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US may extend monkeypox vaccine eligibility to men with HIV

US may extend monkeypox vaccine eligibility to men with HIV


New York – U.S. officials are considering expanding recommendations for people to be vaccinated against monkeypox, potentially to include many men with HIV and those recently diagnosed with other sexually transmitted infections .

Fueling the debate is a study released Thursday showing higher-than-expected rates of monkeypox infections in people with other sexually transmitted diseases.

Dr. John T. Brooks, chief medical officer for monkeypox outbreak response at the Centers for Disease Control and Prevention, said the report was “a call to action.”

Brooks told the Associated Press on Thursday that he expects the vaccine recommendations to expand, and that “the White House is working with the CDC on a plan for what that might look like.”

The CDC now recommends the vaccine for people who have been in close contact with someone who has monkeypox. People who know that their sexual partner has been diagnosed within the last two weeks. Gay or bisexual men who have had multiple sexual partners in the past two weeks in areas where the virus is known to be endemic.

Shot is also recommended health Care workers at high risk of exposure.

The majority of monkeypox cases are men who have had sex with men who report being in close contact with an infected person during sex. But a new CDC report suggests that HIV and other STD infections may be a bigger problem than previously appreciated.

The report looked at approximately 2,000 monkeypox cases in four states and four cities between mid-May and late July.

They found that 38% of people infected with monkeypox were diagnosed with HIV, much higher than the percentage of the male population who has sex with men.

The study also found that 41% of monkeypox patients had been diagnosed with an STD in the previous year. Also, about 10% of these patients had been diagnosed with 3 or more different STDs in the previous year.

There were racial differences. More than 60% of blacks with monkeypox were HIV-infected, compared with 41% of Hispanics, 28% of whites, and 22% of Asians.

Jason Farley, an infectious disease specialist at Johns Hopkins School of Nursing, said men of color who have sex with men should be at the forefront of monkeypox vaccination. Within ethnic groups, the next priority should be those with HIV or recently diagnosed with an STD, he said.

The study has some limitations, such as the data may not be nationally representative, the authors say.

Brooks said the findings could lead to vaccination It is recommended for people who have recently had an STD, who have been infected with HIV, who are taking pre-exposure prophylaxis (PrEP) medications to prevent HIV infection, and possibly prostitutes.

Discussions on expanding eligibility should take into account the supply of two-dose vaccines. And if monkeypox vaccine recommendations are significantly expanded, they could be subject to review by vaccine advisors outside the CDC, health officials said.

Also on Thursday, the CDC sent a letter to state and local health departments, saying federal funding for HIV and STD prevention could now be used against monkeypox. The number of cases in the United States appears to be declining, officials said.


Associated Health & Science Department is supported by Howard Hughes Medical Institute’s Department of Science Education. AP is solely responsible for all content.




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