The first confirmed case of monkey pox in Korea… Comprehensive 3 rounds of Koreans in their 30s who arrived from Germany

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Immediately after entering the country on the 21st, after reporting a suspicion… One other suspect confirmed as ‘chickenpox’
Symptoms such as mild fever, sore throat, asthenia, skin lesions… 8 adjacent passengers were in high-risk contact
Infectious disease crisis alert raised to ‘caution’… “Vaccination of volunteers considering the risk”

The first confirmed case of monkey pox, an infectious disease that is spreading around the world and raising concerns about a global health crisis, has been confirmed in Korea.

Quarantine authorities decided to upgrade the infectious disease crisis level to ‘caution’ and strengthen quarantine according to the occurrence of confirmed cases.

The first confirmed case of monkey pox in Korea…  Koreans in their 30s who arrived from Germany (3 steps in total)

◇ 30-somethings who reported their suspicions at the airport… No domestic high-risk contacts
In a briefing on the 22nd, the Korea Centers for Disease Control and Prevention (KCDC) said, “After returning home to Incheon International Airport on the 21st and showing suspicious symptoms, we conducted a gene amplification (PCR) test and gene sequencing, and it was confirmed as a confirmed case.”

Person A came to Korea from Germany around 4 pm on the 21st.

After arriving at Incheon International Airport, he reported his suspicion to the Korea Centers for Disease Control and Prevention and was classified as a pseudo-patient (suspected) by the airport quarantine station and the Central Epidemiological Investigator.

After waiting at the airport quarantine facility, he was transferred to Incheon Medical Center, a state-designated inpatient treatment bed, for treatment and examination.

Person A had headache symptoms on the 18th before entering the country, and at the time of entry, he showed systemic symptoms such as a mild fever of 37.0 degrees, sore throat, asthenia (weakness), fatigue, and skin lesions (changes in skin cells or tissues due to pathological action) .

The age of Mr. A is in his 30s, and the quarantine authorities did not reveal the gender and exact age of personal information.

Lim Sook-young, head of the situation at the Central Quarantine Countermeasure Headquarters, said, “The confirmed patient stated that he had contact with a suspected patient in Germany. explained.

As a result of the epidemiological investigation, it was found that there were no high-risk contacts of Mr. A in Korea.

Person A reported at the airport quarantine and was handed over to a quarantine officer and a hospital.

The Korea Centers for Disease Control and Prevention classifies contacts into three levels: high-risk, medium-risk, and low-risk. Among them, the high-risk group refers to cohabitation or sexual contact with a confirmed person within 21 days of symptom onset, and must self-quarantine for 21 days.

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The quarantine authorities decided to conduct active monitoring of passengers in adjacent seats of the plane where Mr. A was boarded.

Among the passengers on the plane, eight passengers who were in the diagonally adjacent seats in front of and behind Mr. A are classified as medium-risk contacts, and active monitoring is carried out by monitoring symptoms once or twice a day at the public health center for 21 days.

If there are workers who come into contact with immunocompromised persons, etc. among medium-risk contacts, work restrictions are recommended.

41 other low-risk contacts on the plane (including two crew members) will be subjected to passive monitoring by reporting symptoms to the quarantine authorities if they develop symptoms for 21 days.

On the other hand, on the 21st, the same day as A, foreigner B, who was reported as a suspected patient, came out negative.

B was confirmed to have chickenpox infection.

B, who developed symptoms on the 19th, arrived in Korea by flight on the 20th, and visited a hospital in Busan (a state-designated inpatient treatment bed) on the morning of the 21st and received isolation treatment.

The first confirmed case of monkey pox in Korea…  Koreans in their 30s who arrived from Germany (3 steps in total)

◇ Crisis alert ‘Caution’… Vaccination plan for those who wish to take into account the contact and risk
As a confirmed case occurred, the Korea Centers for Disease Control and Prevention (KCDC) held a crisis assessment meeting (Chairman, Deputy Director of the Korea Centers for Disease Control and Prevention) on the same day and raised the level of the infectious disease crisis from ‘attention’ to ‘caution’.

The Korea Centers for Disease Control and Prevention (KCDC) explained, “At the meeting, experts advised that we should not be vigilant due to the nature of the disease with a long incubation period, although excessive tension or excessive concern is unnecessary because the risk of transmission in the general population in Korea is low.”

Accordingly, the current countermeasures team (head of the Infectious Disease Crisis Response Bureau) led by the director-level was upgraded to the Central Quarantine Countermeasures Headquarters (Bangdaebon), headed by the Director of the Korea Centers for Disease Control and Prevention (KCDC) to strengthen the multi-ministerial cooperation system.

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In addition, all cities, counties, and districts within the provinces and cities across the country are planning to operate an emergency quarantine system to install and operate local quarantine countermeasures teams.

With regard to vaccination, it is planned to make it possible to vaccinate those who wish to be vaccinated in consideration of the risk of contact with the patient to prevent onset and aggravation after exposure.

The Korea Centers for Disease Control and Prevention (KCDC) plans to distribute information to medical staff to respond to monkey pox, while providing education and distributing videos to front-line medical institutions for treatment and response to confirmed cases.

By strengthening the monitoring of overseas inflows, it was decided to designate a quarantine management area for monkey pox in the second half of the year, and to raise fever standards in countries where outbreaks occur frequently.

In addition, by strengthening the guidance on the use of SMS text messages and quarantine information pre-entry system for inbound and outbound travelers, it plans to increase the rate of self-reporting of health status questionnaires among inbound travelers.

The Korea Centers for Disease Control and Prevention (KCDC) plans to conduct diagnostic tests at the government level for the time being, but plans to expand the testing to local governments if there is a risk of spread in consideration of the future situation.

Earlier, the quarantine authorities strengthened quarantine for monkey pox on the 24th of last month, and on the 31st of the same month, issued a crisis alert level of ‘attention’.

On the 7th, it was designated as a Class 2 legal infectious disease.

Those diagnosed with a second-grade infectious disease are obliged to be hospitalized, quarantined and treated, and patients and medical institutions are obliged to report.

A confirmed person is quarantined until loss of infectivity and recovery is confirmed due to the removal of the scab of the skin lesion, etc.

The first confirmed case of monkey pox in Korea…  Koreans in their 30s who arrived from Germany (3 steps in total)

◇ Infection mainly through close contact with an infected person with symptoms… Second case in Asia excluding the Middle East
Monkey smallpox is an acute febrile and rash disease caused by a viral infection. The symptoms are similar to smallpox, but the severity is reported to be low.

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It is mainly transmitted through close contact with symptomatic infected patients, and when infected, rash symptoms appear after 1 to 3 days, starting with fever, headache, myalgia, myasthenia, chills, weakness, lymphadenopathy, etc.

Symptoms appear after 5 to 21 days (average 6 to 13 days) after infection and last for 2 to 4 weeks.

Respiratory transmission is possible, but air transmission through fine aerosols containing the virus is not common, so it is not as highly contagious as Corona 19.

According to the World Health Organization (WHO), the fatality rate of monkey pox is high at 3-6%.

In newborns, children, and immunocompromised patients, it can progress to serious symptoms, so caution is required.

Monkey smallpox is a virus that originally became endemic in Africa, but it has spread worldwide after the first case was reported in the UK on the 7th of last month.

According to the Korea Centers for Disease Control and Prevention (KCDC), 3,127 people from 52 countries had been confirmed with monkey pox and 117 were reported as suspected cases.

It is believed to be frequent in the UK (794 confirmed), Spain (520), Germany (469), Portugal (304), and France (277).

In Europe, there were a lot of infections, but in Asia, there was a rare case in Korea this time.

According to the Korea Centers for Disease Control and Prevention, as of today, 5 Asian countries with monkey pox confirmed cases this year include Israel (11), the United Arab Emirates (13), Lebanon (1), Singapore (1), and South Korea (1). 27 countries.

Singapore also had the first confirmed case on that day, and in Asia, except for the Middle East, there are only cases in Korea and Singapore.

The WHO held an emergency meeting on the 23rd to review the declaration of a public health emergency of international concern (PHEIC) for monkey pox.

PHEIC is the highest level of alert issued by the WHO in relation to a global disease.

The Korea Centers for Disease Control and Prevention (KCDC) urged “nationals visiting or traveling to the affected countries to follow personal hygiene rules such as washing hands and wearing masks, and to consult the Korea Centers for Disease Control and Prevention (☎1399) if symptoms develop within 21 days of returning home.”

/yunhap news

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