SAY ni DOK | Epekto sa balat ng tao dulot ng mpox virus - video Dailymotion

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00:00The DOH has officially announced that there are active cases of MPACs in the Philippines.

00:05And earlier, we mentioned that there are currently five cases of MPACs in the country.

00:11This is still being monitored by the local governments and the Department of Health.

00:17And not only that, Audrey, in our Seyni Doc, we will talk about MPACs and its possible effects on the body and health of a person.

00:25We are joined live here in the studio by Dr. Rose Diaz, a dermatologist.

00:31Good morning, Dr. Diaz.

00:33Hello, nice to meet you, Daniel and Audrey.

00:37Well, doctor, what are your recommendations?

00:41First of all, we all know that MPACs are very noisy.

00:46So, all of us Filipinos should be careful.

00:49What should we be careful about when it comes to the MPACs virus?

00:53Well, in the case of MPACs or monkeypox virus,

00:57this is what we call caused by double-stranded DNA virus,

01:03which is a family of smallpox virus.

01:07We should think of it as a mode of transmission,

01:14skin-to-skin contact.

01:16It also has a respiratory droplet.

01:20It can also be transmitted through fomites to clothing, beddings,

01:28and lastly, it can be transmitted to animal bites or scratches.

01:35Okay, let's go back to what the doctor said, Daniel.

01:38Droplets, can it also be transmitted to saliva?

01:42Okay, like this.

01:43The problem with MPACs is that it has complications in pneumonia.

01:50So, if the patient infected with MPACs gets infected,

01:54you can get infected, especially if you've been talking for 15 minutes.

01:58But it won't go to pneumonia right away unless you see lesions first.

02:04So, its incubation period is 3 to 17 days.

02:09So, during that time, the patient will contract a fever,

02:14backache, headache.

02:17Its fever is 38.5 degrees.

02:23And then, you can see that its rashes will start.

02:28Its rashes have four stages.

02:31First, the flat red spots.

02:35We call those macules.

02:37The second stage is the papule.

02:40The papule has a bump.

02:44And then, the third one is the vesicle.

02:47This is the one that has water inside.

02:49And then, the fourth is the pustules.

02:52It has pus inside, so it's white.

02:55And then, once it starts, in 10 days, it will have scabs.

03:01And then, it will fall off.

03:03This is the most infective stage.

03:06The vesicles, pustules, and scabbing.

03:10So, during that time, you can have pneumonia.

03:16So, you can see it right away if the patient is infected.

03:20So, if it grows, you'll be far away.

03:23Because the one with the mpax is already isolated.

03:26But, Daniel, the doctor mentioned earlier

03:29that if you wear an infected mpax...

03:32Yes, it's fomites.

03:34Yes, it's fomites.

03:35Can you explain this?

03:37For example, the hospital bed.

03:40It will start in the incubation period, right?

03:44So, during that time, if we suspect that there's an mpax,

03:49if there's contact with an infected patient,

03:53then, automatically, the government will follow up.

03:58And then, if the patient has a fever,

04:01he will have a PCR or a polymerase chain reaction.

04:04The result of the polymerase chain reaction is 5 days.

04:09So, it's already isolated.

04:12So, their beddings, their clothing,

04:15and all the fabric or everything they're holding,

04:19should be removed.

04:22So, Doc, what about, for example,

04:25in establishments like those who staycation,

04:29isn't that also alarming?

04:32Yes, that's why the last one,

04:36I think he was exposed to a massage

04:39in the establishment.

04:41It was closed.

04:42Yes.

04:43And everyone in there was also isolated.

04:47Doc, you said it's PCR.

04:49How can you detect if you have mpax?

04:53Because, like I said earlier,

04:55you should have exposure with someone with mpax.

04:58So, if you have exposure,

05:00you should really follow up.

05:02And then, once you encounter a fever,

05:04you should immediately be subjected to PCR.

05:08Because the problem with PCR,

05:10it takes 4 to 5 days for the result to come out.

05:134 to 5 days?

05:144 to 5 days.

05:15Okay.

05:16Well, for example, this case,

05:17the first one, the one that passed.

05:19So, those who are around,

05:21those who have first contact,

05:23Yes.

05:24for up to 5 days,

05:27Yes.

05:28will show their symptoms.

05:30Is that correct, doctor?

05:31No.

05:32The symptoms are 3 to 17 days,

05:35the incubation period.

05:36Our 4 to 5 days is only the PCR.

05:39We're still waiting for the result of the PCR.

05:42Once they contract a fever.

05:45But, doc, what is that?

05:46Because a lot of people are asking,

05:48they're saying it's just a lump.

05:51What's the difference with chicken pox?

05:54Yeah.

05:55Chicken pox is a different genus.

05:57It's a different family.

05:59Smallpox is like mpox.

06:02They're the same genus.

06:04So, the only difference is,

06:06they're the same.

06:07There are 4 stages of lesions, of rashes.

06:10There are macules, papules, vesicles,

06:12there are pustules.

06:13But the difference between smallpox and mpox

06:18is that there are 5 of them.

06:19Even the colonics are sick.

06:21That's the only difference.

06:23For chicken pox,

06:24chicken pox has different stages in one body.

06:28You can see those 4 stages in one patient.

06:33But for mpox,

06:35it's really per stage.

06:37If all the macules are in the whole body,

06:40all the macules, all the papules,

06:42and then there will be vesicles,

06:44and then there will be pustules.

06:45Then you can see all of it, it's all black.

06:47So, it's per stage in mpox.

06:51Daniel, I've seen cases of mpox,

06:54in pictures,

06:55where the wounds,

06:57aside from the wounds,

06:59are like there's a worm.

07:01Yes, that's the description.

07:03Indulated, umbilicated,

07:05there's something underneath.

07:06And then, it will also shed off.

07:08It will also change to a new one.

07:09Once your skin changes to a new one,

07:12you're no longer infectious.

07:13You're no longer infectious to other people.

07:16But as a dermatologist,

07:17is there something that can be done

07:19to prevent mpox?

07:21Yes, we have our scar treatments for that.

07:25But what is the solution so far?

07:28For example,

07:29should a person have mpox?

07:32Okay, here's the thing.

07:33Once you know that you have exposure

07:36to the patient who has mpox,

07:38you should self-isolate.

07:41And then, if you have a fever,

07:43subject yourself to consultation

07:46with your nearest physician.

07:49And then, undergo PCR.

07:52You will wait for four to five days.

07:54You should always wear a mask.

07:56And then, if the lesion starts,

07:58cover it up.

07:59Because that's what's really infectious.

08:01That's why we say skin-to-skin contact

08:04because the virus there,

08:06if it gets close to you,

08:07you'll get it too.

08:09Especially if you have mucosa,

08:10if you have pneumonia,

08:12if you have a respiratory droplet,

08:14if it gets to your nose,

08:16you'll get it too.

08:17So, if you're in front of other people,

08:19you know you are infected,

08:21wear a mask, cover up,

08:23and then, isolate yourself.

08:26For the first four days,

08:28our government is procuring a vaccine,

08:31the Ankara vaccine.

08:33Once you are infected,

08:35within the four days

08:36you're given the Ankara vaccine,

08:38you may not feel those symptoms.

08:43But within 15 days,

08:45and the symptoms start,

08:47you may feel less severe.

08:53That's why the Ankara vaccine

08:55is being procured by the government.

08:58But what is the treatment?

09:00What are the medicines?

09:02Yes, our antivirals,

09:03our orals.

09:05And then,

09:07we tell our patients

09:09to boost their immune system.

09:12Vitamin C,

09:14Vitamin D3,

09:16Brinkies,

09:18Odofovir,

09:19those are the antivirals.

09:20But you know, Daniela,

09:21when I look at the people

09:23who are feeling the impacts,

09:25it seems like you will also be affected

09:27by the symptoms

09:28if you have leptospirosis, dengue,

09:31because there is pain in the joints.

09:33Yes, every fever.

09:35Because our lymph nodes

09:37release immune cells

09:39to fight the virus and bacteria.

09:43But this is different.

09:44This is a virus.

09:45Doc, if an individual has leptospirosis,

09:49how long will he have the experience?

09:53Okay, the incubation period is 3 to 17 days.

09:57And then, it will last for 2 to 4 weeks.

10:00That's a long time.

10:01That's a long time.

10:02So, isolate yourself.

10:04As a conclusion,

10:06what are your advice

10:08to our non-node citizens

10:10so that we can all avoid

10:12the terrible impacts?

10:14Okay, number one,

10:16don't panic.

10:17If you find out that you have exposure,

10:20subject yourself to your nearest physician.

10:24And of course,

10:26follow up.

10:28So that the government can follow up.

10:30And when the vaccine comes out,

10:32get the vaccine.

10:33You are one of the first ones

10:35that the government will give.

10:37And to the healthcare workers,

10:40wait for the vaccine.

10:42Get vaccinated right away.

10:43Our preventions.

10:44Because let's remember

10:46that the mode of transmission is

10:48skin-to-skin,

10:49respiratory droplet,

10:51animal bite,

10:52and we should be more careful.

10:56Right.

10:57And to the RSV,

10:59as mentioned earlier,

11:00the impacts are an infectious disease.

11:04So, let's be careful.

11:07If we have a suspicion

11:09that we are possibly affected by the impacts,

11:11we should inform the authorities.

11:14This way,

11:15we can prevent

11:16the spread of this case

11:18in our city.

11:19Thank you very much,

11:21Doc.

11:22Thank you, Daniel, Audrey.

SAY ni DOK | Epekto sa balat ng tao dulot ng mpox virus

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