Monkeypox: Transmission, Prevention, and Relationship Concerns - Family Medicine

Share to:

What is monkeypox?


Hello, doctor.
I have a few questions:
1.
The information online states that monkeypox is primarily transmitted through skin contact.
Does this mean that people should avoid touching each other altogether? What about couples, spouses, or caregivers of young children? It's impossible to avoid intimate contact, skin contact, or sexual activity.

2.
It's difficult to discern the truth online.
What are the actual modes of transmission for monkeypox? Is it through sexual activity, airborne transmission, or skin contact?
3.
What are the practical measures for preventing infection? Thank you, doctor.

Xiao Lan, 30~39 year old female. Ask Date: 2023/03/29

Dr. Ye Qianyu reply Family Medicine


Hello! For detailed information, please refer to the CDC website at https://www.cdc.gov.tw/Category/MPage/Qb-Lfz8PNcjdNvrAVNCVtQ.

"5.
Mode of Transmission
(1) Human-to-Human: Monkeypox can be transmitted between individuals through close contact with the lesions, scabs, or bodily fluids of confirmed cases.
This includes intimate sexual contact such as oral, anal, or vaginal intercourse, or contact with the genitalia (penis, testicles, labia, and vagina) or anus of a monkeypox patient, as well as hugging, massaging, and kissing the patient, and prolonged face-to-face contact.
Infection can also occur through exposure to respiratory secretions, damaged skin, or mucous membranes, or contaminated objects.
Droplet transmission is more likely to occur in situations involving prolonged face-to-face contact, thus healthcare workers and household members who are not wearing appropriate personal protective equipment are at a higher risk of infection.
If a pregnant woman is infected with the monkeypox virus, it can be transmitted to the fetus through the placenta or during the birthing process due to contact.
(2) Zoonotic Transmission: Infection can occur through direct contact with the blood, bodily fluids, damaged skin, or mucous membranes of infected animals.
Consuming meat from infected animals is also a risk factor."

Reply Date: 2023/03/29

More Info


Monkeypox is a viral disease that has garnered significant attention due to its transmission dynamics and potential health implications. Understanding how it spreads, how to prevent infection, and addressing relationship concerns is crucial for managing the risks associated with this disease.

1. Transmission of Monkeypox: Monkeypox primarily spreads through direct contact with the lesions, bodily fluids, or respiratory droplets of an infected person. This means that skin-to-skin contact is a significant route of transmission. However, it is important to note that while close physical contact, such as hugging, kissing, or sexual activity, can facilitate the spread of the virus, it is not limited to these interactions. The virus can also be transmitted through contaminated objects, such as bedding or clothing, that have come into contact with an infected person.
In the context of intimate relationships, it is essential to practice caution. If one partner is infected, it is advisable to minimize direct contact until the infection has resolved. This may involve refraining from sexual activity and close physical interactions. For couples or caregivers of young children, maintaining hygiene practices, such as frequent handwashing and avoiding sharing personal items, can help mitigate the risk of transmission.

2. Modes of Transmission: The primary modes of transmission for monkeypox include:
- Direct Contact: This includes touching the rash, scabs, or body fluids of an infected person.

- Respiratory Droplets: Prolonged face-to-face contact can lead to transmission through respiratory droplets, although this is less common than direct contact.

- Contaminated Objects: Items that have been in contact with an infected person can harbor the virus and pose a risk for transmission.

- Sexual Activity: While monkeypox is not classified as a sexually transmitted infection, sexual activity can facilitate the spread due to skin-to-skin contact and exposure to bodily fluids.

It is crucial to understand that monkeypox is not transmitted through the air in the same way as respiratory viruses like COVID-19. Casual interactions, such as passing someone in a hallway, do not pose a significant risk.

3. Prevention Strategies: To prevent monkeypox infection, consider the following measures:
- Avoid Close Contact: Limit physical interactions with individuals who are symptomatic or have been diagnosed with monkeypox.

- Practice Good Hygiene: Regular handwashing with soap and water or using hand sanitizer can reduce the risk of transmission. Avoid touching your face, especially your eyes, nose, and mouth, with unwashed hands.

- Use Protective Equipment: If caring for someone with monkeypox, wearing gloves and masks can help protect against transmission.

- Vaccination: Vaccination against monkeypox is available and can be effective in preventing infection, especially for those at high risk of exposure.

- Stay Informed: Keep up-to-date with public health guidelines and recommendations regarding monkeypox, as the situation may evolve.

In summary, while monkeypox primarily spreads through direct contact, it is essential to take preventive measures to protect yourself and your loved ones. Open communication with partners and caregivers about the risks and necessary precautions can help manage concerns and maintain safety. If you have further questions or concerns about monkeypox or its implications for your relationships, consulting with a healthcare professional is advisable.

Similar Q&A

Understanding Monkeypox Transmission: Risks in Medical Settings

Hello doctor, monkeypox is now starting to spread among humans. I would like to ask about the transmission routes. If I go to the hospital for an ultrasound examination, and I need to remove my shirt and lie on the bed for the examination, if the previous patient was a confirmed ...


Dr. Lin Zhebin reply Family Medicine
Hello: Based on your description, it is indeed possible to contract an infection. If the skin lesions of a previously infected monkeypox patient have ruptured, the monkeypox virus would be released in large quantities, and any objects that come into contact with these lesions cou...

[Read More] Understanding Monkeypox Transmission: Risks in Medical Settings


Understanding Chickenpox: Risks of Infection and Prevention Tips

Hello Dr. Wu: Today, when I was at a convenience store, I noticed a child nearby (around 10 years old) who had numerous noticeable pockmarked scars on his hands and feet, which seemed to be from chickenpox. I was about five steps away from him. I did some online research and foun...


Dr. Wu Yuxin reply Dermatology
It is possible; infection is a matter of probability. The greater the amount of exposure and the longer the duration, the higher the likelihood of infection.

[Read More] Understanding Chickenpox: Risks of Infection and Prevention Tips


Can You Catch Monkeypox from Casual Contact? Understanding Risks in Taiwan

I recently saw that there are cases of monkeypox in Taiwan. I would like to ask if it is possible to get infected with monkeypox just by being in a crowded place, such as on public transport, where I might accidentally touch someone else's hand, especially if they do not hav...


Dr. Wu Yuxin reply Dermatology
The probability is low.

[Read More] Can You Catch Monkeypox from Casual Contact? Understanding Risks in Taiwan


Understanding Monkeypox Vaccine: Efficacy and Injection Methods Explained

Hello, Doctor. I would like to ask two questions related to the monkeypox vaccine: 1. After receiving the vaccine, does it completely prevent infection, or does it significantly reduce the likelihood of infection (I've heard that receiving two doses can provide nearly 90% ...


Dr. Ye Qianyu reply Family Medicine
Hello! 1. "According to preliminary literature from abroad, high-risk contacts should receive vaccination within 14 days after the last exposure, with vaccine efficacy reaching approximately 80%. Vaccination within 4 days after the last exposure can achieve optimal preventiv...

[Read More] Understanding Monkeypox Vaccine: Efficacy and Injection Methods Explained


Related FAQ

Monkeypox

(Family Medicine)

Contagion

(Family Medicine)

Chickenpox

(Dermatology)

Infection

(Family Medicine)

Vaccination

(Family Medicine)

Rash

(Family Medicine)

Lymphadenitis

(Family Medicine)

Parasites

(Family Medicine)

Hiv

(Family Medicine)

Viral Warts

(Dermatology)