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Mpox Testing Strategy - November 2024

Africa Center for Disease Control and Prevention (2024) CC

Mpox is an emerging zoonotic disease caused by the mpox virus, a member of the Orthopoxvirus genus closely related to the variola virus that causes smallpox. Mpox was first discovered in 1958 when outbreaks of a pox-like disease occurred in monkeys kept for research. The first human case was recorde...d in 1970 in the Democratic Republic of the Congo (DRC) during a period of intensified effort to eliminate smallpox and since then the infection has been reported in a number of African countries. Mpox can spread in humans through close contact, usually skin-to-skin contact, including sexual contact, with an infected person or animal, as well as with materials contaminated with the virus such as clothing, beddings and towels, and respiratory droplets in prolonged face to face contact. People remain infectious from the onset of symptoms until all the lesions have scabbed and healed. The virus may spread from infected animals through handling infected meat or through bites or scratches. Diagnosis is confirmed by polymerase chain reaction (PCR) testing of material from a lesion for the virus’s DNA. Two separate clades of the mpox virus are currently circulating in Africa: Clade I, which includes subclades Ia and Ib, and Clade II, comprising subclades IIa and IIb. Clade Ia and Clade Ib have been associated with ongoing human-to-human transmission and are presently responsible for outbreaks in the Democratic Republic of the Congo (DRC), while Clade Ib is also contributing to outbreaks in Burundi and other countries. In 2022‒2023 mpox caused a global outbreak in over 110 countries, most of which had no previous history of the disease, primarily driven by human-to-human transmission of clade II through sexual contact. In just over a year, over 90,000 cases and 150 deaths were reported to the WHO. For the second time since 2022, mpox has been declared a global health emergency as the virus spreads rapidly across the African continent. On 13 Aug 2024, Africa CDC declared the ongoing mpox outbreak a Public Health Emergency of Continental Security (PHECS), marking the first such declaration by the agency since its inception in 2017.7 This declaration empowered the Africa CDC to lead and coordinate responses to the mpox outbreak across affected African countries. On August 14, 2024, the WHO declared the resurgence of mpox a Public Health Emergency of International Concern (PHEIC) emphasizing the need for coordinated international response. As of August 2024, Mpox has expanded beyond its traditional endemic regions, with new cases reported in countries including Sweden, Thailand, the Philippines, and Pakistan. Sweden has confirmed its first case of Clade 1 variant, which has been rapidly spreading in Africa, particularly in DRC. The emergence of this new variant raises concerns about its potential for higher lethality and transmission rates outside Africa. more

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Clinic Supervisor Manual

Management Sciences for Health; USAID (2006) C1

This Clinic Supervisor’s Manual is helpful for focusing managers on the key elements of integrated primary health care as they simultaneously integrate new interventions for HIV/AIDS, tuberculosis, and malaria. This tool contains 12 sections. Section 1 explains how to use the manual. Section 2 hel... more

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WHO country cooperation strategy 2014-2018, Myanmar

World Health Organization (WHO), Country Office for Myanmar (2014) C_WHO

The strategic priorities of the CCS 2014–2018 are:
(1) Strengthening the health system.
(2) Enhancing the achievement of communicable disease control targets.
(3) Controlling the growth of the noncommunicable disease burden.
(4) Promoting health throughout the life course.
... more

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Nigeria 2013 Demographic and Health Survey: Key Findings

National Population Commission (NPCNigeria) and ICF International (2014) C1

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Namibia: Annual Report 2012-2013

Ministry of Health and Social Services (MOHSS) (2014) C1

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Children’s Health and Nutritional Status

MEASURE DHS (2013) C1

Data from the 2011 Ethiopia Demographic and Health Survey

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Price Shocks: Rising food prices threaten the lives of hundreds of thousands of children

World Vision (2022) C1

Conflict, climate change, the COVID-19 pandemic, and the economic effects of the Ukraine crisis are interacting to create new and worsen existing hunger hotspots, reversing the gains families had made to escape poverty.

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Nepal Health Sector Strategy Implementation Plan 2016-2021
recommended

Governement of Nepal, Ministry of Health (2017) C1

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Protect the Progress: Rise, Refocus, Recover - 2020 Progress Report on the Every Woman Every Child Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030)

UNICEF, World Health Organisation (2020) C_WHO

Conflict, climate crisis and COVID-19 pose great threats to the health of women and children.

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Indicators and Reference Data: A Practical Tool for Project Managers in Humanitarian Aid

Marie Theres Benner and K. Peter Schmitz Malteser International (2011)

Operational Guideline

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National Ebola Recovery Strategy for Sierra Leone 2015–2017

Government of Sierra Leone (2015)

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Integrated Health Service Plan: A Strategy for Changing the Health Sector For Healthy Botswana 2010-2020

Ministry of Health, Gabarone, Botswana (2010) C2

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India: Health for all now! Revive Alma Ata!

Ravi Narayan and Unnikrishnan PV People's Health Movement (2011) C1

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El Niño and Health

R Sari Kovats et al. World Health Organization (1999) C_WHO

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Democratic Republic of the Congo. Demographic and Health Survey 2013-14. Key Findings

Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité (MPSMRM), Ministère de la Santé Publique (MSP) and ICF International (2014) C2

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COVID-19 Impacts on African Children - How to Protect-a-generation at Risk

Save the Children (2020) C1

This policy paper underscores that, although children do not represent a high-risk group for direct COVID-19 fatality, the pandemic posts far-reaching secondary impacts that heighten risks to African children’s rights and wellbeing.

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Emergency in Ukraine: external situation report
recommended

World Health Organization WHO (2022) C_WHO

Here you can download the latest Situation Reports Weekly updates on the current situation in Ukraine and refugee-receiving countries, priority public health concerns and WHO’s actions to rapidly respond to the health emergency triggered by the conflict and to minimize disruptions to the delivery... more

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Trends in Maternal Health in Rwanda: Further Analysis of the 2014-15 Demographic and Health Survey

Assaf, Shireen, Sarah Staveteig, and Francine Birungi Rockville, Maryland, USA: ICF (2018) C2

DHS Further Analysis Reports No. 108 - This report examines levels, trends, and inequalities in maternal health in Rwanda from 2010 to 2014-15 among women age 15-49 with a recent birth. The analysis uses Demographic and Health Survey (DHS) data for 15 key indicators of maternal health: 6 for antenat... more

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National Action Plan for Combating Antimicrobial Resistance In the Hashemite Kingdom of Jordan (2018-2022)

Ministry of Health Jordan (2018) C_WHO

The objectives of NAP are aligned with the global action plan based on national needs and priorities. The emphasis is on One Health approach with all sectors especially human health, animal health and environment contributing towards minimizing the emergence and impact of AMR in Jordan.

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IACAPAP Textbook of Child and Adolescent Mental Health - Section A Introduction to child & adolescent mental health

Adrian Sondheimer; Joseph M Rey IACAPAP (2012) C2

Introduction Capter A.1 Ethics and international child and adolescent psychiatry

Nepal Health Sector Strategy Implementation Plan 2016-2021 recommended

Emergency in Ukraine: external situation report recommended

Nepal Health Sector Strategy Implementation Plan 2016-2021
recommended

Emergency in Ukraine: external situation report
recommended