No case of monkeypox in a Quebec child, finally

Monkeypox virus continues to spread in Quebec, but no children have been infected, contrary to what Public Health announced ten days ago. “We realized that there was a mistake at the level of the National Microbiology Laboratory in Winnipeg, explains DDr Caroline Quach Thanh, chair of the Commission on Immunization of Quebec (CIQ). There are no cases of children. »

considered dDr Coch-Thanh, a microbiologist and infectious disease scientist at Saint-Justin University Hospital Center (CHU), along with the acting National Director of Public Health in Quebec, Dr.s Luc Poelho, when reporting a child’s injury to the media, during a press conference on May 26.

join dutyThe Department of Health and Social Services (MSSS) confirms that “the presumed minor case announced at the last press conference on this subject is now invalid.” according to dDr Kuch-Thanh, the child finally suffered from chickenpox.

Cases of monkeypox are increasing in Quebec. According to the latest available report, the county has 71 people, including 67 in Montreal and a few in Monterrey. Men who have sex with other men remain the most affected.

Remember that monkeypox is not a sexually transmitted infection. It is transmitted between humans during close and prolonged contact with skin lesions, mucous membranes or respiratory secretions of an infected person.

The illness, which is manifested particularly by lesions, headache, fever and extreme fatigue, clears itself within two to four weeks in the majority of cases, according to the Montreal Regional Public Health Department.

considered dDr Cecile Tremblay, a microbiologist at CHUM, believes Quebec discovered the infection “too early.” “From the moment one or two cases are presented in a given population, all close contacts of those people are susceptible,” she said. It creates transport chains, which explains why the number is increasing. She is not afraid of a wider spread. “There is no asymptomatic transmission,” she says.

Monkeypox is not as contagious as COVID-19. Reproduction rate (R0) between 0.6 and 1, as opposed to 10 to 12 for the BA.2 variant, according to D.Dr Quach Thanh. However, the CIQ chief expects an increase in the number of cases. “We haven’t necessarily finished limiting transmissions.”

5000 doses of vaccine

The monkeypox vaccination began about a week ago in Montreal. The vaccine should ideally be given within four days of the last exposure to an infectious contact.

According to Montreal’s Department of Regional Public Health, 516 people received the vaccine between May 30 and June 5, 2022. But “not all of these people are necessarily residing in Montreal,” defines its spokesperson, Jean-Nicolas Donne.

Ottawa supplies Quebec with vaccines. “The first order for 1,000 doses of smallpox vaccine from the federal government has been approved by the DNSP [directeur national de santé publique par intérim]plus a second order for an additional 4,000 doses for a total of 5,000 doses in Quebec,” according to MSSS spokesperson, Robert Maranda.

Starting Tuesday, Lactuel Medical Clinic in Montreal will receive doses of the vaccine, says its president, CEO, and founder, Dr.s Regina Thomas. A nurse will perform the examination and immunization. The vaccine will also be available “without an appointment.”

L’Actuel counts 19 cases in its clients, including one of a heterosexual man, and a roommate of an infected person. Dr. says.s Thomas. I have many patients I have seen who do not frequent saunas. Some didn’t have that many sexual partners either. Some had no idea where they contracted him. »

considered ds Thomas reports that gay men are addicted to crystal meth (crystal meth) are more likely to get sick. “They have a lot of sexual partners,” he says. Is the problem [actuelle] related to this? It is too early to tell. »

The doctor hopes that doctors and nurses in his clinic will soon be able to receive the monkeypox vaccine. “I applied twice to vaccinate our employees,” he said. Imagine if one of our nurses got sick. First, we have a shortage of staff. Second, getting cases takes a lot of work. Delays the usual “entry”. »

considered ds Thomas does not want employees to get sick. In its June 3 update, Montreal Public Health reported three hospitalizations: “two related to risk of airway obstruction, and one related to potential eye damage.”

The West African monkeypox strain, found in Quebec, causes death in only 1% of cases. add dDr Tremblay. It’s a disease that we don’t want to allow to spread through the population. »

considered dDr Kuch-Thanh believes that it is absolutely necessary to curb the disease. “We don’t really want him to fall into an animal tank,” she said. Because once it falls into an animal tank, we can never get rid of it again. In North America, our prairie dogs are susceptible to this and can become infected and transmit it. [le virus de la variole simienne]. »

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