2023-02-28-世界卫生组织-Public_health_advice_on_mpox_monkeypox_and_sex-on-premises_venues_and_events_6页_222kb

Mpox Public Health Advice for Sex-on-Premises Venues and Events

Background

Mpox is a contagious viral disease spread through close physical contact, including sex. Outbreaks are occurring globally, with higher risks in communities of gay, bisexual, and other men who have sex with men (MSM) who engage in multiple or new sexual contacts. Venues like saunas, sex clubs, and events should remain open but implement measures to control mpox spread while protecting people.

Key Mpox Information

• Symptoms: Rash (face, hands, genitals, etc.), fever, swollen lymph nodes, fatigue, mouth lesions, and proctitis. Symptoms appear after exposure and can be severe in immunocompromised individuals.
• Transmission: Human-to-human spread via skin-to-skin contact, respiratory droplets, contaminated surfaces, or shared objects. Condoms reduce some STI risks but not mpox.
• Prevention: Vaccinate when possible, practice harm reduction (e.g., limit sexual partners, use condoms for STIs), and monitor for symptoms.

Public Health Advice for Venues and Events

• Risk-Based Approach: Evaluate risks, implement mitigation strategies, and communicate transparently to stakeholders.
• Infection Prevention: Clean surfaces and objects regularly, use standard disinfectants, provide personal protective equipment for staff, and ensure condom availability.
• Communication: Inform staff and attendees about mpox symptoms, testing, and isolation; promote non-judgmental conversations and contact tracing; prepare for ticket refunds if needed.

Stakeholder Roles

• Owners/Managers/Organizers: Develop plans for staff sick leave, vaccinations, partnerships with health services, and post-event follow-ups.
• Staff/Volunteers: Train on mpox, stigma reduction, and infection control; respect confidentiality.
• Attendees: Stay informed, practice safer sex, avoid close contact with symptomatic individuals, and seek testing if exposed or symptomatic. Attendees with HIV should adhere to treatment to reduce mpox severity.
• Community Influencers/Civil Society: Advocate for stigma reduction and promote public health measures.

Contact Tracing and Stigma Reduction

• Contact Tracing: Support local authorities in identifying and isolating contacts to break transmission chains.
• Stigma Address: Avoid discriminatory language or practices; focus on accurate transmission information to prevent harm to diagnosed individuals and communities.

Additional Resources

• Refer to WHO for updated advice on mpox prevention, stigma, and gatherings. Mpox information evolves rapidly; check www.who.int for updates.

Summary Notes

• Venues must adapt advice to local settings.
• Prioritizing public health maintains venue operations without mandating event cancellations.
• Harm reduction includes reducing new sexual contacts and practicing open communication with partners.