Three suspected mpox patients were sent home in Karachi after one showed no symptoms and the tests for the other two came back negative, according to the Sindh health department.

Geo News, citing sources, reported on Sunday that they were suspected of being infected with mpox after returning to Pakistan from Middle Eastern countries at the Jinnah International Airport. 

The patient with no symptoms of the virus was sent home yesterday, the health department stated that the other two suspects, were also discharged from the hospital after testing negative. 

The two had arrived in Karachi from Jeddah on Saturday, according to the health department.

All three individuals were immediately taken to the Sindh Infectious Diseases Hospital and Research Centre, as confirmed by hospital officials.

Currently, there are six confirmed mpox cases in Pakistan, with the majority reported in Khyber Pakhtunkhwa.

Mpox is a virus that causes flu-like symptoms and pus-filled lesions and, while usually mild, it can kill. Children, pregnant women and people with weakened immune systems are all at higher risk of complications, reported Reuters.

The infectious disease has African countries in turmoil including DR Congo where there have been 27,000 cases and more than 1,100 deaths, the majority of the deaths occurred among children.

The outbreak began in January 2023 in the Congo and in August this year, the World Health Organisation (WHO) declared the recent outbreak of the disease a public health emergency of international concern after the new variant was identified.

KARACHI: As Pakistan continues to report fresh monkeypox cases, three more passengers travelling to Karachi were suspected of the disease, sources told Geo News on Sunday. 

According to the sources, the three passengers, including a female, were returning to Pakistan from Middle Eastern countries and had landed at Karachi’s Jinnah International Airport. 

The suspected patients have been shifted to Sindh government’s Infectious Diseases Hospital, said the sources, adding that they will be kept in isolation ward until the test report comes.

The total tally of confirmed mpox cases is six across Pakistan with most cases reported in Khyber Pakhtunkhwa.

Mpox is a virus that causes flu-like symptoms and pus-filled lesions and, while usually mild, it can kill. Children, pregnant women and people with weakened immune systems are all at higher risk of complications, reported Reuters.

In August, the WHO The World Health Organisation declared the recent outbreak of the disease a public health emergency of international concern after the new variant was identified.

There have been 27,000 cases and more than 1,100 deaths, mainly among children, in DR Congo since the current outbreak began in January 2023.

Health Ministry officials have raised alarm bells over the performance of Border Health Services (BHS) personnel after a monkeypox patient went undetected at the Islamabad airport only to be later found being infected with the infectious disease in Peshawar, sources told Geo News on Thursday.

The sources added the passenger, who reached the Islamabad airport on September 7 from a Gulf country, managed to reach Peshawar due to the negligence of BHS staff stationed at the airport in the federal capital.

The development comes after the country’s mpox tally reached six — the fifth since the World Health Organisation (WHO) declared the recent outbreak of the disease as a public health emergency of international concern — after the said passenger hailing from Khyber Pakhtunkhwa’s Lower Dir area was found carrying the virus.

As per the WHO, mpox is a viral disease related to the now-eradicated smallpox virus and can spread through any close contact and through contaminated materials like sheets, clothing and needles.

Initial symptoms of the disease include fever, chills, muscle pain, swelling of the glands, exhaustion, headache and muscle weakness which are often followed by a painful or itchy rash with raised lesions that scab over and resolve over a period of weeks.

The fact that an mpox patient went undetected is concerning as the government last month issued strict guidelines provisioning screening, isolation and other preventive measures at all international airports across the country in light of the threat posed by the recent global outbreak of the virus.

As part of the government directives, BHS was made the lead agency responsible for the overall coordination and management of mpox-related operations at international airports — manages the isolation and safe transportation of suspected Mpox cases to designated medical facilities.

The authority was also made responsible for reporting confirmed cases to local and national health authorities and maintaining surveillance data.

Furthermore, the guidelines also provisioned thermal scanning at all entry points with BHS personnel required to conduct visual inspections and symptom checks to identify any passengers displaying signs of the disease.

However, the said mpox-infected passenger was neither questioned nor examined by the BHS staff, despite showing visible symptoms, The News reported on Thursday citing officials from the Ministry of National Health Services, Regulations, and Coordination (NHS, R&C).

Lamenting the efficacy of the screening being carried out, the technical working group on mpox (TWG) — which was constituted after WHO’s declaration and included officials from key public health bodies such as the National Institute of Health (NIH) Islamabad, the Drug Regulatory Authority of Pakistan (DRAP), and others — has said that surveillance at all other points of entry and airports other than Peshawar is very poor.

Furthermore, the officials have said that the patient stayed at a hotel contacted a skin specialist in Peshawar and was diagnosed with the virus after being tested at the Khyber Medical University.

PESHAWAR: Another case of the mpox, also known as monkeypox, was reported in Khyber Pakhtunkhwa (KP), pushing the tally of the virus to six in Pakistan, provincial Health Minister Syed Qasim Ali Shah said on Wednesday.

Notably, this is the sixth case reported in the country this year and the fifth since the World Health Organisation (WHO) declared the recent outbreak of the disease as a public health emergency of international concern after the new variant of the virus was identified in August.

According to the National Institute of Health Islamabad, the latest patient is a resident of Lower Dir area of KP. He was isolated after the screening at the Peshawar Airport and after a medical test, he was confirmed as a carrier of the mpox virus, it added.

The KP health minister said: “A public health lab confirmed the presence of the mpox virus in the patient’s [blood] samples.”

“The patient has been quarantined at his home in the Lower Dir area,” the minister said, adding that he reached Islamabad from a Gulf country on September 7 and then stayed at a hotel in Peshawar.

Shah further added: “Next day the patient went to a private clinic for [some] treatment and was then transferred to Khyber Teaching Hospital.”

Mpox is a virus that causes flu-like symptoms and pus-filled lesions and, while usually mild, it can kill. Children, pregnant women and people with weakened immune systems are all at higher risk of complications, reported Reuters.

Earlier this month, Peshawar reported its fourth case, prompting fears that the city could be becoming a hotspot for the virus.

The patient, a 47-year-old man, tested positive after being isolated by Border Health Services staff on August 29. He had returned from the Gulf region, adding to concerns about the virus’s spread from travellers arriving from the Middle East, Geo News reported.

“This is the fifth mpox case reported this year [in the country] and the fourth since WHO declared mpox a global health emergency,” said Federal Director General of Health Dr Shabana Saleem on Sunday.

Dr Saleem emphasised the need for vigilance, highlighting that all recent cases have involved individuals with a history of travel to the Gulf.

“Peshawar appears to be turning into an epicentre for mpox cases,” she stated. “This trend is alarming, and we are doubling our efforts to prevent further spread.”

Authorities have ramped up measures to contain the virus, with stringent screening protocols now enforced at all airports.

The spike in mpox cases in Peshawar has triggered concerns among health experts and the public alike, with calls for increased awareness and stricter travel guidelines.

The federal director general of health urged the public to remain vigilant and to comply with health advisories, particularly those returning from high-risk regions.