ANS sets plans to cover monkeypox test

The test to diagnose monkeypox was included by the National Supplementary Health Agency (ANS) within the listing of procedures to be lined by personal well being plans. The measure is included in a brand new regulatory resolution permitted yesterday (19).

Internationally generally known as monkeypox, monkeypox is endemic in areas of Africa and has turn out to be a well being concern due to its unfold in a number of international locations since May. Brazil now has 7,019 circumstances and two deaths, in accordance to knowledge launched this morning (20) by the Ministry of Health.

According to the regulatory resolution, plans should cover the analysis of beneficiaries who’ve a medical indication. The test is carried out on fluid samples collected instantly from lesions that seem on the pores and skin utilizing a tampon [cotonete estéril] dry. The analyzes make it attainable to detect the presence of the virus that causes the illness.

According to a memo printed by the ANS, the inclusion of the test is a part of a dynamic assessment course of for the listing, which has already been modified 12 occasions in 2022, offering obligatory protection of 11 procedures and 20 medication. Changes to the improve course of have been permitted final yr. Until then, the listing was up to date each 2 years. With the change, proposals started to be analyzed on an ongoing foundation by the technical space of ​​the ANS, which evaluates numerous standards equivalent to confirmed scientific advantages, compliance with nationwide well being insurance policies and the connection between value and effectiveness.

“The inclusion of the extra examination within the obligatory protection listing was carried out in an distinctive approach, given the illness situation, which presently locations Brazil among the many six international locations with the best variety of confirmed circumstances on this planet,” the ANS printed word recorded.


There are two identified strains of monkeypox. One of them, thought-about extra harmful as a result of it has a mortality charge of up to 10%, is endemic to the Congo Basin area. The different, which has a fatality charge of 1% to 3%, is endemic in West Africa and is what has been present in different international locations within the present outbreak. It normally causes delicate scientific circumstances and is attributable to a poxvirus of the orthopoxvirus subgroup, as is the case with different ailments equivalent to cowpox and smallpox, which have been eradicated in Brazil in 1980 after mass vaccination campaigns.

Monkeypox was first described in people in 1958. At that point, monkeys have been additionally affected and died. Hence the title of the illness. In the cycle of transmission, nevertheless, they’re victims like people. In nature, wild rodents most likely characterize the animal reservoir of the virus.

Between people, transmission happens by way of direct contact, equivalent to kissing or hugging, or by way of infectious wounds, scabs, or physique fluids, as well as to respiratory secretions. The incubation interval of the virus varies from 5 to 21 days. The most attribute symptom is the formation of painful rashes and nodules on the pores and skin. Fever, chills, headache, muscle aches and weak spot may happen.


After an infection, the primary signs seem between 6 and 16 days. The lesions progress to a crusted stage, dry up and fall off after a interval of two to 4 weeks. Those at best threat of worsening embrace immunosuppressed folks with HIV/AIDS, organ transplant recipients, folks with autoimmune ailments, pregnant ladies, breastfeeding ladies, youngsters beneath 8 years of age, and sufferers with leukemia, lymphoma, or metastases.

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

There is not any particular remedy for the illness. As a precaution, the affected individual needs to be remoted till all wounds have healed. It can be beneficial to keep away from contact with any supplies utilized by the contaminated individual. Another measure indicated by well being authorities is hand hygiene, washing them with cleaning soap and water or with alcohol gel.

Although smallpox vaccines have been efficient in combating smallpox epidemics in monkeys, there’s presently no forecast for a mass immunization marketing campaign given the necessity to produce doses worldwide. According to WHO suggestions, precedence needs to be given to well being professionals and laboratory researchers. In August, the National Health Surveillance Agency (Anvisa) gave Brazil the inexperienced gentle to import the immunizing agent.

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