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HEALTH

Austria makes quarantine announcement for monkeypox

The Ministry of Health has announced new quarantine guidelines for dealing with monkeypox in Austria.

A test tube labelled
A test tube labelled "Monkeypox virus positive" in an illustration photo. Photo: Dado Ruvic/Reuters/Ritzau Scanpix

The Ministry of Health has published a set of guidelines for authorities after Austria reported its first case of the disease on Monday.

A three week quarantine now applies to contacts of confirmed cases, but only if they are showing symptoms of monkeypox, reports Der Standard.

The isolation period can be completed at home or at hospital, depending on the state of health of the patient.

Furthermore, contacts of a positive case will be treated as either Type I or Type II in a move similar to the management of Covid-19 contacts.

READ MORE: Monkeypox in Austria: What causes it and is it serious?

Type I contacts are considered as high-risk and include those who have had direct contact with skin lesions of an infected person, such as sexual partners, but also close passengers on planes, buses or trains for a period of at least eight hours. 

High-risk contacts do not have to isolate straight away but must monitor their condition for 21 days through a daily phone call with the health authorities. If symptoms occur, then the person has to quarantine for three weeks and a PCR test has to be carried out.

Type II contacts are short social contacts, such as work colleagues (not in the same office), or fleeting contacts in gyms, saunas or bathrooms. These contacts must monitor their health for 21 days.

READ ALSO: More pay and longer holidays: How Austria hopes to attract 75,000 new nurses

A case of monkeypox is confirmed after a positive result from a PCR test and Austria currently only has one confirmed case of monkeypox in Vienna.

The Ministry of Health has confirmed that positive cases of monkeypox are contagious for the entire duration of an infection, which can last from two to four weeks.

What are the symptoms of monkeypox?

The disease displays symptoms in two phases.

The first stage involves a high temperature, muscles aches, back ache, chills, headache, swollen glands and exhaustion.

This is typically followed a few days later by a rash on the mouth, throat, face, hands and forearms before spreading to other parts of the body. The genital area can also be affected.

READ MORE: Austria to ‘pause’ Covid mask mandate from June 1st

A patient is no longer contagious when the rash has disappeared.

To be considered a suspected case, a person must have been in contact with a probable or confirmed case of monkeypox, recently returned from West or Central Africa or been in contact with a potentially infected animal.

Additionally, a person must have developed a rash of unknown cause and at least two other symptoms (e.g. fever, chills) within 21 days after contact.

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HEALTH

WHO says European festivals should go ahead despite monkeypox risk

Most new cases of monkeypox are currently detected in Western Europe. The World Health Organisation says this is no reason to cancel more than 800 festivals scheduled to take place on the continent this summer.

WHO says European festivals should go ahead despite monkeypox risk

The World Health Organization said Friday that European summer festivals should not be cancelled due to the monkeypox outbreak but should instead manage the risk of amplifying the virus.

A surge of monkeypox cases has been detected since May outside of the West and Central African countries where the disease has long been endemic.

Most of the new cases have been in Western Europe.

More than 3,200 confirmed cases and one death have now been reported to the WHO from 48 countries in total this year.

“We have all the summer festivals, concerts and many other events just starting in the northern hemisphere,” Amaia Artazcoz, the WHO’s mass gatherings technical officer, told a webinar entitled “Monkeypox outbreak and mass gatherings: Protecting yourself at festivals and parties”.

The events “may represent a conducive environment for transmission”, she said.

“These gatherings have really close proximity and usually for a prolonged period of time, and also a lot of frequent interactions among people,” Artazcoz explained.

“Nevertheless… we are not recommending postponing or cancelling any of the events in the areas where monkeypox cases have been identified.”

Sarah Tyler, the senior communications consultant on health emergencies at WHO Europe, said there were going to be more than 800 festivals in the region, bringing together hundreds of thousands of people from different countries.

“Most attendees are highly mobile and sexually active and a number of them will have intimate skin-to-skin contact at or around these events,” she said.

“Some may also have multiple sexual contacts, including new or anonymous partners. Without action, we risk seeing a surge in monkeypox cases in Europe this summer.”

Risk awareness

The UN health agency recommends that countries identify events most likely to be associated with the risk of monkeypox transmission.

The WHO urged festival organisers to raise awareness through effective communication, detect cases early, stop transmission and protect people at risk.

The outbreak in newly-affected countries is primarily among men who have sex with men, and who have reported recent sex with new or multiple partners, according to the WHO.

People with symptoms are advised to avoid attending gatherings, while people in communities among whom monkeypox has been found to occur more frequently than in the general population should exercise particular caution, it says.

The normal initial symptoms of monkeypox include a high fever, swollen lymph nodes and a blistery chickenpox-like rash.

Meg Doherty, from the global HIV, hepatitis and sexually-transmitted infection programmes at WHO, said: “We are not calling this a sexually-transmitted infection.

“Stigmatising never helps in a disease outbreak,” she added.

“This is not a gay disease. However, we want people to be aware of what the risks are.”

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