ANS plans to cover monkeypox trial

By Agency Brazil

Testing for the analysis of monkeypox was included by the National Supplementary Health Agency (ANS) within the checklist of procedures coated by non-public well being plans. The measure was included within the new requirements decision authorized yesterday (19).

Known internationally as monkeypox, monkeypox is endemic to areas of Africa and has turn into a well being concern since May when it unfold to a number of international locations. Brazil already has 7,019 instances and two deaths, in accordance to figures launched by the Ministry of Health this morning (20).

According to the usual decision, plans should embrace exams for beneficiaries who current medical indications. This check is carried out on fluid samples collected straight from pores and skin lesions, utilizing a swab. [cotonete estéril] Dry analyzes make it attainable to detect the presence of viruses that trigger illness.

According to a observe issued by the ANS, the inclusion of the check is a part of a dynamic course of to overview the checklist, which has already been revised 12 instances in 2022, guaranteeing necessary protection of 11 procedures and 20 medication. A change within the improve course of was authorized final yr. Till then the checklist was renewed each 2 years. With the change, proposals started to be repeatedly analyzed by the ANS’s technical sector, which evaluates numerous standards equivalent to confirmed scientific advantages, alignment with nationwide well being insurance policies, and the connection between value and effectiveness.

“The complementary examination was included within the checklist of necessary protection in an uncommon approach, due to the state of affairs of this illness that at present locations Brazil among the many six international locations with essentially the most confirmed instances worldwide”, notes the launched observe. ANS.


There are two recognized varieties of monkeypox. One of them, thought of extra harmful as a result of it has a mortality price of up to 10%, is endemic to the Congo Basin area. The second, which has a mortality price of 1% to 3%, is endemic to West Africa and has been present in different international locations on this present outbreak. It often produces gentle scientific situations and is attributable to poxviruses of the orthopoxvirus subgroup, related to different illnesses equivalent to cowpox and smallpox, which had been eradicated in Brazil within the Nineteen Eighties after a big vaccination marketing campaign.

Monkeypox was first described in people in 1958. At that point monkeys had been additionally affected and died. Hence the identify of the illness. However, within the communication cycle, they’re victims like people. In nature, wild rodents typically signify an animal reservoir of the virus.

In individuals, an infection happens via direct contact, equivalent to kissing or hugging, or via infectious wounds, crusts, or physique fluids aside from respiratory secretions. The incubation time of the virus varies from 5 to 21 days.


After contamination, the primary signs seem between 6 and 16 days. After a interval of two to 4 weeks, the lesions attain a stage of crusting, drying and falling off. Those at biggest threat of worsening embrace individuals with HIV/AIDS, transplant recipients, individuals with autoimmune illnesses, pregnant ladies, breastfeeding ladies, youngsters underneath 8 years of age, and sufferers with leukemia, lymphoma, or metastasis.

The first instances of this worldwide outbreak started in Europe and the United States in May. According to the newest World Health Organization (WHO) bulletin launched on September 7, 52,996 instances have already been reported in 102 international locations. So 18 individuals have died. In July, the WHO declared monkeypox a public well being emergency of worldwide concern.

There is not any particular therapy for this illness. As a precaution, the affected particular person must be remoted till all wounds have healed. It can be really useful to keep away from contact with any materials utilized by an contaminated particular person. Another measure prompt by well being officers is hand hygiene, washing them with cleaning soap and water or utilizing gel alcohol.

Although smallpox vaccines are efficient in combating smallpox outbreaks in monkeys, there may be at present no forecast for a large-scale vaccination marketing campaign, given the necessity to put together doses on a worldwide scale. As really useful by WHO, precedence must be given to well being professionals and laboratory researchers. In August, the National Health Surveillance Agency (ANVISA) allowed the importation of immunosuppressive brokers to Brazil.


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