Bilingual News (1)
国内首例猴痘照曝！这部位冒痘 卫生局：与国外不太一样
编辑 ：庄雅婷 / https://news.tvbs.com.tw/life/1830280
台南个案染猴痘照片首度曝光。 （图／台南卫生局提供）
疾管署24日公布中华民国台湾首例境外移入猴痘确诊个案。一名自德国留学返台的25岁男性确诊猴痘，收治于负压隔离病房治疗。台南卫生局昨（25）日公布该个案腿部冒痘照片，和国外确诊情况并不相似。
该名个案于今（2022）年1月至6月至德国就学，6月16日搭机返国，在机场检验新冠肺炎确认阴性后，返家进行居家检疫，6月20日出现发烧、喉咙痛、肌肉酸痛、红疹、鼠蹊部淋巴肿大等症状，6月21、22日就医，经医师评估后，进行采检及通报，检体送疾管署昆阳实验室检验，24日确认阳性。
猴痘高风险接触者包括同住家人、性伴侣等。 （示意图／shutterstock达志影像）
该个案曾至高雄就医，台南与高雄卫生局原扩大匡列关接触者匡列共20人，但疾管署副署长庄人祥昨日指出，依据最新相关工作指引重新检视，医护防护完备、司机等接触者距离较远，因而排除匡列，只剩9位接触者要自主监测21天，至7月14日止。
台南市卫生局昨日首度公布个案感染猴痘的照片，可见到其大腿部位冒出痘痘，由于国外案例多为从脸部发病再蔓延到四肢与躯干，对此，卫生局认为，和之前看到国外确诊的情况并不相似。依卫生局资料指出，猴痘症状有皮肤病灶如斑疹、丘疹、水泡、脓疱、发烧、畏寒或寒颤、出汗、头痛、肌肉痛、淋巴腺肿大（如耳周、腋窝、颈部或腹股沟等处）且会呈现极度倦怠感。
由于国际猴痘疫情逐渐扩大，卫生局提醒，自海外入境者若出现疑似症状，应尽速就医并主动告知旅游史及接触史，若有猴痘防疫相关问题，建议民众也可拨免付费防疫专线1922或台南市防疫专线06-2880180咨询，相关资讯也可到疾病管制署全球资讯网查询。
Translation
The first case of monkeypox in the Republic of China is exposed! This part has acne. Health Bureau: It is not the same as abroad
Editor : Zhuang Yating / Image : Photo of a Tainan case infected with monkeypox are exposed for the first time. (Photo/Provided by Tainan Health Bureau)
The Taiwan CDC announced on 24 June 2022 the first confirmed case of monkeypox in the Republic of China Taiwan. A 25-year-old man who returned from studying in Germany to Taiwan was diagnosed with monkeypox and was admitted to a negative pressure isolation ward for treatment. The Tainan Health Bureau released a photo of the case with acne on the legs yesterday (25), which is not similar to the confirmed cases abroad.
The case went to school in Germany from January to June this year (2022), and took a flight back to Taoyuan on 16 June. After being tested at the airport and confirmed negative for COVID-19, he returned home for home quarantine. He developed fever and sore throat on June 20. , muscle soreness, rash, swollen lymph nodes in the groin and other symptoms. He went to the doctor on June 21 and 22. After being evaluated by the doctor, the examination and notification were carried out. The specimen was sent to the Laboratory of the Taiwan CDC.
The case went to Kaohsiung for medical treatment. The Tainan and Kaohsiung Health Bureaus had originally expanded the contact with a total of 20 people. However, Zhuang Renxiang, deputy director of the CDC, pointed out yesterday that the re-examination was based on the latest relevant work guidelines. The distance between the contacts was relatively long, so only 9 contacts were left to be monitored by themselves for 21 days until July 14.
The Tainan City Health Bureau released the first photo of a case infected with monkeypox yesterday. It can be seen that pimples appeared on the thigh. Since most foreign cases spread from the face to the limbs and torso, the Health Bureau believes that the the situation that has been seen in foreign countries before is not similar to the Taiwan case. According to the Health Bureau, monkeypox symptoms include skin lesions such as macules, papules, blisters, pustules, fever, chills or chills, sweating, headache, muscle pain, swollen lymph glands (such as around the ears, armpits, neck or groin, etc.) and will experience extreme burnout.
Due to the gradual expansion of the international monkeypox epidemic, the Health Bureau reminds that if people entering from overseas have suspected symptoms, they should seek medical treatment as soon as possible and take the initiative to inform their travel and contact history. For inquiries, please call the special line 1922 or the Tainan City Epidemic Prevention Line 06-2880180. For relevant information, please visit the Global Information Network of the Centers for Disease Control and Prevention.
See also: https://news.tvbs.com.tw/life/1830385
Bilingual News (2)
猴痘可1染2！防共用「衣服、床单」 长痘前就会传
记者 : 曹佼人
有专家推估，猴痘确诊者可以一传二，而且在发烧还没长出病灶时，就可能传播出去，另外要小心接触确诊者的衣服和床单，是可能的感染途径，而国内45岁以下民众，都没有接种天花疫苗，但专家认为儿童感染机率比较低，还不用特别因应，但台湾首例猴痘确诊者，病灶和国外不太一样。
台湾第一例猴痘，病灶和国外有差异，国外猴痘病灶，通常直径较大，而且从脸部开始长，再到四肢，但国内确诊者，病灶却像是青春痘直径小，从大腿先长，病毒较弱。
中国附医副院长黄高彬：「它是从西非传出来，这次算是比较弱的病毒株，弱的病毒株，有人称它是葡萄牙株，它的致死率比较低。」
虽然致死率低，但目前国内，只有约45岁以上民众，已打可以预防猴痘的天花疫苗，专家认为，第三代天花疫苗副作用较小，45岁以下民众可以施打，目前并没有其他疫苗可以替代。
长庚大学病毒研究中心主任施信如：「一般来讲如果身体状况好的，不小心被感染到，都会自我痊愈，2、3个礼拜就会痊愈，也没有什么重症，所以不需要打这疫苗，除非这感染已经变得非常非常大。」
专家建议，儿童染疫机会低，也不需要特别打疫苗，但如果真的担心可以勤用酒精消毒。
不过有专家推估，1名猴痘患者可感染2人，还是得小心，儿科急诊医师吴昌腾指出，被猴痘病毒感染者污染的衣服和床单，可传播疾病，而且猴痘可感染，任何年龄层，而且猴痘都会先发烧1到3天，之后才出现病灶，但前2到3天可传，若警觉性不够高，会增加传播机率。
中国附医副院长黄高彬：「这很重要，很容易导致就是被误诊，或者是被认为是其他疾病，看病的时候特别是医师，一定要问他的旅游史。」
但世卫组织，现阶段没有将猴痘列入国际关注公共卫生紧急事件，也有专家认为，猴痘目前疫情，符合所有列为紧急事件的标准，却选择不列入，是错误决定。
Translation
Monkeypox can cause 1 to infect 2! Preventing the sharing of "clothes and sheets". Monkeypox virus will spread before acne develops
Reporter : Cao Jiaoren
Some experts estimate that monkeypox confirmed monkeypox patients can pass on the virus to two people, and it may spread when the fever has not developed a lesion. In addition, be careful not to come into contact with the clothes and bed sheets of the confirmed person, which is a possible infection route, and in the Republic of China Taiwan, many people have not been vaccinated against smallpox but experts believe that the probability of infection in children is relatively low, so there is no need to take special measures.
On the first case of monkeypox in Taiwan, the lesions are different from those in foreign countries. The lesions of monkeypox in foreign countries are usually larger in diameter and grow from the face to the limbs. However, the lesions in the domestically diagnosed patients seem to be small in diameter. It grows from the thigh first, and the virus is weaker.
Huang Gaobin, vice president of the Chinese Affiliated Hospital, said, "It came from West Africa. This time it is a relatively weak virus strain, a weak virus strain. Some people call it a Portuguese strain, and its lethality rate is relatively low."
Although the fatality rate is low, at present, only about 45-year-old people in China have received the smallpox vaccine that can prevent monkeypox. Experts believe that the third-generation smallpox vaccine has fewer side effects and people under the age of 45 can be vaccinated. Vaccines can be substituted.
Shi Xinru, director of the Virus Research Center of Chang Gung University, said, "Generally speaking, if you are in good health and accidentally get infected, you will recover on your own. You will recover in 2 or 3 weeks, and there is no serious illness, so you don't need to take this vaccine unless the infection has become very, very large."
Experts suggest that children have a low chance of being infected and do not need special vaccinations, but if you are really worried, you can use alcohol to disinfect them frequently.
However, some experts estimate that 1 monkeypox patient can infect 2 people, so be careful. Pediatric emergency physician Wu Changteng pointed out that clothes and bed sheets contaminated by monkeypox virus can infect other people of any age and layers, and monkeypox patients will have a fever for 1 to 3 days before the lesions appear but the virus can be transmitted in the first 2 to 3 days. If the alertness is not high enough, it will increase the probability of transmission.
Huang Gaobin, vice president of the Chinese Affiliated Hospital, said, "This is very important. It can easily lead to being misdiagnosed or considered to be other diseases. When seeing a doctor, especially a doctor, be sure to ask him about his travel history."
However, the WHO has not listed monkeypox as a public health emergency of international concern at this stage, and some experts believe that the current monkeypox epidemic meets all the criteria for being classified as an emergency, but choosing not to list it is a wrong decision.
Bilingual News (3)
猴痘入侵台湾6类人当心 「居家2物品」成最可怕传染源
编辑 :庄雅婷
猴痘入侵各国。 （示意图／shutterstock达志影像)
疾管署24日公布国内首例猴痘个案，引发民众关心猴痘症状及感染途径。林口长庚医院儿科急诊主治医师吴昌腾于6月25日在脸书，提醒4大传播途径，呼吁民众特别当心。
台湾首例猴痘个案于今（2022）年1月至6月至德国就学，6月16日搭机返国，居家检疫期间出现发烧、喉咙痛、肌肉酸痛、红疹、鼠蹊部淋巴肿大等症状，经医师评估后进行采检及通报，24日确认感染猴痘。针对猴痘病毒，吴昌腾在脸书指出，猴痘（monkeypox）发病病程很类似天花，其病毒可感染任何年龄层，透过破损的皮肤、呼吸道、眼睛、鼻子和嘴巴进入人体。
谈及4大传播方式，吴昌腾指出，第一，密切接触已感染病毒的人或动物；第二，因为猴痘病毒的DNA在物体表面上非常稳定，若接触感染者碰触过的物品，包括感染者的衣服、毛巾或床上用品都可能感染；第三，由于呼吸道飞沫有一定的传播距离，所以长时间、面对面接触已感染病毒的人或动物（prolonged face-to-face contact）也可能传播病毒。第四，最近猴痘出现在城市环境中，感染者有时会出现生殖器及会阴区域皮肤病变，这表明病毒可能通过性行为的皮肤接触传播。
至于猴痘症状，吴昌腾指出，通常以类似于流感的症状开始，包括明显头痛、发热、发冷、剧烈背痛、虚脱及偶尔有腹部疼痛。且约50%的病患会全身性淋巴结肿大。另外，在发烧及身体不适两天后，在第3至第6天会出现类似天花的小水痘，疹子在脸部及四肢较为明显，皮疹至手掌心和脚掌。
而依据疾管署25日公布的「猴痘防治工作手册」，其中接触指引指出有6类人要特别注意被列为高风险等级接触者：
1.同住家人。
2.曾有任何形式性接触之性伴侣。
3.曾在无适当防护下，皮肤或黏膜与确诊病患之皮肤、黏膜或呼吸道分泌物，或可能被其污染之物品（如衣物或床单）有接触者。
4.于个案执行会产生飞沫微粒（aerosol）之医疗措施时，未穿戴 N95面罩与护目镜／面罩，且位于同一房间或距2公尺内之医疗相关人员。
5.清扫被污染的房间时无适当防护，可能吸入飞沫或扬尘者。
6.实验室操作过程中曾于无适当防护状况下暴露于具活性的猴痘病毒，或可能含有病毒之检体者。
Translation
Monkeypox invades 6 types of people in Taiwan. Beware of "two items at home" that become the most terrifying source of infection
Editor : Zhuang Yating / https://news.tvbs.com.tw/life/1830385
The Taiwan CDC announced on 24 June 2022 the first case of monkeypox in the Republic of China Taiwan, which aroused public concern about the symptoms and infection routes of monkeypox. Wu Changteng, the attending physician of the Pediatric Emergency Department of Chang Gung Memorial Hospital in Linkou, posted on Facebook on 25 June 2022, reminding the four major transmission routes and calling on the public to be especially careful.
The first monkeypox case in Taiwan went to Germany to study from January to June this year (2022), and returned to China by plane on June 16. During the home quarantine period, he developed fever, sore throat, muscle pain, rash, groin lymphadenopathy, etc. Symptoms were collected and reported after being evaluated by a doctor, and monkeypox infection was confirmed on the 24th. In response to the monkeypox virus, Wu Changteng pointed out on Facebook that the disease course of monkeypox (monkeypox) is very similar to that of smallpox. The virus can infect any age group and enter the human body through damaged skin, respiratory tract, eyes, nose and mouth.
Talking about the four major modes of transmission, Wu Changteng pointed out that first, close contact with people or animals that have been infected with the virus; second, because the DNA of monkeypox virus is very stable on the surface of objects, if you come into contact with objects that the infected person has touched, including Clothes, towels or bedding of an infected person may be infected; third, due to the certain transmission distance of respiratory droplets, prolonged face-to-face contact with infected people or animals (prolonged face-to-face contact) may also spread Virus. Fourth, with the recent emergence of monkeypox in urban settings, infected individuals sometimes develop skin lesions in the genital and perineal areas, suggesting that the virus may be transmitted through sexual skin-to-skin contact.
As for monkeypox symptoms, Wu Changteng pointed out that it usually starts with flu-like symptoms, including a marked headache, fever, chills, severe back pain, collapse and occasional abdominal pain. And about 50% of patients will have generalized lymphadenopathy. In addition, after two days of fever and physical discomfort, smallpox-like smallpox will appear on the third to sixth day. The rash is more obvious on the face and limbs, and the rash extends to the palms and soles of the feet.
According to the "Monkeypox Prevention and Control Workbook" released by the CDC on 25 June 2022, the contact guidelines pointed out that there are 6 types of people who should pay special attention to those who are classified as high-risk contacts:
1. Living with family members.
2. Sexual partners who have had any form of sexual contact.
3. Those who have had skin or mucous membranes in contact with the skin, mucous membranes or respiratory secretions of confirmed patients, or items that may be contaminated by them (such as clothing or bed sheets) without proper protection.
4. Medical related personnel who are not wearing N95 masks and goggles/masks and who are in the same room or within 2 m of each other when performing medical measures that generate aerosol particles.
5. Those who do not have proper protection when cleaning the polluted room may inhale droplets or dust.
6. Those who have been exposed to active monkeypox virus or specimens that may contain the virus without proper protection during laboratory operations.
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