Monkeypox, an illness caused by the Monkeypox virus (MPXV) is spreading around the world. Typically restricted to sub-Saharan Africa, 99% of current cases are occurring in countries that normally do not report MPXV.
MPXV is in the poxvirus family, along with smallpox, cowpox, Vaccinia virus, & others. MPXV is transmitted through close & direct contact with infected animals (non-human mammals), person-to-person via skin contact (and close respiratory droplet), or through contaminated objects.
There are now over 31,000 cases of Monkeypox reported globally, with over 9,400 cases reported in the US. Historically, case demographics of MPXV are 60% men, 40% women. The current outbreak has 99% of cases outside of sub-Saharan African occurring amongst men, particularly men who have sex with men. This does not mean it is a sexually transmitted infection as it can spread by ANY direct contact with infected individuals, but that includes intimate contact.
Monkeypox has a long incubation period, ranging from 5 days to 17 days. Early symptoms are flu-like in nature – once symptoms appear, an individual is contagious. After early symptoms, the characteristic pox rash (blister-like lesions) will appear and progress in 4 phases. Illness typically lasts from 2-4 weeks. During the entire time a person has symptoms they are considered contagious.
There are 2 vaccines available: JYNNEOS & ACAM2000. JYNNEOS is now available for individuals in the US at high risk of MPXV, including those younger than 18. While typically administered subcutaneously, FDA authorized intradermal injection, expanding the current vaccine supply 5-fold. ACAM2000 contains a related virus: Vaccinia virus. It is administered using pin pricks via a bifurcated needle: if you’ve ever seen a smallpox vaccination, this is the same method. It is not available for individuals with immunocompromising conditions.
We can all take measures to prevent infection with MPXV: limit direct contact with potentially infected individuals, good hand hygiene, and practice safe sex. If you are high-risk, contact your local health department for vaccine information. Soon, supply should be expanded for more widespread vaccination.
https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0010141
https://onlinelibrary.wiley.com/doi/10.1002/jmv.27931
https://my.clevelandclinic.org/health/diseases/22371-monkeypox
https://www.cdc.gov/mmwr/volumes/67/wr/mm6710a5.htm#F1_down
https://www.medrxiv.org/content/10.1101/2022.06.13.22276353v1
https://www.science.org/content/article/why-the-monkeypox-outbreak-is-mostly-affecting-men-who-have-sex-with-men
https://www.reuters.com/business/healthcare-pharmaceuticals/african-monkeypox-cases-not-concentrated-among-gay-men-experts-say-2022-08-04/
https://www.aad.org/public/diseases/a-z/monkeypox-rash
https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html
https://www.cdc.gov/poxvirus/monkeypox/prevention/protect-yourself.html
https://www.cdc.gov/poxvirus/monkeypox/transmission.html
https://www.cnbc.com/2022/08/04/cdc-estimates-1point7-million-gay-and-bisexual-men-face-highest-risk-from-monkeypox-.html
https://www.who.int/news-room/questions-and-answers/item/monkeypox
https://www.cdc.gov/poxvirus/monkeypox/clinicians/smallpox-vaccine.html
https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html
https://www.fda.gov/vaccines-blood-biologics/vaccines/acam2000-smallpox-vaccine-questions-and-answers
https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/28/fact-sheet-biden-harris-administrations-monkeypox-outbreak-response/
https://www.fda.gov/media/75800/download
https://www.cdc.gov/poxvirus/monkeypox/interim-considerations/overview.html
https://aspr.hhs.gov/SNS/Pages/JYNNEOS-Distribution.aspx
https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html
https://www.cidrap.umn.edu/news-perspective/2022/08/non-endemic-countries-record-first-monkeypox-deaths
https://www.cdc.gov/mmwr/volumes/71/wr/mm7132e3.htm
https://www.nejm.org/doi/full/10.1056/NEJMoa2207323
https://www.fda.gov/vaccines-blood-biologics/vaccines/key-facts-about-monkeypox-vaccine
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