Monkeypox, Real Outbreak Emergency With Non-Emergency Response

Wife texted me a picture of people lining up for the Monkeypox Vaccine, with a message, “Should we line up?”

I texted back, “Are you recently intimate or sexually active?”

She replied, “No.”

I took a sigh of relief and texted, “So, am I. No need to panic and get the vaccine. We’ll be fine.”

She texted a smiley face emoji 😀 followed by an LOL.

Truth: Monkeypox is NOT an LOL Infectious Disease. Its rash, vulgar, disgusting, highly contagious that can last for 2-4 weeks. Its social stigma is discriminatory that can last even longer. Not something we can just walk around unnoticed.

Not a surprise. US now has the world’s biggest monkeypox outbreak. More than 6,600 Americans have been diagnosed since mid-May– USA Today

Bottom line, Government and its Public Health response are not ready after two months of outbreak warnings. We don’t have enough vaccines. We don’t have an effective FDA approved anti-viral for severe cases. Those highly at risk and the sick can not get the post exposure prophylaxis vaccine on time. Vaccines is by appointment only and the waiting list is several days long.

So how is Monkeypox transmitted?

Monkeypox is transmitted through close, personal, often skin-to-skin contact including:

  • Direct contact with a Person with Monkeypox via rash, scabs, or body fluids. Per CDC, this is the common way that monkeypox is spreading in the U.S.
  • Touching contaminated objects, fabrics (clothing, beddings, or towels), and surfaces.
  • Contact with respiratory secretions. Very reason Healthcare Staff are required full PPE Mode.
Why? Changing the name of Monkeypox to Orthopox will not stop Racism, Discrimination and Blame. Orthopoxviruses are a Genus of DNA viruses which includes Smallpox, a highly contagious, potentially fatal virus considered eradicated thus becomes a bioterrorism threat like Anthrax if it resurfaces. So, is Monkeypox then a lab enhance virus meant to cause harm and terror? More confusion and conspiracy theories to a very real public health emergency.

Intimate contact includes:

  • Oral, anal, and vaginal sex or touching the genitals or anus of a person with Monkeypox.
  • Kissing and Hugging.
  • Massage
  • Prolonged face-to-face contact.
  • Touching fabrics and objects during sex that were used by a person with monkeypox and that have not been disinfected, such as bedding, towels, fetish gear, and sex toys. Caution on shady hotels and clubs.
illustration of 5 symptoms. fever, headache, backache, chills, rash

Monkeypox may begin with Flu-like or COVID-like symptoms like fever, headache, body aches and fatigue. Lymphadenopathy are common. Rash follows 1-4 days after that can present as a firm, well circumscribed, umbilicated skin lesion, or pimple-like to vesicular to pustular skin lesions on face and mouth, chest/abdomen/back, arms and legs, hands and feet including soles and palms. Rash is centrifugal in distribution like extremities and face. Covering the rash limits the spread to other people and objects.

There is a unique rash distribution that is part of the concern, the Anogenital Region. Also isolated Oral ( Lips and Mouth) Area.

Monkeypox can be spread from the time symptoms start until the rash has healed, all scabs have fallen off, and a fresh layer of skin has formed. This can take several weeks.

Post-exposure Monkeypox prophylaxis vaccination with Jynneos. Get inoculated within four days of exposure and no later than two weeks to reduce symptoms. Check your city and county website on where to get the vaccines and make the soonest appointment. For now, no walk-ins. Major Pharmacies like CVS and Walgreens, Doctor Clinics and Hospitals don’t have the vaccines.

Will Monkeypox get an emergency vaccine funding and attention like COVID? I think it won’t until it gets really bad. Lots of talks and arguments before real change and solutions happen.

Inequality of medical care distribution and preferential treatment are happening again like when COVID began. It is in itself, sickening.

This is what’s really happening, People who may be infected are grappling with dead ends, delays, incorrect diagnoses, and inappropriate treatments as they navigate an unprepared and ill-informed health care system.- Kaiser Health News

Too slow, not enough. The Biden administration declared the ongoing monkeypox outbreak a public health emergency on Thursday, a move that comes amid growing case counts and a groundswell of criticism over the way the administration has handled the outbreak. -STAT

New park by Crissy Field. A beautiful fusion of Nature, Art, Architecture and Fun. Weekend, the SF Vibe was so exciting and contagious.

Sounds Familiar? There are nearly 2 million courses the highly effective TPOXX antiviral sitting in the Strategic National Stockpile, but many health care providers are still having a hard time getting the medication for their patients.-CNN

Tecovirimat ( TPOXX ) is “not FDA approved” but is available as expanded access INH (EA-IND) protocol. People with severe disease (suspected or confirmed) or Patients who are at risk of getting severe disease should be considered for treatment. Availability is limited. Access is limited. Again, we are not ready nor are we organized to deal with the Monkeypox outbreak emergency if it goes Nationwide and Global.

Indifference, Insensitivity, Personal Biases and Discrimination should not get in the way of caring for another Human being sick and scared, but sadly they do.

Last 3 weeks, we have been handling possible Monkeypox Patients and Specimens. I can see the awkwardness and uncertainty, mindfulness and insensitivity, fear and doubt between Patients and Doctors, Patients and Medical Staff, Patients and Public, Patients and News Media. It will take awhile to adjust, be comfortable and be confidently familiar. May take more than 2 years like COVID.

Fog Carl is back. It hid the Golden Gate from everyone’s view. Just because we can not see something, doesn’t mean it does not exist.

There is a campaign emphasis that Monkeypox is mainly a Men to Men Transmission. That is a lie. That is misinformation. Our children playing at the park contaminated with infected skin lesions or droplets can get infected. We can get infected simply by directly sitting on contaminated public toilet seats or fitting clothes recently fitted by a Person with Monkeypox rashes. Transmission by Fomite to our bare skin is quick, easy and universal. This is not a disease of the sexually active only. Anyone can get it.

We sat down on the soft green lawn. It’s real grass. I wasn’t worried who sat there before me. I was assuming it’s a “new” park.

Thinking the virus only affects certain Demographics increases our chance of getting infected due to ignorance.

Monkeypox is being spread in the Bay Area, San Francisco and Los Angeles in alarming rate. San Francisco’s new positive cases are doubling in numbers every week that Public Health and Healthcare Facilities are putting in place a mandatory Monkeypox Preparedness Emergency Plan not just in SF, but also its nearby cities. However, preparedness in paper is not the same as readiness in action. This separates the serious from the half hearted.

There will be more viruses, diseases and challenges year after year. We will survive them all. We always do.

Thursday, it’s official, the City of San Francisco, Monkeypox Outbreak has been declared a local state of emergency.

On the other hand, I don’t see a sense Emergency in San Francisco among locals or visitors. I was there Sunday. Everyone was just having an amazing fun time indoors and outdoors.

Boy on his skate board. As of yesterday, no need to notify public health of Monkeypox suspected cases, only “confirmed” ones. That’s how we deal with real public health threat in a real government declared emergency.

No masks, lots of touching, sharing crowded spaces with strangers from all over the World. It’s like being in a Parallel Universe. From my visual perspective, “nobody cares” about infection anymore, but “everyone cares” about having their lives back with absolute freedom, adventure and happiness.

People are claiming back their biggest and brightest American Dreams as they should be. Today, this is what Normalcy looks like in America. We are the brave and the unafraid.

Kite Surfer and Alcatraz. Things have been very close and reachable. It’s like, anything is possible now more than ever. We should use that to our advantage and happiness. Life is too short to miss all the fun and enjoyment.

In Real Life settings and responses, the two outbreaks, Monkeypox and BA.5 does not seem to exist. Exactly, why COVID Pandemic became Endemic, and Monkeypox will be no different.

About Island Traveler

Just a Man too curious where his dreams will take him.
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18 Responses to Monkeypox, Real Outbreak Emergency With Non-Emergency Response

  1. Monkeypox sounds (and looks) awful. Thankfully it doesn’t seem as severe as COVID, but it’s not something I would want to get. There has definitely been a lot of misinformation about it.

    Liked by 1 person

  2. Thanks for the info. Yet another health risk to deal with 😦

    Liked by 1 person

    • Yes. When patients presents with sore throat, flu like plus rash. We do 4 swabs now for 1 patient ( flu, COVID, strep and Monkeypox). Something healthcare providers and workers have to accept as routinely normal on a day to day basis. More things to do post pandemic, the promised light at the end of the tunnel was only selectively true. But can’t complain, life is still good and blessed. Thank you.

      Liked by 1 person

  3. The biggest threat to heterosexuals from monkeypox is from transfusions and bisexual men, I expect. I doubt that the Red Cross is prepared to test donors.

    Liked by 2 people

  4. elvira797mx says:

    Thank’s for share it.

    Liked by 1 person

  5. arlene says:

    This looks more scary than Covid 19. Ingat lagi.

    Liked by 1 person

  6. Ab says:

    Monkey pox looks absolutely disgusting and painful. Thankfully it doesn’t seem to be fatal for the majority of the cases.

    I’m with you and your wife on this though and it’s not something I’m urgently needing the vaccine for but I am nonetheless being watchful and vigilant about it.

    I agree with you that the way that some people are talking about monkey pox is borderline discriminatory and reminds me of what I read about the early days of HIV and AIDS and how it was treated as a gay man disease. It’s not right and it must stop.

    I do fear that more new infectious diseases and viruses will arise and test the world in the years to come. Is it a sign of the end times? I think not. But definitely a reckoning for mankind and its a sign of nature pushing back.

    Hope you are taking care and staying well!

    Liked by 1 person

    • I agree. Yes, we have to prepare ourselves for more diseases year after year. Could be the signs of times or just nature reciprocating what humans have done to it. And this viruses could have been genetically altered as well. There’s some truth in conspiracy theories . Till now, we can really say COVID was not lab altered to do its most harm. For now, we stay safe while enjoying life responsibly. Thanks.

      Liked by 1 person

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