'We have a responsibility:' Trudeau urges global leaders to support pact for future
Prime Minister Justin Trudeau is telling world leaders to either bury their heads in the sand or put differences aside for the sake of future generations.
A leading adviser to the World Health Organization described the unprecedented outbreak of monkeypox in developed countries as "a random event" that might be explained by sexual behavior at two recent raves in Europe.
Dr. David Heymann, who formerly headed WHO's emergencies department, told The Associated Press that the leading theory to explain the spread of the disease was sexual transmission at raves held in Spain and Belgium. Monkeypox has not previously triggered widespread outbreaks beyond Africa, where it is endemic in animals.
"We know monkeypox can spread when there is close contact with the lesions of someone who is infected, and it looks like sexual contact has now amplified that transmission," said Heymann.
That marks a significant departure from the disease's typical pattern of spread in central and western Africa, where people are mainly infected by animals like wild rodents and primates and outbreaks have not spilled across borders.
Health officials say most of the known cases in Europe have been among men who have sex with men, but anyone can be infected through close contact with a sick person, their clothing or bedsheets. Scientists say it will be difficult to disentangle whether the spread is being driven by sex or merely close contact.
"By nature, sexual activity involves intimate contact, which one would expect to increase the likelihood of transmission, whatever a person's sexual orientation and irrespective of the mode of transmission," said Mike Skinner, a virologist at Imperial College London.
On Monday, the European Centre for Disease Prevention and Control Director Andrea Ammon said "the likelihood of further spread of the virus through close contact, for example during sexual activities among persons with multiple sexual partners, is considered to be high."
To date, WHO has recorded more than 90 cases of monkeypox in a dozen countries including Canada, Spain, Israel, France, Switzerland, the U.S. and Australia. On Monday, Denmark announced its first case, Portugal revised its total upwards to 37, Italy reported one further infection and Britain added 37 more cases.
Germany has four confirmed cases linked to exposure at "party events ... where sexual activity took place" in Spain's Canary Islands and in Berlin, according to a government report to lawmakers obtained by the AP.
Madrid's senior health official said Monday that the Spanish capital had 30 confirmed cases. Enrique Ruiz Escudero said authorities are investigating possible links between a recent Gay Pride event in the Canary Islands, which drew some 80,000 people, and cases at a Madrid sauna.
The monkeypox cases so far have been mild, with no deaths reported. Typically, the virus causes fever, chills, rash and lesions on the face or genitals. Most people recover within several weeks without requiring hospitalization.
Vaccines against smallpox, a related disease, are effective in preventing monkeypox and some antiviral drugs are being developed. In recent years, the illness has been fatal in up to 6% of infections.
Heymann chaired an urgent meeting of WHO's advisory group on infectious disease threats on Friday to assess the outbreak and said there was no evidence to suggest that monkeypox had mutated into a more infectious form.
The UN agency said the outbreak is "a highly unusual event" and said the fact that cases are being seen in so many different countries suggests the virus may have been silently spreading for some time. The agency's Europe director warned that festivals and parties could accelerate spread.
Still, at a public session on Monday, WHO officials described the outbreak as "containable" and cautioned against stigmatizing affected groups, saying the disease can infect anyone.
The agency said the cases appeared to be linked to a monkeypox virus that was first detected in exported cases from Nigeria to Britain, Israel and Singapore in 2018 and 2019.
Authorities in Britain, Spain and Portugal have said most of the cases identified so far were in young men whose infections were picked up when they sought help for lesions at sexual health clinics.
Heymann, who is also a professor of infectious diseases at the London School of Hygiene and Tropical Medicine, said the monkeypox outbreak was likely a random event that might be traceable to a single infection.
"It's very possible there was somebody who got infected, developed lesions on the genitals, hands or somewhere else, and then spread it to others when there was sexual or close, physical contact," Heymann hypothesized. "And then there were these international events that seeded the outbreak around the world, into the U.S. and other European countries."
He emphasized that the disease was unlikely to trigger widespread transmission.
"This is not COVID," he said. "We need to slow it down, but it does not spread in the air and we have vaccines to protect against it."
Heymann said studies should be conducted rapidly to determine if monkeypox could be spread by people without symptoms and that populations at risk of the disease should take precautions to protect themselves.
--------
Barry Hatton in Lisbon, Portugal, and Frank Jordans and Kirsten Grieshaber in Berlin, contributed to this report.
____
CTVNews.ca wants to hear from Canadians with any questions.
Tell us what you’d like to know when it comes to monkeypox.
To submit your question, email us at dotcom@bellmedia.ca with your name, location and question. Your comments may be used in a CTVNews.ca story.
Prime Minister Justin Trudeau is telling world leaders to either bury their heads in the sand or put differences aside for the sake of future generations.
An Edmonton man says he was in the wrong place at the wrong time when he was injured by members of the Edmonton Police Service last year.
The head of the Air Canada pilots union says she'll step down if members opt not to approve a tentative deal with the airline, raising the stakes as aviators mull whether to accept hefty salary gains or drive an even harder bargain.
Unifor says workers at General Motors' CAMI assembly plant and battery facility in southwestern Ontario have ratified a new collective agreement.
The brother of a 27-year-old man who was fatally shot in Scarborough over the weekend has been arrested and charged in connection with his death, say police.
Comedian John Mulaney and actor Olivia Munn now have a second child, a daughter named Mei June Mulaney.
Kate, the Princess of Wales, made her first public appearance Sunday since she announced she had completed chemotherapy and would return to some public duties.
At least two students at Gettysburg College in Pennsylvania have been suspended from the swim team after a report that a racial slur was scratched onto a student's body, officials said.
Body mass index, a long-time tool used to measure a person's health, may soon be out the door as some health professionals push for a system they say is more accurate.
Cole Haas is more than just an avid fan of the F.W. Johnson Wildcats football team. He's a fixture on the sidelines, a source of encouragement, and a beloved member of the team.
Getting a photograph of a rainbow? Common. Getting a photo of a lightning strike? Rare. Getting a photo of both at the same time? Extremely rare, but it happened to a Manitoba photographer this week.
An anonymous business owner paid off the mortgage for a New Brunswick not-for-profit.
They say a dog is a man’s best friend. In the case of Darren Cropper, from Bonfield, Ont., his three-year-old Siberian husky and golden retriever mix named Bear literally saved his life.
A growing group of brides and wedding photographers from across the province say they have been taken for tens of thousands of dollars by a Barrie, Ont. wedding photographer.
Paleontologists from the Royal B.C. Museum have uncovered "a trove of extraordinary fossils" high in the mountains of northern B.C., the museum announced Thursday.
The search for a missing ancient 28-year-old chocolate donkey ended with a tragic discovery Wednesday.
The Royal Canadian Mounted Police is celebrating an important milestone in the organization's history: 50 years since the first women joined the force.
It's been a whirlwind of joyful events for a northern Ontario couple who just welcomed a baby into their family and won the $70 million Lotto Max jackpot last month.