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Que es la viruela del mono

PorNoel Minaya

Jul 30, 2021

Ante la posible presencia de la viruela del mono en el país, luego de que Salud Pública confirmara que investiga a un turista chino ingresado hace 11 días en el Hospital Militar Docente Dr. Ramón de Lara de la Fuerza Aérea con posibles síntomas de esa enfermedad, ¿qué debe saber sobre ella?

 

Según la Organización Mundial de la Salud (OMS), esta enfermedad, también llamada viruela símica, es una zoonosis viral (enfermedad provocada por virus transmitido de los animales a las personas) rara, que produce síntomas parecidos a los que se observaban en los pacientes de viruela en el pasado, aunque menos graves.

 

¿Cuáles son los síntomas?

 

En los primero cinco días de contagio se puede presentar fiebre, dolor de cabeza intenso, inflamación de los ganglios linfáticos, dolor lumbar, dolores musculares y astenia intensa (falta de energía).

 

El tiempo de incubación (intervalo entre la infección y la aparición de los síntomas) de la viruela símica suele ser de 6 a 16 días, aunque puede variar entre 5 y 21 días.

 

Durante el periodo de erupción cutánea (entre 1 y 3 días después del inicio de la fiebre), cuando aparecen las distintas fases del exantema, que por lo general afecta primero al rostro y luego se extiende al resto del cuerpo. La eliminación completa de las costras puede tardar hasta tres semanas.

 

Estas reacciones pueden durar de 14 a 21 días. Los casos graves se producen con mayor frecuencia entre los niños y su evolución depende del grado de exposición al virus, el estado de salud del paciente y la gravedad de las complicaciones.

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La tasa de letalidad ha variado mucho en las distintas epidemias, pero ha sido inferior al 10% en los eventos documentados, dice la OMS. La mayoría de las defunciones se producen en los niños pequeños y, en general, los grupos de edad más jóvenes parecen ser más susceptibles a la viruela símica.

 

¿Cómo se transmite?

 

El virus de la viruela símica es transmitido a las personas por diversos animales salvajes, como roedores y primates.

 

En los casos iniciales, la infección se produce por contacto directo con la sangre, los líquidos corporales o las lesiones de la piel o las mucosas de animales infectados (monos, ratas gigantes de Gambia o ardillas, entre otros), posiblemente por la inadecuada cocción de la carne de animales infectados.

 

Se considera que los roedores son el principal reservorio del virus.

 

Mientras que la transmisión secundaria o de persona a persona puede producirse por contacto estrecho con secreciones infectadas de las vías respiratorias o lesiones cutáneas de una persona infectada, o con objetos contaminados recientemente con los fluidos del paciente o materiales de la lesión.

 

¿Cómo se cura?

 

Si bien no hay tratamiento ni vacuna para esta enfermedad, la vacunación antivariólica previa ha resultado también muy eficaz para prevenir la viruela símica.

 

Sin embargo, la vacuna ya no está accesible al público, puesto que se suspendió su producción tras la erradicación mundial de la viruela.

 

¿Cómo prevenir los contagios?

 

La organización sugiere que para reducir el riesgo de transmisión de los animales a las personas en las regiones endémicas debe focalizarse en evitar cualquier contacto con roedores y primates y, en segundo lugar, limitar la exposición directa a la sangre y la carne, y cocinarlos a fondo antes de consumirlos. Sugieren además usar guantes y otra ropa protectora adecuada.

 

Mientras que para reducir los contagios entre personas, consideran preciso evitar el contacto físico estrecho con las personas infectadas por el virus de la viruela símica. Para asistir a los enfermos se deben usar guantes y equipo de protección. Hay que lavarse las manos sistemáticamente después de asistir o visitar a un enfermo. Se recomienda aislar a los pacientes en su casa o en centros de salud.

 

Casos

 

La OMS afirma en su portal que la viruela símica sigue apareciendo esporádicamente en algunas partes centrales y occidentales de la selva tropical de África.

 

Desde 1970, se han notificado casos humanos de viruela símica en 10 países africanos: Camerún, Côte d’Ivoire, Gabón, Liberia, Nigeria, República Centroafricana, República del Congo, República Democrática del Congo, Sierra Leona y Sudán del Sur. En 2017, Nigeria sufrió el mayor brote documentado, aproximadamente 40 años después de los últimos casos confirmados.

 

Recientemente, en junio de 2021, la OMS informó de dos casos en Gales (Reino Unido).

 

Se recuerda que la viruela fue erradicada en 1980 gracias a la vacuna creada para ello.

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    Giving a gift to your hairstylist is by no means necessary. But it is a nice gesture that many stylists will appreciate. Like tipping, small gifts help show your appreciation to your stylists and assist in fostering a mutually beneficial relationship.  Adds Finn, “Those who are good tippers will be the ones a stylist will go above and beyond for; we’ll come in early or stay late or go in on a day off. If you don’t want to tip that’s fine, but let’s be real—if someone does tip more than expected, we will typically do more than expected for them too.” Before your next salon visit, it might help to consider learning how to budget. This can help ensure you’ll be able to afford the cost of your salon services, plus any tips you’d like to thank your stylist with. wikiHow’s newsletter

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