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Ursprungligen postat av
Kaptenzoomsfaster
Ja, den här epidemiologen Gisslén var med i ett radioprogram härom dagen och han sa att det tyder på att de flesta som insjuknar har smittats via hushållskontakter.
Du har så rätt om dödligheten!
The 12,569 clade I mpox cases reported through 12 November have occurred in 22 out of 26 provinces in the DRC – the largest number of annual cases ever reported. However, due to limited access to diagnostics, only 1106 suspected cases—about 9% – have undergone PCR testing, with 714 testing positive (a 65% positivity rate).
The DRC outbreak has led to 581 deaths, for a case fatality rate of 4.6%. In contrast, the clade II global outbreak had a case fatality rate of about 0.2%. The number of deaths in the DRC this year already far exceeds that of the global outbreak since May 2022. However, as Dr Jeremy Faust noted in an article for MedPage Today, this only includes people who were ill enough to seek medical care. With limited testing available, many more people might have had mild or asymptomatic mpox, suggesting the infection fatality rate is actually substantially lower.
More news from Congo, The Democratic Republic of The
The high death rate is likely attributable in part to clade I mpox, which is known to cause more severe illness. Health status may also be a factor. The WHO report did not include the HIV status of mpox patients, but the DRC has a high rate of HIV among men who have sex with men (estimated at around 7%), and due to the limited availability of care, many people may be unaware of their status and remain untreated.
https://www.aidsmap.com/news/nov-2023/high-death-rate-mpox-outbreak-democratic-republic-congo
en dödlighet på 4.6% i Kongo, men då är det många HIV-sjuka med nedsatt immunförsvar som stryker med, och mörkertalet är nog stort bland de smittade, så om man räknar in gamla, små barn och HIV-sjuka bland de döda så torde dödligheten ligga en bra bit under 4.6% för friska vuxna människor.