- DHSS: Monkeypox Information
- Missouri State Public Health Laboratory: Rash Investigation Resources
- DHSS: Instructions for the Collection of Monkeypox Samples to the Missouri State Public Health Laboratory
- DHSS: Monkeypox Guidance for Health Care Providers
Infectious diseases — most of which are preventable — disrupt the lives of millions of Americans each year.
New threats can arise quickly, and lapse in preparedness can leave communities unnecessarily vulnerable. Below are resources to help hospitals, health care coalitions, and other organizations prepare for and respond to the diseases that are currently a threat to our world.
There currently is a global outbreak of monkeypox affecting multiple countries in which the disease is not endemic, including the U.S. Monkeypox is a rare disease that is caused by infection with the monkeypox virus, which belongs to the Orthopoxvirus genus in the family Poxviridae. The Orthopoxvirus genus also includes variola virus (which causes smallpox), vaccinia virus (used in the smallpox vaccine) and cowpox virus.
Monkeypox is considered an immediately reportable disease in the State of Missouri. To report a suspected case, hospitals and clinics should contact their local public health agency or the Missouri Department of Health and Senior Services’ Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7).
The Missouri State Public Health Laboratory will perform an orthopox test, and if it is confirmed positive, specimens will be submitted to the CDC for testing. Instructions for submitting specimens for testing are available.
- NETEC: Monkeypox Outbreak Updates
- CDC: Information For Health Care Professionals
- CDC: Clinician FAQs
- CDC: Case Definitions†
- CDC: Clinical Recognition
- CDC HAN: Monkeypox Virus Infection in the U.S. and Other Non-endemic Countries
- WHO: Interim Rapid Response Guidance: Clinical Management and Infection Prevention and Control of Monkeypox
- CDC: Treatment
- CDC: Guidance for Tecovirimat Use Under Expanded Access Investigational New Drug Protocol
- CDC: Monkeypox and Smallpox Vaccine Guidance
- CDC COCA: What Clinicians Need to Know about Monkeypox in the U.S. and Other Countries (5/24/22)
Morbidity and Mortality Weekly Reports
Missouri health care partners continue to enhance preparedness and mitigation strategies regarding increased demands on the health care system during prevalent flu seasons. MHA partners with hospital staff, and state and local public health leadership to implement strategies for collecting and analyzing hospital information that could serve as an early indicator of potential resource constraints from increased flu activity.
Managing Seasonal Patient Surge
Regarding managing seasonal patient surge at health care facilities, ASPR TRACIE worked with the Centers for Medicare & Medicaid Services to provide the information included in HPP’s message about 1135 waivers and temporary surge sites. Additionally, ASPR TRACIE, along with multiple subject matter experts, developed Considerations for the Use of Temporary Care Locations for Managing Seasonal Patient Surge, which describes the major issues health care facility emergency planners must consider when determining patient surge management solutions for longer-duration events, such as weeks to months of managing seasonal illness surge.
For more information:
Based on current guidance for evaluating persons with Ebola, if an individual is found to be at risk, then the specified infection control measures must immediately be instituted, and hospital leadership, along with state and local public health officials, must immediately be notified. It is very important that these steps be consistently followed in all emergency departments. To report a suspected Ebola patient call the Missouri Department of Health and Senior Services at 573-751-6113 or 800-392-0272 (24 hours a day/seven days a week), and call your local public health agency.
The Centers for Disease Control and Prevention has several resources available on Ebola Virus Disease, including the following.
- guidance summarizing the current domestic personal protective equipment supply status and providing recommendations to ensure an adequate estimate and supply of PPE for Ebola planning and response
- a framework for a tiered response to care for Ebola patients
- guidance on PPE to be used by health care workers during the management of patients with confirmed Ebola or persons under investigation
Education & Publications
- DHSS: Missouri’s Response Plan for Suspected and Confirmed Patients Webinar
- MHA: Ebola Tabletop Exercise (.ppt)
- NETEC: Online Learning Portal
- ASPR TRACIE: Highly Pathogenic Infectious Disease Exercise Planning: Recording
- University of Nebraska Medical Center: ISOPOD Training Video
- Transport and Management of Patients with Confirmed or Suspected Ebola Virus Disease
Donning and Doffing of PPE
- Informational videos from the CDC demonstrate the procedures for donning and doffing PPE for all health care providers.
- UNMC’s biocontainment unit developed handouts, videos, and other materials for donning and doffing education and training. Free Ebola online courses also are available.
- DuPont released a technical bulletin that provides general guidance for the use of PPE for Ebola response.
- The CDC and Medscape produced a video on the types of PPE to be used, and processes for putting on and removing PPE.
- The North Carolina Division of Public Health and its state partners released a video demonstrating donning and doffing of PPE in hospital isolation units.
Contact An Expert
CDC Public Health Partner Update: Monkeypox in the U.S.
Noon to 1 p.m. Thursday, June 16