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Editorial Note: The following news reports are summaries from original sources. They may also include corrections of Arabic names and political terminology. Comments are in parentheses.

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Nigeria Bans Sale and Consumption of Bush Meat Over Monkeypox Spread

June 2, 2022

 

 

Sale of wild animal meat in Nigeria, file, June 2, 2022

A man walks past bush meat, including pangolins, bush rats and tiger cats for sale

 

 

Nigeria bans sale and consumption of bush meat over monkeypox spread

African News, June 2, 2022

Nigeria has banned the sale and consumption of bush meat in a bid to control the spread of monkeypox disease.

Minister of Agriculture and Rural Development Dr Mohammad Abubakar on Tuesday, May 31, directed hunters and dealers of bush meat in the country to stop the business.

In Nigeria and most parts of Africa, bushmeat is a delicacy. It refers to any wild animal that is killed for consumption, including antelopes, chimpanzees, fruit bats, rats, porcupines and snakes.

Abubakar also urged Nigerians to avoid contact with persons suspected to be infected with monkeypox.

“Hunters and dealers of ‘bush meat’ must desist from the practice forthwith to prevent any possibility of a ‘spill over’ of the pathogen in Nigeria.

Abubakar also noted that the ministry was collaborating with the Nigeria Centre for Disease Control (NCDC) and other stakeholders in the One Health Team to ensure the situation is contained and brought under control.

Earlier this week, Nigeria confirmed 21 cases of monkeypox since the beginning of 2022, with one death reported, the Nigeria Centre for Disease Control (NCDC) said.

Nigeria bans sale and consumption of bushmeat over monkeypox spread | Africanews

21 monkeypox cases confirmed in Nigeria – CDC

Nigeria has confirmed 21 cases of monkeypox since the beginning of 2022, with one death reported, the Nigeria Centre for Disease Control (NCDC) said late on Sunday.

Monkeypox, of which several cases have recently been detected in Europe and North America, is a rare disease originating in Africa that usually recovers spontaneously.

According to an infectious disease specialist, Dr Bertha Serwaa Ayi, there are two types of the virus: a West Africa type in which 1 to 3.6 out of 100 infected patients die (1% to 3.6% mortality) and the Congo Basin (CB) variant, in which about 10 out of 100 infected patients can die (10% mortality).

The NCDC says the 21 confirmed cases are from some 61-suspected cases of monkeypox, out of which a 40-year-old man died. The cases were reported in nine states and the federal capital Abuja.

In Nigeria, Africa's most populous country, the risk of exposure to monkeypox is high but the health consequences are relatively low, according to the NCDC.

"The current situation in the country and globally has not shown any significant threat (...) that could result in severe disease or a high case fatality rate.

Its symptoms are high fever, headache, and muscle pain, followed by the appearance of skin rashes, lesions and pustules.

Dr Bertha SerwaA Ayi adds that, so far, the virus isolated in this current outbreak is of the West African variant, implying that the risk of dying from this disease is very low.

Six of the cases were detected this month, it said.

Additional sources • AFP

Three cases of monkeypox suspected in Morocco

African News, 24/05, 2022

MOROCCO

Morocco has discovered three suspected cases of monkeypox, the first time this has happened in the kingdom, the health ministry announced on Monday.

"We have detected three suspected cases of monkeypox who are in good health and under medical supervision," said Dr Mouad Mrabet, coordinator of the National Centre for Emergency Public Health Operations.

In a statement, Mrabet said medical tests were underway and that the results would be known "soon".

The statement did not state where the suspected cases were detected or the identity of the three people.

The Ministry of Health has just published a "surveillance and response plan" for the detection and treatment of monkeypox cases and for health protection.

Monkeypox, which was eradicated some 40 years ago, has suddenly appeared in recent weeks in countries where it is normally only very rare: Europe and North America.

As cases continue to rise outside endemic areas of Africa, the World Health Organisation (WHO) confirmed on Monday that the situation was "atypical", but said it was possible to "stop" the transmission of the disease between humans.

African scientists surprised by spread of monkeypox cases

African News, 20/05, 2022

Scientists who have followed the numerous monkeypox outbreaks in Africa say they are baffled by the recent spread of the disease to Europe and North America.

Until now, cases of the smallpox-related disease have only been seen in people with links to central and west Africa. 

However, over the past week, Britain, Spain, Portugal, Italy, the United States, Sweden and Canada have all reported infections, mainly in young men who had never travelled to Africa.

France, Germany, Belgium and Australia confirmed their first cases of monkeypox on Friday.

"I am stunned by this. Every day I wake up and see that new countries are being infected," said Oyewale Tomori, a virologist who headed the Nigerian Academy of Sciences and sits on several World Health Organisation (WHO) advisory boards.

"This is not the kind of spread we've seen in West Africa, so there may be something new happening in the West," he added.

Skin rash

Monkeypox usually causes fever, chills, a rash and lesions on the face or genitals. The WHO estimates that the disease is fatal for one in ten people, but smallpox vaccines protect, and some antiviral drugs are also being developed.

One theory being explored by the UK health authorities is that the disease is sexually transmitted. Health authorities have asked doctors and nurses to be on the alert for potential cases, but have said the risk to the general population is low.

According to the WHO, Nigeria reports about 3,000 cases of monkeypox a year. Outbreaks usually occur in rural areas, where people are in close contact with infected rats and squirrels, Oyewale Tomori said. He added that many cases probably go unnoticed.

He hopes that the appearance of monkeypox cases in Europe and other countries will lead to a better scientific understanding of the disease.

The head of WHO's emergency response, Dr Ibrahima Soce Fall, acknowledged this week that there were still "so many unknowns in terms of transmission dynamics, clinical features (and) epidemiology".

Sexual transmission

On Friday, the UK's Health Security Agency reported 11 new cases of monkeypox, saying that "a notable proportion" of the most recent infections in the UK and Europe were among young men with no history of travel to Africa, who are gay, bisexual or have sex with men.

The Spanish and Portuguese authorities also said that their cases involved young men who mainly had sex with other men and indicated that these cases were detected when the men presented with lesions at sexual health clinics.

The experts stressed that they do not know whether the disease is transmitted through sex or other close sexual contacts.

Nigeria has not experienced sexual transmission, said Oyewale Tomori, but he noted that viruses that were not initially known to be sexually transmitted, such as Ebola, were later proven after larger outbreaks showed different patterns of spread. The same could be true of monkeypox, according to Oyewale Tomori.

Sequencing

In Germany, Health Minister Karl Lauterbach said the government was confident that the outbreak could be contained. He said the virus was being sequenced to see if there were any genetic changes that could have made it more infectious.

Rolf Gustafson, a professor of infectious diseases, told Swedish television station SVT that it was "very difficult" to imagine the situation getting worse. "We will certainly find more cases in Sweden, but I don't think there will be an epidemic in any way," he said. "There is nothing to suggest that at the moment.

The scientists said that while it is possible that the first patient in the epidemic caught the disease while in Africa, what is happening now is exceptional.

"We have never seen anything like what is happening in Europe," said Christian Happi, director of the African Centre of Excellence for Infectious Disease Genomics. "We haven't seen anything to say that the transmission patterns of monkeypox have changed in Africa. So if something different is happening in Europe, then Europe needs to investigate that."

Vaccination campaigns

Christian Happi also pointed out that the suspension of smallpox vaccination campaigns after the disease was eradicated in 1980 could inadvertently encourage the spread of monkeypox. Smallpox vaccines also protect against monkeypox, but mass vaccination was stopped decades ago.

"With the exception of people in Central and West Africa who may have some immunity to smallpox due to previous exposure, the absence of smallpox vaccination means that no one has immunity to smallpox," said Christian Happi.

Shabir Mahdi, professor of vaccinology at the University of the Witwatersrand in Johannesburg, said a detailed investigation into the outbreak in Europe, including determining the identity of the first patients, was now essential.

"We really need to understand how this started and why the virus is now gaining ground," he said. "In Africa, monkeypox outbreaks have been very controlled and infrequent. If this is changing, we really need to understand why."

African scientists surprised by spread of monkeypox cases | Africanews

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