Monkeypox: what dangers for children after a first case in France?

Mild in adults, monkeypox can be more severe in children. Explanations while a first case was registered in a child attending school in France.

This Saturday, health authorities recorded the first confirmed case of monkeypox in a child in France.

However, if the disease is particularly mild in adults, it should be noted that severe cases occur more frequently in children, pregnant women and immunocompromised people. “His mortality rate generally remains low”, assures Public Health France, since it is “less than 10% in the cases observed worldwide”.

What risks?

In children, pregnant women, and people with compromised immune systems, monkeypox can be complicated in a number of ways:
– larger eruption (more than 100 vesicles), sometimes causing superinfection or generalized infection,
– Digestive or ENT problems (with local compressions),
– eye damage (corneal damage),
– neurological complications (encephalitic signs),
– severe forms at the pulmonary level (pneumopathy).

Therefore, after the first case affecting a minor registered in France this Saturday evening, the health authorities call for vigilance, even if at the moment they have undertaken to “follow the chain of contacts of the child”, which shows “no signs of seriousness”. . “

The parents of children who are risk contacts at the school the child attends have also received the following recommendations, which can be used in case of doubt:
– Monitor the appearance of symptoms (fever, rash) and call 15 if necessary;
– Offer counseling so that the child can benefit from vaccination if deemed necessary by the doctor;
– If there are no symptoms and according to the current state of knowledge, there is no known risk of infection. No action is therefore required for the child (neither isolation nor adjustment of activities) or for the other family members.

“Low risk of transmission”

The ARS Ile-de-France recalled this Saturday evening that “the characteristics and the contagiousness of this disease mean that it can also affect children in a family, sharing bedding, living rooms and cutlery. This is the case in some countries where this virus is endemic and where transmission can occur through close contact with a person showing signs of the disease (rash in the form of “pimples”), transmission to the general population is estimated to be low .”

Note that at this time “cases reported in Europe are mostly mild with no deaths reported”.

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