Table 1

Prevention of secondary transmission of monkeypox infection in an athletic facility

Always practice standard precautionsThese precautions include routine hand hygiene and use of appropriate personal protective equipment (PPE) when potentially exposed to infectious materials or bodily fluids.
IsolationIf an athlete presents with signs or symptoms concerning for monkeypox, put the athlete in a private room and close the door. Ideally, place a HEPA-filter in the room as well. When the athlete is ready to depart the room after evaluation, ensure the athlete is wearing a facemask and that any skin lesions are completely covered.
Perform a risk exposure assessmentTools derived from the COVID-19 pandemic in the sports environment can be modified to identify if additional athletes are at risk of transmission from the index athlete.9
Personal protective equipmentWhen evaluating the athlete with potential or known monkeypox, use PPE consistent with ‘airborne isolation’ (gown, gloves, N95, and face shield).
DisinfectionMonkeypox virus is hardy and can persist on environmental surfaces, but it is easy to kill with disinfectants. Disinfect environmental surfaces contacted by the individual and any equipment recently used by the individual with an effective disinfectant.10 Ideally, avoid unnecessary sharing of equipment and clothing.
Educate athletes to practice safe sex with barrier protectionWhile transmission through sports is theoretically possible, the primary source of transmission remains through sex.