Monkeypox: contexto, implicações e desafios para serviços de saúde e vigilância

Macedo, Laylla Ribeiro; Maciel, Ethel Leonor Nóia

doi:10.1590/s2237-96222023000100018

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…No dia 28/07/2022 foi notificado ao Ministério da Saúde o primeiro óbito de um paciente com MPOX no Brasil, e apesar do paciente ter histórico de tratamento quimioterápico e imunossupressão, este fato impactou o COE, que tem como objetivo, elaborar um plano de contingência para a saúde pública. Até o dia 31/01/2023 o Brasil registrou 13 óbitos Menezes, 2022;Macedo et al, 2023;Boing et al, 2022).…”

Section: Gráfico 1 -unclassified

“…Com relação a vacina, a ANVISA aprovou a dispensa temporária para registro e importação da vacina, mas ainda não possui recomendação para vacinação universal. Devido ao recente surto, a vacina poderá ser recomendada como profilaxia para profissionais de saúde e em casos de pós exposição em contatos íntimos, mas é necessário avaliar o riscobenefício para este procedimento (Macedo et al, 2023;Prefeitura de São Paulo, 2022).…”

Section: Gráfico 1 -unclassified

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Monkeypox: uma emergência de saúde pública

Mathias,

Matsutani,

Anjos

et al. 2023

RSD

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Monkeypox (MPOX), é uma zoonose viral transmitida pelo contato com material corporal contaminado. O quadro clínico costuma apresentar sintomas leves a moderados, como febre, mialgia, fadiga, cefaleia, astenia, dor nas costas e linfadenopatia, sendo as lesões de pele, sinais muito característicos da doença e essenciais para a identificação dos casos e exclusão de diagnósticos diferenciais. Os casos suspeitos/prováveis/confirmados devem ser imediatamente notificados, isolados e tratados, sendo que, atualmente não há tratamento específico para a doença, sendo adotada a conduta de sintomáticos. O Brasil registrou 50.029 notificações, destas, 10.247 confirmadas, 332 prováveis, 3.548 suspeitos e 35.902 descartados, perda de seguimento e exclusões até o 19º Boletim epidemiológico. O presente trabalho buscou organizar as principais informações da moléstia, por meio de uma revisão integrativa com o objetivo de elucidar de maneira clara e atualizada a história natural da doença e destacar os dados epidemiológicos no Brasil e na cidade de São José dos Campos, São Paulo.

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Section: Gráfico 1 -unclassified

Monkeypox: uma emergência de saúde pública

Mathias,

Matsutani,

Anjos

et al. 2023

RSD

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“…Mpox is not classified as a sexually transmitted infection (STI), although it can spread through intimate contact during sexual activity if there is an active skin rash (Sousa et al., 2022). However, there has been a disproportionate number of cases among gay men and other men who have sex with men (MSM), leading the WHO and some national governments to issue specific recommendations for this group (Macedo & Maciel, 2023; Sousa et al., 2022; Vallée, 2023; World Health Organization, 2023). Notably, official guidelines highlight sexual behavior, advocating for a reduction in practices that involve multiple partners, such as group sex and chemsex (Şahin et al., 2023; Sousa et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Santos,

Ribeiro,

Lima

et al. 2024

Public Health Nursing

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ObjectiveTo understand the factors associated with the practice of chemsex among MSM in Brazil, especially during the Mpox health crisis, and to design effective prevention and intervention strategies specifically for this population.DesignA cross‐sectional and analytical study using an electronic survey, conducted from September to December 2022, during the peak of the Mpox outbreak in Brazil.SampleA total of 1452 MSM aged 18 and older.MeasurementsData were collected via the REDCap platform through a survey with 46 questions. These addressed demographic data, sexual affiliations, practices, experiences with Mpox, healthcare service usage, and stigma or fear related to Mpox.ResultsThe prevalence of chemsex was 19.42% (n = 282). Multivariate Poisson modeling indicated a high incidence of chemsex among those diagnosed with Mpox and those involved in high‐risk behaviors. The practice of chemsex was six times higher among those diagnosed with Mpox (95% CI: 4.73–9.10). MSM who engage in bugchasing had a prevalence twice that of the main outcome (95% CI: 1.31–3.16).ConclusionThere is a significant need for targeted interventions for MSM in Brazil, especially given the Mpox outbreak. This study highlights the strong relationships between chemsex, experiences with Mpox, and various sexual behaviors, underscoring the importance of effective public health initiatives.

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Notified cases of mpox in the city of Rio de Janeiro, Brazil: a descriptive study, 2022

Ribeiro,

D’Oliveira,

Campos

et al. 2024

Epidemiol. Serv. Saúde

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Objective To describe the profile of cases of mpox in the city of Rio de Janeiro between June and November 2022. Methods This was a descriptive study of secondary data obtained from mpox notification forms. Socioeconomic, clinical and spatial data were analyzed. Results Of the 928 cases, 93.7% were male, 85.0% cisgender male, 65.6% homosexual, 41.8% between 30 and 39 years old, and 41.0% were of White race/skin color. A total of 34.5% had immunosuppression due to illness, and 41.9% reported their HIV status as being positive. The most prevalent signs and symptoms were: skin lesions (96.6%), especially with multiple manifestations (67.8%) in the genital region (46.1%), in addition to fever (58.3%), adenomegaly (43.3%) and headache (38.7%). Most notifications occurred in public services (81.3%) and in hospital care (51.3%). Conclusion The study revealed high incidence of mpox, especially among young, cisgender and homosexual men. Most cases were mild, with genital lesions, progressing to cure without hospitalization. Person-to-person transmission was predominant.

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Monkeypox: contexto, implicações e desafios para serviços de saúde e vigilância

Cited by 6 publications

References 3 publications

Monkeypox: uma emergência de saúde pública

Monkeypox: uma emergência de saúde pública

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

Notified cases of mpox in the city of Rio de Janeiro, Brazil: a descriptive study, 2022

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