After the monkeypox spread in Great Britain, the Robert Koch Institute in Germany is now also reacting. In the event of unusual skin changes, those affected should react quickly.

After several cases of monkeypox in people in Great Britain, the Robert Koch Institute (RKI) in Germany is sensitizing doctors to the virus infection. An article published by the RKI states that given the cases in the United Kingdom, monkeypox should also be considered as a possible cause in the case of unclear smallpox-like skin lesions if those affected have not traveled to certain areas. According to the RKI, men who have sex with men should “immediately seek medical care” if they have any unusual skin changes.

According to the health authority UK Health Security Agency (UKHSA), the number of recorded cases of the rare disease in Great Britain had increased to seven from Monday. Connections between those affected are only partially known. In some cases it is unclear where those affected were infected. Four recently reported cases involve men who have had sexual contact with other men. They are said to have been infected in London.

The first infection, which became known in Great Britain at the beginning of May, is said to be due to an infection in Nigeria. As a result, British experts emphasized that monkeypox is not easily transmitted from person to person and that the risk to the general population is very low.

According to the UKHSA, the virus disease usually causes only mild symptoms, but in rarer cases it can also result in severe courses. Only symptomatic patients with close contact are contagious. According to the UKHSA, early signs of illness include:

Smallpox has been considered eradicated worldwide since 1980 after a major vaccination campaign. As the RKI explains, large parts of the world’s population no longer have vaccination protection. In Nigeria, since 2017, there has been an increase in monkeypox infections in humans – and cases in connection with travel there, especially in the United Kingdom.

Experts suspect that the monkeypox pathogen circulates in rodents, monkeys are considered false hosts. “Infections can be transmitted through contact with the secretions of infected animals,” says the RKI report. Transmissions from person to person through contact with body fluids or crusts are described with infection chains of up to six people. “The sexual transmission of smallpox viruses is also possible,” it said.

In a specialist article from 2019, three RKI employees stated: “Outside of Africa, monkeypox has only been identified in humans three times: in 2003 in the USA and in 2018 in the United Kingdom and Israel”. Most people – over 30 cases were recorded – were therefore infected in several US states.

The virus was introduced to the USA with the transport of 800 small mammals from Ghana. Those affected are said not to have been infected directly from these animals, but through contact with prairie dogs that had been kept close to the Ghanaian animals before they were sold on.