Monthly Archives: July 2022

Monkeypox Vaccine

The NHS in London, along with local public health teams, will be accelerating the rollout of the monkeypox vaccine from this week, prioritising individuals who are most likely to get the virus.

NHS staff across the country have already started vaccinating eligible gay/bisexual men, along with Healthcare staff at greatest risk of exposure and those who have been in close contact with a confirmed case, in line with the UK Health Security Agency advice.

Thousands more people who are eligible in London will now be contacted over the next few days and weeks by the NHS about getting their vaccination.

People who have already had close contact with a patient with confirmed monkeypox will be offered a single dose vaccination as soon as possible (ideally within 4 days of contact but sometimes maybe given up to 14 days).

The NHS urges that all those who are eligible for the vaccine to take it up when offered. It will help protect yourself and others you have had close contact with. While the infection is mild for many, it can cause severe symptoms and hospitalisation in some. Please remember that the vaccine may not provide complete protection against monkeypox, so it is still important to be alert for the symptoms of monkeypox and call 111 or a sexual health clinic if you develop any.

Monkey Pox

Infection Prevention and Control advice for Monkey pox in primary care

Monkey pox is a rare illness caused by the monkey pox virus. It is associated with travel to central and west Africa but cases are occurring in England with no travel links.

The symptoms of monkey pox begin 5-21 days (average 6-16 days) after exposure with initial clinical presentation of

  • Fever
  • Malaise
  • Lymphadenopathy
  • Headache
  • Rash

The rash changes and goes through different stages before finally forming a scab which later falls off. The rash may be maculopapular initially, typically starting on the face before spreading peripherally, particularly to the palms of the hands and the soles of the feet.

Spread of monkey pox may occur when a person comes into close contact with an animal (rodents are believed to be the primary animal reservoir for transmission to humans but monkey pox is not found in UK rodents at present), human, or materials contaminated with the virus. The virus enters the body through

  • broken skin (even if not visible),
  • the respiratory tract,
  • the mucous membranes (eyes, nose, or mouth).

Person-to-person spread may occur through:

  • direct contact with monkey pox skin lesions or scabs;
  • contact with clothing or linens (such as bedding or towels) used by an infected person;
  • through respiratory transmission, such as coughing or sneezing of an individual with a monkey pox rash.

Screening: All the patients attending appointments will be screened prior to coming into practices.

Signage: We have put clear signage near entrances to advice patients with symptoms of monkey pox (listed above) to not enter premises.