This article summarises the process involved in developing the updated guideline and includes an infographic to highlight key IPC recommendations from the guideline, following the patient care pathway from the community to a healthcare facility to discharge.
En décembre 2022, la République démocratique du Congo a déclaré une flambée nationale de variole simienne. Un système de gestion des incidents est en place depuis février 2023, compte tenu du nombre croissant de cas signalés. Depuis septembre 2023, l’épidémie de variole simienne continu...e de se propager dans la province du Sud-Kivu, ainsi que, plus récemment, dans la province voisine du Nord-Kivu, du fait de la transmission par contact sexuel
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i. A person who is a contact of a probable or confirmed mpox case in the 21 days before the onset of signs or symptoms, and who presents with any of the following: acute onset of fever (>38.5°C), headache, myalgia (muscle pain/body aches), back pain, profound weakness or fatigue.
OR
ii. A per...son presenting since 01 January 2022 with an unexplained acute skin rash, mucosal lesions or lymphadenopathy (swollen lymph nodes). The skin rash may include single or multiple lesions in the ano-genital region or elsewhere on the body. Mucosal lesions may include single or multiple oral, conjunctival, urethral, penile, vaginal, or ano-rectal lesions. Ano-rectal lesions can also manifest as ano-rectal inflammation (proctitis), pain and/or bleeding.
AND
for which the following common causes of acute rash or skin lesions do not fully explain the clinical picture: varicella zoster, herpes zoster, measles, herpes simplex, bacterial skin infections, disseminated gonococcus infection, primary or secondary syphilis, chancroid, lymphogranuloma venereum, granuloma inguinale, molluscum contagiosum, allergic reaction (e.g., to plants); and any other locally relevant common causes of papular or vesicular rash.
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mise à jour de la situation
Outbeak of Clade I MPXV in Subsaharan Africa
The tab is the result of a preliminary landscape of vaccines licensed or under development for Mpox
Issue Brief No. 40 provides healthcare professionals with the most relevant treatment guidelines, prevention measures and training material on MVD
Prevention Guidelines on Marburg virus disease
El Director General de la OMS, Dr. Tedros Adhanom Ghebreyesus, ha determinado que el recrudecimiento de la viruela símica (mpox) en la República Democrática del Congo y en un número creciente de países de África constituye una emergencia de salud pública de importancia internacional (ESPII) c...on arreglo al Reglamento Sanitario Internacional (2005) (RSI [2005]).
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In conclusion, the current evidence does not support the use of mpox antigen RDTs in the field. More data are expected from independent evaluations conducted by Africa CDC, FIND or other organizations
On 13 August 2024, the Africa Centres for Disease Control (Africa CDC) declared the multi-country mpox outbreak a public health emergency of continental security, with strong recommendations to improve surveillance and vaccine deployment in all AU Member States. On 14 August 2024, the WHO Director-G...eneral declared mpox outbreak a public health emergency of international concern (PHEIC).
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On 13 August 2024, the Africa Centres for Disease Control (Africa CDC) declared the multi-country mpox outbreak a public health emergency of continental security, with strong recommendations to improve surveillance and vaccine deployment in all AU Member States. On 14 August 2024, the WHO Director-G...eneral declared mpox outbreak a public health emergency of international concern (PHEIC).
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Strengthening global health security to protect the world against future epidemics and pandemics requires well-tested and decentralized capacities for the local detection and rapid containment of outbreaks of infectious disease. For such capacities to translate into effective response actions, ind...ividuals and teams must be well connected and coordinated, despite differences in the size, geography, technical focus or constituency of their parent institution.
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Malawi's Ministry of Health officially declared on August 16, 2023, that the cholera outbreak is no longer a national health emergency. Since the outbreak began in February 2022, the country recorded 58,982 cholera cases and 1,768 deaths. Through coordinated efforts by the government, development pa...rtners, and local communities, the outbreak has been contained in 26 out of 29 districts.
Only a few isolated cases remain in areas affected by Cyclone Freddy. The Minister of Health emphasized the importance of water, sanitation, and hygiene (WASH) initiatives to prevent future outbreaks. The World Health Organization (WHO) praised Malawi’s progress and pledged continued support to mitigate remaining risks.
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