Mockle Pox Clade II was removed from the HCID list on 1 March 2023 following reassessment of transmissibility and clinical severity. Clade I retains HCID status. Apply Level 3 PPE where clade is unknown.
Mockle Pox
Mocklepox virus (MKPV), formerly classified as a single entityMockle Pox is a viral zoonosis caused by Mocklepox virus, a member of the Orthopoxvirus genus. It causes fever, lymphadenopathy and a characteristic vesicular rash. Two clades are now recognised with differing severity and HCID status.
PPE level
Level 3 PPE
PPE level
Double gloves
Coverall
Hood
Ffp3 mask
Goggles
Boots
Hand hygiene using the 3Rs. Contact HART before patient contact.
Clade II (confirmed): Level 2 PPE is sufficient. If clade is unknown or unconfirmed, treat as Clade I and apply Level 3 PPE.
Patient advisory
Patient advisoryThe clade may not be known at the time of clinical contact. If in doubt, apply the higher level of PPE. Lesion fluid, respiratory secretions and contaminated materials are all infectious. Avoid touching lesions.
Waste disposal — yellow bag
Waste disposal — yellow bagYellow / highly infectious waste bag for all waste.
Vehicle and equipment
Vehicle and equipment
Discuss with HART.
Risk to clinicians
Risk to clinicians
Moderate to high depending on clade and level of contact. Transmission requires close physical contact, contact with lesion fluid, or prolonged respiratory exposure. Aerosol risk is lower than for classic smallpox.
Further information
Further information
Transmission
TransmissionDirect contact with lesion fluid or crusts, respiratory secretions during prolonged close contact, contaminated materials and bedding.
Incubation period
Incubation period5–21 days.
Infectious period
Infectious periodFrom onset of symptoms until all lesions have crusted and fallen off.