How should Monkeypox Waste be handled?

The management of wastes generated from patients infected with monkeypox is determined by which clade has been identified. West African clade is managed as routine RMW (UN 3291). Package in according with applicable regulations for RMW found in 49 CFR § 173.197. No DOT special permit is required unless using a packaging not currently authorized by the HMR. Congo basin clade is managed as Category A Infectious Substance (UN 2814). Packaging and transport of Category A monkeypox waste is determined by USDOT and may require a special permit (SP). If you determine epidemiologically or via clade identification that a patient has Congo Basin clade, please contact your Daniels representative for further guidance on Category A packaging and transport requirements.