24 June 2022|23 Dhul Qadha 1443

  • South Africa reported its first case of monkeypox on Thursday.
  • More than 100 cases of monkeypox have been detected worldwide in the past month.
  • Monkeypox symptoms can be confused with those of chickenpox.

Health officials around the world have urged people to be alert to monkeypox rashes, as more than 100 cases have been confirmed in the past month and an additional 131 are suspected, according to the World Health Organization.

South Africa’s Health Minister Dr Joe Phaahla says the first case of monkeypox has been reported in the country.

The patient is a 30-year-old with no travel history. “Monkeypox is usually a mild disease manifesting as blisters on the skin. It is usually mild and self-limiting with a fatality rate of 1%. The disease has previously been reported in African countries such as Nigeria, DRC, CA Republic and Ghana in the early 2000s.

“The current outbreak is dominated by high numbers in Europe eg UK, Spain, Germany, Portugal and France. Cases have also been reported in the USA and Canada.”

Phaahla said on Thursday that the NICD was busy with contact tracing.

Inger Damon, director of the Centers for Disease Control and Prevention’s Division of High-Consequence Pathogens and Pathology, said in a statement after the first case was confirmed in the US: “Healthcare providers should be alert to any rash that has features typical of monkeypox. We’re asking the public to contact their healthcare provider if they have a new rash and are concerned about monkeypox.”

But identifying a monkeypox rash is not always easy.

Although they are caused by different types of viruses, the symptoms of monkeypox are similar to those of chickenpox — and it can be tricky to tell between the two without a test.

In Greece, for example, local media reported on Monday that the country’s first suspected monkeypox case tested positive for chickenpox and not monkeypox.

Symptoms of monkeypox can also be compared with smallpox — a related virus that was declared eradicated in 1980. Like smallpox, monkeypox causes pus-filled boils.

Monkeypox, however, is generally milder than smallpox, with symptoms getting better on their own within two to four weeks. Monkeypox is less contagious than smallpox was and less fatal, according to the WHO.

The main difference between the symptoms of smallpox and monkeypox is swollen lymph nodes or “lymphadenopathy” — monkeypox causes lymph nodes to swell while smallpox does not, according to the CDC. 

Here are the symptoms associated with monkeypox and how they compare with chickenpox and smallpox.

Monkeypox, chickenpox, and smallpox compared below:

Fever1–5 days before rash1–2 days before rash2–4 days before rash
Time between catching it and symptoms5–21 days10–21 days7–19 days
How long illness lasts2–4 weeks4–7 daysUp to 5 weeks
Rash appearanceOften starts on the face then spreads to other parts of the body, including palms and soles. The rash eventually forms a scab that falls off.Itchy, blister-like rash — first on the chest, back, and face, and then spreads over the entire body. Absent on palms and soles.Starts as small red spots on the tongue and mouth. Rash then appears on the skin, starting on the face and spreads to arms and legs, and then palms and soles. The rash eventually forms a scab that falls off.
Swollen lymph nodesYesNoNo
Death1–10% of cases, depends on strainRareUp to 30% of cases, depends on type
VirusMonkeypox virus, orthopoxvirus familyVaricella-zoster virusVariola virus, orthopoxvirus family


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