While Public Health France lists approximately thousand cases of monkeypox in Francemainly in Île-de-France, “the epidemic we observe” approaches “from a sexually transmitted infection”Dr. Benjamin Davido, an infectious disease specialist at Garches hospital in Hauts-de-Seine, testifies on franceinfo.
franceinfo: Is it a disease to be taken seriously?
Dr. Benjamin Davido: Yes absolutely. Actually, we wanted so much at the beginning not to stigmatize the population at risk [les hommes ayant des relations homosexuelles] that we are left with the historical descriptions of monkeypox in its original version, that is, the epidemic that devastated Africa. In reality, what we see today is typically the presentation of a sexually transmitted infection with sometimes very difficult to discern lesions, which can be very small and pass for a completely common disease. And unfortunately the fact of missing the diagnosis means that we do not consult and that we contaminate.
Is it considered a sexually transmitted disease?
This is the annoying question. Officially, the Anglo-Saxons speak of a sexually transmitted infection, but not a sexually transmitted disease. In fact, there are elements in certain publications on series of small cases that show that the semen of sick patients was also contaminated. It is very likely that this definition will change.
“Until then we did not talk about it because we were basing ourselves on the disease that we know, which has little or no transmission in very close reports. But we can see that it is a disease that, affecting the genitals, is partly sexual. .”Dr. Benjamín Davido, infectologist
Have there been more serious evolutions of the disease?
We know that there can be severe forms. The risk is to infect immunocompromised people, for example, and there are also hospitalized patients. It is obviously out of the question, but we ourselves had a patient who had a severe otorhinolaryngological form. And then one of the complications can be superinfection.
Where are we with the vaccine that exists today?
You have to be very modest. What we can expect is an effectiveness of at least 60% and we hope that this vaccination will slow down, if not extinguish, the epidemic. We arrived late in relation to the fact that we had a logistical concern, both in terms of organization and accessible doses. This decision [l’ouverture de la vaccination préventive] In any case, it has been the right one, very clearly, because the objective is a preventive vaccine, it is not to wait until we are in the detection of contact cases to go and vaccinate those who so wish. The problem is that today we base this vaccination on phone calls. corks to standard, very clearly. We get about 80 calls in one morning and keep about 20 appointments.