Infection prevention and control and water, sanitation and hygiene measures for home care and isolation for mpox in resource-limited settings: interim operational guide

Table of Contents

• Acknowledgements 6
• Definitions 8
• Acronyms 9
• Key messages 10
• 1. Introduction 13
• 1.1 Background 13
• 1.2 Principles and rationale 13
• 1.3 Objective 14
• 1.4 Intended audience 14
• 1.5 Contextual considerations 14
• 1.6 Considerations for caring for children in the home 14
• 2. Determining if the person with mpox can be cared for and isolated at home 17
• 2.1 Evaluation of the person with mpox for home-based care 17
• 3. IPC measures for health and care workers, caregivers and persons with mpox during home care and isolation 19
• 3.1 IPC measures for health and care workers 19
• 3.2. IPC measures for a person with mpox in the home 19
• 4. Linen management and environmental cleaning during home care 25
• 5. Discontinuation of home isolation 29
• 6. Management of contacts of persons with mpox 31
• 7. Water, sanitation and hygiene (WASH) measures during home care 33
• 8. Waste management during home care 37
• References 39
• Annexes 43
• Annex 1. Resources 43
• Annex 2. Clinical considerations for homebased care 45
• Annex 3. Health and care worker package 47
• Annex 4. Essential supply list for households 49
• Annex 5. Instructions for preparing household bleach dilution solution during an mpox outbreak 50
• Annex 6. PPE for health and care workers 51
• Annex 7. Methodology 56