Monkeypox (mpox)
This page provides the latest updates on mpox. This page will be updated regularly as the situation and guidance evolves.
Last updated: 25 May 2023
Clinicians who are presented with a suspected case of mpox should contact their local public health unit immediately.
Patients with any concerns should contact Health Direct on 1800 022 222.
Latest Announcements:
While in May 2023 the World Health Organization declared that the mpox outbreak is no longer a global health emergency, it is noted that sporadic cases are still being detected overseas and in Australia. Clinicians are urged to remain alert for symptoms. Mpox symptoms can include painful ulcers on the genitals and in/around the mouth and/or anus. If a person with epidemiological risk presents with symptoms of mpox, then immediately contact your local public health unit for advice.
Mpox Clinical Decision-Making Tool
View or download the tool here.
Mpox guideline added to the Australian STI Management Guidelines
View the guideline here.
See the our mpox Toolkit for more useful resources.
Monkeypox (mpox) is a rare viral zoonotic disease. The mpox virus is part of the same family of viruses as the variola virus that causes smallpox. Since May 2022 there has been increased case numbers mainly overseas (including Europe and the USA) and in Australia. As of August 2022 there have been over 80 cases of mpox in Australia, most acquired overseas and community transmission increasing.
MPX was declared a Communicable Disease Incident of National Significance by the Australian Government Chief Medical Officer on 28 July 2022, following the WHO declaring the global situation regarding mpox to be a public health emergency of international concern.
Symptoms
Most people's symptoms will clear up on their own after 2 to 4 weeks. Symptoms include distinctive sores (rash/lesions/ulcers), swollen lymph nodes, fever, headache, back pain, muscle aches, exhaustion.
Transmission
Transmission can occur through close contact with sores (rash/lesions/ulcers), through bodily fluids and contaminated objects. It is not considered to be a sexually transmitted infection (STI), although it can be transmitted through physical contact during sexual activities, so differential diagnosis is important. Most of the recent mpox cases in Australia have been diagnosed in gay, bisexual and other men who have sex with men, however transmission can occur in anyone who has close contact with an infectious person, so others might be considered at risk.
Find out more about mpox:
Visit our mpox Resource Toolkit for more useful resources.
Mpox health alerts and factsheets:
- Inform your local Public Health Unit and any on-call infectious disease/microbiology/virology consultants if a diagnosis of mpox is being considered so that appropriate testing and infection control measures can be implemented.
- Providers should use appropriate PPE for the assessment and treatment of patients presenting with possible mpox.
- Services should consider a differential diagnosis of mpox in any patient who meets the possible case definition.
See the mpox Guideline in the Australian STI Management Guidelines for Primary Care.
Please find below the Australian Government guidance for the treatment of mpox:
- Australian Human Monkeypox Treatment Guidelines – published 24 June 2022
Health professionals should also refer to the following:
- Mpox factsheet
- Patient referral and testing guidance
- Laboratory case definition and surveillance case definition
- CDNA National Guidelines for Public Health Units - Mpox SoNG (Series of National Guidelines)
Visit our mpox Resource Toolkit for more useful resources.
These medical images are for clinical and public health usage and are externally sourced – please be aware of copyright and ensure appropriate and respectful usage:
Vaccines for smallpox provide some protection against mpox. There are two vaccines approved for use in Australia:
JYNNEOS® and ACAM2000™.
JYNNEOS is the preferred vaccine for use in Australia based on its safety profile and because it is easier to
administer. The Australian Government secured an initial supply of the JYNNEOS® vaccine in early August. Each
State and Territory will be responsible for administration of the vaccine in their relevant jurisdiction, including
who will be prioritised and where and when the vaccines will be made available.
Please refer to the following:
- ASHM’s Monkeypox (mpox) Intradermal Vaccination Video
- Updated ATAGI Clinical Guidance on Vaccination Against Monkeypox (Version
4.0) 12 December 2022 - Information on vaccines for mpox in Australia
- Consent form for JYNNEOS® vaccination
Click the dropdown boxes below for more information on the vaccine rollouts in the States and
Territories:
NSW Health began vaccinating high-risk groups against mpox in August 2022. The arrival of additional doses have allowed more people in NSW to be vaccinated against mpox.
Vaccine eligibility in NSW has been expanded to include all sexually active gay and bisexual men (cis and trans) , anyone who has sex with the aforementioned men, and sex workers. NSW Health is working closely with partner agencies such as NSW Sexual Health Infolink (SHIL) and ACON on the vaccine rollout.
Mpox vaccines are free in NSW and you can be vaccinated without a Medicare card.
Access to vaccination
Information on where to booking vaccines in NSW can be found here. Check the NSW Health mpox vaccine page for the latest information on the vaccine rollout in NSW
Eligibility criteria to receive the mpox vaccine have been expanded in the ACT.
Eligibility criteria for the vaccine in the ACT are:
-
- Sexually active men (cis and trans) who are gay, bisexual or have sex with other men
- Partners of the people above
- Sex workers
Vaccination site and availability
Eligible people can book their vaccine at the ACT monkeypox vaccination clinics. GPs and community service providers in the ACT no longer need to refer eligible people for a vaccination.
For more information, refer to the ACT Government mpox webpage for health professionals and community service providers.
The eligibility criteria to receive the mpox vaccine in Queensland has expanded.
In addition to the key risk groups recommended by ATAGI to receive vaccination, individuals eligible to receive mpox vaccination in QLD include:
- all sexually active gay, bisexual and other men who have sex with men (cis and trans) and their sexual partners
- sex workers
Access to vaccination
Mpox Vaccination Centres can be found here: Mpox Vaccination Centres.
For more information, visit the Queensland Health mpox webpage.
Limited supplies of mpox vaccine are available in South Australia for those that meet the eligibility criteria:
-
- Post-exposure preventive vaccination (PEPV) for close contacts of mpox cases;
- Primary preventive vaccination (PPV) for:
- all sexually active gay, bisexual or other men who have sex with men (including cis and trans men);
- sexual partners of the people above; and
- sex workers.
Access to vaccination
Mpox vaccine availability and booking information can be found on the SHINE SA and Adelaide Sexual Health Centre websites.
Limited supplies of mpox vaccine are available in Tasmania for those people that meet the current eligibility criteria.
After exposure to mpox:
It is recommended that people who have already been exposed to mpox get a vaccination within 4 days of their exposure. Though less ideal, vaccination can be given up to 14 days after exposure.
Before exposure to mpox:
The vaccine is available free of charge for eligible persons aged 16 years and older, including:
- all sexually active gay, bisexual, non-binary people assigned male at birth, trans people, and other men who have sex with men (including with cis and trans men)
- sexual partners of the people above and
- sex workers
Access to vaccination
Appointment can be booked directly with the providers listed on the Tasmanian Department of Health website here.
Any questions about availability of vaccine can be discussed with the immunisation team in the Communicable Diseases Prevention Unit (CDPU) by contacting the Public Health Hotline on 1800 671 738.
More information can be found on the Tasmanian Department of Health website.
In Victoria, MPX vaccine (JYNNEOS® vaccine) is available free-of-charge for specific priority groups but supply is currently limited. Victoria is expected to receive more doses in October and additional doses at the beginning of 2023. A limited supply has been allocated to select public hospitals and sexual health clinics to vaccinate high risk individuals. More clinics and access points will be able to provide the vaccine as additional stock becomes available.
Eligibility criteria will be expanded when additional supply of vaccines become available.
Current eligibility criteria:
Post-exposure preventive vaccination for high-risk close contacts of mpox cases, preferably within 4 days.
Primary preventive vaccination has been expanded to include:
-
- All sexually active gay and bisexual men (cis and trans).
- Sexual partners of the above.
- Sex workers.
- Immunisation providers who are administering the ACAM2000™ smallpox vaccine.
- Laboratory workers who analyse specimens from mpox cases.
- Vaccination may also be considered for healthcare workers at higher risk of exposure to patients with mpox, including primary care, sexual health clinics, hospital staff and others, based on local risk assessments. The risk of transmission should be also minimised by using infection control measures
Access to vaccination
In Victoria, mpox vaccines are available at the services listed on the Victoria Department of health mpox webpage.
For more information, visit the Victoria Department of Health mpox alert page.
Notify any suspected or confirmed case to the Department of Health by calling 1300 651 160 (24/7).
For all other enquires regarding the mpox vaccine in Victoria, email immunisation@health.vic.gov.au.
WA Health has begun vaccinating people at highest risk of monkeypox.
Due to limited vaccine supply, those who are at highest risk of getting the disease and/or severe disease can access the vaccine first, free-of-charge.
Eligibility criteria:
Post exposure vaccination
- Contacts of a case as determined by the Public Health Unit.
Pre-exposure vaccination
- healthcare workers who are at risk for mpox. For example, working at sexual health clinics and administering vaccinations to individuals requiring post exposure vaccination
- laboratory workers handling live virus
- all sexually active gay, bisexual or other men who have sex with men (including cis and trans)
- sexual partners of the people above
- sex workers.
Access to vaccination
Vaccines are available now and people can register their interest in receiving the monkeypox vaccine.
Medicare cards are not needed to receive the monkeypox vaccine and confidentiality is of priority at all services.
Patients should be encouraged to visit HealthyWA for information regarding vaccination, including registration.
Perth metropolitan area
People in the metropolitan area can contact a clinic to make an appointment for vaccination.
- Royal Perth Hospital Sexual Health Clinic phone: 9224 2178
- GP on Beaufort phone: 9262 8600
- M Clinic phone: 9227 0734
- Sexual Health Quarters phone: 9227 6177
- South Terrace Sexual Health Clinic phone: 9431 2149
- Central City Medical Centre phone: 9225 1188
- View St Medical phone: 9227 0170
Regional Western Australia
People in regional Western Australia can register their interest via the EOI form.
They can also contact their local regional Public Health Unit (external link).
Mpox vaccines are free in the NT for eligible people.
Updated eligibility criteria: Individuals 16 years and over who meet the eligibility
criteria will be offered the vaccine.
-
- high risk close contact of a confirmed case
- gay or bisexual man
- man who has sex with men
- trans (binary and non-binary people) who have sex with men
- sex worker
- sistergirl
- any person who perceives themselves to be at increased risk of acquisition (e.g. Because they are attending a high risk event as an advocate/allies)
For more information or to book contact Clinic 34:
Clinic 34 Darwin: 08 8999 2678
Clinic 34 Alice Springs: 08 8951 7549
Clinic 34 Katherine: 08 8973 9049
Clinic 34 Nhulunbuy: 08 8987 0357
- AFAO's Mpox Information Hub provides information on the impact of mpox on AFAO’s members and communities.
- Please refer to the AFAO website for national and state and territory-based members providing further information on mpox to their communities.
- Safer Sex and social gatherings – Advice from the US CDC
Below are recounts of recent lived experience with mpox:
Mpox Webinars
- Clinical presentations and differential diagnosis considerations in mpox - 1 June 2023
- Mpox in Australia, Asia and the Pacific: Where are we now? - 8 March 2023
- ASHM mpox Webinar – Clinical Update 27 October 2022
- ASHM mpox Webinar – Responding in Australia, Asia and the Pacific recorded on 18 July 2022. View the key points summary here.
- ASHM mpox Webinar – Mpox Update 25 May 2022
Vaccination Training
- ASHM mpox Vaccination Training course
As a core partner in the National mpox Taskforce, ASHM has created a comprehensive training package to support the national vaccine rollout and protect communities at risk of mpox. The fully self-paced, interactive Monkeypox (mpox) Vaccination Training course is available on the ASHM On Demand platform, and free for all health workers in Australia. - ASHM mpox Vaccination Training Video
The Vaccination Training course also includes a key video resource for vaccine providers, which outlines critical information on the correct storage, dosing and intradermal vaccination technique for administering the JYNNEOS® vaccine. Feel free to share the video within your networks.
Jurisdictional Variance for Vaccination
Some recommendations outlined in the Video and eLearning above, such as preferred needle size/type or storage and transport conditions, may vary based on your jurisdiction's preference or availability. Please follow the below links for further guidance and contact information from your relevant State Health department.
Briefing Paper: Considerations for Monkeypox Isolation
This paper outlines considerations that health authorities can use to determine the appropriate level of isolation required to reduce transmission of monkeypox (mpox). The paper illustrates how jurisdictions can work with AIDS Councils in each state and territory to communicate with people who have mpox about how to prevent sexual and other skin to skin contact with others during isolation.
Published: 6 December 2022 | Click here to open
Briefing Paper: Monkeypox and sex on premises venues
This paper outlines how sex-on-premises venues (SOPVs) may be the site of transmission for the mpox virus between gay, bisexual and other men who have sex with men (GBMSM). The paper describes strategies to mitigate the risk of transmission including cleaning the facility and supporting contact tracing. The paper also notes other ways SOPVs can engage more broadly with the public health response to mpox.
Published: 21 October 2022 | Click here to open
Briefing Paper: Collection and dissemination of monkeypox surveillance data
This paper outlines AFAO and ASHM’s policy position on the collection and dissemination of mpox surveillance data. This paper notes that states and territories should issue mpox surveillance data relating to locally acquired cases as soon as possible as well as data relating to cases among returned travellers.
Published: 10 October 2022 | Click here to open
Briefing Paper: Monkeypox vaccination information
This paper outlines relevant information about the mpox vaccine. It shows how there is a limited supply of these vaccinations available to the community, which has led to logistical and social challenges. This paper describes several strategies to address these challenges such as tailoring outreach to communities, delaying access to second doses and delivering the vaccination intradermally.
Published: 5 October 2022 | Click here to open
Briefing Paper: State and territory servicing of monkeypox
This paper outlines the minimum services that governments should fund to enable AIDS Councils in each state and territory to be effective in the response to mpox. The paper describes the core services that AIDS Councils in each state and territory should be able to provide, which include running independent digital campaigns, community forums, sector forums, peer support and monitoring the media.
Published: 28 September 2022 | Click here to open
Briefing Paper: Terminology when referring to monkeypox
This paper outlines the appropriate language to refer to mpox in external and internal documentation and engagements.
Published: 12 September 2022 | Click here to open
Briefing Paper: Communication regarding sexual contact for the prevention of Monkeypox
This paper outlines AFAO and ASHM’s position that messages to gay, bisexual and other men who have sex with men (GBMSM) about mpox should be provided by GBMSM and other members of the LGBTQI+ community. The paper suggests that government and healthcare stakeholders partner with LGBTIA+ health and HIV organisations to provide messages on risk reduction and to avoid stigmatising sexual behaviour.
Published: 8 September 2022 | Click here to open
