Health
Riverside County receives post-exposure monkeypox vaccine
The Riverside County Public Health Service has vaccinated monkeypox with just over 1,000 post-exposure vaccines. This helps protect more than 500 people at the highest risk of infection.
Jynneos vaccine approved in 2019 Food and Drug Administration Two doses are required at 4-week intervals to prevent smallpox and monkeypox in people over the age of 18. The Centers for Disease Control and Prevention is also investigating measures to make the vaccine available to children.
The county expects more doses to come in to help fight the virus, which has spread to at least 65 countries in the current outbreak, but there is no estimate of when it will arrive.
“Post-exposure vaccines for people in close contact with confirmed cases who are in areas where monkeypox is endemic or who have been notified by another health jurisdiction that may have been exposed. We will continue to focus on this, “says Arballo. Tuesday email.
Monkeypox is a rare disease caused by the monkeypox virus. In the Democratic Republic of the Congo, the first human case was reported in 1970. CDC.. The virus is usually found in Central and West Africa and does not occur naturally in the United States, but recent national cases have been found for overseas travel or animals imported from areas where the disease is more common. I did.
Riverside County waiting for monkeypox vaccine, outline of distribution plan
Monkeypox:What Californians need to know about virus outbreaks
read more: Riverside County outlines monkeypox vaccine distribution plan
Monkeypox is closely associated with smallpox, a serious infection caused by the smallpox virus, but is not considered fatal. According to the CDC, monkeypox kills 11% of infected people.
Barbara Cole, Head of Disease Management, Riverside County, Earlier I gave an overview of the county’s vaccine distribution plan Those who have been confirmed to be exposed to monkeypox. They will have many options to choose from to receive their shots:
- If you want to vaccinate your healthcare provider, the Riverside County Public Health Department can vaccinate your healthcare provider within a day. If necessary, the department will provide information on vaccines and how they are administered.
- People are referred to the Riverside University Health System Community Health Center for vaccination.
- The “response team” goes out and administers the vaccine.
In addition to having the potential to prevent monkeypox, the vaccine may also alleviate the symptoms of exposed people.
CDC in Riverside County Confirmed a case of monkeypox From and added to Eastern County Residents Two possible cases were reported on Friday..
People are usually infected by skin lesions or close contact with infected animal or human (living or dead) body fluids (including droplets) and can also spread through sexual contact.
Symptoms can occur 5 to 21 days after exposure and include fever, headache, myalgia, swollen lymph nodes, rashes, and genital and perianal lesions. The illness usually lasts 2-4 weeks.
Anyone who appears to have been exposed to monkeypox should contact their health care provider.
California trends, vaccine allocation
At a webinar on Tuesday, California health officials discussed the state’s response to the latest monkeypox outbreaks and vaccine availability and distribution.
As of Tuesday, at least 186 confirmed or possible cases have been reported in California. California Public Health Service.. However, wastewater surveillance revealed multiple positive samples from the San Francisco site and intermittent detections at the Santa Clara County, Davis, and Sacramento sites.
“This really means that there are far more illnesses out there than we actually realize,” said state epidemiologist Dr. Erica Pan.
Risk factors for California cases include overseas travel (including prominent sexual contact), close / intimate contact with known monkeypox cases, and prominent skin-to-skin contact and / or multiple sexual contact. Includes attendance at large events or venues with partners. “The disease can affect anyone,” Pan said, although cases have occurred between men and trans-gender men.
Pan added that hospitalizations remain rare in the United States and around the world.
According to state epidemiologists, there is a national “insufficient supply” of vaccines, but California received about 19,500 Jynneos vaccines between May 27 and July 10 (56,000 nationwide). Vaccines available). The CDPH received 12,156 doses, but according to Pan, Los Angeles received and distributed its own quota and received 7,406 vials.
According to Pan, the state is allocating vaccines to the local health department based on a formula that weighs the number of reported cases of monkeypox against the number of cases of early syphilis in men.
On Monday, California ordered an additional 25,000 doses (14,774 from the State Department of Health and 9,812 from Los Angeles) out of the 240,000 vaccines available nationwide. In the third round of vaccine distribution scheduled for September, it should be possible to inoculate approximately 800,000 to 1 million doses nationwide. “We still don’t know what the California quota will be,” Pan said. The federal government is also expected to order an additional 3 million doses in winter and early 2023.
“This is difficult and we need to focus and prioritize how this vaccine is used,” Pan added.
The Jynneos vaccine is prioritized in the following groups:
- Post-exposure prophylaxis (PEP) for known close contact in monkeypox cases
- Extended post-exposure prophylaxis for participants at events / venues with known monkeypox exposure (PEP ++)
- Pre-exposure prophylaxis (PrEP) for individuals at occupational risk of monkeypox, laboratory workers performing monkeypox testing, clinicians treating monkeypox patients, and public health response personnel.
One of the treatments available for monkeypox is an antiviral drug called Tecovirimat or Tpoxx. Drugs approved by the FDA for smallpox but not for monkeypox are available as oral medications (3 tablets taken twice daily for 2 weeks) or infusions.
Dr. Peter Chin Hong, a professor of medicine at the University of California, San Diego, said the vast majority of people would not need treatment. People with “bad illness”, that is, hospitalized, or experiencing severe symptoms such as confluent rectal lesions (causing bleeding), oral ulcers (difficult to eat), or surrounding lesions Recommended for humans Eyes — or “bad hosts” —severy immune defenses, under 8 years of age, pregnant or bleeding, inflammatory bowel disease or severe / active skin disease.
Looking to the future, Chin-Hong looks at four possible scenarios of current monkeypox outbreaks.
- Self-limited outbreak: The virus disappears and becomes sporadic for travel-related cases. It remains endemic in West Africa and Central Africa.
- Affects the entire population: The most at risk are people under the age of 50 who are not immune to the smallpox vaccine (Distribution stopped in 1972).
- Endemic: The virus invades the reservoirs of US animals such as rodents and prairie dogs.
- Relapsed pandemic: It can spread from animals to humans and cause outbreaks.
“I hope it doesn’t get endemic and I’m crossing my fingers,” Chin Hong said.
USA Today contributed to this report.
Ema Sasic covers the entertainment and health of the Coachella Valley. Contact her at [email protected] or Twitter@ema_sasic.
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