The ways that Monkeypox spreads are very concerning for those working in a lapdance club or even a restaurant. Skin to skin contact is risky but so is skin to fabric, utensils, glasses, etc. One outbreak at a club would be catastrophic.
Per CDC guidlines:
- People with monkeypox should isolate until rash has fully resolved, the scabs have fallen off, and a fresh layer of intact skin has formed.
- People with monkeypox should follow these recommendations until cleared by state or local public health officials:
- Friends, family or others without an essential need to be in the home should not visit.
- Avoid close contact with others.
- Avoid close contact with pets in the home and other animals.
- Do not engage in sexual activity that involves direct physical contact.
- Do not share potentially contaminated items, such as bed linens, clothing, towels, wash cloths, drinking glasses or eating utensils.
- Routinely clean and disinfect commonly touched surfaces and items, such as counters or light switches, using an EPA-registered disinfectant (such as List Q) in accordance with the manufacturer’s instructions.
- Wear well-fitting source control (e.g., medical mask) when in close contact with others at home.
- Avoid use of contact lenses to prevent inadvertent infection of the eye.
[*]Avoid shaving rash-covered areas of the body as this can lead to spread of the virus.- Bathroom usage:
- If possible, use a separate bathroom if there are others who live in the same household.
- If there is not a separate bathroom in the home, the patient should clean and disinfect surfaces such as counters, toilet seats, faucets, using an EPA-registered disinfectant (such as List Q) after using a shared space. This may include during activities like showering, using the toilet, or changing bandages that cover the rash. Consider disposable glove use while cleaning if rash is present on the hands.
- Limit exposure to others:
- Avoid contact with unaffected individuals until the rash has resolved, the scabs have fallen off, and a fresh layer of intact skin has formed.
- Isolate in a room or area separate from other household members and pets when possible.
- Limit use of spaces, items, and food that are shared with other household members.
- Do not share dishes and other eating utensils. It is not necessary for the infected person to use separate utensils if properly washed. Wash soiled dishes and eating utensils in a dishwasher or by hand with warm water and soap.
from who.int World Health Organization
Beyond social and sexual networks of men who have sex with men, it’s clear that cases in other population groups, including women and children – some of whom may be vulnerable to more severe disease – are increasing, although these remain minimal. Close-contact sexual transmission is the key mode of spread, but cases are being detected through household transmission episodes, and sometimes with no clear exposure history at all.
While we acknowledge uncertainties about how this outbreak will play out, we must respond to the epidemiology before us, focusing on the most dominant mode of transmission – skin-to-skin contact during sexual encounters – and the groups at highest risk of infection. As such, the responsibility for stopping this outbreak is necessarily a joint responsibility, shared among health institutions and authorities, governments, and affected communities and individuals themselves.
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