• Persons with mpox who are unable to comply with covering their lesions or wearing a medical mask should be isolated at home.
• IPC measures to reduce environmental contamination in the home should be implemented

Implementation considerations For information on implementing IPC measures in a home/household setting refer to the good practice statement and its implementation considerations. For persons with mpox recovering at home without implementing isolation, the following measures, in addition to the IPC measures described in the good practice statement, should be followed:

• Persons with mpox recovering at home should wear a medical mask (if a medical mask is not available, a fabric mask may be worn [118]) and cover their lesions when near others.
• Covering lesions can be done with the use of bandaging and/or by wearing clothing that comfortably covers the lesions.
• Clinical follow-up should be conducted using methods other than in-person visits (e.g. telemedicine, telephone).
• Regular cleaning and disinfection of the environment the person with mpox occupies and frequently touched surfaces should be implemented.
• Individuals with mpox should limit traveling outside their home.
• If a person with mpox leaves their home they should wear a well-fitting medical mask and ensure all lesions are covered.
• If they leave their home they should ideally use private transportation and ensure proper ventilation in the vehicle, such as open windows if feasible.
• If a person with mpox leaves their home to seek medical attention, they should inform their health practitioner or the facility they will visit in advance of arrival (so the facility can implement transmission-based precautions).
• The person recovering at home should be able to manage their self-care or identify a designated caregiver, preferably someone who is in good health, has no underlying health conditions and has had previous smallpox or mpox vaccination or MPXV infection (for example, this may include preparing meals, going to the grocery store, getting medications, etc.).
• If there is a designated caregiver they should maintain a distance of at least 1 m from the person with mpox.
• When distance cannot be maintained, or when conducting activities such as assisting with laundry, cleaning the environment, the designated caregiver should wear a well-fitting medical mask and disposable gloves.*
• Caregivers should clean their hands with either soap and water or an alcoholbased hand sanitizer, before and after contact with the person with mpox or the environment and before putting on and after removing their gloves. In the event that a person with mpox cannot comply with wearing a mask and covering their lesions and therefore are required to isolate at home they should:
• Designate one person to facilitate their self-care: preferably someone who is in good health, has no underlying health conditions and has had previous smallpox or mpox vaccination or mpox virus infection. For example, this may include preparing meals, going to the grocery store, getting medications, etc.
• The person with mpox and the designated person that is facilitating self-care should be counselled regarding the risks of transmission.
• The person with mpox should stay in a dedicated, well-ventilated room (e.g. with windows that can be opened frequently) separate from others in the household. In addition, household members should avoid entering the room.
• If the designated person that is facilitating self-care needs to enter the isolation area, ideally with ensuite toilet and shower, and they should refrain from close contact with the person with mpox.
• When distance cannot be maintained, the designated caregiver should wear a well-fitting medical mask and disposable gloves.* They should clean their hands with either soap and water or an alcohol-based hand sanitizer, before and after contact with the person with mpox or surrounding environment and before putting on and after removing their gloves.
• The person with mpox should cover lesions (if tolerable) and wear a well-fitting medical mask when in proximity of others, and when moving outside of the designated isolation area (e.g. to use the toilet).
• If adequate isolation and IPC measures cannot be ensured at home, then isolation may need to be arranged, with informed consent from the person with mpox and agreement from the caregiver and members of the household, in a health care facility or other designated facility.