Mpox for Healthcare Providers

Overview

During the 2022 U.S. mpox outbreak, cases were identified in Arlington County and surrounding jurisdictions. Without vaccination and prevention efforts, there may be a resurgence of cases as people gather in crowds at events over the spring and summer months. This is especially possible in situations with sexual activity that includes skin-to-skin contact.

Providers should be on alert. 

If you have a patient with suspected mpox infection (see Should I suspect mpox?), contact Arlington County Public Health Division (ACPHD) staff 24/7:

  • Monday–Friday, 8:00 a.m.–4:30 p.m., call 703-228-5200, option #1
  • Nights and weekends, call 703-558-2222 and ask for the Public Health Duty Officer

Arlington County Mpox Website

Should I suspect mpox?

You should suspect mpox if a patient:

Has a new characteristic rash

OR

Meets at least 1 of the following epidemiologic criteria within previous 21 days:

 Reports having contact with a person with a similar appearing rash or who received a diagnosis of confirmed or probable mpox - OR -

 Had close or intimate in-person contact with individuals in a social network experiencing mpox activity, this includes men who have sex with men (MSM) who meet partners through an online website, digital application ("app"), or social event (e.g., a bar or party) - OR -

 Traveled outside the US to a country with confirmed cases of mpox or where mpox virus is endemic - OR  

 Had contact with a dead or live wild animal or exotic pet that is an African endemic species or used a product derived from such animals (e.g., game meat, creams, lotions, powders, etc.)

AND

There is a high clinical suspicion^ for mpox

^Clinical suspicion may exist if presentation is consistent with illnesses confused with mpox (e.g., secondary syphilis, herpes, and varicella zoster)

 

 

Exclusion Criteria

A case may be excluded as a suspect, probable, or confirmed case if:

  • An alternative diagnosis* can fully explain the illness OR
  • An individual with symptoms consistent with mpox does not develop a rash within 5 days of illness onset OR
  • A case where high-quality specimens do not demonstrate the presence of Orthopoxvirus or mpox virus or antibodies to orthopoxvirus

Arlington County Mpox Website

Prepare your practice

The VDH Mpox Preparedness Checklist for Healthcare Facilities(PDF, 271KB) can assist your facility in taking steps to prepare to manage patients with suspected mpox infections.

Follow Mpox Infection Prevention and Control Recommendations, including:

  • Proper screening of patients
  • Notifying ACPHD and your facility’s infection prevention and control staff
  • Isolating suspected or confirmed mpox patients
  • Using appropriate personal protective equipment (PPE) for contact and airborne precautions while providing patient care
  • Performing environmental cleaning and disinfection using an EPA-registered hospital-grade disinfectant with an emerging viral pathogen claim (see EPA’s List Q).
  • Identifying and monitoring exposed healthcare personnel

Arlington County Mpox Website

Testing

If you suspect mpox, test even if the patient was previously vaccinated or had mpox:

  • Mpox testing is available for ordering through commercial labs. As with other labs ordered, this is billable and will be charged to insurance or client as appropriate.
  • Order the mpox test just as you normally would order other tests.
  • Public health testing through the Division of Consolidated Laboratory Services (DCLS) continues to be available at no cost for uninsured/underinsured patients who meet clinical and epidemiologic criteria; you should consult with ACPHD about this testing.

Arlington County Mpox Website 

Vaccine

Eligibility

CDC recommends vaccination against mpox if:

  • You had known or suspected exposure to someone with mpox
  • You had a sex partner in the past 2 weeks who was diagnosed with mpox
  • You are a gay, bisexual, or other man who has sex with men or a transgender, nonbinary, or gender-diverse person who in the past 6 months has had any of the following:
    • A new diagnosis of one or more sexually transmitted diseases (e.g., chlamydia, gonorrhea, or syphilis)
    • More than one sex partner
  • You have had any of the following in the past 6 months:
    • Sex at a commercial sex venue (like a sex club or bathhouse)
    • Sex related to a large commercial event or in a geographic area (city or county for example) where mpox virus transmission is occurring
    • Sex in exchange for money or other items
  • You have a sex partner with any of the above risks
  • You anticipate experiencing any of the above scenarios
  • You have HIV or other causes of immune suppression and have had recent or anticipate future risk of mpox exposure from any of the above scenarios
  • You work in settings where you may be exposed to mpox:
    • You work with orthopoxviruses in a laboratory

Find Your Vaccine

Search CDC's Mpox Vaccine Locator

Arlington County Public Health Division is offering the JYNNEOS vaccine by appointment only. Call 703-228-1200 to schedule an appointment.

LOCATION HOURS

Sequoia 1, 2nd floor

2100 Washington Blvd.

Tuesdays, 8:00 a.m.–11:00 a.m.

Thursdays, 8:00 a.m.–11:00 a.m. and 1:00 p.m.–4:00 p.m.


About the Vaccine

JYNNEOS has been approved by the U.S. Food and Drug Administration for the prevention of mpox. Getting vaccinated shortly after an exposure reduces the risk of developing mpox and can reduce symptoms for those who do get it.

The vaccine is not an effective treatment for those who already have mpox.

The mpox vaccine is free and requires two doses, four weeks apart. A person is not fully protected from mpox until two weeks after the second dose of the vaccine.

If you wish to enroll as an mpox vaccination provider, please visit the VDH website for more information.

 

Arlington County Mpox Website