Third Meeting of International Health Regulations (2005) Emergency Committee on MPOX 2024 – Temporary Recommendations

Ambulance coordination

• Safe political commitment, engagement and appropriate distribution of resources to intensify the MPOX prevention and response to the lowest administrative and operational reporting cases of MPOX in the previous 4 weeks (called “focus”). (Prolonged, with re -phrasing)

• Establish or improve national and local arrangements for coordination of prevention and response in emergency as recommended in WHO MPOX Global Strategic Readiness and Response Plan (2024), and its upcoming iteration, and in accordance with the strategic WHO strategic framework to improve the prevention and control of MPOX (2024-2027). (Prolonged, with re -phrasing)

• Establish or improve the coordination of all partners and stakeholders involved or supported by MPOX activities of prevention and reaction through cooperation, including the introduction of liability mechanisms. (Prolonged, with re -phrasing)

• Establish a mechanism for monitoring the efficiency of MPOX prevention and measures of response implemented at lower administrative levels, so that such measures can be adapted as needed. (Prolonged, with re -phrasing)

• To strengthen the mechanisms of coordination and reactions, especially in areas affected by humanitarian and conflict, including local and national authorities and implementing partners to ensure integrated monitoring of MPOX and providing care in vulnerable population, especially in areas with population and inadequate approach to basic services. (Changed)

Collaborative control

• Increase the monitoring of MPOX, increasing the sensitivity of access to the accepted and ensuring comprehensive geographical coverage. (Prolonged, with re -phrasing)

• Expand the approach to the precise, affordable and available diagnosis for MPOX testing, including the strengthening of sampling arrangements, decentralization of testing and arrangements for distinguishing MPXV layers and conducting genomic sequencing. (Extended)

• Recognize, monitor and support the contacts of people with suspected clinically diagnosed or laboratory confirmed MPOX to prevent transmission. (Prolonged, with re -phrasing)

• Increase efforts for thorough research of cases and outbreaks of MPOX to better understand the risks of transmission and transfer and prevent it from further transfer to contacts and community. (Prolonged, with re -phrasing)

• Login who doubts, probable and confirmed cases of MPOX in a timely manner and on a weekly basis. (Extended)

Safe and scalable clinical care

• Enable clinical, nutritional and psychosocial support to patients with MPOX, including, if appropriate and possible, insulation in care and/or access centers of materials and home care centers. (Extended)

• Develop and implement an extension plan to approach to optimized clinical care for all patients with MPOX, including children, patients living with HIV and pregnant women. These include rapid identification and effective management of endemic co-infections, such as malaria, shrimp or measles. This also includes offering HIV tests to adult patients who do not know their status of HIV -for children as needed, testing and treatment of other sexually transmitted infections (Spi) among cases associated with sexual contact and referring to HIV/SPI's care services when indicated. (Changed)

• Reinforce the capacity, knowledge and skills of health and care in clinical and infectious and preventions and control pathways – screening, diagnosis, isolation, environmental cleansing, dismissal of patients, including monitoring after discharge for doubt and confirmed MPOX – and providing health and caring workers personal protective equipment (PPE). (Prolonged, with re -phrasing)

• Improve measures to prevent and control infection (IPC) and water availability, sanitary protection, hygiene (WASH) and waste management service and infrastructure in healthcare and care centers to ensure quality provision of health services and protection of health and care workers and patients. (Prolonged, with re -phrasing)

International traffic

• To establish or strengthen the cross-border arrangements of cooperation for the supervision, management and support of suspicious cases and contacts of the MPOX, and to provide information to passengers and carriers, without resorting to travel and trading limitations that unnecessarily affect local, regional or national economy. (Extended)

Vaccination