“Small pox” is not a new disease in the world, but it is a “new disease” of Thailand. because it has never been reported before. Until the first patient was confirmed on July 21, 2022, it was imperative that a clear course of treatment was formulated. Preliminary framework “All suspected subjects must be admitted to the hospital”, even if the disease is not severe.
“Small pox” is not a new disease in the world, but it is a “new disease” of Thailand. because it has never been reported before. Until the first patient was confirmed on July 21, 2022, it was imperative that a clear course of treatment was formulated. Preliminary framework “All suspected subjects must be admitted to the hospital”, even if the disease is not severe.
On July 26, 2022, the Department of Medical Services held a panel discussion on diagnostic guidelines. care and preventioninfectin the hospital casesmallpox Dr. Somsak Ankasil, Director-General of the Department of Medical Services said World Health Organization (WHO) arrange the diseasesmallpox ormonkey poxisemergencyInternational public health with 3 considerations: 1. This is an unusual event. with the number of infected people increasing 2. It is a public health risk. due to the international spread of the disease and 3. It requires coordinated international cooperation in disease control. There was no unanimous consensus on the announcement. but there are conflicts which the WHO director, at his discretion, said that it should be declared a state of emergency
“Declaring a state of emergency for smallpox Despite the same status as COVID-19, the severity of the disease is not the same. In general, smallpox The violence is less intense. and often disappears on its own Therefore, in the severity Unlike COVID-19, it requires international cooperation to control the disease. The WHO therefore declared a state of emergency from patients in the United States and Europe. in this outbreak No deaths yet If it’s not a risk group that already has a congenital disease Maybe nothing much,” said Dr. Somsak.
Dr. Somsak also said that for the diagnosis guidelines Maintenance and protection are framed initially. The same principle applies to the case of new unknown infectious diseases. When a suspected patient comes to receive services at the hospital. Although this disease does not suggest that every patient must be admitted to the hospital. The same way around the world, both America and Europe.
but in Thailand Initially, it may be advisable for all patients to be admitted to the hospital until the results are confirmed by the lab. to make the investigation of the disease clearer. prevent the spread of germs Because of fears of fleeing like the case of Nigerian men, the disease is also classified as a surveillance disease. Not a dangerous disease therefore unable to exercise the powers of other laws to detain
Guidelines for the care and treatment of smallpox Narumon Sawanpanyalert, MD. The expert, Department of Medical Services, said that on July 26, 2022 medical department Preparing to discuss with the Hospital Skin Clinic To meet the guidelines for the treatment of smallpox Because this disease is considered a new disease in Thailand. But it is an endemic disease in Africa. Smallpox is considered as DNA VIRUS. It is transmitted by contact with secretions, mucus, saliva, pustules, lymph or other body fluids. The incubation period is 7-21 days or about 3 weeks. occur on the body can go up all over the body
There are four stages of the blister: stage I red blister, stage 2, the blister develops into a blister, stage 3 blister becomes pustular, and stage IV blister rupture. Infection and transmission occur in stages 3 and 4. This disease can be cured on its own. or use symptomatic treatment For people with severe symptoms, including people with low immunity. Taking immunosuppressants in cancer treatment or organ transplants Young children under 8 years old and pregnant women
“smallpox Fever, body aches, back pain, and pronounced enlarged lymph nodes Maintain focus on support It is classified as a disease characterized by blisters on the skin. close to many diseases which approaches to differentiation of disease There will be a meeting of the Medical Department. and send a summary to EOC, Ministry of Public Health will continue to consider,” said Dr. Narumon.
While Dr. Charatporn Jitpira, representative of the Division of Epidemiology, Department of Disease Control, said that the global situation as of July 24, 2022 Globally, 16,314 confirmed cases have been reported worldwide since May 7, 2022 from 71 countries, an increase of around 3,000-4,000 a week, most of them found in Europe where the epidemic originated in this round. and North and South America As for the African trend, cases are reported all the time because they are endemic. As for the direction in Europe, it’s starting to go down, but America still has more patients. In Thailand, one confirmed case is a Nigerian man.
Epidemiological data of smallpox cases in this round of epidemic as of July 22, 2022. Most of the cases in this epidemic, 77.2%, were male patients aged 18-44 years out of 10,141 cases. With complete age data, 72 cases were younger than 17 years of age, of which 23 were younger than 4 years of age, suggesting that they were infected in children.
Other history storiessexual orientation Of the 3,506 healthy cases of this variant, 98.1% identified as MSM. Of the patients previously tested for HIV, 39.6% were positive for A. HIV: 253 cases were medical personnel, but most of them came from the community. Places that are likely to be the source of infection It was a party with 42.6% sexual contact activity.
“This outbreak The patient did not have severe symptoms. And there have been no deaths in this epidemic. which signs and symptoms Most of the patients with information about 6,589 symptoms had rash 88%, most of them were genital rash, about 30-40%, fever 44%, enlarged lymph nodes 27%, fatigue 21.1%, headache 19.3%.”Dr. Charataporn said
Definition of suspected case of chickenpox is a person who has symptoms 1. fever or has a history of fever with at least one of the following symptoms: sore throat, headache, muscle aches, back pain, swollen lymph nodes, or 2. a rash or blister on the skin or have ever had a rash or blister spread on the face, head, body, genitals and around the anus, arms, legs, or palms of the feet It is a rash or blister that looks like a raised blister, clear water blister, pustular blister or scab.
Together with a history of epidemiological links within the past 21 days as follows: 1. A history of traveling from or living in a foreign country and a doctor diagnosed with suspected smallpox. or 2. Has a history of traveling to participate in an event or activity that has reported chickenpox cases or has an occupation that must come into contact with travelers from abroad; or 3. Has a history of touching rodents. or small mammals that originated from the African continent Samples were taken in two labs in the first phase to confirm the results.