First case of clade 1b mpox detected in UK

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A case of mpox, formerly known as monkeypox, linked to recent outbreaks in parts of Africa, has been detected in the UK.

This is part of clade 1b outbreaks and appears to spread more easily between people.

Mpox declared a global health emergency by the World Health Organization in the summer.

The UK patient had recently holidayed in Africa and started feeling unwell 24 hours after flying home.

The patient developed flu-like symptoms on October 22nd, and a rash appeared two days later.

A smallpox rash, which consists of pus-filled lesions, can last up to a month. Other symptoms include fever, headache, and low energy.

Laboratory testing confirmed it to be clade 1b. This form of the virus is of increasing concern because of the way it spreads.

Its close relative, clade 1a, is largely associated with exposure to infected animals or consumption of shrub meat.

However, clade 1b appears to be more easily transmitted from person to person through close physical contact, including sex.

The infected patients in the UK are being treated at the serious infectious diseases unit at the Royal Free Hospital in London.

In Africa, the Democratic Republic of the Congo, Kenya, Burundi, and Rwanda have all reported clade 1b mpox cases this year.

Clade 1b appears to have milder symptoms than 1a, but it's difficult to know for sure because exact numbers on the number of people infected are difficult to determine.

Tracing of close contacts of the patient, including those living in the same household, is underway. There are probably fewer than 10 people.

Professor Susan Hopkins, chief medical adviser at UKHSA, said: “This is the first time this strain of mpox has been detected in the UK, although other cases have been identified overseas.

“The risk to the UK public remains low and we are working quickly to trace close contacts and reduce the risk of potential spread of infection,” he said.

Sweden, India and Germany have all detected cases of this strain of mpox linked to travel to affected countries.

This is a different outbreak than the main outbreak. Affects gay, bisexual, and other men who have sex with men in 2022called clade II. These mpox infections are still occurring at low levels.

Health and Social Care Secretary Wes Streeting said: “The Government is working with UKHSA and the NHS to protect the public and prevent transmission.”

“This includes securing vaccines and providing health care workers with the guidance and tools they need to safely respond to cases.”

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