Those at risk of monkeypox and how to diagnose, treat the disease

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The Public Health Ministry has highlighted how to diagnose and treat monkeypox, with the Medical Services Department announcing guidelines.

Those at risk of monkeypox and how to diagnose, treat the disease

It said monkeypox is not severe and patients could recover without hospitalisation, but it could be severe for people with low immunity and children.

The fatality rate is below 5 per cent while the disease could stay in one’s body from two to four weeks. The incubation period is around seven to 21 days.

Symptoms

Patients get fever and rash first. The rash starts as macules before evolving into papules, vesicles and pustules, respectively, and then turn into scabs. The amount is relative to the severity of the disease.

Most get infected after coming into direct contact with a patient’s rashes or secretions.

Those at risk have these symptoms:

  1. Fever higher than 38 degrees Celcius or a fever with one other symptom, such as sore throat, headache, muscle ache, back pain or lymphadenopathy.
  2. Rashes and blisters on the skin, genitalia or other parts of the body. These could be papules, vesicles, pustules or scabs.

People at risk also include those with one epidemiological link within 21 days, including:

  1. Contact with monkeypox patients
  2. Arrival from other countries, participating in any activity with monkeypox patients or in an occupation that involves close contact with foreign travellers
  3. Contact with rodents or small mammals imported from outbreak continents such as Africa.

Confirmed patients

At least two labs will test samples taken from patients. The result will be confirmed as positive if the monkeypox virus (MPXV) is found via real-time PCR or DNA sequencing.

Cases will be investigated further to see if the patients contracted the virus inside the country or from outside.

Treatment

Patients will be given conventional treatment because there are no anti-viral drugs to tackle the virus at the moment, while tecovirimat will be given to severe patients.

High-risk groups

These are:

Published : August 04, 2022

By : THE NATION

You can prolong “Rod May’s” hopes and dreams by raising funds for Spinal Muscular Atrophy (SMA) patients

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Panita “Rod May” Chawaphatarathanakul was born with a rare genetic condition called Spinal Muscular Atrophy or SMA. The disease results in progressive decline of motor, causing difficulties in movement, swallowing and breathing. She requires 24-hour physical care from her parents.

You can prolong “Rod May’s” hopes and dreams by raising funds for Spinal Muscular Atrophy (SMA) patients

In severe or moderate cases, patients with SMA have to rely on medical equipment, e.g. walking support, wheelchair, respirators, as well as multi-disciplinary medical experts and continual treatment.

Despite physical limitations, Rod May’s intelligence level is no difference to that of normal person. Rod May in her early 30s is currently pursuing a PhD in Basic and Applied Social Psychology with a scholarship. She is committed to helping society, and inspires patients and individuals to live happily.

You can prolong “Rod May’s” hopes and dreams by raising funds for Spinal Muscular Atrophy (SMA) patients

Palliative care is chosen as the current treatment for her, as she is yet unable to access to the new medication which boosts SMN protein production, restoring muscles and respiratory system. It has been clinically proven to help better patients’ quality of lives and reduce mortality rate. Thus, fund-raising is a way in which we can support Rod May enhancing access to the treatment, so she can prolong her life which means she can further help and inspire the society.

Donate to support Rod May’s treatment access at: https://social.sinwattana.com/viewCampaign/GHQ9OXTWXZI1210
 

Published : July 28, 2022

By : THE NATION

Monkeypox: Thais advised to avoid sexual contact with foreigners

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People should avoid sexual contact with foreigners in order to contain the spread of monkeypox, the Medical Council of Thailand advised on Tuesday.

Monkeypox: Thais advised to avoid sexual contact with foreigners

Amorn Leelarasamee, a member of the Medical Council of Thailand, said he was uncertain whether monkeypox would become endemic in Thailand as the disease can be transmitted from person to person and from animal to person.

He pointed out that monkeypox would be unable to control if the disease spreads among rodents such as monkeys, rabbits and rats.

“If monkeypox patients have any underlying disease such as cancer or immune deficiency, the virus could cause death,” he warned.

Monkeypox: Thais advised to avoid sexual contact with foreigners

Amorn asked people who develop fever, a red rash and blisters to immediately take a monkeypox test and isolate themselves for 21 days.

He also advised Thais to avoid sexual contact with foreigners as most monkeypox cases worldwide have been found in gay men.

Up to 20,000 Europeans are infected with monkeypox daily, Amorn noted.

“Monkeypox can’t be transmitted via sexual contact, but people can be infected with the virus from blister secretions,” he warned.

Monkeypox: Thais advised to avoid sexual contact with foreigners

He said hotel operators should clean rooms in line with international standards in order to contain the spread of the disease.

More than 22,100 people in 70 countries have been infected so far with monkeypox, with 5,189 cases found in the US alone, Amorn said.

“Monkeypox patients have been found in most US states, except Vermont, Montana and Wyoming,” he added.

Published : August 03, 2022

By : THE NATION

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

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Hua Hin’s bid for a spot among the world’s top five medical/wellness destinations got a booster on Saturday with the launch of a new clinic targeting high-end tourists.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

Chevala Wellness Hua Hin opened in collaboration with InterContinental Resort at the coastal resort’s Bluport Mall.

It offers wellness and beauty programmes designed by a team of specialists led by Dr Ratkawin Jitawatanarat, an American Board of Hematology, oncology and anti-ageing specialist. The programmes include meals and accommodation at the resort.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

The global wellness economy is projected to grow 9.9 per cent per year, reaching nearly US$7 trillion in 2025 as the world rebounds from Covid-19.

According to the Public Health Ministry, medical tourism now makes up 15 per cent of Thailand’s tourism markets, trailing nature, food, and cultural tourism.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatmentSpending on Thai medical tourism is also growing 25-27 per cent per year, driven by tourists from the Middle East, South Asia, Europe, and the US.

The launch of Chevala also aligns with the Tourism Authority of Thailand’s campaign to make the country the “Medical and Wellness Resort of the World” by 2024.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

“Chevala was developed because we realised that Thailand has never had a fully integrated evidence-based medical wellness centre that provides a truly comprehensive body and mind healing experience by medical specialists,” said Dr Ratkawin, its chief medical director.

“Apart from the medical programmes, we also offer hearty chef-prepared meals and exercise courses with certified trainers for an all-inclusive health programme.”

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

Ratkawin sees great potential for Thailand’s health and wellness sectors, as more tourists fly in to seek treatments.

“Not only is Thailand home to internationally recognised expertise and state-of-the-art facilities, but it also offers competitive service prices, stunning nature, and beautiful cultural attractions. The country is already among Asia’s top 10 medical hubs,” she said.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

She also noted Hua Hin’s reputation as a top beach resort, with Prachuap Khiri Khan province attracting 3.6 million local and international tourists in the first five months (January-May) of this year.

“The province also ranked among Thailand’s top three destinations, generating revenue of 12.352 billion baht. We believe this partnership is a stepping stone for Thailand’s journey toward becoming a world-class wellness destination. The project is part of our contribution to Thailand’s economic recovery through wellness tourism.”

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

Chevala is targeting InterContinental Hua Hin Resort customers as well as non-guests with five services: Long Covid recovery programme, anti-ageing programme, immunity booster, detox, and cardiovascular strengthening programme.

Visit http://www.chevala.com/th/, call 096 919 2190, or email info@chevala.com.

Hua Hin’s medical tourism hub adds anti-ageing, long Covid treatment

Published : July 31, 2022

By : THE NATION

Why new Omicron subvariants are more severe

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The lack of immunity from vaccination when the BA.1 subvariant first started to spread has made new subvariants of Omicron more severe than BA.5, a senior virologist has said.

Why new Omicron subvariants are more severe

In a Facebook post, Dr Anan Jongkaewwattana, director of the National Centre for Genetic Engineering and Biotechnology’s Veterinary Health Innovation and Management Research Group, said that most patients did not have immunity from vaccines when the BA.1 subvariant was spreading initially.

Anan cited the study “Neutralisation of Omicron sublineages and Deltacron Sars-CoV-2 by three doses of BNT162b2 vaccine or BA.1 infection”, which was published on Wednesday.

He said that scientists took natural immunity from BA.1 subvariant to test the capability to prevent new BA subvariants.

The study result revealed that the BA.1 subvariant was different from the original variant and natural immunity could not prevent older variants.

It was similar to how natural immunity from older variants could not also prevent the BA.1 subvariant if a person did not receive the booster dose of vaccines.

He explained that it reflected how the mutation of Omicron subvariants could change suddenly.

Interestingly, Omicron subvariants (BA.2, BA.3 and BA.4/BA.5) that people expected to be similar to BA.1 are true, but they also could evade immunity from BA.1.

He said that the immunity from the BA.1 subvariant could almost certainly not prevent BA.4/BA.5 subvariants.

Anan mentioned that the US Food and Drug Administration wanted new booster doses to target BA.4/BA.5 subvariants instead of the BA.1 subvariant.

However, there might be newer Omicron subvariants in the future and the immunity from the BA.5 subvariant might not be able to prevent them.

Published : July 29, 2022

By : THE NATION

Virologist explains why it is tough to control spread of monkeypox

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An expert virologist provided an insight into why it is difficult to control the spread of monkeypox.

Virologist explains why it is tough to control spread of monkeypox

In a Facebook post on Friday, Dr Yong Poovorawan said infected persons do not develop many initial symptoms, so the disease is difficult to diagnose.

Comparing monkeypox to HIV, he said 40 years ago HIV spread quickly because there were no initial symptoms, so patients took no precautions.

However, he said, the only difference is that monkeypox patients recover within two to four weeks and are no longer a threat to others.

Yong said the monkeypox virus is spreading and the spread is not likely to slow down. There are more than 17,000 patients in 75 countries, mostly in Europe and the US. So far, there have only been five deaths from monkeypox, and they were all in Africa.

He also pointed out that though the World Health Organisation report did not provide statistics, current information shows that more than 98 per cent of patients are men. He added that for now, the disease is spreading among men who have sex with men and that 40 per cent of the lesions occur in the genital region.

Yong said if the disease cannot be controlled, it will spread to others and even pets, which will make the disease even more difficult to control.

Published : July 29, 2022

By : THE NATION

Long Covid poses a bigger problem, study shows

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People who have recovered from Covid-19 may develop up to 62 underlying conditions that may last for many weeks or even months.

Long Covid poses a bigger problem, study shows

In his Facebook post on Tuesday, Thira Woratanarat, a lecturer at Chulalongkorn University’s Faculty of Medicine, cited a study published on Monday in the Nature Medicine journal. The study, conducted over 12 weeks on 486,149 non-hospitalised Covid-19 patients, lists conditions developed a post-Covid infection or long Covid.

The study was adjusted based on age, sex, ethnic group, socioeconomic status, smoking, BMI and chronic conditions, he said.

Apart from an impact on the respiratory system, heart, circulation, memory and concentration, he said long-Covid sufferers have also complained of hair loss at four times higher than those who have not been infected. He added that long Covid also puts the reproductive system at risk.

“Covid-19 patients face a 1.26 times higher risk of developing erectile dysfunction than those not infected,” he said, adding that men can also develop ejaculation difficulties and reduced libido.

He said long Covid can affect people’s quality of life, relationships and can increase long-term expenses. Hence, people should continue protecting themselves, especially those at risk of developing severe symptoms, he added.

Published : July 26, 2022

By : THE NATION

Jump in Covid cases put down to highly transmissible Omicron BA.5 strain

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Thailand’s daily count of Covid-19 cases is on an upward trend thanks to the highly infectious Omicron BA.5 subvariant, vice chair of the Public Health Commission said on Tuesday.

Jump in Covid cases put down to highly transmissible Omicron BA.5 strain

Chalermchai Boonyaleephan said Thailand’s fourth wave of Covid-19 infections was sparked in January with the arrival of the Omicron variant. He added that the more Omicron mutates, BA.1 to BA.5, the more easily transmissible it becomes.

He added that from July 17 to 23, the number of Covid-19 infections had surged 40.11 per cent to 31,582 from 22,542 in the week of July 10-16.

He added that the number of patients who developed lung inflammation and those requiring respirators rose to 834 and 383 respectively in the week of July 17-23, compared to 781 and 345 in the previous week.

He also said that the number of Covid-19 deaths is rising, with 29, 30 and 32 recorded over the past three days (July 23-25).

“The surge in deaths is in line with the trend of fatalities rising one or two weeks after infections increase,” he said.

The only way infections can be kept low is if people get at least three Covid-19 shots to protect themselves. So far, only 44.1 per cent of people in Thailand have received their third jab.

He added that Omicron BA.5 spreads five times faster than the original Wuhan strain and 3.6 times faster than the Delta strain.

“Hence, we should be disciplined and protect ourselves by wearing a face mask, observing social distancing, washing hands frequently and getting boosters, especially those in the vulnerable group,” he said.

He added that many people were good at protecting themselves from the Delta variant last year.

Published : July 26, 2022

By : THE NATION

We must learn to live with Covid-19, advises expert

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Covid-19 will be with us forever, a lung specialist declared on his Facebook page on Monday.

We must learn to live with Covid-19, advises expert

Dr Manoon Leechawengwongs, a respiratory specialist at Vichaiyut Hospital, pointed out that the virus has been mutating and new Covid-19 strains will spread faster and escape people’s immunity.

For instance, he said, the Omicron BA.5 subvariant, which was originally found in South Africa, became the dominant strain in many countries by February this year, just four months after the Omicron BA.1 subvariant was first found in November last year.

Meanwhile, the Omicron BA.2.75, also referred to by some as “Centaurus”, was discovered in June and has been spreading in India and 15 other countries.

He said medical authorities should monitor Omicron BA.2.75 closely to see if it spreads any faster than Omicron BA.5.

“The important thing is Covid-19 variants originating in South Africa and India are likely to spread around the world again and again,” he added.

Published : July 25, 2022

By : THE NATION

Doc offers advice on protection from monkeypox

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With Thailand going on high alert over monkeypox, Dr Chalermchai Boonyaleephan, vice chair of the Public Health Commission, is offering protection tips.

Doc offers advice on protection from monkeypox

In a post on the Blockdit platform on Sunday, the doctor said more than 16,000 people in 75 countries have been infected with monkeypox since May this year.

He also pointed out that the disease is no longer endemic to Africa because most patients have not travelled there before.

Hence, Dr Chalermchai said, the best way of protecting oneself from monkeypox is as follows:

• Avoid engaging in physical contact with sex workers or strangers as 90 per cent of monkeypox patients were infected from sexual contact.

• Avoid touching others as monkeypox can be transmitted via blisters or pus.

• Avoid sharing clothes or belongings as the virus remains active on items.

• Avoid picking the nose, rubbing eyes or putting a hand in the mouth as the virus can enter that way.

• Avoid touching animals that can be monkeypox carriers, especially imported rodents like rats and rabbits.

• Wash hands frequently as soap and alcohol gel can kill the virus.

• Wear a face mask when in crowded areas monkeypox can be transmitted via saliva droplets.

Dr Chalermchai, however, said monkeypox was not as worrisome as Covid-19 as this virus does not spread that quickly. He also noted that there are plenty of vaccines and drugs that can deal with monkeypox effectively.

“Having an accurate understanding of the virus will help people stay calm and careful,” he said, adding that protective measures for monkeypox are similar to those for Covid-19.

Published : July 25, 2022

By : THE NATION