Germany, have placed orders for millions of doses of vaccine, none of them have been shipped to Africa.

Mbala stated that "the solution needs to be global," and he went on to say that any vaccinations that were supplied to Africa would be utilized to target individuals who were at the most risk, such as hunters who lived in remote regions.

"Vaccination in the West could help end the outbreak there, but there will still be cases in Africa," he added. "Vaccination in the West might help stop the outbreak there." "The possibility that the problem will spread to the rest of the globe will continue to exist unless it is remedied here.

SOURCE: NEWS AGENCIES

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