Dokumendiregister | Terviseamet |
Viit | 8.1-2/24/12337-1 |
Registreeritud | 28.11.2024 |
Sünkroonitud | 29.11.2024 |
Liik | Sissetulev dokument |
Funktsioon | 8.1 Nakkushaiguste seire, ennetuse ja tõrje korraldamine |
Sari | 8.1-2 Nakkushaiguste epidemioloogiaalane riigiväline kirjavahetus |
Toimik | 8.1-2/2024 |
Juurdepääsupiirang | Avalik |
Juurdepääsupiirang | |
Adressaat | ECDC STIHIVHEP |
Saabumis/saatmisviis | ECDC STIHIVHEP |
Vastutaja | Kärt Sõber (TA, Peadirektori asetäitja (1) vastutusvaldkond, Nakkushaiguste epidemioloogia osakond) |
Originaal | Ava uues aknas |
Saatja: STIHIVHEP <STIHIVHEP@ecdc.europa.eu>
Saadetud: 28.11.2024 11:18
Adressaat: Ákos Tóth <toth.akos@nngyk.gov.hu>; Alexandra MAILLES
<alexandra.mailles@santepubliquefrance.fr>; Amaryl.Lecompte
<Amaryl.Lecompte@sciensano.be>; Ana Vázquez González
<a.vazquez@isciii.es>; NitscheA <NitscheA@rki.de>; Reich Andreas
<andreas-sebastian.reich@ages.at>; angeline.mcintyre
<angeline.mcintyre@hpsc.ie>; Anna Margrét Guðmundsdóttir - Landl
<anna.m.gudmundsdottir@landlaeknir.is>; Anthony Ortiz
<anthony.ortiz@hpsc.ie>; Anthony Ortiz <anthony.ortiz@hpsc.ie>;
aoife.colgan <aoife.colgan@hpsc.ie>; aoife.colgan <aoife.colgan@hpsc.ie>;
Løvlie, Astrid Louise <Astrid.Louise.Lovlie@fhi.no>; Brendan Denis
Kinahan <brendand@landspitali.is>; Brynja Ármannsdóttir
<brynjaa@landspitali.is>; Carina Brehony <carina.brehony@hpsc.ie>;
Carolina Isabel Bernardes Torres <citorres@arscentro.min-saude.pt>;
Carolina Isabel Bernardes Torres <citorres@arscentro.min-saude.pt>;
Charalambos Beltsos <c.beltsos@shso.gov.cy>; cchristo
<cchristo@cing.ac.cy>; ckaragiannis <ckaragiannis@mphs.moh.gov.cy>;
Denisa Janta <denisa.janta@insp.gov.ro>; utbrudd <utbrudd@fhi.no>; Eirik
Olsen <Eirik.olsen@fhi.no>; emilie.chazelle
<emilie.chazelle@santepubliquefrance.fr>; Walser-Domjan Esther
<Esther.Walser-Domjan@llv.li>; Walser-Domjan Esther <Esther.Walser-
Domjan@llv.li>; Walser-Domjan Esther <Esther.Walser-Domjan@llv.li>;
Walser-Domjan Esther <Esther.Walser-Domjan@llv.li>; Walser-Domjan Esther
<Esther.Walser-Domjan@llv.li>; etienne.lucas
<etienne.lucas@santepubliquefrance.fr>; eva.grilc <eva.grilc@nijz.si>;
Księżak Ewelina <eksiezak@pzh.gov.pl>; Florence LOT
<florence.lot@santepubliquefrance.fr>; Gilles Delmas
<gilles.delmas@santepubliquefrance.fr>; Rocco Graziella at MHA - Health
Regulation <graziella.rocco@gov.mt>; Guðrún Aspelund - Landl
<gudrun.aspelund@landlaeknir.is>; Guðrún Aspelund - Landl
<gudrun.aspelund@landlaeknir.is>; Hana Orlíková <hana.orlikova@szu.cz>;
Helena Jirincova <helena.jirincova@szu.cz>; helena.sebestova
<helena.sebestova@szu.cz>; helena.sebestova <helena.sebestova@szu.cz>;
Hildigunnur Anna Hall - Landl <hildigunnur.a.hall@landlaeknir.is>;
irena.jeraj <irena.jeraj@nijz.si>; Irina Odintsova
<Irina.Odintsova@terviseamet.ee>; Isabel Cuesta De La Plaza
<isabel.cuesta@isciii.es>; Iva V. <iva.vlckova@szu.cz>; Iva V.
<iva.vlckova@szu.cz>; ivana.obid <ivana.obid@nijz.si>; Jan Kynčl
<jan.kyncl@szu.cz>; RICHTER Jan <richter@cing.ac.cy>; jana.kostalova
<jana.kostalova@szu.cz>; Jana Námešná <jana.namesna@uvzsr.sk>; Večeřová
Jaromíra <jaromira.vecerova@szu.cz>; j.paulo.gomes
<j.paulo.gomes@insa.min-saude.pt>; Joël Mossong
<joel.mossong@ms.etat.lu>; Joël Mossong <joel.mossong@ms.etat.lu>;
Johanna Kristina Tamm <Johanna.Kristina.Tamm@terviseamet.ee>; Judit
Henczkó <henczko.judit@nngyk.gov.hu>; Zakrzewska Karolina
<kzakrzewska@pzh.gov.pl>; k.gkolfinopoulou
<k.gkolfinopoulou@eody.gov.gr>; Kate ODonnell <kate.odonnell@hpsc.ie>;
Kate ODonnell <kate.odonnell@hpsc.ie>; Katerina Fabianova
<katerina.fabianova@szu.cz>; Kęstutis Rudaitis
<kestutis.rudaitis@nvsc.lt>; Laura Kayaert <laura.kayaert@rivm.nl>; Leif
Lakoma <leif.lakoma@thl.fi>; Lina Berlot <lina.berlot@nijz.si>; Paz
Sánchez-Seco <paz.sanchez@isciii.es>; Øgle, Magnus Wenstøp
<MagnusWenstop.Ogle@fhi.no>; Maja.mrzel <Maja.mrzel@nijz.si>;
maja.praprotnik <maja.praprotnik@nijz.si>; maja.socan
<maja.socan@nijz.si>; mstepien <mstepien@pzh.gov.pl>; Manon Haverkate
<manon.haverkate@rivm.nl>; María Sastre García <msastre@isciii.es>;
Maríanna Þórðardóttir - Landl <marianna.thordardottir@landlaeknir.is>;
martha.neary <martha.neary@hpsc.ie>; natalija.kranjec
<natalija.kranjec@nijz.si>; Patricia Garvey <patricia.garvey@hpsc.ie>;
Patrick HOFFMANN <patrick.hoffmann@ms.etat.lu>; Pedro Licinio Pinto Leite
<pedroleite@dgs.min-saude.pt>; Phil Downes <phil.downes@hpsc.ie>;
radomira.limberkova <radomira.limberkova@szu.cz>; Ruben Brondeel
<ruben.brondeel@sciensano.be>; sasa.steiner <sasa.steiner@nijz.si>; Simon
Couvreur <simon.couvreur@sciensano.be>; Simon Couvreur
<simon.couvreur@sciensano.be>; Sinead O'Donnell
<sineadodonnell2@beaumont.ie>; Stephan Fuchs <FuchsS@rki.de>; Tajda.Ster
<Tajda.Ster@nijz.si>; tanja.kustec <tanja.kustec@nijz.si>; Tatjana.Avsic
<Tatjana.Avsic@mf.uni-lj.si>; twolkowicz <twolkowicz@pzh.gov.pl>;
tone.bruun <tone.bruun@fhi.no>; semmlert <semmlert@rki.de>;
vilnele.lipnickiene <vilnele.lipnickiene@nvspl.lt>; Bruno Warren at MHA -
Health Regulation <warren.a.bruno@gov.mt>; yves.dupont
<yves.dupont@sciensano.be>; molnar.zsuzsanna
<molnar.zsuzsanna@nngyk.gov.hu>
Koopia: NC_CCB_Austria <NC_CCB_Austria@bmg.gv.at>; sigrid.kiermayr
<sigrid.kiermayr@gesundheitsministerium.gv.at>; mateusz.markowicz
<mateusz.markowicz@ages.at>; stephan.aberle
<stephan.aberle@meduniwien.ac.at>; lena.koenig
<lena.koenig@gesundheitsministerium.gv.at>; El-Khatib Ziad <ziad.el-
khatib@ages.at>; lena.koenig <lena.koenig@gesundheitsministerium.gv.at>;
Benka Bernhard <bernhard.benka@ages.at>; koen.blot
<koen.blot@sciensano.be>; <ccb@sciensano.be>; tinne.lernout
<tinne.lernout@sciensano.be>; Javiera Rebolledo
<Javiera.rebolledoromero@sciensano.be>; dominique.vanbeckhoven
<dominique.vanbeckhoven@sciensano.be>; jessika.deblonde
<jessika.deblonde@sciensano.be>; Ruben Brondeel
<ruben.brondeel@sciensano.be>; yves.dupont <yves.dupont@sciensano.be>;
Zhivka Getsova <getsova@ncipd.org>; Iva Christova
<iva_christova@ncipd.org>; elica.panayotova <elica.panayotova@gmail.com>;
iva_trrifonova <iva_trrifonova@abv.bg>; mikov <mikov@ncipd.org>; Ivailo
Alexiev <ivoalexiev@ncipd.org>; Ivva Philipova
<ivva.philipova@ncipd.org>; nvladimirova <nvladimirova@ncipd.org>;
Nikolay Bogdanov <nkbogdanov@ncipd.org>; tonyminkova
<tonyminkova@ncipd.org>; kcapak <kcapak@hzjz.hr>; bernard.kaic
<bernard.kaic@hzjz.hr>; zvjezdana.lovric <zvjezdana.lovric@hzjz.hr>;
iva.pem-novosel <iva.pem-novosel@hzjz.hr>; tatjana.nemeth-blazic
<tatjana.nemeth-blazic@hzjz.hr>; Mirjana Lana Kosanović Ličina
<mirjanalana.kosanoviclicina@stampar.hr>; sanja.kurecicfilipovic
<sanja.kurecicfilipovic@hzjz.hr>; maja.ilic <maja.ilic@hzjz.hr>; Elisavet
Constantinou <Econstantinou@moh.gov.cy>; aaristodimou
<aaristodimou@mphs.moh.gov.cy>; Valentinos Silvestros
<vsilvestros@ns.moh.gov.cy>; m.mendris <m.mendris@shso.org.cy>; mviolaris
<mviolaris@mphs.moh.gov.cy>; drelenax <drelenax@yahoo.com>;
georgiossiakallis <georgiossiakallis@gmail.com>; Fani Theophanous
<ftheophanous@mphs.moh.gov.cy>; Christiana Stavraki
<cstavraki@mphs.moh.gov.cy>; Christopher Haralambous
<CHaralambous@mphs.moh.gov.cy>; Valentinos Silvestros
<vsilvestros@ns.moh.gov.cy>; <ECDC_NIPH@szu.cz>; Hana Orlíková
<hana.orlikova@szu.cz>; Hana Orlíková <hana.orlikova@szu.cz>; hana.zelena
<hana.zelena@zuova.cz>; hana.zakoucka <hana.zakoucka@szu.cz>; Jan Kynčl
<jan.kyncl@szu.cz>; Kamilla Grønborg Laut <kgrl@sst.dk>; Stine Ulendorf
Jacobsen <Suja@sst.dk>; Lasse Skafte Vestergaard <lav@ssi.dk>; pvb
<pvb@ssi.dk>; Anders Koch <ako@ssi.dk>; Maria Wessman <MARW@ssi.dk>;
Sidsel Skou Voss <sisv@ssi.dk>; Tyra Grove Krause <tgv@ssi.dk>; Kärt
Sõber <kart.sober@terviseamet.ee>; Julia Geller
<julia.geller@terviseamet.ee>; TA Info <info@terviseamet.ee>; Juta Varjas
<juta.varjas@terviseamet.ee>; Maria Vikentjeva
<maria.vikentjeva@terviseamet.ee>; Hanna Maria Aavik
<hanna.aavik@terviseamet.ee>; Iveta Tomera <iveta.tomera@tai.ee>;
kristi.ruutel <kristi.ruutel@tai.ee>; Julia Geller
<julia.geller@terviseamet.ee>; Jevgenia Epštein
<Jevgenia.Epstein@terviseamet.ee>; Otto Helve <otto.helve@thl.fi>;
Savolainen-Kopra Carita <carita.savolainen-kopra@thl.fi>; Pamela
Österlund <pamela.osterlund@thl.fi>; Liina Voutilainen
<liina.voutilainen@thl.fi>; Henrikki Brummer-Korvenkontio
<henrikki.brummer@thl.fi>; Kirsi Liitsola <kirsi.liitsola@thl.fi>; Teemu
Möttönen <teemu.mottonen@thl.fi>; Tuija Leino <tuija.leino@thl.fi>; Paula
GARCIA-LOBATO <Paula.garcia-lobato@santepubliquefrance.fr>; Anne-
Catherine VISO <anne-catherine.viso@santepubliquefrance.fr>; Marie-Claire
PATY <marie-claire.paty@santepubliquefrance.fr>; Henriette de Valk
<Henriette.DEVALK@santepubliquefrance.fr>; KUNKEL Amber
<amber.kunkel@santepubliquefrance.fr>; Florence LOT
<florence.lot@santepubliquefrance.fr>; Harold NOEL
<harold.noel@santepubliquefrance.fr>; Lea Rathmachers
<RathmachersL@rki.de>; <ecdc@rki.de>; Rexroth, Ute <RexrothU@rki.de>;
AnderHeidenMa <anderheidenma@rki.de>; frankc <frankc@rki.de>; WilkingH
<WilkingH@rki.de>; bremerv <bremerv@rki.de>; BenzlerJ <BenzlerJ@rki.de>;
Diercke, Michaela <dierckem@rki.de>; Theodora Kalomama
<t.kalomama@eody.gov.gr>; Dimitrios Paraskevis
<d.paraskevis@eody.gov.gr>; Christakis Chatzichristodoulou
<ch.chatzichristodoulou@eody.gov.gr>; Danai Pervanidou
<d.pervanidou@eody.gov.gr>; Georgia Nikolopoulou
<g.nikolopoulou@eody.gov.gr>; Ioanna Magaziotou
<i.magaziotou@eody.gov.gr>; k.gkolfinopoulou
<k.gkolfinopoulou@eody.gov.gr>; Kassiani Mellou <k.mellou@eody.gov.gr>;
Agnes Danielisz <danielisz.agnes@nngyk.gov.hu>;
<phc.office@nngyk.gov.hu>; Judit Rezsőfi <rezsofi.judit@nngyk.gov.hu>;
molnar.zsuzsanna <molnar.zsuzsanna@nngyk.gov.hu>;
<nagy.orsolya@nngyk.gov.hu>; kozma.emese <kozma.emese@nngyk.gov.hu>;
molnar.zsuzsanna <molnar.zsuzsanna@nngyk.gov.hu>; hajdu.agnes2
<hajdu.agnes2@nngyk.gov.hu>; molnar.zsuzsanna
<molnar.zsuzsanna@nngyk.gov.hu>; Guðrún Aspelund - Landl
<gudrun.aspelund@landlaeknir.is>; Anna Margrét Guðmundsdóttir - Landl
<anna.m.gudmundsdottir@landlaeknir.is>; Kamilla Sigríður Jósefsdóttir -
Landl <kamilla@landlaeknir.is>; Guðrún Aspelund - Landl
<gudrun.aspelund@landlaeknir.is>; Anna Margrét Guðmundsdóttir - Landl
<anna.m.gudmundsdottir@landlaeknir.is>; Erna Milunka Kojic
<ernamk@landspitali.is>; Maríanna Þórðardóttir - Landl
<marianna.thordardottir@landlaeknir.is>; Guðrún Aspelund - Landl
<gudrun.aspelund@landlaeknir.is>; Anna Margrét Guðmundsdóttir - Landl
<anna.m.gudmundsdottir@landlaeknir.is>; Lois O'Connor
<lois.oconnor@hpsc.ie>; Aine Grace <aine.grace@hpsc.ie>; Patricia Garvey
<patricia.garvey@hpsc.ie>; Louise Cullen <louise.cullen@hpsc.ie>; Lisa
Domegan <LisaDomegan@hpsc.ie>; Paul.McKeown <Paul.McKeown@hpsc.ie>;
Patricia Garvey <patricia.garvey@hpsc.ie>; aoife.colgan
<aoife.colgan@hpsc.ie>; Niamh Murphy <niamhmurphy@hpsc.ie>; Kate ODonnell
<kate.odonnell@hpsc.ie>; Phil Downes <phil.downes@hpsc.ie>; derval.igoe
<derval.igoe@hpsc.ie>; Lois O'Connor <lois.oconnor@hpsc.ie>; Louise
Cullen <louise.cullen@hpsc.ie>; Patricia Garvey
<patricia.garvey@hpsc.ie>; Lisa Domegan <LisaDomegan@hpsc.ie>; Francesco
Maraglino <f.maraglino@sanita.it>; Riccardo Flavia
<flavia.riccardo@iss.it>; Federica Ferraro <fe.ferraro@sanita.it>;
Suligoi Barbara <barbara.suligoi@iss.it>; Tosti Maria Elena
<mariaelena.tosti@iss.it>; Francesco Maraglino <f.maraglino@sanita.it>;
Bonfigli Sandro <s.bonfigli@sanita.it>; Antra Bormane
<antra.bormane@spkc.gov.lv>; Antra Bormane <antra.bormane@spkc.gov.lv>;
Jurijs Perevoščikovs <jurijs.perevoscikovs@spkc.gov.lv>; Dehler Silvia,
Dr. med. <silvia.dehler@llv.li>; Visscher Carla <carla.visscher@llv.li>;
Walser-Domjan Esther <Esther.Walser-Domjan@llv.li>; Visscher Carla
<carla.visscher@llv.li>; Walser-Domjan Esther <Esther.Walser-
Domjan@llv.li>; Visscher Carla <carla.visscher@llv.li>; Visscher Carla
<carla.visscher@llv.li>; Walser-Domjan Esther <Esther.Walser-
Domjan@llv.li>; Jurgita Pakalniškienė <jurgita.pakalniskiene@sam.lt>;
greta.gargasiene <greta.gargasiene@nvsc.lt>; Jurgita Pakalniškienė
<jurgita.pakalniskiene@sam.lt>; algirdas.griskevicius
<algirdas.griskevicius@nvspl.lt>; Galina Zagrebnevienė
<galina.zagrebneviene@sam.lt>; milda.zygutiene <milda.zygutiene@nvsc.lt>;
vilnele.lipnickiene <vilnele.lipnickiene@nvspl.lt>; Giedrė Aleksienė
<giedre.aleksiene@nvsc.lt>; Jurgita Pakalniškienė
<jurgita.pakalniskiene@sam.lt>; Giedrė Aleksienė
<giedre.aleksiene@nvsc.lt>; Rasa Liausedienė <rasa.liausediene@nvsc.lt>;
Jean-Claude Schmit <jean-claude.schmit@ms.etat.lu>; Patrick HOFFMANN
<patrick.hoffmann@ms.etat.lu>; Joël Mossong <joel.mossong@ms.etat.lu>;
Jean-Claude Schmit <jean-claude.schmit@ms.etat.lu>; Gauci Charmaine at
Health Regulation <charmaine.gauci@gov.mt>; Melillo Tanya at Health
Regulation <tanya.melillo@gov.mt>; Borg Maria-Louise at Health Regulation
<maria-louise.borg@gov.mt>; Melillo Jackie M at Health Regulation
<jackie.m.melillo@gov.mt>; Melillo Tanya at Health Regulation
<tanya.melillo@gov.mt>; Gauci Charmaine at Health Regulation
<charmaine.gauci@gov.mt>; Melillo Tanya at Health Regulation
<tanya.melillo@gov.mt>; Hester de Melker <Hester.de.Melker@rivm.nl>;
Susan van den Hof <Susan.van.den.Hof@RIVM.NL>; Chantal Reusken
<chantal.reusken@rivm.nl>; Eelco Franz <eelco.franz@rivm.nl>; Birgit van
Benthem <birgit.van.benthem@rivm.nl>; Eline Op de Coul
<Eline.Op.de.Coul@rivm.nl>; Gijs Klous <gijs.klous@rivm.nl>; Loes Soetens
<Loes.Soetens@rivm.nl>; Macdonald, Emily Ann <EmilyAnn.MacDonald@fhi.no>;
Heidi Lange <heidi.lange@fhi.no>; Elisabeth Astrup
<elisabeth.astrup@fhi.no>; Johansen, Tone Kristin Bjordal
<Tone.Johansen@fhi.no>; hilde.klovstad <hilde.klovstad@fhi.no>; Kathrine
Stene-Johansen <kathrine.stene-johansen@fhi.no>; hilde.klovstad
<hilde.klovstad@fhi.no>; Løvlie, Astrid Louise
<Astrid.Louise.Lovlie@fhi.no>; Zacharczuk Katarzyna
<kzacharczuk@pzh.gov.pl>; Sadkowska-Todys Małgorzata <mtodys@pzh.gov.pl>;
Niedźwiedzka-Stadnik Marta <mniedzwiedzka@pzh.gov.pl>; Sadkowska-Todys
Małgorzata <mtodys@pzh.gov.pl>; Rosińska Magdalena
<mrosinska@pzh.gov.pl>; Mariana Ferreira <marianaferreira@dgs.min-
saude.pt>; Pedro Licinio Pinto Leite <pedroleite@dgs.min-saude.pt>;
<cesp@dgs.min-saude.pt>; André Peralta Santos <aperaltasantos@dgs.min-
saude.pt>; Carolina Isabel Bernardes Torres <citorres@arscentro.min-
saude.pt>; Paula Vasconcelos <pvasconcelos@dgs.min-saude.pt>; Rui Tato
Marinho <ruitatomarinho@dgs.min-saude.pt>; Vitor Verissimo
<vitorverissimo@dgs.min-saude.pt>; mjalbuquerque <mjalbuquerque@dgs.min-
saude.pt>; Pedro Licinio Pinto Leite <pedroleite@dgs.min-saude.pt>;
Adriana Pistol <adriana.pistol@ms.ro>; Anca Sirbu
<anca.sirbu@insp.gov.ro>; <odette.popovici@insp.gov.ro>; cnlas
<cnlas@mateibals.ro>; Anca Sirbu <anca.sirbu@insp.gov.ro>; Adriana Pistol
<adriana.pistol@ms.ro>; lucia.paulikova <lucia.paulikova@uvzsr.sk>; ecdc
<ecdc@uvzsr.sk>; jana.kerlik <jana.kerlik@vzbb.sk>; edita.staronova
<edita.staronova@uvzsr.sk>; Bražinová Alexandra
<alexandra.brazinova@fmed.uniba.sk>; eva.chmelanova
<eva.chmelanova@uvzsr.sk>; monika.musilova <monika.musilova@vzbb.sk>;
Mária Avdičová <maria.avdicova@vzbb.sk>; maja.socan <maja.socan@nijz.si>;
<ecdcinfo@nijz.si>; maja.socan <maja.socan@nijz.si>; eva.grilc
<eva.grilc@nijz.si>; tanja.kustec <tanja.kustec@nijz.si>; Irena Klavs
<irena.klavs@nijz.si>; eva.grilc <eva.grilc@nijz.si>; veronika.ucakar
<veronika.ucakar@nijz.si>; Simón Soria. Fernando <fsimon@sanidad.gob.es>;
Sierra Moros. María José <jsierra@sanidad.gob.es>; Paz Sánchez-Seco
<paz.sanchez@isciii.es>; del Amo Valero. Julia <jamo@sanidad.gob.es>;
Asunción Díaz Franco <adiaz@isciii.es>; mvarelam <mvarelam@isciii.es>;
<ecdc.sweden@folkhalsomyndigheten.se>;
<ecdc.support@folkhalsomyndigheten.se>; Agneta Falk Filipsson
<agneta.falkfilipsson@folkhalsomyndigheten.se>; Sara Bengtsson
<Sara.bengtsson@folkhalsomyndigheten.se>; birgitta.lesko
<birgitta.lesko@folkhalsomyndigheten.se>; anette.richardson
<anette.richardson@folkhalsomyndigheten.se>; anette.richardson
<anette.richardson@folkhalsomyndigheten.se>;
alma.brolund@folkhalsomyndigheten.se
<Alma.Brolund@Folkhalsomyndigheten.se>; maria.axelsson
<maria.axelsson@folkhalsomyndigheten.se>; lena.dillner
<lena.dillner@folkhalsomyndigheten.se>; anneli.carlander
<anneli.carlander@folkhalsomyndigheten.se>; Magnus Gisslén
<magnus.gisslen@folkhalsomyndigheten.se>; anneli.carlander
<anneli.carlander@folkhalsomyndigheten.se>; anders.wallensten
<anders.wallensten@folkhalsomyndigheten.se>; STIHIVHEP
<STIHIVHEP@ecdc.europa.eu>; Anastasia Pharris
<Anastasia.Pharris@ecdc.europa.eu>; Juliana Reyes
<Juliana.Reyes@ecdc.europa.eu>; WIDDOWSON, Marc-alain
<widdowsonm@who.int>; <karagiannisi@who.int>; Xanthi Andrianou
<Xanthi.Andrianou@ecdc.europa.eu>; Gianfranco Spiteri
<Gianfranco.Spiteri@ecdc.europa.eu>; Lina Nerlander
<Lina.Nerlander@ecdc.europa.eu>; ECDC Info <ECDC.Info@ecdc.europa.eu>
Teema: Reminder: December 5 deadline for reporting mpox surveillance data
Tähelepanu! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu
saatja korral palume linke ja faile mitte avada.
Subject: Reminder: December 5 deadline for reporting mpox surveillance
data
To: Operational contact points for MPOX
CC: National Focal Points for Emerging and vector-borne diseases;
National Focal Points for HIV/AIDS, STI and hepatitis B/C; National Focal
Points for Surveillance, National Coordinators
Dear Colleagues,
This is a kind reminder to report mpox data by EOB December 5th (next
week) to TESSy through the .
Please let us know as soon as possible if you have any problems so we can
assist you ahead of the deadline.
Please be reminded in the following situations, Member States are
recommended to report immediately through event-based surveillance
mechanisms (EpiPulse, EWRS, IHR routes):
* Detection of MPXV clade I virus
* Unexpected increase in case numbers
* Emergence of cases in new risk groups, populations, or settings
We kindly request that such events are reported through the following
EpiPulse items: [ 2024 and ].
Thank you very much for all your hard work. If you have any questions or
need further information, please don't hesitate to contact us at (ECDC)
or (WHO Europe).
Kind regards,
Lina Nerlander
On behalf of ECDC and WHO EURO mpox teams
European Centre for Disease Prevention and Control (ECDC)
Gustav III:s boulevard 40, 169 73 Solna, Sweden
Phone +46 (0)8 58 60 10 00
Follow ECDC on:
Confidentiality NoticeIf you are not the intended recipient of this
message, you are hereby kindly requested, to, consecutively, refrain from
disclosing its content to any third party, delete it and inform its
sender of the erroneous transmittal.
Classified as ECDC NORMAL
Mpox reporting protocol 20 August 2024
TESSy - The European Surveillance System
Mpox (MPX)
Reporting Protocol
Version 5.0, 20 August 2024
Contents
How to use this document .................................................................................................... 4
Finding further information ................................................................................................... 4
Copyright ............................................................................................................................. 4
Introduction .............................................................................................................. 5
Case definition ..................................................................................................................... 5
Aim ..................................................................................................................................... 5
Surveillance Objectives ......................................................................................................... 5
Reporting to TESSy .................................................................................................... 6
Checking metadata ............................................................................................................... 6
Checking your data source profile.......................................................................................... 7
Submitting your data ............................................................................................................ 8
Finalising your submission .................................................................................................... 8
TESSy HelpDesk ................................................................................................................... 8
Changes to mpox (MPX) metadata .............................................................................. 9
Annex 1 – Mpox metadata ........................................................................................ 10
Revisions of MPX metadata set............................................................................................ 10
Current record type versions .......................................................................................... 10
Common TESSy variables ............................................................................................... 10
Epidemiological variables ............................................................................................... 11
Annex 2 – Case definitions ........................................................................................ 23
WHO outbreak case definition for mpox .......................................................................... 23
Page 3 of 24
Summary of changes
20 August 2024 (version 5.0)
− Updated to RecordTypeVersion 5.
− Updated categories to include information on subclades within the clade variable.
− Inclusion of HOUSEABROAD and PLANE categories in the ExposureSetting variable.
− Updated categories to include information on subclades within the PreviousMPXclade variable.
− Redefinition of categories for the Sexual Orientation variable to HETERO, MSM, WSW, O,
BISEXUAL, NA, UNKNOWN, and relabelling the variable as "Sexual behaviour of the Case” Label: SexualBehaviour
10 March 2023 (version 4.0)
- Added variables PreviousMPX, PreviousMPXDate
23 September 2022 (version 3.2)
− Updated description of variable OtherGender. 8 September 2022 (version 3.1)
− Updated case definitions.
− Updated coded value list of CaseDefinition variable with category WHO_Aug2022 to
collect information on the new case definition by WHO from 25 August 2022.
5 August 2022 (version 3.0)
− Updated to RecordTypeVersion 3.
− Removed variables SmallpoxVaccine and DateLastVaccDose.
− Added variables PrEPHIV, SexWorker, NumberSexPartners, OtherGender, VaccPoxPrev,
VaccPoxPrevDate, VaccPoxCurrentStatus, VaccPoxBrand1, VaccPoxBrand2, VaccPoxDate1, VaccPoxDate2, VaccPoxPurpose1, VaccPoxPurpose2, Complications, and
ComplicationsOther.
− Updated coded value list of ClinicalSymptoms variable with category PROCT for reporting of proctitis, category DIARR for reporting of diarrhoea, category LYMPHLOCUNK for
reporting lymphadenopathy where the location is not known, and category GENITEDEM
for reporting of genital soft-tissue oedema/swelling.
− Corrected designation of category SORTHR to SORETHR in the coded value list of ClinicalSymptoms variable.
− Updated coded value list of SpecimenMPX variable with category CSF for reporting of
specimen collection of cerebrospinal fluid.
− Added validation rules.
22 June 2022 (version 2.0 revised)
− Added YUNK (yes for unknown reason) to the coded value list for Hospitalisation.
16 June 2022 (version 2.0)
− Updated to RecordTypeVersion 2.
− Changed coded value list for TravelPlaces to include all places worldwide.
− Added RASHLOCUNK (Skin/mucosal lesions where the location is not known) to the coded
value list for ClinicalSymptoms variable.
Page 4 of 24
How to use this document
This Reporting Protocol provides information for data managers in reporting countries in two main
sections:
• Reporting to TESSy – contains guidelines on how to prepare data for submission to TESSy, deadlines for reporting, subject-specific information (e.g. new changes to metadata), and
links to further information.
• Annex – contains:
o A history of metadata changes for the subject(s) covered by this Reporting Protocol.
o The metadata set for the subject(s) covered by this Reporting Protocol.
Finding further information
Paragraphs denoted by the information icon tell where you can find further information.
Updated links to all the schedules, documentation and training materials mentioned in this Reporting
Protocol are included in the TESSy Technical Guidelines & Tools (see the menu ‘Technical Guidelines
and Tools’ when logged in TESSy), including:
• Metadata sets and history.
• Tutorials for data transformation using respectively Excel and Access.
• TESSy user documentation.
• CSV and XML transport protocols.
Copyright
© European Centre for Disease Prevention and Control, 2023. Reproduction is authorised, provided
the source is acknowledged.
Page 5 of 24
Introduction
This reporting protocol is intended for reporting national case-based data for surveillance of mpox
from all the countries and areas of the WHO European Region, including the 27 countries of the
European Union (EU) and the additional three countries of the European Economic Area (EEA), to the
European level.
Data are submitted through the case-based record type MPX to the European Surveillance System
(TESSy) database hosted at ECDC and access through the EpiPulse portal.
Data can be reported to TESSy either manually, for entry of single cases, or through metadata-
standardised CSV or XML files for multiple cases (please see technical annex).
Case definition
Probable and confirmed cases should be reported according to the current WHO case definition for
mpox (Annex 2). Information on the case definition used should be provided in the variable CaseDefinition. If a national case definition is used this information should also be provided in the
variable CaseDefinition.
Aim
To support the timely and complete reporting of key information on mpox epidemiology in the
countries and areas of the WHO European Region, including the 27 countries of the European Union
(EU) and the additional three countries of the European Economic Area (EEA).
Surveillance Objectives
1. Monitor the intensity and geographical spread of the monkeypox virus in the population in time,
place and person; 2. To understand the natural history and epidemiology of the disease including risk factors for
infection in order to assess its impact and prepare accordingly
3. To describe the population at highest risk of infection and severe outcomes in order to target preventive or control measures
4. Assess the impact of any control and prevention measures.
Page 6 of 24
Reporting to TESSy
This section provides both an overview of the TESSy reporting process and tips on where you can find
useful information.
The overall process includes: 1. Familiarising yourself with the data collection deadlines
2. Preparing (exporting and transforming) your data 3. Checking that your data comply with the metadata
4. Checking that your data source profile is up-to-date
5. Submitting your data to TESSy
6. Finalising and approving your submission.
This reporting protocol is supplemented by a technical annex, which contains updated generic
information for data submission.
Please note, if MPXV clade I virus is detected in an mpox case, or if there is an unexpected increase in case numbers, or the emergence of cases in new risk groups, populations, or settings, we kindly
request that these be reported immediately through event-based surveillance mechanisms (EpiPulse,
EWRS, IHR routes). However, ECDC encourages sharing through the following items from EpiPulse: [Mpox due to monkeypox virus clade I – Multi-country – 2024 and Mpox due to clade II - Multi- country (global outbreak) - 2022-2024].
Data collection schedule Case data including retrospective updates to cases already in TESSy should be reported monthly
on the first Thursday of each month, by 10:00AM. Due to potential overlap with holidays, the
following dates for monthly data upload for the next five months are as follows:
• 5 September 2024 • 3 October 2024
• 7 November 2024 • 5 December 2024
Please also note that should there be any significant changes in mpox epidemiology in the coming
months, the reporting frequency through TESSy may increase at short notice to ensure
appropriate surveillance according to the epidemiological situation.
If data is shared through event-based surveillance (EpiPulse, EWRS, IHR), subsequently, or concurrently, upload the relevant data to the TESSy database either or immediately or as of the next
subsequent data call deadline. Please note that all data are collected jointly with the World Health
Organisation – Regional Office for Europe (WHO/Europe) to fulfil Member States reporting
requirements to WHO. Duplicate reporting is therefore not required.
Preparing data Data may be entered directly in TESSy for individual records (‘Manually create a record’). For any
batch reporting by file upload (CSV or XML format) please note that once the data has been exported
from your national database it needs to be in a format that TESSy can accept (see ‘checking metadata’).
Tutorials covering how you can transform your data to the correct TESSy format using Excel or
Access are available on the TESSy documents website. Information on the file formats is available in
the CSV Transport Protocol and XML Transport Protocol.
Checking metadata
The TESSy metadata define the fields and valid data formats for input to TESSy for a given subject.
To ensure data can be saved correctly in TESSy, please check the data are correctly formatted
according to the most recent metadata set.
Page 7 of 24
Changes to the metadata for the subject of this Reporting Protocol are described in:
• Changes to current metadata – changes since the last Reporting Protocol.
• Annex Metadata change history – all preceding changes.
It is especially important to focus on:
• Field formats
Many fields require that data are formatted in a specific way. For example, dates must be in the
YYYY-MM-DD format; dates in the DD/MM/YYYY format will be rejected.
• Coded values
Some fields only permit the use of specific values (coded values). For example, M, F, UNK, or
Other are the coded values for Gender and any other value in a Gender field will be rejected.
• Repeatable fields
For variables where multiple items of the coded value list apply, the field should be repeated as needed to include only one item per field. If not applicable, use N/A.
The metadata file contains all the definitions and rules you need to comply with to format your data
correctly. The file can be downloaded as an Excel file from the TESSy documents website.
By filtering the fields in the file by subject, you can see the fields required for your subject and the
rules applying to these fields.
The Tessy User Guide provides an overview of how you work with the metadata file, and the
TESSy user documentation provides in-depth details on metadata.
Checking your data source profile
Before submitting file(s), please review your data source(s) in EpiPulse (in the menu, go to ‘Report’ ->
‘Surveillance systems descriptors’) and update the information as necessary.
Complete and up-to-date data source information for each subject facilitates surveillance data
interpretation - each surveillance system has different features that need to be considered when
comparing data at international level.
If your data source information is outdated and you do not have access rights to update it, please ask
your National Focal Point for Surveillance or National Coordinator to do so.
In-depth information on the data source variables is available in the TESSy user documentation.
Page 8 of 24
Submitting your data
Data is submitted through the EpiPulse web interface (in the menu, go to Report -> Cases).
The User Guide provides an overview of how to submit files to TESSy and in-depth descriptions of all
the methods for uploading data.
Finalising your submission
The compliance of your data with the validation rules in the metadata is checked automatically during
the data upload process.
The result of your upload – i.e. rejected or validated – is displayed immediately after the check in the
Validation details webpage has completed. Please review the result carefully:
• If your file has been rejected, there will be a message explaining each instance of non-
compliance with the metadata that you need to correct.
• If your file has been validated, there might be warnings and remarks relating to possible data
quality issues or to potential overwriting of existing records that you should consider.
When you file has been validated and you are satisfied that all corrections have been made, please
ensure prompt approval – unapproved uploads can block the approval of other uploads.
• The TESSy user documentation provides information on reviewing validation results and adjusting
reporting periods to avoid overwriting existing records.
• General training and guidance on reporting is available on the TESSy website.
TESSy HelpDesk
Email: TESSy@ecdc.europa.eu
Telephone number: +46-(0)8-5860 1601
Availability:
9:00 – 16:00 Stockholm time, Monday to Friday (except ECDC Holidays)
Page 9 of 24
Changes to mpox (MPX) metadata
RecordType: MPX: RecordType Version 5: Review 2024-08-20
− Updated to RecordTypeVersion 5.
− Updated categories to include information on subclades within the clade variable.
− Inclusion of HOUSEABROAD and PLANE categories in the ExposureSetting variable.
− Updated categories to include information on subclades within the PreviousMPXclade variable.
− Redefinition of categories for the Sexual Orientation variable to HETERO, MSM, WSW, O, BISEXUAL, NA, UNKNOWN, and relabelling the variable as "Sexual behaviour of the Case” Label:
SexualBehaviour
Page 10 of 24
Annex 1 – Mpox metadata
Revisions of MPX metadata set
The MPX metadata have been developed in collaboration with WHO.
The TESSy metadata contains all the definitions and rules necessary to format data correctly for every
subject (usually a disease). This can be downloaded as an Excel file from the Technical Guidelines & Tools section of the ‘Documentation and Help’ pages.
By filtering the fields in the file by subject, you can see the fields required for your subject and the rules
applying to these fields.
The User Guide provides an overview of how you work with the metadata file.
Current record type versions
Table 1 shows the record type versions to be used when reporting mpox (Record type: MPX) data to
TESSy.
Table 1: MPX record type versions
Record Type of data Record type version
MPX Case-based 5
Common TESSy variables
Record Identifier (mandatory)
Field: RecordId
Coding: Text (max 80 characters)
The record identifier is provided by the Member State. It must be:
▪ unique within the national MPX reporting system (records with the same ID will be
overwritten)
▪ anonymous.
Record type (mandatory)
Field: RecordType
Coding: MPX
The record type defines the structure and the format of the data reported. The record types are defined by ECDC and are related to the subject. Only valid combinations of subject, record type and
data source are accepted.
Record type version
Field: RecordTypeVersion
Coding: 5
The version of the record type defines the current structure of the data reported. The current version
of the MPX record type is 5.
This variable is not mandatory as TESSy concludes the record type version from the metadataset
indicated by default. However, the variable RecordTypeVersion can override this default.
Page 11 of 24
Subject (mandatory)
Field: Subject
Coding: MPX
The subject describes the disease to be reported.
Data source (mandatory)
Field: DataSource
Coding: To be assigned by each country to an existing data source, or to a newly
created one.
The data source specifies the surveillance system from which the data originates and is generated
and revised/updated by the national focal point in each Member State. The descriptions of the surveillance systems submitted to TESSy (section Data Sources) will be used to assist with data
interpretation. Make sure that the subject "MPX" is associated with this data source.
Reporting country (mandatory)
Field: ReportingCountry
Coding: International organization for standardization (ISO) 3166-1-alpha-2, (two-letter code)
This variable identifies the country reporting the case.
Date used for statistics (mandatory)
Field: DateUsedForStatistics
Coding: yyyy-mm-dd
Date when the case report is notified the first time to the place of notification.
Status (mandatory)
Field: Status
Coding: NEW/UPDATE
DELETE
The field ‘Status’ is used for updating data; the default is ‘New/Update’. By choosing ‘Delete’ the
selected record (or batch of data) will remain in TESSy but be marked as inactive; this data can be
used to reconstruct data for a given date in the past.
Epidemiological variables
In alphabetic order by field.
Accession number
Field: AccessionNumber
Coding: TEXT
Sequence identifier for whole genome or whole or partial gene sequence, based on which the
sequence read data can be retrieved from external database such as GenBank, ENA or other
database.
Age (mandatory)
Field: Age Coding: Numerical (0-120)
UNK = Unknown
Age of patient in years at the time of disease onset.
Page 12 of 24
Age in months
Field: AgeMonth
Coding: Numerical (0-23) NA = Not applicable
UNK = Unknown
Age of patient in months at diagnosis for cases <2 years of age at the time of diagnosis.
Animal contact
Field: AnimalContact
Coding: N = No
PET = Household pets excluding rodents PETRODENTS = Rodent pets
UNK = UNK WILD = Wild animals excluding rodents
WILDRODENTS = Wild rodents
Animal contact in the 21 days before symptom onset or date of diagnosis.
Antiviral treatment
Field: AntiviralTreatment
Coding: TEC = tecovirimat
BRI = brincidofovir CID = cidofovir
UNK = Unknown
YUNK = Yes, but name of antiviral treatment not known N = No antiviral treatment
Information if case has received treatment with antivirals. Note this is a repeatable field.
Brand name of first dose of smallpox/mpox vaccination
Field: VaccPoxBrand1
Coding: SmallpoxVaccine:
ACAM2000 = ACAM2000
APSV = Aventis Pasteur smallpox vaccine)
Imvanex = Imvanex
Imvamune = Imvamune
Jynneos =Jynneos
LC16m8 = LC16m8
O = Other
UNK = Unknown
Brand name of first dose of smallpox/mpox vaccine related to the current mpox event/outbreak.
Brand name of second dose of smallpox/mpox vaccination
Field: VaccPoxBrand2
Coding: SmallpoxVaccine:
ACAM2000 = ACAM2000
APSV = Aventis Pasteur smallpox vaccine)
Imvanex = Imvanex
Imvamune = Imvamune
Jynneos =Jynneos
LC16m8 = LC16m8
Page 13 of 24
O = Other
UNK = Unknown
Brand name of second dose of smallpox/mpox vaccine related to the current mpox event/outbreak.
Case definition used
Field: CaseDefinition
Coding: ECDC = ECDC case definition (prior to 25 August 2022) NAT = National case definition
UNK = Unknown
WHO = WHO case definition (prior to Interim Guidance from 25 August 2022) WHO_Aug2022 = WHO case definition (Interim Guidance from 25 August 2022)
Case definition used for classification of the case (see Annex 2 for the current WHO case definitions). Please refer to Surveillance, case investigation and contact tracing for Monkeypox: Interim guidance
(25 August 2022) for more details on the current WHO mpox case definition.
CD4 cell count Field: CD4Cells
Coding: Numerical (0-6000) NA = Not applicable
UNK = Unknown
CD4 count at time of diagnosis of mpox.
Clade of monkeypox virus
Field: Clade
Coding: Ia = Clade Ia,
Ib= Clade Ib
I= Clade I (for cases where clade is known without subclade identification)
IIa= Clade IIa
IIb= Clade IIb
II= Clade II (for cases where clade is known without subclade identification)
UNK= Unknown
Clade of the genomically characterised monkeypox virus. Please reporting using the option that
provides the most specific data for the case, ie, sub-clade if information is available or clade, if
information on sub-clade is not available).
Classification (mandatory)
Field: Classification
Coding: CONF = Confirmed
PROB = Probable UNK = Unknown
Case classification according to case definition used.
Clinical symptoms of the case (mandatory)
Field: ClinicalSymptoms
Coding: ASY = Asymptomatic RASH = Skin/mucosal lesions excluding oral or anogenital areas
GENITAL = Anogenital dermatological skin/mucosal lesions
GENITEDEM = Genital soft-tissue oedema/swelling RASHLOCUNK = Skin/mucosal lesions where the location is not known
ORAL = Oral dermatological skin/mucosal lesions FEVER = Fever
Page 14 of 24
MUSC = Muscle pain (myalgia)
SORETHR = Sore throat
FATIGUE = Fatigue (defined as a persistent and overwhelming sense of tiredness, weakness, or lack of energy that is not relieved by rest).
WEAK = Weakness (refers to a reduction in the strength of one or more muscles, leading to difficulty or inability to perform normal physical activities)
CHILLS = Chills or sweats HEAD = Headache
CONJ = Conjunctivitis
VOMIT = Vomiting/nausea DIARR = Diarrhoea
COUGH = Cough/respiratory symptoms LYMPH = Generalised lymphadenopathy
LOCALLYMPH = Localised lymphadenopathy
LYMPHLOCUNK = Lymphadenopathy where the location is not known PROCT = Anogenital pain and /or bleeding
O = Other symptoms (specify in ClinicalSymptomsOther) UNK = Unknown
Clinical symptoms including rash/fever/lymphadenopathy at any point during the illness. Note this is a repeatable field.
Clinical symptoms other specified
Field: ClinicalSymptomsOther
Coding: TEXT
Clinical symptoms not captured in the coded values for ClinicalSymptoms variable as indicated by O
response for ClinicalSymptoms variable.
Complications
Field: Complications
Coding: NONE = None
ARDS = Acute respiratory distress syndrome
LRTI = Lower respiratory tract infection (e.g. pneumonia)
ENCEPH = Encephalitis
MENINGENCEPH = Meningoencephalitis
MYOCARD = Myocarditis
KERATITIS = Corneal infection
RETROPHARYNXABSC = Retropharyngeal abscess
SEPSIS = Sepsis
STILLBIRTH = Still birth as pregnancy outcome in a case
SSTI = Skin and/or soft-tissue infection due to secondary bacterial infection
OTHBAC = Other secondary bacterial infection
O = Other (please specify separately)
UNK = Unknown
Complications related to the current mpox event. Note this is a repeatable field and more than one
option can be chosen.
Complications (Other)
Field: ComplicationsMPXOther
Coding: TEXT
Complications not captured in the coded values for Complications variable as indicated by O response
for Complications variable.
Page 15 of 24
Concurrent STI
Field: ConcurrentSTI
Coding: CHLAM = Chlamydia HERP = Genital herpes
LGV = LGV MYCO = Mycoplasma genitalium
N = No concurrent STI SYPH = Infectious syphilis
TRICH = Trichomonas vaginalis
WARTS = Genital warts GONO = Gonorrhoea
UNK = Unknown Concurrent STI at time of diagnosis. Note this is a repeatable field.
Date of death
Field: DateOfDeath
Coding: yyyy-mm-dd
UNK = Unknown
Date for date of death. If not applicable, please use 'UNK'.
Date of diagnosis
Field: DateOfDiagnosis
Coding: yyyy-mm-dd
UNK = Unknown
First date of clinical or laboratory diagnosis. In case the DateofOnset is missing this timestamp is
used.
Date of onset of symptoms (mandatory)
Field: DateOfOnset
Coding: yyyy-mm-dd
UNK = Unknown
Date of onset of symptoms. Not applicable in asymptomatic cases. If not applicable, please use 'UNK'.
Date of first dose smallpox/mpox vaccination
Field: VaccPoxDate1
Coding: yyyy-mm-dd
yyyy-Www
UNK= Unknown
Date of first smallpox/mpox vaccination dose related to current mpox event/outbreak.
Date of second dose smallpox/mpox vaccination
Field: VaccPoxDate2
Coding: yyyy-mm-dd
yyyy-Www
UNK= Unknown
Date of second smallpox/mpox vaccination dose related to current mpox event/outbreak.
Page 16 of 24
Date of previous smallpox vaccination
Field: VaccPoxPrevDate
Coding: yyyy-mm-dd
yyyy-Www
yyyy-mm
yyyy
UNK= Unknown
Date of last vaccination for smallpox vaccine unrelated to the current mpox event/outbreak.
Epidemiological link
Field: EpiLinked
Coding: N = No
UNK = Unknown Y = Yes
Epidemiological link to a confirmed or probable case.
Exposure setting
Field: ExposureSetting
Coding: HOUSE = Household HOUSEABROAD: Household in a country other than the reporting country
WORK = Workplace SCHOOL = School/nursery
HEALTH = Healthcare (including laboratory exposure and transfussion)
PARTY = Sexual contact at night club/private party/sauna or similar setting BAR = Bar/restaurant or other small event where there was no sexual contact
LARGE = Large event with no sexual contact (e.g., festival or sports event) LARGECONTACT = Large event with sexual contact (e.g. PRIDE, ship).
O = Other location (specify in ExposureSettingDetails)
PLANE: Airplane UNK= Unknown
Location of exposure in the 21 days before symptom onset or date of diagnosis. Note this is a repeatable field.
Exposure setting details
Field: ExposureSettingDetails
Coding: TEXT
Details on place of exposure if ExposureSetting "O" or any organised event.
Gender (mandatory)
Field: Gender
Coding: F = Female
M = Male
O = Other
UNK = Unknown/Missing
Gender of the reported case.
Gender (Other)
Field: OtherGender
Coding: TEXT
Please indicate if the case is transgender, regardless of the coded value for Gender.
Page 17 of 24
Genomic characterisation
Field: GenomicCharacterisation
Coding: N = No
UNK = Unknown
Y = Yes
Information if genomic characterisation has been carried out.
Health care worker
Field: HealthCareWorker
Coding: N = No
UNK = Unknown Y = Yes
Information on whether the case is a healthcare worker.
HIV status
Field: HIVStatus
Coding: POS = Positive NEG = Negative
UNK = Unknown
HIV status of the case.
Hospitalisation
Field: Hospitalisation
Coding: N = No
UNK = Unknown YISOL = yes for isolation purposes
YTREAT = yes due to clinical need YUNK= yes for unknown reason
Information if case was admitted to hospital.
Immunocompromised
Field: ImmunoCompromised
Coding: N = No UNK = Unknown
YD = Yes, due to disease
YM = Yes, due to medication YRU = Yes, reason unknown
Information if a case is immunocompromised (if there is immunocompromise related to HIV infection, it should be coded as yes due to disease).
Intensive care
Field: IntensiveCare
Coding: N = No
UNK = Unknown Y = Yes
Information if case was admitted to an intensive care unit or high dependency unit (unit with capabilities for more intensive observation, treatment and nursing care than can be provided on a
regular ward).
Laboratory method
Field: LabMethod
Page 18 of 24
Coding: MPXPCR = Positive monkeypoxvirus-specific PCR
ORTHOPOXPCR = Positive orthopoxvirus PCR
SEQ = Sequencing ISOV = Isolation of virus
EM = Virus detection by electron microscopy SERO = Serology
UNK = Unknown Laboratory method used to diagnose the case. Note this is a repeatable field.
Number of sexual partners
Field: NumberSexPartners
Coding: 0 = No active sexual partner
1 = One sexual partner
2 = Two to four sexual partners
5 = Five to nine sexual partners
10 = Ten or more sexual partners
UNK = Unknown
Information on the number of sexual partners (sequential or concurrent) of a case in the past 3
months from the diagnosis of mpox.
Outcome of the case (mandatory)
Field: Outcome
Coding: A = Alive
D = Died UNK = Unknown
Information on whether the case is alive (still ill, recovered, cured) or deceased. The death should be due to the reported disease.
Place of notification
Field: PlaceOfNotification Coding: NUTS_GAUL
UNK = Unknown
The place of notification should be provided by regions (up to NUTS3 level). Select the most detailed
NUTS level possible. If the place of notification is not an EU/EEA country, then use GAUL
nomenclature.
Pregnant
Field: Pregnant
Coding: PREG = Pregnancy, trimester is unknown
PREG1 = Pregnancy, 1st trim, the 1st trim is from week 1 to the end of week 12 PREG2 = Pregnancy, 2nd trim, the 2nd trim is from week 13 to the end of week 26
PREG3 = Pregnancy, 3rd trim, the 3rd trim is from week 27 to the end of the
pregnancy PREGPOST = Post-partum (<6 weeks)
N = No UNK = Unknown
NA = Not applicable
Information if case is pregnant.
Pre-exposure prophylaxis for HIV
Field: PrEPHIV
Coding: N = No
Page 19 of 24
UNK = Unknown
Y = Yes
Information if the case used pre-exposure prophylaxis for HIV any time in the past year from diagnosis of mpox.
Previous mpox infection
Field: PreviousMPX
Coding: N = No
UNK = Unknown
Y = Yes
Information if case has been previously diagnosed with mpox.
Previous mpox clade infection
Field: PreviousMPXclade
Coding: Ia = Clade Ia,
Ib= Clade Ib
I= Clade I (without subclade identification)
IIa= Clade IIa
IIb= Clade IIb
II= Clade II (without subclade identification)
UNK= Unknown
Clade of the genomically characterised monkeypox virus in a previous infection. Please reporting
using the option that provides the most specific data for the case, ie, sub-clade if information is
available or clade, if information on sub-clade is not available).
Previous mpox infection date
Field: PreviousMPXDate
Coding: yyyy-mm-dd
yyyy-Www
yyyy-mm
yyyy
UNK= Unknown
Date of previous mpox diagnosis. If date of diagnosis is unknown, date of symptom onset or date of
notification of previous mpox infection can be used.
Previous smallpox vaccination
Field: VaccPoxPrev
Coding: N = No
UNK = Unknown
Y = Yes
Information if case has been previously vaccinated with a smallpox vaccine unrelated to the current
mpox event/outbreak.
Purpose for first dose smallpox/mpox vaccination
Field: VaccPoxPurpose1
Page 20 of 24
Coding: PREEXP = Vaccinated for pre-exposure prophylaxis for current event
POSTEXP = Vaccinated for post-exposure prophylaxis for current event
O = Other
UNK = Unknown
Information on the strategy context for vaccination with first smallpox/mpox vaccination dose related
to current mpox event/outbreak.
Purpose for second dose smallpox/mpox vaccination
Field: VaccPoxPurpose 2
Coding: PREEXP = Vaccinated for pre-exposure prophylaxis for current event
POSTEXP = Vaccinated for post-exposure prophylaxis for current event
O = Other
UNK = Unknown
Information on the strategy context for vaccination with second smallpox/mpox vaccination dose
related to current mpox event/outbreak.
Sexual behaviour of the case
Field: SexualBehaviour
Coding: HETERO = Heterosexual, sex with members of the opposite sex
MSM = Men who have sex with men WSW = Women who have sex with women
BISEXUAL = Bisexual
NA = No applicable O = Other
UNK = Unknown or undetermined
This variable captures sexual behaviour over the past 30 days..
SexWorker
Field: SexWorker
Coding: N = No
UNK = Unknown
Y = Yes Information if case is a sex worker (defined as exchanged sex for money or goods) in the past 3
months from diagnosis of mpox.
Specimen type
Field: SpecimenMPX
Coding: CRUST = lesion crust
CSF = Cerebrospinal fluid SWAB = lesion swab
OROPH = Oropharyngeal swab SER = Serum
SEM = Semen
URINE = Urine RECTAL = Rectal swab
GENITAL = Genital swab O = Other specimen (specify in SpecimenOther)
UNK = Unknown Type of specimen used for diagnosis. Note this is a repeatable field.
Specimen other specified
Field: SpecimenMPXOther
Page 21 of 24
Coding: TEXT
Specimen not captured in the coded values for Specimen variable as indicated by O response for
Specimen variable.
Transmission mode (mandatory)
Field: TransmissionMPX
Coding: ANIMAL = Animal to human transmission
HAI = Healthcare-associated LAB = Transmission in a laboratory due to occupational exposure
MTCT = Transmission from mother to child during pregnancy or at birth
O = Other transmission (specify in TransmissionMPXOther) FOMITE = Contact with contaminated material (e.g bedding, clothing, objects)
PTP = Person-to-person (excluding: mother-to-child during pregnancy or at birth, healthcare-associated or sexual transmission)
SEX = Sexual transmission
TRANSFU = Transfusion recipient UNK = Unknown
Most likely mode of transmission. Note this is a repeatable field.
Transmission mode other specified
Field: TransmissionMPXOther
Coding: TEXT
Transmission mode not captured in the coded values for TransmissionMPX variable as indicated by O
(Other) response for TransmissionMPX variable.
Travel
Field: Travel
Coding: N = No travel
UNK = Unknown
Y = Yes
Case travelled outside country of residence in the three weeks before onset of symptoms or date of
diagnosis.
Travel places
Field: TravelPlaces
Coding: NUTS_GAUL
UNK = Unknown
Regions (up to NUTS3 level) visited in the three weeks before onset of symptoms. Select the most detailed NUTS level possible. If the region visited is not in an EU/EEA country, then use GAUL
nomenclature. Note this is a repeatable field.
Vaccination status relative to current mpox event/outbreak
Field: VaccPoxCurrentStatus
Coding: VaccStatusMpx: NOTVACC = 0 dose unvaccinated
1DOSE = 1 dose 2DOSE = 2 doses
3DOSE = 3 doses
DOSEUNK = Vaccinated with unknown number of doses UNK = Unknown vaccination status
Information on whether the case was recently vaccinated against smallpox/mpox and number of vaccine doses received, in relation/response to the current mpox event/outbreak.
Page 22 of 24
Page 23 of 24
Annex 2 – Case definitions
Please refer to Surveillance, case investigation and contact tracing for Monkeypox: Interim guidance
for more details on the current WHO mpox case definition.
Note that suspected cases should not be reported in TESSy.
The previously used ECDC interim case definitions for mpox are available in the Monkeypox Reporting
Protocol versions 1.0 to 3.0.
Patients who fulfil the criteria for suspected or probable cases should be tested with a monkeypox virus
specific PCR assay or an orthopoxvirus specific PCR assay which is then confirmed through sequencing.
If negative, these records should be removed from TESSy.
WHO outbreak case definition for mpox
As of March 2024
Suspected case:
i) A person who is a contact of a probable or confirmed mpox case in the 21 days before the onset of signs or symptoms, and who presents with any of the following: acute onset of fever (>38.5°C),
headache, myalgia (muscle pain/body aches), back pain, profound weakness, or fatigue.
OR
ii) A person presenting with an unexplained acute skin rash, mucosal lesions or lymphadenopathy
(swollen lymph nodes). The skin rash may include single or multiple lesions in the ano-genital region or elsewhere on the body. Mucosal lesions may include single or multiple oral, conjunctival, urethral,
penile, vaginal, or ano-rectal lesions. Ano-rectal lesions can also manifest as ano-rectal inflammation
(proctitis), pain and/or bleeding.
AND
for which the following common causes of acute rash or skin lesions do not fully explain the clinical picture: varicella zoster, herpes zoster, measles, herpes simplex, bacterial skin infections,
disseminated gonococcus infection, primary or secondary syphilis, chancroid, lymphogranuloma venereum, granuloma inguinale, molluscum contagiosum, allergic reaction (e.g., to plants); and any
other locally relevant common causes of papular or vesicular rash.
Probable case:
A person presenting with an unexplained acute skin rash, mucosal lesions or lymphadenopathy (swollen
lymph nodes). The skin rash may include single or multiple lesions in the ano-genital region or elsewhere on the body. Mucosal lesions may include single or multiple oral, conjunctival, urethral,
penile, vaginal, or ano-rectal lesions. Ano-rectal lesions can also manifest as ano-rectal inflammation
(proctitis), pain and/or bleeding.
AND
One or more of the following:
• has an epidemiological linka to a probable or confirmed case of mpox in the 21 days before symptom onset
• has had multiple and/or casual sexual partners in the 21 days before symptom onset
• has a positive test result for orthopoxviral infection (e.g., OPXV-specific PCR without MPXV-
specific PCR or sequencing) b
Confirmed case:
A person with laboratory confirmed MPXV infection by detection of unique sequences of viral DNA by
real-time polymerase chain reaction (PCR)c and/or sequencing.
Discarded case:
A suspected or probable case for which laboratory testing of lesion fluid, skin specimens or crusts by PCR and/or sequencing is negative for MPXVc . Conversely, a retrospectively detected probable case for
Page 24 of 24
which lesion testing can no longer be adequately performed (i.e., after the crusts fall off) and no other
specimen is found PCR-positive, would remain classified as a probable case. A suspected or probable
case should not be discarded based on a negative result from an oropharyngeal, anal or rectal swab or
from a blood test alone.
a The person has been exposed to a probable or confirmed monkeypox case. A contact is defined as a person who has been exposed to a person with suspected (clinically compatible), probable or
confirmed mpox during the infectious period and who has one or more of the following exposures: • direct skin-to-skin,skin-to-mucosal or mouth-to-mucosal physical contact (such as touching, hugging,
kissing, intimate oral or other sexual contact) • contact with contaminated materials such as clothing
or bedding, including material dislodged from bedding or surfaces during handling of laundry or cleaning of contaminated rooms • prolonged face-to-face respiratory exposure in close proximity
(inhalation of respiratory droplets and possibly short-range aerosols) • respiratory (i.e., possible inhalation) or mucosal (e.g., eyes, nose, mouth) exposure to lesion material (e.g., scabs/crusts) from
a person with mpox • The above also apply for health workers potentially exposed in the absence of
proper use of appropriate personal protective equipment (PPE).
b PCR on a blood specimen may be unreliable and should also not be used alone as a first line
diagnostic test. If blood PCR is negative and was the only test done, this is not sufficient to discard a case that otherwise meets the definition of a suspected or probable case. This applies regardless of
whether the blood PCR was for OPXV or MPXV-specific.
c Confirmation of MPXV infection should consider clinical and epidemiological information. Positive
detection using an OPXV PCR assay followed by confirmation of MPXV via PCR and/or sequencing or
detection using MPXV PCR assay indicates confirmation of MPXV infection. Positive detection using OPXV PCR assay alone can be considered strongly indicative of MPXV in countries where other OPXVs
(such as buffalopox or other OPXV) have not been found. Currently, the WHO mpox case definition considers an OPXV-positive case as a probable case. Countries with no significant co-circulation of
OPXVs other than MPXV may adapt testing strategies according to available resources and, in
conjunction with the clinical and epidemiological information available, consider OPXV PCR positive cases as confirmed mpox. Vigilance for the remote possibility of a smallpox emergence or other
potentially pathogenic OPXV must always be maintained.