Morocco’s National Protocol against Monkey Cups

Morocco’s National Protocol against Monkey Cups

The Ministry of Health has drawn up a national monitoring and action plan against monkey pox (monkeypox). Here are the main lines of the version dated May 20th.

Since 14 May, confirmed cases of monkey pox not directly linked to travel to Central or West Africa, where this virus is commonly detected, have been reported in several countries around the world, including North America and Europe.

“It is not currently worrying either for our country or for the others while we wait to understand the modes of transmission of this virus, which is causing us to discover more and more cases in North America and Europe,” explains Dr. Tayeb Hamdi, general practitioner. and researches health policies and systems, while transmission usually passes through infected animals, particularly primates and rodents, particularly in Central and West Africa in tropical forests (high humidity) ”.

A disease known for seven decades, the specialist continues, except that “the news is the discovery of cases in America or Europe.” “Are we witnessing a mutation of the monkey pox virus? What are the conditions for allowing reproduction at this rate? The detected cases are currently under investigation to understand why and how this human-to-human transmission is spreading,” asks Dr. Hamdi.

Meanwhile, the Ministry of Health has put in place a national monkey pox monitoring and response plan, the main lines of which are as follows:

How to define a case?

1. Suspected case: Anyone with a skin rash, vesicular or vesicular pustular, with a fever> 38 ° C.

2. Likely case:

  • Any suspected case that has been in contact with a confirmed case within 21 days before the onset of symptoms; Where
  • Any suspected case raised within 21 days before the onset of symptoms to a country where the disease is endemic, or a country that has registered a chain of infection since the beginning of May 2022 (currently the countries of Central Africa and the West, Europe and North America); Where
  • Any suspected case of involving palms and / or soles of the feet or with the presence of lymphadenopathy.

3. Confirmed case: Any probable case where infection with monkey riole virus has been confirmed by molecular technique in the laboratory.

What to do in case of suspected or probable case?

Handling of the suspected case:

Anyone presenting clinical signs that are compatible with a suspected case should benefit from a medical consultation with an interrogation and an in-depth clinical examination to possibly reclassify it as a probable case;

Anyone with clinical signs that is compatible with a suspected case, even if it is not classified as probable, or even if a strong suspicion of chickenpox or other outbreak fever persists, should isolate themselves at home for two weeks with strict observance of hygiene measures;

Symptomatic treatment should be prescribed by the attending physician, and if hospitalization is indicated, it should be done in isolation in a dedicated room.

2. Likely and confirmed case processing:

  • Confirmation of diagnosis: Typical tests are grafting of skin lesions or a grafting of lesions: tag or fluid from vesicles and pustules and dry scabs; them
    storage and delivery methods will be specified with the recipient laboratory.
  • Conditions for isolation and treatment:
  • Any person who shows clinical signs that are compatible with a probable case should benefit from one sample by PCR;
  • All probable and confirmed cases should be systematic hospitalized in isolation in a room; dedicated, for a period of 3 weeks from the date of debut of characters;
  • ONE symptomatic treatment according to the clinical picture to be administered by the care team;
  • The care team should apply standard infection control measures.

How to define and manage contact cases?

  • Definition of risk contact:
  • Anyone who has had direct, unprotected physical contact with damaged skin or biological fluids in a probable or confirmed symptomatic case, regardless of the circumstances, including in health care, or sharing toiletries or contacting textiles (clothing, towels, bedding) or tableware;
  • Anyone who has had unprotected contact within 2 meters for 3 hours with a probable or confirmed symptom case (eg close or intimate friend, transport environment, office colleagues, sports club, etc.).
  • To behave
  • Self-isolation for 3 weeks after last contact with the probable or confirmed case, with temperature monitoring twice daily;
  • The Provincial / Prefectural Rapid Intervention Team (EIR) must set up regular telephone follow-up to verify the absence of symptoms of the disease;
  • In case of fever or rash, a contact person should not go to a health center, but their care will be organized by EIR.

Review of the case

  • Any suspected or probable case must be reported immediately to the provincial / prefectural health authority responsible for the health structure (public or private) where the doctor mentioned the diagnosis;
  • The provincial / prefecture delegation under the Ministry of Health and Social Protection immediately coordinates with the regional public health service the verification of the case definition and proceeds with the epidemiological inquiry as soon as the case is classified as a probable case. ;
  • The survey forms must be completed and sent to CNOUSP via the following email address meynet234@yahoo.fr.

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