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28 Jul 2022 | 02:36 PM UTC

Ghana: Health officials report confirmed monkeypox cases in multiple regions as of July /update 1

Confirmed monkeypox cases across multiple regions in Ghana as of July. Use basic health precautions.

Informational

Event

Ghanian health officials have identified 34 confirmed monkeypox cases in multiple Ghana regions between May 24-July 24. Over the same period, officials have identified 159 suspected cases. Most cases are reported from the Greater Accra region, with cases also reported from Ashanti, Bono, Bono East, East, and Upper West. As disease surveillance and contact tracing continue, officials may identify additional cases in the coming weeks. This represents the most updated data as of July 28.

Context

In contrast to past sporadic cases linked to travel to endemic countries, health officials have not confirmed the source of infection for the current outbreak, which is primarily centered in Europe. Human-to-human transmission occurs among people in close physical contact, with the increase in recent cases linked to sexual contact, suggesting that the virus linked to the disease can be sexually transmitted. The current outbreak highlights the importance of vigilant safe sexual practices and suggests monkeypox can be transmitted while the infected person displays few or no symptoms; however, the risk is currently assessed as low for individuals not routinely engaging with multiple or anonymous sexual partners.

Monkeypox does not naturally occur in Ghana; most cases are reported in West and Central Africa, primarily in the DRC, Nigeria, and Cameroon among individuals who report contact with wild primates or other mammals which may harbor the disease. The last confirmed monkeypox outbreak in Ghana was reported in 2003.

Monkeypox is caused by a virus that belongs to the same family as the virus that causes smallpox. However, monkeypox is not the same as smallpox, and it does not have the same capacity for rapid human-to-human transmission. Monkeypox is mainly transmitted to humans through direct contact with the bodily fluids of infected rodents or primates. Human-to-human transmission primarily occurs through close personal contact with an infected individual via respiratory droplets, direct contact with bodily fluids, or indirect contact with lesion material (e.g., contaminated clothing or bedding). Symptoms typically appear 6-16 days after exposure but can develop up to 21 days after exposure. Symptoms generally include fever, headache, muscle aches and backaches, swollen lymph nodes, chills, exhaustion, and a distinctive rash characterized by lesions that progress through several stages before falling off.

Advice

Practice basic health precautions, including frequent handwashing with soap and water, covering the nose and mouth when coughing, and avoiding obviously ill individuals. Avoid overcrowded areas, such as nightclubs, and consider using safe sexual practices, such as physical barriers (condoms), in countries reporting monkeypox transmission. Seek medical attention if symptoms develop within two weeks of being in affected areas.

Resources

US CDC: Monkeypox factsheet