Community and Nosocomial Contact Tracing Procedure Following Imported Monkeypox and the First UK-case of Onwards Transmission in North West England
PHE ePoster Library. Shepherd W. Sep 12, 2019; 274534; 89
Wendi Shepherd
Wendi Shepherd
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Abstract
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Abstract Introduction
Imported Monkeypox was identified in a returning passenger from Nigeria to Manchester in September 2018. The index case was not initially suspected as having a HCID. There was onward transmission of monkeypox to a healthcare worker through fomite exposure. Using a newly developed contact definition, contact tracing of both the index case and the healthcare worker was undertaken alongside active surveillance of people assessed to be “high risk” because of their level of exposure. MethodsInitial contact tracing focused on airplane contacts and nosocomial contacts of the index case. Health Protection Teams worked closely with Field Service and NHS colleagues to identify and follow-up contacts. The identification of a second case in the UK required more extensive contact tracing due to the number of potential contacts that the case had during the infectious period. Where appropriate, based on risk assessment of exposure, contacts were offered a smallpox vaccine. Clinical management and testing of symptomatic contacts was undertaken with assistance from PHE Imported Fever Service. Identified contacts were risk assessed as being for active surveillance or passive surveillance. Active surveillance contacts received daily text messages for 21 days post-exposure supported by phone calls for non-responders. Over 200 exposure contacts within the community and health service were monitored.
Conclusions
Contact tracing was an intrinsic part of a wider PHE response to these cases that included decontamination; vaccination; public communication management; and development of guidance documentation. Contact tracing was resource intensive but ultimately successful in identifying contacts and preventing further onwards transmission. External funding details
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