The risk to the general public remains low, but clinicians are requested to report suspected cases of monkeypox particularly in individuals with recent international travel or in men who have sex with men. If genital lesions or body rash is observed, be sure to also complete evaluation for other sexually transmitted infections as per CDC recommendations.
 
If monkeypox is suspected, call your infectious disease specialist or infection control practitioner (if available), and then contact SCCPHD Communicable Disease Prevention and Control at 408-885-4214 during regular business hours. If you see a highly suspected case of monkeypox after hours, please call county communications at 408-998-3438 and ask for the Health Officer on call. Please be prepared to share a photo to aid in clinical evaluation. 
 
Before any specimens can be sent to the County of Santa Clara Public Health Laboratory, please call Communicable Disease Prevention and Control for consultation and approval. Specimen collection instructions are as follows: 1) vigorously swab or brush lesion with two separate sterile dry polyester or Dacron swabs; 2) place each entire swab in a 15 mL sterile tube for a total of two tubes. Do not add or store in viral or universal transport media.
 
We encourage all providers to sign up for health alerts from SCCPHD and CDC to keep updated on this fast-evolving situation, and to refer to the CDPH and CDC monkeypox websites for updated information.