Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Where are we going with monkeypox?

P. Dileep Kumar, MD, MBA
Conditions
October 4, 2022
Share
Tweet
Share

Monkeypox has been in the news since May 2022. Barely recovering from the anxieties of COVID-19, the natural question in our mind is how is this all going to play out? We might not have accurate predictions yet, but almost six months into the outbreak, we have more information that we can rely on.

The graphs below show the number of confirmed monkeypox cases on a daily basis and on a cumulative basis over time in the U.S. vs. the world. The number of confirmed cases in the U.S. lagged during the beginning of the outbreak, but as of now, almost half of the cases are being reported from the U.S.

Source: Our World in Data

Monkeypox is an orthopox virus that is prevalent in several countries in Africa. The disease made a species jump sometime in the 1970s and became endemic in Sub-Saharan Africa. Before the current multi-country outbreak, only periodic infections were reported. The infection rates during the current epidemic are not rising on a logarithmic scale, as seen in the graphs. This is reassuring and in stark contrast to the early days of COVID-19. Monkeypox seems unlikely to follow the path of COVID-19 purely based on these graphs. If this organism has the potential to cause a pandemic, it had ample time by now to do so when we are still scrambling to fight against it.

That’s the good news. Now, what about the future of monkeypox?

During the current epidemic, 98 percent of the infected patients were gay or bisexual men. This does not mean that monkeypox is exclusively a sexually transmitted disease. This pattern reminds the initial stages of the HIV epidemic in the 1980s. That infection did not confine itself to particular segments of society as initially thought. Similarly, monkeypox is likely to stay put and cause infections in wider segments of the population.

The current monkeypox epidemic also exposes the well-known weaknesses of our epidemic prevention strategies. In the U.S., testing for monkeypox was limited and controversial in the early part of the current outbreak. The limited availability of cheap, efficient, and fast testing will hamper the ability of public health services to contain the infection. Case in point: COVID-19.

Health care providers have to be on the lookout for the possibility of monkeypox in patients presenting with fever, constitutional symptoms, and unusual rashes. We learned from COVID-19 that these new infections will not always follow classical, textbook patterns. I still remember the experts vouching on the TV that COVID-19 is a respiratory infection a year into the pandemic. This complacency was among the many factors that hindered our ability to prevent the COVID-19 pandemic.

There are also concerns about the emergence of variants of monkeypox similar to COVID-19. However, variants are probably not going to be a major issue in the case of monkeypox because it is a DNA virus rather than an RNA virus. Coronavirus and other RNA viruses are notorious for antigenic changes pausing tough challenges for prevention and cure. We were also able to eradicate smallpox, which is similar to monkeypox, several decades ago by using an efficient vaccine.

We need to continue researching vaccines and efficient medications to prevent and cure monkeypox. One of the questions unanswered in the current outbreak is the role of fomites in the transmission of monkeypox. A recent study reported isolating the virus from household surfaces for up to 20 days, even though none of these specimens resulted in a positive culture. If this type of transmission is possible, future prevention strategies should address those concerns.

P. Dileep Kumar is a board-certified practicing hospitalist specializing in internal medicine. Dr. Kumar is actively engaged with professional associations such as the American College of Physicians, Michigan State Medical Society, and the American Medical Association. He has held a variety of leadership roles and has authored more than 100 publications in various medical journals and a book on rabies (Biography of Disease Series). Additionally, he has presented more than 50 papers at various national and international medical conferences. Several of his papers are widely cited in the literature and referenced in various textbooks.

Image credit: Shutterstock.com

Prev

Premature babies grow up. It’s time to pay attention. [PODCAST]

October 3, 2022 Kevin 0
…
Next

Hearing loss is a significant public health problem

October 4, 2022 Kevin 2
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
Premature babies grow up. It’s time to pay attention. [PODCAST]
Next Post >
Hearing loss is a significant public health problem

ADVERTISEMENT

More by P. Dileep Kumar, MD, MBA

  • AI in health care: the black box of prior authorization

    P. Dileep Kumar, MD, MBA
  • Sweden’s controversial COVID-19 strategy: lessons from higher mortality rates

    P. Dileep Kumar, MD, MBA
  • The collapse of rural health care: Why small-town hospitals are closing

    P. Dileep Kumar, MD, MBA

Related Posts

  • The COVID vaccine selfie: The caption matters as much as the picture

    Alicia Billington, MD, PhD
  • Where’s the big COVID data?

    Anuradha Kolluru, MD and Rakesh Lattupalli, MD
  • Major medical groups back mandatory COVID vaccine for health care workers

    Molly Walker
  • To treat future COVID variants, we need more than vaccines

    Ian Chan, MBA
  • Is it time for a true federal COVID vaccine mandate?

    Shetal Shah, MD
  • Do we need to temper our expectations of Paxlovid?

    Benjamin Geisler, MD, MPH

More in Conditions

  • When recurrent UTIs might actually be bladder cancer

    Fara Bellows, MD
  • How chronic stress harms the heart in minority communities

    Monzur Morshed, MD and Kaysan Morshed
  • Could antibiotics beat heart disease where statins failed?

    Larry Kaskel, MD
  • Universities must tap endowments to sustain biomedical research

    Adeel Khan, MD
  • Apprenticeship reshapes medical training for confident clinicians

    Claude E. Lett III, PA-C
  • Why palliative care is more than just end-of-life support

    Dr. Vishal Parackal
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...