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    The race to understand mpox

    enSeptember 05, 2024
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    Podcast Summary

    • Monkeypox Outbreak in DRCA new and potentially more contagious strain of monkeypox, Clade 1B, has spread from the Democratic Republic of the Congo to multiple nearby countries, causing a public health emergency of international concern due to its unknown deadliness, transmission, and number of infected individuals, leaving vulnerable communities devastated.

      The Democratic Republic of the Congo is currently experiencing a new and potentially more contagious outbreak of monkeypox, a virus that has been present in Africa for decades. This outbreak, now referred to as Clade 1B, was first identified last year and has since spread to multiple nearby countries, leading the World Health Organization to declare it a public health emergency of international concern. The symptoms of monkeypox include fever, headaches, swollen lymph nodes, and a painful rash of raised spots, and it can be fatal. While scientists are working to understand the new strain and contain the outbreak, much is still unknown about its deadliness, transmission, and the number of infected individuals. Monkeypox has been a problem for Central and East Africa for many years, with most of our knowledge coming from the previously identified Clade 1A. The current outbreak is causing devastation in vulnerable communities, leaving families and children particularly affected. The unknowns surrounding this outbreak make it a significant concern for global health.

    • Monkeypox OutbreaksTwo distinct Monkeypox outbreaks, Clade 2 and Clade 1B, have occurred with different transmission patterns and impacts. Clade 2 affected primarily men who have sex with men globally in 2022, while Clade 1B began in the Democratic Republic of Congo in 2022, affecting various populations and causing more severe symptoms.

      Monkeypox, a zoonotic disease, has undergone two distinct outbreaks with different transmission patterns and impact. The first outbreak, referred to as Clade 2, occurred globally in 2022 and primarily affected men who have sex with men with low mortality rates. The second outbreak, currently unfolding as Clade 1B, began in the Democratic Republic of Congo in September 2022, and the virus appears to be different, affecting various populations and causing more severe symptoms. The initial cases were reported in the remote South Kibu province, and the virus seemed to be spreading to areas where it hadn't been seen before. Experts are still studying the differences between the two strains and their transmission patterns.

    • Monkeypox transmission dynamics shiftMonkeypox outbreak initially suspected to be sexually transmitted, but sequencing revealed it to be an offshoot of clade 1, primarily transmitted through infected meat. WHO declared it a public health emergency due to potential for further spread and impact on vulnerable populations.

      The ongoing monkeypox outbreak, first identified in Rwanda in early 2023, was initially suspected to be a sexually transmitted variant of the virus, but subsequent sequencing revealed it to be an offshoot of clade 1, which was previously believed to be primarily transmitted through infected meat. This discovery marked a significant shift in understanding the transmission dynamics of monkeypox. The World Health Organization (WHO) declared the outbreak a public health emergency of international concern in late 2023, with both clades 1A and 1B in circulation. The director-general of the WHO made this declaration due to the potential for the virus to spread further and potentially impact vulnerable populations. The recognition of this new development highlights the importance of continued surveillance and sequencing efforts to better understand the evolving nature of infectious diseases.

    • Ebola outbreak demographicsThe Ebola outbreak in Africa affects various demographics, including children and their families, and has spread to schools and refugee camps, requiring a global collaborative response for vaccine development and containment efforts

      The ongoing Ebola virus outbreak in Africa is complex and rapidly evolving, with two different strains circulating in different regions and presenting differently. The actual number of cases is uncertain due to stigma, mild cases going unreported, and difficulty in laboratory confirmation. The outbreak is impacting various demographics, including children and their families, and has spread to schools and refugee camps. A global collaborative response is crucial to better understand the situation and mobilize resources for vaccine development and containment efforts.

    • Ebola transmission in South KivuThe Ebola virus in South Kivu is transmitted sexually and non-sexually, causing issues in close-quarter refugee camps. The new strain has longer symptom duration, high severity, and different rash patterns. Similarities to early HIV suggest potential co-infection with HIV.

      The Ebola virus spreading in South Kivu, Democratic Republic of Congo, is transmitted through both sexual and non-sexual close contact, as well as through bedding and clothes. This is causing significant issues in refugee camps where people are in close proximity and unable to take precautions. The new strain of the virus is currently behaving differently than previous ones, with symptoms lasting for weeks and people being severely ill. The rash from this strain appears in different areas of the body depending on the mode of transmission. The case fatality rate is around a few percent, but it's unclear if this is due to underreporting of less severe cases. African medical leaders are observing similarities between this outbreak and the early days of HIV, suggesting that many of those affected may be HIV positive as well.

    • Monkeypox vaccines in AfricaDespite pledges, no monkeypox vaccines have been received in Africa yet, making a coordinated global response, including education, contact tracing, and resource provision, essential to prevent further spread

      The monkeypox outbreak in Central Africa is a complex issue, with vulnerable populations and transient labor forces creating ideal conditions for disease transmission. Malnutrition, comorbidities, and the presence of malaria all contribute to the severity and spread of the disease. Vaccines, specifically those for monkeypox and the related smallpox virus, are considered the most effective solutions. However, access to these vaccines in Africa remains a challenge. While countries have pledged to send vaccines, none have been received yet. Beyond vaccines, a coordinated global response is crucial to contain the outbreak and prevent its further spread. This includes education and awareness campaigns, contact tracing, and the provision of resources and support to affected communities.

    • Monkeypox outbreak responseThe world needs to collaborate and prioritize public health education, early treatment, and local intervention to contain the ongoing monkeypox outbreak, which has been declared a Public Health Emergency of International Concern by the WHO due to its potential for global spread.

      The world needs to collaborate and act swiftly to support affected communities and researchers in tackling the ongoing monkeypox outbreak. The potential for the virus to spread globally is a concern due to its unknown transmissibility and the possibility of infected individuals traveling to other countries. It's crucial to prioritize public health education campaigns, early treatment, and local intervention to protect not only the affected communities but also the entire world. The WHO's declaration of this as a Public Health Emergency of International Concern underscores the urgency for a collaborative effort to understand and contain the virus.

    • AI CompanionsExploring the potential of AI as companions through chatbots, robots, and digital avatars at the British Science Festival. Free and open to the public, tickets available on the British Science Festival website.

      At the British Science Festival in London next week, Science Weekly will be hosting a live event where they will explore the question of whether AI can make a good companion. The discussion will cover various aspects such as chatbots for children, robots for romance, and digital avatars of deceased loved ones. The event is free and open to the public, and tickets can be booked through the British Science Festival website. Stay tuned to Science Weekly as they delve into these intriguing topics. Additionally, Professor Trudy Lang's story about the use of AI in forensic science was discussed, and you can keep up to date with the latest developments on this topic by visiting TheGuardian.com. This episode of Science Weekly was produced by Madeleine Finley, sound designed by Tony Onachuku, and the executive producer was Ellie Burie. Join us again on Tuesday for more thought-provoking discussions.

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