As we have done in recent weeks, we will continue to provide updates on monkeypox. Monkeypox is a disease caused by infection with the monkeypox virus. A patient typically presents with rash, fever, lymphadenopathy and myalgia. Importantly atypical presentations also occur (such as proctitis or symptoms of a sexually transmitted disease).
While the number of cases remains small at around 120 nationally, we have seen increasing cases and locally acquired transmission in Victoria including a rise in cases in south east Melbourne in recent weeks.
Transmission of monkeypox occurs through close contact with infectious lesions (such as skin-to skin contact during intimate or sexual contact) and may also spread through respiratory droplets. Other sources of transmission (such as through contaminated linen) are possible but extremely rare.
Given the routine use of masks and standard precautions in our clinical areas, the risk of transmission in the healthcare setting is extremely low. That said, it serves as a timely reminder to ensure adherence to our personal protective equipment (PPE) protocols and good hand hygiene.
As the rate of transmission in the community grows, it is inevitable patients will occasionally require care in our hospitals. With the low levels of risk, we will not report on monkeypox data in the same way that we have done with COVID-19. It is however important that we remain vigilant and consider the diagnosis in people presenting to our hospitals, noting that atypical presentations can occur.
Finally, we have a legal and ethical responsibility to protect the privacy of our patients and employees. We must ensure that the confidentiality of any information entrusted to us is not breached. As a reminder, our privacy policy can be found here.
Pleasingly, the roll out of vaccination has commenced in Victoria for priority groups. While vaccine supply is currently limited, it is expected to replenish in the coming months. Monash Health now has a small vaccine supply and is vaccinating through the clinic at Monash Immunisation.
What to do if monkeypox is suspected
- Place the patient into a single room (door closed) in droplet and contact precautions until the illness is either confirmed or refuted (in which precautions may be able to cease).
- Contact the infectious diseases registrar on call via the switchboard to discuss the case and facilitate appropriate testing (before any specimens are collected).
- Treating doctor to notify Department of Health by calling 1300 651 160 (24/7). Approval from the department to test for monkeypox is required at the time of notification of suspected cases.
- Treating doctor to notify Microbiology Laboratory to inform them that specimens to be collected.
Further information
For further information on testing, sample collection, treatment, and infection control please see:
- Victorian Department of Health monkeypox page and factsheet for clinicians
- Chief Health Officer Monkeypox alert
- Australian Government Monkeypox resource page
Approved by Professor Rhonda Stuart