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24 September 2024

India Reports First Mpox Case Linked To Fast-Spreading Clade 1b

A traveler from Dubai tests positive, raising public health alarms across South Asia

India has confirmed its first case of the fast-spreading Mpox strain, clade 1b, marking South Asia's initial encounter with this new variant. The 38-year-old male patient, who recently traveled from Dubai to Kerala, has been admitted to the government medical college hospital in the Malappuram district. Health authorities have reported the case following increased vigilance due to the rapid global spread of the Mpox virus, which previously had been associated with clade 2 strains found mostly across Africa.

On September 24, Health Ministry spokesperson Manisha Verma confirmed the findings and outlined the situation surrounding this alarming development. "The strain belongs to clade 1b, which is more transmissible and presents a higher fatality risk than older variants," she remarked. The significant aspect of this case is not just its emergence but the timing of it - as multiple countries continue to battle outbreaks linked to Mpox, also formerly known as monkeypox.

The patient had only returned from the United Arab Emirates last week when he began experiencing symptoms consistent with Mpox. These include fever, swollen lymph nodes, body aches, and lesions. After his hospitalization, health officials initiated protocols to identify and monitor anyone who may have come in contact with him, including around 29 family and friends as well as 37 fellow passengers from his flight, all of whom have not shown symptoms as of yet.

This event is particularly concerning as India had not reported any cases associated with clade 1 or 1b until now. Previously, between 2022 and March 2024, India documented approximately 30 cases linked to the clade 2 variant, officially noted as less infectious. Health officials have urged all states to be on high alert for any potential cases, following the World Health Organization's classification of the outbreak as a global health emergency.

The World Health Organization (WHO) labeled theMpox situation as significant back in August, after the novel strain started spreading from the Democratic Republic of Congo to areas across the globe, including Sweden, Thailand, and Pakistan. Unlike previous pandemics like COVID-19, Mpox primarily transmits through close physical contact rather than airborne routes such as respiratory droplets, which presents its unique challenges and calls for strategic public health responses.

An executive from a local public health agency said, "It is imperative for us to act swiftly and methodically to mitigate the spread of this virus. We are emphasizing communication and collaboration with hospitals and laboratories nationwide to facilitate efficient reporting and response efforts." Currently, about 35 laboratories across India have been designated to test suspected Mpox cases, enhancing the country's capacity to diagnose and manage any subsequent infections rapidly.

The Kerala Health Department has approached the situation with caution and engagement, swiftly tracing the individual's contacts. Local health officials stated they are prepared for the challenging dynamics posed by this new strain, emphasizing the importance of preventative strategies. Patients diagnosed with Mpox typically recover within weeks; nevertheless, the severity of illness can vary significantly.

Traditionally, the majority of cases emerge from wildlife, with animals being the original infection source before spreading to humans through direct contact. The situation emphasizes the necessity to heighten surveillance and public awareness about the virus's symptoms and modes of transmission.

Many residents of Kerala, noted for its beauty and hospitality, have started exhibiting signs of concern, particularly around gatherings or events, with some choosing to remain home until they feel reassured about their safety. Health experts urge the public to remain calm but vigilant, advocating preventive measures like frequent handwashing, avoiding close contact with anyone exhibiting symptoms, and maintaining good hygiene practices.

While initially considered less severe compared to its viral counterparts, there remains potential for Mpox to evolve. Experts agree the situation calls for both national health authorities and the public to collectively commit to controlling the virus's spread. The introduction of swift assessments by health agencies could forestall alarming statistics similar to those witnessed during earlier health crises.

All eyes will now be on Kerala as efforts progress to contain this outbreak, individuals across the country hope for effective management, and more so for their lives to return to normal as quickly as possible. This case serves as another reminder of the importance of readiness and resilience when faced with infectious diseases, even as the world hopes to overcome previous health emergencies.

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