Vaccines will help control the monkeypox (MPX) outbreak. The bad news is that we desperately need more doses. And we don’t know how much the vaccines help and in what manner they help (prevention, duration of disease, severity of disease). This information is absolutely essential so people know how well they are protected and what behaviors they should (or should not) change. This information will also have major implications for controlling the outbreak worldwide.
Will you write a follow up on monkeypox testing? Obviously, testing is a key component of controlling the spread. I know there are saliva tests you can order by mail and lesion tests that can be conducted at a clinic. I have also read many reports of people finding it difficult to get tested. I’d love a report from you.
With respect, Dr. Jetelina, I think you are asking the wrong question. As you well know as a world-class epidemiologist/ID person, vaccination is but one part of pandemic control. I have every confidence (sadly) that our country will mess up the rest of the public health strategy for control of a pandemic just as we did with COVID-19. Hope I am wrong...but
Thank you so much, especially for the heads up that protection from past smallpox vaccinations is obviously imperfect and warrants further investigation.
An infected human couple which shares their bed with their greyhound (so there was close contact of the dog with the weeping sores) appears to have infected their dog:
Alert readers will notice that 1988 was 34 years ago. If smallpox vaccinations stopped around 1972, then any effectiveness 16 years later in 1988 might be long gone by 2022. Since I got my first smallpox vax in 1960 and my first booster in 1965, I strongly suspect that any immunity I had is long gone. I never got the third dose, which would have been scheduled for 1975, since the medical community had discontinued them by then. Oh well.
Wondered if you could comment about college kids in NYC and other MPV hotspots — is this a mobile population with lots of close body contact that needs to be monitored and vaxxed ASAP?
Will you write a follow up on monkeypox testing? Obviously, testing is a key component of controlling the spread. I know there are saliva tests you can order by mail and lesion tests that can be conducted at a clinic. I have also read many reports of people finding it difficult to get tested. I’d love a report from you.
With respect, Dr. Jetelina, I think you are asking the wrong question. As you well know as a world-class epidemiologist/ID person, vaccination is but one part of pandemic control. I have every confidence (sadly) that our country will mess up the rest of the public health strategy for control of a pandemic just as we did with COVID-19. Hope I am wrong...but
we updated the Jynneos page last night with the new CDC/FDA disclosures = https://www.precisionvaccinations.com/vaccines/jynneos-smallpox-monkeypox-vaccine
Thank you so much, especially for the heads up that protection from past smallpox vaccinations is obviously imperfect and warrants further investigation.
An infected human couple which shares their bed with their greyhound (so there was close contact of the dog with the weeping sores) appears to have infected their dog:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01487-8/fulltext#%20
BN distanced itself from the FDA's reduced dose decision... liability protection?
Serious Concerns Raised Regarding Monkeypox Vaccine Reduced Dosage Delivery: https://www.precisionvaccinations.com/breaking-news/#/2022/08/12/serious-concerns-raised-regarding-monkeypox-vaccine-reduced-dosage-delivery
Alert readers will notice that 1988 was 34 years ago. If smallpox vaccinations stopped around 1972, then any effectiveness 16 years later in 1988 might be long gone by 2022. Since I got my first smallpox vax in 1960 and my first booster in 1965, I strongly suspect that any immunity I had is long gone. I never got the third dose, which would have been scheduled for 1975, since the medical community had discontinued them by then. Oh well.
Today's CDC's COCA call clarified that once MPXV symptoms appear, Jynneos vaccination is NOT advised.
In Oregon we have an upcoming press conference today from the Governor on our outbreak
https://katu.com/news/local/oregon-health-authority-declares-outbreak-of-monkeypox-holds-press-conference-thursday
Are the choices of vaccinations Jynneos, ACAM2000, and TPOXX?
Seems like a more than usual paucity of data , but not a blameworthy thing.
For many of us the non medical penumbra of the outbreak brings a sense of deja vu and foreboding.
Smiling here
Wondered if you could comment about college kids in NYC and other MPV hotspots — is this a mobile population with lots of close body contact that needs to be monitored and vaxxed ASAP?