The World Health Organisation (WHO) has declared the recent Mpox clade 1b strain outbreak a public health emergency of international concern. This is due to a surge in cases in the Democratic Republic of the Congo (DRC) and a growing number of countries in Africa constitutes.4 September 2024The Singapore Ministry of Health has advised that together with the Ministry of Transport and Immigration temperature screening is in place for arrivals into Changi and Seletar airports persons arriving on flights from places where they may have been exposed to Mpox Clade I outbreaks. All travellers are required to report mpox-related symptoms (e.g. fever or rash) and travel history through the SG Arrival Card including inbound crew for crew changes.Vessels arriving in Singapore that have called Mpox affected countries in the last 21 days now have to submit a mandatory maritime declaration of health. At this time the counties considered affects are:Burundi,Cameroon,Central African Republic,Democratic Republic of the Congo,Gabon,Kenya,Republic of Congo,Rwanda,Uganda. Despite reported cases Sweden and Thailand are not currently included.The declaration requires the following to be reported:Crew list/passenger listCurrent copy of the Ship Sanitation CertificateLast 10 ports of call listList of all passengers and crew members with temperature above 37.5 degrees Celsius All ships must submit a declaration even if no crew are showing symptoms. Failure to do so is reported to be considered a breach of the Infectious Diseases (Quarantine) Regulations.6 September 2024Brazil has recorded 945 confirmed or probable cases of mpox since the beginning of this year, with no deaths reported from the disease. Correspondent Brazil P&I released a circular with updates on the monkeypox outbreak in Brazil.Read the circular here.30 August 2024Further to our update dated 21 August 2024, Bangladesh correspondents Interport Marine Ltd have confirmed that vessels arriving at ports within Bangladesh with suspected cases of Mpox onboard need to report at the earliest possible time to the authorities as follows:Chittagong Port Authority:Chittagong Port Control Room (Tel: +880 2 333326916, or VHF Channel-12)Chittagong Port Authority Hospital: +880 1703-284969Chittagong Port Authority has also issued an educational document on the disease which can be read HERE.Mongla Port Authority (Medical Department):Mongla Port Authority’s Chief Medical Officer: +880 1329-699013Mongla Port Authority’s Medical Officer: +880 1404-411986Mongla Port Authority’s Lady Medical Officer: +880 1793-439587Mongla Port Authority has also issued Memorandum No:2024-1833/14 which can be read HERE.Payra Port Authority:Payra Port Control Room: +8801700-641650 (WhatsApp)Payra Port VHF Control Room (Tel: +880 9610202222)Payra Port Authority Medical Division has also issued a document outlining the port’s medical and support teams contact details along with information about the disease which can be read HERE.28 August 2024NorthStandard’s correspondents in Brazil Proinde P&I have reported that whilst no official requirements are in place regarding the Mpox outbreak, the National Health Surveillance Agency (ANVISA) have released technical note 14/2024 which recommends isolating suspected cases in individual cabins with daily monitoring. It also advises against segregating asymptomatic close contacts. Instead, these individuals should be monitored for clinical signs and symptoms for 21 days after the onset of symptoms in the infected person.All suspected, probable or confirmed cases must be reported to the local health surveillance service through ANVISA. Failing to report a disease of compulsory notification (or any evidence of a public health risk on board) breaches health regulations and may result in penalties, including fines. ANVISA requires vessels to document all health events in the hospital’s logbook and the Maritime Declaration of Health (MDH), strictly in the format mandated by the WHO under the