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Inbound travelers need to undergo screening for monkeypox
Published on: 2022-07-04
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Inbound travelers will undergo a monkeypox screening along with COVID-19 testing during their quarantine period, the National Health Commission said.
 

The authority stated the requirement in a guideline on monkeypox prevention issued on Friday, calling on all cities to conduct the monkeypox virus check for inbound travelers, especially those who have a traveling history in a country with reported monkeypox infections within 21 days before entering China.
 

The guideline says that people with rash symptoms should be closely monitored, adding that suspected cases need to be promptly reported to local disease control agencies and transferred to designated medical institutes.
 

Under the guideline, exit-entry personnel and people in epidemic areas should follow monkeypox-related information in the country where they will arrive in or head for.
 

Returnees from epidemic areas should pay attention to self-health monitoring, and they need to seek medical treatment and inform their travel history of visiting the epidemic areas to doctors if rashes or some other symptoms are discovered, the guideline says.
 

It states that inbound travelers who contacted monkeypox infections but have not yet developed symptoms can contact and report to local centers for diseases control and prevention.
 

It also calls for medical and health institutes at all levels to ask about the epidemiological history of patients with fever and rash, with etiological screening to exclude the symptoms are not caused by chickenpox, rubella or measles.
 

In areas where monkeypox is endemic, the guideline suggests people try to avoid contact with rodents and primates, including the sick or dead ones, and not to directly contact the blood and flesh of animals.
 

People should wear gloves and other appropriate protective equipment while handling infected animals or tissues, it says.
 

入境人员新冠和猴痘双查!

今年5月初以来,已有20多个非地方性流行国家发现多例猴痘病例,且已出现人际传播。

为规范猴痘流行病学调查、接触者判定和管理、实验室检测等工作,国家卫生健康委在《猴痘流行病学调查原则(试行)》等三个技术方案的基础上整合修订形成了《猴痘防控技术指南(2022年版)》(以下简称“指南”)并对外发布。

猴痘是由猴痘病毒(Monkeypox virus,MPXV)感染所致的一种病毒性人兽共患病,临床表现主要为发热、皮疹、淋巴结肿大。其既往主要发生在中非和西非,病死率为1%-10%,通过接种疫苗可获得有效保护。由于在1980年消灭了天花并随后停止接种天花疫苗,猴痘已成为公共卫生领域最重要的正痘病毒。

指南对猴痘目前的疫情概况、预防、诊断、疾病控制、治疗和预后等做了介绍。在预防方面,指南指出,出入境人员和涉疫地区人员需关注所在国的猴痘疫情信息。在猴痘地方性流行地区,尽量避免与啮齿类动物和灵长类动物(包括患病或死亡的动物)发生接触,不直接接触动物的血和肉,必须彻底煮熟后才能食用。处理染病动物或感染组织以及在屠宰过程中,应佩戴手套及其他适当的防护用品。


疫区归国人员需注意自我健康监测,出现皮疹等症状时,应主动就医,并告知接诊医生疫区旅行史,以助于诊断和治疗。若在国外有过接触史和暴露史,尚未出现症状,可主动联系当地疾控中心进行咨询和报备。

在疾病控制方面,指南指出,各级各类医疗卫生机构日常接诊发热伴出疹病人时,应注意询问病例流行病学史,同时进行病原学筛查,排除水痘、风疹、麻疹或其他明确病因引起。

现有入境人员隔离期间,在排查新冠病毒感染的同时,各地应主动对入境人员进行猴痘病毒排查,特别是入境前21天内有猴痘疫情报告国旅居史的人员,密切监测出疹情况,发现可疑人员或疑似病例,应按相关规定及时报告辖区疾控机构并转送定点收治医疗机构。

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