RJ and SP monitor who was jumping with a monkey – 06/19/2022 – Equilíbrio e Saúde

Rio de Janeiro and São Paulo have been monitoring the health status of passengers on a plane where monkey visas were identified. The procedure has been performed by the Rio de Janeiro Municipal Health Department and the São Paulo State Health Department, according to the corporate media offices.

Brazil has already recorded seven cases of the disease. The last of them was confirmed by the Ministry of Health this Friday (17).

Of the seven certified visas in the country, four are from São Paulo, two from Rio Grande do Sul and one from Rio de Janeiro. Nine other cases are under investigation. The first case in Brazil was registered on June 8.

In the capital Rio de Janeiro, the Municipal Health Department says it is launching an investigation into passengers who were on the same plane with a patient with a confirmed monkey case. Traveler data was provided by Anvisa (National Health Monitoring Agency).

The first case of a monkey in Rio was confirmed on Tuesday (14). He is a 38-year-old London resident, who arrived in Brazil on June 11 and sought service at Instituto Evandro Chagas the day after his descent. Samples were analyzed by Instituto Carlos Chagas Filho, from UFRJ (Federal University of Rio de Janeiro).

The municipal secretary also has the cooperation of the state health department of Rio de Janeiro to conduct follow-up of people who have contacted the patient.

Currently, there are already five people being monitored by the health authorities in Rio for having close contact with him. It is considered if they develop symptoms of the disease – if they do, diagnostic tests will be performed. However, all five are not passengers on a plane, the secretariat said.

According to the municipal ministry, the monitoring procedures to be followed by passengers have not yet been determined.

In São Paulo, the State Department of Health says it has contacted all passengers on the plane who had confirmed the case. As with Rio de Janeiro, passenger data was provided by Anvisa.

The health monitoring agency, for its part, states that it is responsible for collecting information at ports and airports, for monkeys (English monkeypox name) and for other diseases. Anvisa says they pass on passenger and staff information to state health authorities, such as local secretariats, and these define how to track these people.

THE Laha contacted the Ministry of Health to comment on the protocol in cases of monkey-infested flights, but did not receive a response until the report was published.

Possibility of infection

Tracking passengers on flights with certified monkey visas still creates uncertainty. This is because viral infections occur mainly through contact with the wounds of infected people. Another common way is through material, such as clothing, that has come in contact with these wounds.

However, the pathogen can also be transmitted through respiratory secretions, but requires close and long-term contact. The CDC (US Centers for Disease Control), for example, states that transferring someone with the disease to supermarkets should not lead to infection, for example.

Precisely because it has a low chance of being infected through the respiratory tract, the likelihood of infection on the aircraft is minimal. The CDC states that “in cases where people with monkeys have traveled by plane, no known case of monkeys has occurred in the area around them, even on long international trips.”

However, monitoring measures are important, especially in the early stages of a similar outbreak, says Raquel Stucchi, an infectious disease specialist and professor at Unicamp (Campinas State University).

“This force used to check passengers, this time when the first cases occur in the country, I think it’s okay”, he says.

Stucchi argues that, in these cases, one step that can be taken is the adoption of a questionnaire or program that passengers display daily if they have any symptoms of the monkey, such as fever or blisters.

Based on the steps to monitor these first flights, it is possible to determine whether this step should be taken for other similar cases, continues the pathologist.

Clarissa Damaso, a viral specialist at UFRJ (Federal University of Rio de Janeiro) and one of the researchers forming a monkey-fighting task force organized at the university, says that the key is to define monitoring protocols to be followed in all cases. .

“Even if there is a possibility [de transmissão] is down, does not mean it is impossible. That’s because getting infected by touching the skin is the main route, and there are also face-to-face contact that would be more difficult inside the plane unless the person knows the passenger well, ”says Damaso.

The virologist cites the example that it is possible to come in contact with an infected bird’s skin, such as by holding hands or touching the body, and then having a higher chance of becoming infected.

However, if it is found that a person infected with a monkey did not have sores during the flight, the likelihood of infection decreases. Therefore, Damaso says it is possible to have different monitoring systems depending on the symptoms of the infected passenger.

In any case, a well-known measure that can prevent the transmission of monkeypox through the respiratory tract is the use of masks. The CDC recommends that an infected person use the device for close contact with other people.

A similar guide is provided by Stucchi. “The use of masks prevents these respiratory infections that can occur infrequently”, concludes the pathologist.

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