From: To: Re: Date: Suspected case Probable case

Table of Contents

• From 1
• Dr. Janice Fitzgerald Chief Medical Officer of Health 1
• Health care practitioners in Newfoundland and Labrador 1
• Update on mpox 1
• Date 1
• August 16 2024 1
• Suspected case 1
• 1. An unexplained acute rash AND has at least one of the following signs or symptoms 1
• Headache 1
• Acute onset of fever 38.5C 1
• Lymphadenopathy swollen lymph nodes 1
• Myalgia muscle and body aches 1
• Back pain 1
• Asthenia profound weakness 1
• Fatigue 1
• Pharyngitis sore throat 1
• Proctitis rectal inflammationpain 1
• 2. An unexplained acute genital perianal or oral lesions 1
• Symptoms typically occur zero to five days before the appearance of lesions but may also occur after lesions appear. 1
• Probable case 1
• A person of any age who presents with an unexplained acute rash or lesions AND has one or more of the following 1
• 1. Has an epidemiological link to a probable or confirmed monkeypox case in the 21 days 1
• Direct physical contact including sexual contact or contact with contaminated materials such as clothing or bedding 1
• Reported travel history to or residence in a location where monkeypox is reported in the 2
• 21 days before symptom onset. 2
• Confirmed case must be reported in writing 2
• Have received a diagnosis of a sexually transmitted infection in the last year 2
• Have attended worked or volunteered in sex-on-premises venues or may be planning to do so whether in or outside of the province 2
• Have had anonymous sex e.g. using hookup apps recently or may be planning to 2
• Are a sexual contact of an individual who engages in sex work 2
• Sexual partners 18 years of age and older of individuals who meet the above criteria 2
• People 18 years of age and older who engage in or plan to engage in sex work regardless of gender sex or sexual orientation 2