The COVID-19 pandemic has had a significant impact on donor evaluation and organ procurement. As the virus entrenches itself, the risk of donor-derived infection must be balanced with the risk of morbidity and mortality while remaining on the transplant waitlist. Decisions to proceed with organ transplant locally must balance the existing capacity of the center, availability of testing for donors and candidates, and sufficient capacity to provide adequate occupational protection to recovery and transplant staff.

This document provides guidance for transplant practitioners on monkeypox (MPX) and organ transplants. We acknowledge that our current understanding of the disease is incomplete. This guidance will require revision as new evidence emerges.

Zika virus (ZIKV) is a RNA virus of the Flaviviridae family, genus Flavivirus, which includes other well-known arboviruses such as West Nile virus (WNV), dengue virus (DENV) and yellow fever virus (YFV), the latter two also transmitted by Aedes mosquitoes.