CDC Travel Advisory on Monkeypox: “Practice Enhanced Precautions”

(CNN) — The United States Centers for Disease Control and Prevention has issued an “Alert – Level 2” advisory for travelers to “practice enhanced precautions” due to the spread of monkeypox, a rare disease that is a cousin of smallpox.

In its advisory, the CDC said, “The risk to the general public is low, but you should seek medical help immediately if you develop a new, unexplained rash (sores on any part of the body), with or without fever. and shivers”. “

The CDC has three types of levels it could issue as cases have been reported in dozens of destinations. The levels are:

• Watch — Level 1: Practice the precautions of use
• Alert — Level 2: Practice enhanced precautions
• Warning — Level 3: Avoid non-essential travel

Level 2 precautions

The CDC has the following recommendations for travelers as we are in Tier 2:

• Avoid close contact with sick people, including those with skin or genital sores.

• Avoid contact with live or dead wild animals. This includes rodents such as rats and squirrels and non-human primates such as monkeys and great apes.

• Avoid eating or preparing wild game meat or using products derived from African wild animals such as creams, lotions and powders.

• Avoid contact with contaminated materials used by sick people such as clothing, bedding or materials used in healthcare facilities or with materials that have come into contact with infected animals.

Cases where monkeypox has been reported

The Eiffel Tower in Paris. France is one of the destinations that has reported cases of monkeypox.

Adobe Stock

Usually associated with tropical Africa, confirmed cases of monkeypox are now global. The CDC says cases have been reported in Europe, North America, South America, North Africa, the Middle East and Australia.

Here is a CDC list of destinations with confirmed cases as of June 6:

• Argentina
• Australia
• Austria
• Belgium
• Canada
• Czech Republic
• Denmark
• England
• Finland
• France
• Germany
• Gibraltar
• Hungary
• Ireland
• Israel
• Italy
• Latvia
• Malta
• Mexico
• Morocco
• Netherlands
• North Ireland
• Norway
• Portugal
• Scotland
• Slovenia
• Spain
• Sweden
• Swiss
• United Arab Emirates
• United States
• Wales

The UK (England, Wales, Scotland and Northern Ireland), Spain and Portugal have so far reported the most cases, each with more than 100 as of June 6. All other destinations have reported less than 100 cases as of June 6. Click here to see a current map of global outbreaks from the CDC.

Symptoms of Monkey Pox

The palms of a monkeypox patient in the Democratic Republic of Congo in 1997.

The palms of a monkeypox patient in the Democratic Republic of Congo in 1997.

Brian WJ Mahy/CDC/Handout/Reuters

There is an incubation period of about seven to 14 days, the CDC said. The first symptoms are usually flu-like, such as fever, chills, exhaustion, headache and muscle weakness, followed by swollen lymph nodes, which help the body fight infection and disease.

“One feature that distinguishes monkeypox infection from smallpox infection is the development of swollen lymph nodes,” the CDC said.

This is followed by a generalized rash on the face and body, including inside the mouth and on the palms of the hands and soles of the feet. It can also spread to the genital areas.

The painful, raised pustules are pearly and fluid-filled, often surrounded by red circles. The lesions eventually crust over and disappear over a period of two to three weeks, the CDC said.

What to do if you get sick

The CDC says first to avoid contact with others. Another tip:

“If possible, call ahead before going to a health facility. If you are unable to call ahead, tell a member of staff as soon as you arrive that you are concerned about smallpox monkey.”

The CDC says you should tell your doctor any of the following if this is true within a month of developing symptoms:

• You have been in contact with someone who may have monkeypox.

• You are a man who has had intimate contact (including sexual relations) with other men.

• You were in an area where monkeypox has been reported or in an area where monkeypox is more common (Cameroon, Central African Republic, Côte d’Ivoire, Democratic Republic of Congo, Gabon, Liberia, Nigeria, Republic of Congo, Sierra Leone and Sudan).

If you’re sick and might have monkeypox, the CDC recommends delaying your trip on public transportation until you’ve been cleared by a medical professional or public health officials.

CNN’s Sandee LaMotte contributed to this article from previous reporting.

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