September 29, 2022

Masks are still required in the dental office.
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Article updated July 22 to reflect the most current number and locations of cases.
Although the California Department of Public Health states that “the risk of monkeypox to the public is currently very low based on the information available,” cases of the viral disease, which can spread through respiratory droplets at close range, are increasing in California.
As of July 21, CDPH reports 434 confirmed and probable cases. Most of those cases are in Los Angeles and San Francisco, but cases have been reported in 22 counties total. Insufficient testing may mean cases are underreported, and communities are experiencing a shortage of the FDA-approved monkeypox vaccine. 
The Centers for Disease Control and Prevention in a July 12 situation summary urged health care providers in the U.S. to “be alert for patients who have rash illnesses consistent with monkeypox, regardless of whether they have travel or specific risk factors for monkeypox and regardless of gender or sexual orientation.”
The painful, deep-seated rash typically appears first on the face with possible intra-oral lesions before spreading to other parts of the body.
Lymphadenopathy, fever, headache, exhaustion and muscle aches are common early symptoms appearing before the lesions develop, but many cases are now presenting without the early flu-like symptoms and with only the lesions appearing in specific areas of the body.
The risk of monkeypox transmission in dental practices is low, but as health care providers, dentists and dental teams can take steps now to minimize the virus’s spread by:
CDA reminds dentists that all individuals in dental practices must continue to wear face masks in compliance with the state mandate for health care settings to reduce the transmission of COVID-19.
See the CDPH webpage for updates on the current status of monkeypox in California plus information on symptoms, transmission, prevention and how to distinguish monkeypox from COVID-19. Also available is a monkeypox communications toolkit with fact sheets and social media messages dentists can use in their practice and social media pages. 
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