India's Kerala Issues SOPs for Treatment After Two Cases of Monkeypox Confirmed in the State

© US Centers for Disease Control and Prevention (CDC)Monkeypox sample
Monkeypox sample - Sputnik International, 1920, 20.07.2022
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The first case of monkeypox was reported in the southern Indian state 14 July. After the second case was confirmed on Monday, the state government started testing for the infection at the Alappuzha unit of the National Institute of Virology (NIV) with testing kits brought from Pune in the state of Maharashtra.
In the wake of two confirmed cases of Monkeypox in India, as reported from Kerala, the state government on Wednesday issued standard operating procedures (SOPs) for isolation, sample collection, and treatment of those infected or showing signs of the same.
State Health Minister Veena George shared the details of the SOPs which must be followed by all private and government hospitals.

In an official release, the minister said that any person who has traveled in the past 21 days to a country where monkeypox has been reported and has noticed red spots on the body along with one or more of the other symptoms, such as fever, headache, body ache or fever, should assume they have been infected by the virus.

Monkeypox  - Sputnik International, 1920, 15.07.2022
India's Health Ministry Issues Guidelines After First Case of Monkeypox Confirmed in Kerala
The SOPs further require that suspected and probable cases of monkeypox be treated separately and in isolation, and the District Surveillance Officer (DSO) should be informed immediately.

The minister also said that referrals from private hospitals to government facilities should be at the patient's request and only critically ill patients from state-run hospitals with isolation facilities should be referred to medical colleges.

The health professionals have been directed to wear PPE kit, N95 masks, gloves and goggles while transferring patients from one hospital to another, and patients have been asked to wear N95 or triple-layered masks and to cover any wounds in the ambulances. The equipment should also be disinfected.
The SOPs also suggest managing the confirmed cases of monekypox according to federal government guidelines, and in case of any doubt the hospital should contact the state medical board.
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