The True Story: A Rash First Thought to Be Bacterial

On 2 September 2018, a Nigerian naval officer flew from Abuja to London and took a train to Cornwall the same day to attend a training course at a naval base. The next day he saw the base's doctor with fever, swollen lymph nodes and a rash, which was first thought to be a bacterial infection and treated with antibiotics. On 6 September the rash had spread, so he was isolated in his quarters on the base before Public Health England (PHE) confirmed mpox and he was moved to the Royal Free Hospital in London. The report states that, from the 2 cases that month, 243 contacts had to be traced, and 17 contacts on the base and in the nearby community were offered post-exposure vaccination.

The Key Lesson: Camps and Training Centres Are Where People Live Closely Together

This case shows that an mpox rash can be mistaken for another disease, and shared accommodation needs to be prepared. Places in Thailand that should pay attention include:

• Military camps and barracks with shared dormitories and bathrooms
• Police and security training centres
• Corporate and government training centres where trainees stay overnight
• International training camps with participants from many countries
• Camp infirmaries, the first place patients are seen

How Mpox Spreads

According to the World Health Organization, mpox spreads mainly through close contact with an infected person's skin or sores, and can also spread through contaminated objects such as clothing, bedding and towels. Mpox is an enveloped virus, which suitable disinfectants can inactivate.

Guidelines for Military Camps and Training Centres

1. Screen symptoms and travel history of trainees who have just arrived from abroad
2. Have camp doctors consider mpox when they see a rash with fever and swollen lymph nodes
3. Prepare isolation rooms for anyone with suspicious symptoms, immediately
4. Do not share towels, bedding or razors
5. Wipe touch points in dormitories, bathrooms and canteens every day
6. Fog accommodation on a schedule between training intakes, and immediately after a case
7. Coordinate with the 1422 hotline and public health agencies to trace contacts

How ULV Fogging Helps

The World Health Disinfection disinfection service uses ULV fogging machines that turn the disinfectant into a fine mist. It settles across the whole area, including corners, curtains, upholstery and surfaces that hand wiping cannot fully reach.

• Whole-area coverage without relying on wiping spot by spot
• Quick return to use, typically about 30 minutes after fogging
• The team wears full protective equipment, so owners and staff do not take the risk themselves
• Report and photos after the job to show customers, management or authorities
• Tax invoice with 3% withholding tax for companies and agencies
• More than 5 years of experience in hospitals, offices, hotels and public buildings

The Disinfectant We Use: Chemgene HLD4H

The team uses Chemgene HLD4H. According to WHD's product page, it meets the EN 14476 standard for virucidal activity, is used in NHS hospitals in England, and is endorsed by Mahidol University. We do not claim that Chemgene has been tested against mpox specifically. But mpox is an enveloped virus, which suitable disinfectants can inactivate when used at the manufacturer's stated concentration and contact time.

• No harsh bleach smell
• Works on many surfaces, from desks and counters to handles and equipment
• Can be bought for daily wiping of high-touch points

10 Reasons Military Camps and Training Centres Should Have a Disinfection Plan

1. Many people sleep and use bathrooms together
2. Training involves close contact
3. One patient can mean tracing many contacts
4. An outbreak affects unit readiness
5. It prevents other diseases that spread easily in camps
6. Fogging reaches whole dormitory buildings and classrooms
7. It will not damage equipment or bedding
8. Areas can be used again about 30 minutes after fogging
9. It provides reports for commanders
10. It comes with a tax invoice and 3% withholding for agencies

Before and After

Frequently Asked Questions

Q: Can an mpox rash be mistaken for something else? A: Yes. In the 2018 UK case, the rash was first thought to be bacterial, so see a doctor and give your travel history. Q: How often should training camps be fogged? A: On a schedule between intakes, and immediately when there is a patient or someone with suspicious symptoms. Q: Does Chemgene HLD4H kill mpox? A: It is not claimed to be tested against mpox specifically, but it meets EN 14476 for viruses, and mpox is an enveloped virus. Q: Can government agencies request a quotation? A: Yes. Call 065-556-6294 or LINE @whd268.

Related Links and Sources

• World Health Disinfection disinfection service
• Chemgene HLD4H disinfectant and price
• Mpox information from Thailand's Department of Disease Control, hotline 1422
• WHO mpox fact sheet

Prevent It with a Disinfection Service and Chemgene HLD4H

The true story from the UK shows that training camps where people live together must be ready to isolate patients and disinfect accommodation quickly. Prevent it with the World Health Disinfection disinfection service for military camps and training centres, and Chemgene HLD4H disinfectant for wiping touch points in dormitories every day.

Call 065-556-6294 | LINE: @whd268