Monkeypox

Dr Julia Scott a Sexual Health Physician and Public Health Medical Officer, and Dr Gary McAuliffe a Clinical Microbiologist and Virologist discuss the recent monkeypox (MPX) outbreak.

Topics

intro
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case study Bob
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what do we need to know about Bob?
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incubation period for MPX
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examination; can we bring Bob into the clinic?
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do we need to wear PPE?
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key parts of the examination
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what investigations to order
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classification of MPX
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can Bob safely return to his flat?
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how long is Bob infectious? What advice to give
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contact with pets
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MPX and pregnancy
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patient management
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types of vaccination
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oversees vaccination picture
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public health notification and patient privacy
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are we contact tracing for MPX
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prognosis and possible complications
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other considerations, additional STI testing
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take-home messages
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Take home messages

There is a global monkeypox outbreak with cases at the moment primarily occurring in gay, bisexual and other men who have sex with men (GBMSM).
Monkeypox is transmitted by very close contact, skin to skin, kissing, contact with infected linen, and most cases in this outbreak have been sexually transmitted.
Suspect monkeypox in GBMSM with skin lesions (genital, perianal, oral, or generalised), especially if they have been overseas and/or attended a festival.
Call the medical officer of health and microbiologist if you suspect monkeypox, to organise testing and follow up.
Monkeypox is usually a mild to moderate self-limiting illness which resolves in 2-4 weeks but can be very painful and complications are possible. Treatment is supportive.
People are infectious from the onset of symptoms until after the skin lesions have crusted over and scabs have fallen off, and need to isolate during this time.

Resources

Monkeypox Dermnet
Monkeypox patient information Health Navigator NZ
Monkeypox Manatū Hauora
Monkeypox (MPX) – clinical update Manatū Hauora
Monkeypox Signs and Symptoms CDC

Patient Resources

Presenter

Julia Scott

Sexual Health Physician

Dr Julia Scott (BHB MBChB DipPaed MPH FAChSHM FRNZCGP) is a Public Health Medical Officer with Health Intelligence Group.

Presenter

Gary McAuliffe

Clinical Microbiologist

Dr Gary McAuliffe is a Clinical Microbiologist and Virologist who works at Te Toka Tumai (Auckland) and has an interest in diagnosis of sexually transmitted infections.