Science

First case of monkeypox confirmed in Auckland, Health Ministry says – RNZ

The Ministry of Health is reporting the first case of monkeypox in New Zealand – a person in their 30s who lives in Auckland.

Monkeypox virus particles, illustration. Monkeypox is a zoonotic virus from the Poxviridae family that causes monkeypox, a pox-like disease. At the centre of the monkeypox virus is a core nucleoprotein that contains the DNA (deoxyribonucleic acid) genome. This is surrounded by an outer envelope that is covered with surface tubules. This virus, which is found near rainforests in Central and West Africa causes disease in humans and monkeys, although its natural hosts are rodents. It is capable of human to human transmission. In humans it causes fever, swollen glands and a rash of fluid-filled blisters. (Photo by NOBEASTSOFIERCE/SCIENCE PHOTO LI / DDJ / Science Photo Library via AFP)

The monkeypoc virus particles.
Photo: AFP / Science Photo Library

The person has recently returned from overseas travel in a country with reported cases of monkeypox, the ministry said in a statement tonight.

There are now 50 countries reporting cases of monkeypox.

Given the increase in cases internationally, including Australia, the arrival in New Zealand was not unexpected, the ministry said.

“We have already taken steps to prepare for the arrival of monkeypox. Last month monkeypox was officially listed as a notifiable disease enabling us to utilise the tools needed to contain any possible spread of the disease, including isolation orders and readying contact tracing capabilities.”

A monkeypox PCR test is available in New Zealand laboratries and was used to detect this first case.

The ministry reported that the case had “a very small number of contacts” and they were being advised to watch for symptoms.

“There is no evidence of community transmission here.”

More cases expected

Associate Professor of Epidemiology Arindam Basu from the University of Canterbury told the Science Media Centre that more monkeypox cases were likely in the coming weeks.

He said now that a case was confirmed, it would be important to be careful about protection measures.

“Monkeypox and Covid-19 are different diseases and spread through somewhat different pathways, but at a personal level, personal hygiene measures and protection with masks are super important for both diseases, especially as Covid-19 cases will continue to rise.

“Being watchful about contacts, keeping a diary, and getting the tests at the first instances of common cold-like symptoms may be helpful,” Basu said.

Epidemiologist Professor Kurt Krause said New Zealanders should not be worried about a widespread monkeypox outbreak.

The Professor of biochemistry and infectious diseases at the University of Otago said it was only a matter of time before it arrived in New Zealand.

He said the most severe cases of monkeypox were in Central Africa.

Public health advice

The ministry said that cases of monkeypox outside of endemic countries have primarily been identified among gay and bisexual men and men who have sex with men, and international cases have been clustered around events where this occurs.

As such the ministry was asking anyone who has been overseas and attended events connected with the spread of monkeypox, to be aware of any symptoms and seek advice from their GP or Healthline free on 0800 611 116, or get in touch with a sexual health clinic.

The first symptoms include one or more of the following: headache, acute onset of fever ( above 38degC), chills, swollen lymph nodes, muscle and body aches, backache and tiredness. The characteristic rash, which typically looks similar to chicken pox, appears after a few days.

The majority of people with monkeypox can be safely managed at home and there have been very few deaths from monkeypox globally.

Some smallpox vaccines can provide protection against the virus.

The Ministry of Health is working with Pharmac to explore options for access to smallpox vaccines that can be used as part of the targeted prevention of spread of monkeypox in certain situations.