关于在社区护理中心为境内流离失所者或难民营中轻度猴痘患者提供安全和支持性护理的指导

Guidance on safe and supportive care incommunity care centres for individualswith mild mpox in camps for internally Key Messages •Ensure proper planning, mapping and coordination with camp or shelter focal persons toallocate the resources needed to enable implementation of the advised measures.•Ensure communities are kept informed, actively consulted and meaningfully engaged indecision-making so that interventions are appropriate and accepted, recognizing that admissionin these centres should be voluntary.•Ensure engagement of community health-care workers while ensuring their protection. Background and rationale WHO has published the clinical management (CM) and infection prevention and control (IPC) guidelines formpox, which state that individuals with mild and uncomplicated mpox may be cared for at home, providedcertain criteria are met(1). Isolation of mild mpox patients for homecare is not required if the personconsistently covers the lesions, wears a well-fitting medical mask when around others, and avoids sharing These recommendations are specific to management in the home setting and hence are not applicable toother contexts, such as refugee and internally displaced person (IDP) camps/settlements or slums, whichtypically have limited space resulting in overcrowding as multiple family members often share a singleconfined area/tent. Additionally, households in these contexts commonly share water-collection points,toilets, showers and laundry facilities and potentially even personal items such as bed space, linen andutensils. Finally, it may not be feasible to undertake effective cleaning and disinfection of contaminatedsurfaces or to comply with cleaning and disinfection recommendations due to types of surfaces, frequency Strategies and approaches for managing persons with mild mpox who do not require admission (to healthfacility or treatment centre) and are living in these specified contexts need to be locally developed by the respective stakeholders, including affected communities, and partners, based on recommended principles Objective The objective of this document is to provide an overview of the principles and strategies for safety andeffectively managing mild, uncomplicated mpox patients in community care centres established or Scope of this document This technical note addresses principles and strategies to consider for initiating a designated facility (referredto as a community care centre) or repurpose existing community centres (that should not be schools orlearning spaces) when there is a need for safe management of persons with mild, uncomplicated mpox(Annex 2) who do not have capacity to safely implement home-based care, such as those residing in IDP andrefugee camps, slums or other crowded congregate settings(8). All persons with mpox should be assessed by Methodology This technical note provides guidance on IPC measures for safe and supportive care and communityengagement for managing mpox in crowded settings by consolidating relevant WHO guidelines, technicaldocuments and best practices (listed below). These sources were selected based on their relevance and This document draws from the following publications: •Clinical management and infection prevention and control for monkeypox: living guidelines, 02 June2025(1);•Infection prevention and control and WASH (water, sanitation and hygiene) for home care and isolationfor mpox in resource-limited settings(2);•World Health Organization (WHO)standard precautions for the prevention and control of infections: aide-memoire(4);•WHOtransmission-based precautions for the prevention and control of infections: aide-memoire(9);•Essential environmental health standards in health care settings(10);•WASH FIT(11);•SPHERE handbook 2018(12); Expert consultation with IPC, risk communication and community engagement (RCCE), water sanitation andhygiene (WASH) and public health specialists informed the contextualization of these measures, ensuring theirpracticality across different settings through community consultations and engagement in decision-making. Apeer review process involving WHO, UNICEF, UNHCR, and IOM technical teams and external experts validated Target audience This document is intended for representatives of ministries of health, nongovernmental organizations and UNagencies, including camp managers, WASH practitioners, mpox emergency responders, RCCE practitionersand IPC practitioners who are supporting the humanitarian and mpox responses for IDP and refugee camps or Core principles •Human rights principles must be balanced with public health principles to ensure supportive care isprovided in a safe, dignified and compassionate manner for patients, family members/visitors and •Equity and gender/human rights: Admission to a community care centre must be made on an informed,voluntary and inclusive basis. The centre must provide tailored care and additional resources, such aspersonal protective equipment (PPE) for patients (