The Federal Ministry of Health expects increasing cases of monkeypox.

“Due to the diverse contacts of those currently infected, further diseases are to be expected in Europe and also in Germany,” says a report for the Bundestag’s health committee.

As of Sunday afternoon, there are now four confirmed cases of infection and illness in Germany - one in Munich and three in Berlin.

Samples from other people are being clarified.

Contact persons would be identified.

"It is now an event with international distribution," says the ministry report, which is available to the German Press Agency.

In numerous countries, more than 130 confirmed cases and suspected cases have been detected, “and the trend is increasing every day”.

So far, the West African monkeypox variant has been detected in the infections found in Europe, but further genome analyzes are still ongoing.

In order to register possible diseases and prevent further spread, diagnosed cases of infection should be systematically recorded and isolated.

These should be reported by doctors and laboratories in accordance with the Infection Protection Act.

Smallpox vaccine available

"A smallpox vaccination probably also protects against monkeypox," explains the ministry.

In the Federal Republic it was compulsory for one-year-olds until 1975, in the GDR compulsory vaccination was lifted in 1982.

The federal government has about 100 million doses of smallpox vaccine in stock, according to the report.

Of these, two million doses were donated to the World Health Organization (WHO) and stored for them.

The extent to which smallpox vaccination is recommended for contact persons and risk groups is still the subject of technical clarification.

The ministry refers to the risk assessment already published by the Robert Koch Institute (RKI), according to which the risk to the health of the general population in Germany is considered to be low based on current knowledge.

According to health authorities, the virus usually causes only mild symptoms such as fever, headache, muscle pain and skin rash.

However, monkeypox can also have severe courses, and fatal illnesses are possible in individual cases.

No respiratory spread detected

According to the RKI, the virus usually spreads in rodents and from there it is transmitted to humans.

Human infections are most likely to occur through close physical contact or through so-called smear infections, i.e. through contact with contaminated materials.

The WHO is developing guidelines to contain the spread.

There are fears that the number of cases could continue to rise in the summer months, said the chief WHO adviser on the risk of infection, David Heymann, of the Reuters agency.

However, the outbreak of monkeypox is not comparable to the beginnings of the coronavirus pandemic because the disease is not so easily transmitted.