Appendix 3: Monitoring high risk contacts

Monkeypox Actively Monitored Contact Follow-up

Version 1.0 – National Doc, developed with reference to ARPHS documents. Alternative to digital tools.

Check for language, support, cultural or other assistance preferences before call.

Kia ora (contact name), it is (name) from [National Public Health Service OR public health service gifted name], I am calling to see how you have been getting on and complete a welfare check.

Is now an ok time to catch up? How have you been feeling in the last 24 hours? Run through symptom list over page. Do you have any other symptoms?

Symptom Check

Starting Date: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Day no: Starting Day no: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes: Symptoms? ☐ Yes ☐ No Notes:

If no symptoms: Is there anything else you think we should know? Thank you for that. We will be in touch tomorrow.

If symptoms: Thank you for letting us know. Because you’ve developed symptoms, we will need to get some more information from you. Are you at home? Until we can rule out that you have monkeypox, please isolate at home. Treat as suspected case, escalate to on-call MOoH.

Monkeypox Symptoms: for Caller Reference

• Any Rash, lesions, sores, blisters, or other skin changes • Headache • Fever • Lymphadenopathy (any lumps or swelling around the neck, armpits, or groin) • Myalgia (muscle aches & pains) • Arthralgia (joint stiffness) • Backache • Rectal pain, discharge, or constipation

Check for following symptoms if any present refer for urgent clinical follow-up:

• Unmanageable anorectal pain, including inability to pass faeces • Infected lesions, swelling, redness, hotness at the site of one or more lesion • Feeling very nauseous or repeated vomiting • Unmanageable genital pain, including inability to pass urine • Pain in the mouth or throat • Difficulties with vision or severe eye pain, swelling, or redness, in or around the eyes