Government Monkeypox Stress Guidelines on Surveillance, Rapid Identification, Isolation | India News



NEW DELHI: As more cases of monkeypox are being reported in non-endemic countries, the government on Tuesday issued guidelines directing district surveillance units to consider even one such case as a outbreak and to launch a detailed investigation within the framework of the Integrated Disease Surveillance Programme.
In “Guidelines for the Management of Monkeypox” issued in States and Union Territories, the Ministry of Health highlighted surveillance and rapid identification of new cases as key public health measures. for the containment of the epidemic, imposing the need to reduce the risk of transmission from human to human-transmission.
He said India must be prepared considering the increase in reported cases in non-endemic countries even though no case of monkeypox virus has been reported in the country so far.
The guidelines proposed a surveillance strategy to rapidly identify cases and clusters of infections and sources of infections as soon as possible in order to isolate cases to prevent further transmission, provide optimal clinical care, identify and manage contacts. and protect frontline health workers and effective monitoring. and preventive measures based on identified routes of transmission.
According to the guidelines, a confirmed case is laboratory confirmed for monkeypox virus by detection of unique viral DNA sequences either by polymerase chain reaction (PCR) and/or sequencing.
All clinical specimens should be transported to the advanced laboratory at ICMR-NIV (Pune) routed through the Integrated Disease Surveillance Program (IDSP) network of the respective district or state.
The guidelines explain infection prevention and control (IPC) measures, home IPC, patient isolation and ambulance transfer strategies, additional precautions to take, and duration of isolation procedures.
Contacts should be monitored at least daily for the onset of signs or symptoms for a period of 21 days (as per case definition) from the last contact with a patient or their contaminated material during the infectious period.
Raising awareness of risk factors as part of risk communication and preventative measures, the guidelines detail how to raise awareness and educate people on steps to take for the monkeypox virus, such as avoiding contact with any material from the sick person. , isolate the infected patient from others, practice good hand hygiene and use appropriate personal protective equipment (PPE) when caring for patients.
Monkeypox has been reported as endemic in several other Central and West African countries such as Cameroon, Central African Republic, Côte d’Ivoire, Democratic Republic of Congo, Gabon, Liberia, Nigeria, Republic of Congo and Sierra Leone. However, cases have also been reported in some non-endemic countries like USA, UK, Belgium, France, Germany, Italy, Netherlands, Portugal, Spain, Sweden, Australia, Canada, Austria, Israel and Switzerland.
The health ministry said it continued to closely monitor developments.


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