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"title": "3 Cases of More Severe Mpox Strain Found in California — Here's What to Know",
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"content": "\u003cp>Three new cases of clade I mpox — the more severe strain of the disease formerly known as “\u003ca href=\"https://www.kqed.org/monkeypox\">monkeypox\u003c/a>” responsible for outbreaks in Central and Eastern Africa \u003cspan style=\"font-weight: 400;\">— have been identified \u003c/span>in Southern California, according to the California Department of Public Health.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR25-015.aspx\">In a statement on Friday\u003c/a>, CDPH said they’d worked with local public health officials in Long Beach and Los Angeles County to identify these cases, which were not related to each other. “This is the first time clade I cases without a history of international travel have been reported in California or the United States,” CDPH said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>CDPH said that all three cases in Southern California “required hospitalization,” and the patients are now recovering.\u003c/p>\n\u003cp>The agency urged anyone who might be at heightened risk from mpox to seek out a \u003ca href=\"#find-mpox-vaccine-near-me\">free vaccine against the disease \u003c/a>as soon as possible, if they haven’t already been vaccinated, noting that ” for either clade, vaccination lowers the chances of getting mpox and having severe disease.”\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-can-get-mpox-clade-i-ii\">Who can get clade I and clade II mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox-monkeypox-symptoms\">What are the symptoms of clade I and clade II mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>State health officials also said they’re conducting contact tracing around the Southern California cases and will continue to work with local health departments on surveillance — “and with the CDC as they are available during \u003ca href=\"https://www.kqed.org/news/tag/government-shutdown\">the federal government shutdown\u003c/a>.”\u003c/p>\n\u003cp>On Monday, a spokesperson for CDPH said that the agency was continuing to work “with available staff at CDC” on their mpox response, but warned of “delays in coordination and communication” that “will put our communities at greater risk and reduce CDPH’s and local health jurisdictions’ ability to respond to a potentially larger outbreak.”\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the San Francisco Department of Public Health’s HIV/STI Prevention and Control Branch, confirmed that “thus far, we have had no clade I mpox cases reported in San Francisco, and we’re continuing to monitor the situation in Southern California closely.”\u003c/p>\n\u003cp>Keep reading for what you need to know about mpox amid news of these three new clade I mpox cases in the state.\u003c/p>\n\u003ch2>What is clade I mpox?\u003c/h2>\n\u003cp>As the name suggests, mpox is related to the smallpox virus but is generally less severe and far less contagious than smallpox, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/mpox.aspx\">according to CDPH\u003c/a>. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appears on many parts of the body.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">Clade I mpox has caused widespread disease and even death\u003c/a> in countries including the Democratic Republic of the Congo (DRC), which was the epicenter of the ongoing outbreak in 2024. It’s a different strain than clade II mpox, which is the kind \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">that caused an outbreak in the Bay Area in 2022\u003c/a>, and that’s been circulating at low levels since.\u003c/p>\n\u003ch2>\u003ca id=\"who-can-get-mpox-clade-i-ii\">\u003c/a>Who can get clade I — and clade II— mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, which spreads mainly through close physical contact, including sex.\u003c/p>\n\u003cp>But past clade II outbreaks in the U.S. have particularly affected gay and bisexual men, along with trans and nonbinary people who have sex with men.[aside postID=news_12052382 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1020x765.jpg']And these new clade I cases in Southern California being unrelated to each other — and in people who hadn’t traveled to affected regions — now indicates “that person-to-person community spread of clade I mpox is occurring in California, primarily impacting communities of gay and bisexual men, and other men who have sex with men, as well as their social networks,” CDPH said.\u003c/p>\n\u003cp>According to \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">the Centers for Disease Control and Prevention’s website\u003c/a>, which was last updated on Sept. 15, only six cases of clade I mpox have been reported in the U.S. — all in people who had recently traveled to countries affected by a clade I outbreak. \u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">The first U.S clade I case\u003c/a> was detected in San Mateo County in November 2024.\u003c/p>\n\u003cp>According to CDPH, the risk of clade I mpox to the general public remains low right now. “Casual contact, like one might have in an airplane, office, or store, is unlikely to spread mpox,” the agency said.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-monkeypox-symptoms\">\u003c/a>What should I know about the symptoms of mpox?\u003c/h2>\n\u003cp>\u003cstrong>Mpox spreads through physical contact\u003c/strong>\u003c/p>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex.\u003c/p>\n\u003cp>Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2024, UCSF infectious disease expert Dr. Peter Chin-Hong issued a reminder that infection still “requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga, or from going to Trader Joe’s.”\u003c/p>\n\u003cp>“It’s still very hard to get mpox, even from somebody with active lesions,” he said.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms don’t start straight away after exposure\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms.\u003c/p>\n\u003cp>This period can range from as short as three days and as long as 17 days (almost three weeks), according to the CDC.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms and affected areas can be varied\u003c/strong>\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as \u003ca href=\"https://www.kqed.org/news/12045979/nimbus-nb181-covid-variant-symptoms-razor-blade-throat-incubation-period-testing\">the Bay Area comes down from another COVID-19 wave\u003c/a>.[aside postID=news_12056934 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/gettyimages-2235563712.jpeg']The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003ch2>I’ve already got my mpox vaccine. Should I seek out a booster now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">There’s no current recommendation\u003c/a> for a booster dose of the mpox vaccine.\u003c/p>\n\u003ch2>Will the mpox vaccine protect me against both strains of mpox?\u003c/h2>\n\u003cp>Yes, confirmed Janssen: “The mpox vaccine protects against both clades: clade I and clade II.”\u003c/p>\n\u003ch2>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for a new mpox vaccine in the Bay Area?\u003c/h2>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will be built two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had, or anticipate having:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. SFDPH also recommends it for anyone who has sex “at a large event in a geographic area where mpox virus transmission is occurring, or has a sex partner with any of the stated risks,” Janssen said earlier in 2025.\u003c/p>\n\u003cp>\u003cstrong>Will the mpox vaccine stop me getting mpox entirely?\u003c/strong>\u003c/p>\n\u003cp>Like the COVID-19 vaccine, the mpox vaccine can’t prevent all infections.\u003c/p>\n\u003cp>Janssen told KQED earlier this year that while fewer than 1% of people who are fully vaccinated have been diagnosed with the disease, “no vaccine is 100% effective” — “and while mpox infection after vaccination is rare, it does occur.”\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even if someone who’s fully vaccinated with Jynneos \u003cem>does\u003c/em> get infected with mpox, she said, “those cases are typically mild.”\u003c/p>\n\u003cp>In other words, like the COVID-19 shot, the mpox vaccine makes it far more likely that any infection you get is far less severe than it would have been if you hadn’t been vaccinated.\u003c/p>\n\u003cp>And the difference between suffering from severe mpox versus a mild case can be considerable, as attested to by the \u003ca href=\"https://www.nytimes.com/2022/07/18/nyregion/new-york-monkeypox-vaccine.html\">“excruciating” symptoms reported during the early days of the 2022 U.S. outbreak\u003c/a>, when most patients hadn’t yet been offered the mpox vaccine. ”\u003c/p>\n\u003cp>\u003cstrong>Travel and mpox vaccination\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">The CDC has updated its vaccination recommendations\u003c/a> to extend to people traveling to countries with clade I \u003cem>and\u003c/em> clade II outbreaks.\u003c/p>\n\u003cp>As of Sept. 15, these countries with clade I outbreaks include Burundi, Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, Malawi, Mozambique, Republic of the Congo, Rwanda, South Sudan, Tanzania, Uganda and Zambia. Countries with new clade II outbreaks include Liberia and Sierra Leone.\u003c/p>\n\u003cp>The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022, the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Where can I find an mpox vaccine near me?\u003c/h2>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cp>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy:\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer \u003cem>ahead\u003c/em> of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics “while supplies last.”\u003c/a>\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With three new cases of a more severe mpox strain detected in Southern California, here's what to know about symptoms, where to find an mpox vaccine and the difference between the two strains.\r\n\r\n\r\n\r\n\r\n\r\n",
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"title": "3 Cases of More Severe Mpox Strain Found in California — Here's What to Know | KQED",
"description": "With three new cases of a more severe mpox strain detected in Southern California, here's what to know about symptoms, where to find an mpox vaccine and the difference between the two strains.\r\n\r\n\r\n\r\n\r\n\r\n",
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"headline": "3 Cases of More Severe Mpox Strain Found in California — Here's What to Know",
"datePublished": "2025-10-17T15:30:49-07:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three new cases of clade I mpox — the more severe strain of the disease formerly known as “\u003ca href=\"https://www.kqed.org/monkeypox\">monkeypox\u003c/a>” responsible for outbreaks in Central and Eastern Africa \u003cspan style=\"font-weight: 400;\">— have been identified \u003c/span>in Southern California, according to the California Department of Public Health.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR25-015.aspx\">In a statement on Friday\u003c/a>, CDPH said they’d worked with local public health officials in Long Beach and Los Angeles County to identify these cases, which were not related to each other. “This is the first time clade I cases without a history of international travel have been reported in California or the United States,” CDPH said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>CDPH said that all three cases in Southern California “required hospitalization,” and the patients are now recovering.\u003c/p>\n\u003cp>The agency urged anyone who might be at heightened risk from mpox to seek out a \u003ca href=\"#find-mpox-vaccine-near-me\">free vaccine against the disease \u003c/a>as soon as possible, if they haven’t already been vaccinated, noting that ” for either clade, vaccination lowers the chances of getting mpox and having severe disease.”\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-can-get-mpox-clade-i-ii\">Who can get clade I and clade II mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox-monkeypox-symptoms\">What are the symptoms of clade I and clade II mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>State health officials also said they’re conducting contact tracing around the Southern California cases and will continue to work with local health departments on surveillance — “and with the CDC as they are available during \u003ca href=\"https://www.kqed.org/news/tag/government-shutdown\">the federal government shutdown\u003c/a>.”\u003c/p>\n\u003cp>On Monday, a spokesperson for CDPH said that the agency was continuing to work “with available staff at CDC” on their mpox response, but warned of “delays in coordination and communication” that “will put our communities at greater risk and reduce CDPH’s and local health jurisdictions’ ability to respond to a potentially larger outbreak.”\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the San Francisco Department of Public Health’s HIV/STI Prevention and Control Branch, confirmed that “thus far, we have had no clade I mpox cases reported in San Francisco, and we’re continuing to monitor the situation in Southern California closely.”\u003c/p>\n\u003cp>Keep reading for what you need to know about mpox amid news of these three new clade I mpox cases in the state.\u003c/p>\n\u003ch2>What is clade I mpox?\u003c/h2>\n\u003cp>As the name suggests, mpox is related to the smallpox virus but is generally less severe and far less contagious than smallpox, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/mpox.aspx\">according to CDPH\u003c/a>. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appears on many parts of the body.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">Clade I mpox has caused widespread disease and even death\u003c/a> in countries including the Democratic Republic of the Congo (DRC), which was the epicenter of the ongoing outbreak in 2024. It’s a different strain than clade II mpox, which is the kind \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">that caused an outbreak in the Bay Area in 2022\u003c/a>, and that’s been circulating at low levels since.\u003c/p>\n\u003ch2>\u003ca id=\"who-can-get-mpox-clade-i-ii\">\u003c/a>Who can get clade I — and clade II— mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, which spreads mainly through close physical contact, including sex.\u003c/p>\n\u003cp>But past clade II outbreaks in the U.S. have particularly affected gay and bisexual men, along with trans and nonbinary people who have sex with men.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And these new clade I cases in Southern California being unrelated to each other — and in people who hadn’t traveled to affected regions — now indicates “that person-to-person community spread of clade I mpox is occurring in California, primarily impacting communities of gay and bisexual men, and other men who have sex with men, as well as their social networks,” CDPH said.\u003c/p>\n\u003cp>According to \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">the Centers for Disease Control and Prevention’s website\u003c/a>, which was last updated on Sept. 15, only six cases of clade I mpox have been reported in the U.S. — all in people who had recently traveled to countries affected by a clade I outbreak. \u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">The first U.S clade I case\u003c/a> was detected in San Mateo County in November 2024.\u003c/p>\n\u003cp>According to CDPH, the risk of clade I mpox to the general public remains low right now. “Casual contact, like one might have in an airplane, office, or store, is unlikely to spread mpox,” the agency said.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-monkeypox-symptoms\">\u003c/a>What should I know about the symptoms of mpox?\u003c/h2>\n\u003cp>\u003cstrong>Mpox spreads through physical contact\u003c/strong>\u003c/p>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex.\u003c/p>\n\u003cp>Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2024, UCSF infectious disease expert Dr. Peter Chin-Hong issued a reminder that infection still “requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga, or from going to Trader Joe’s.”\u003c/p>\n\u003cp>“It’s still very hard to get mpox, even from somebody with active lesions,” he said.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms don’t start straight away after exposure\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms.\u003c/p>\n\u003cp>This period can range from as short as three days and as long as 17 days (almost three weeks), according to the CDC.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms and affected areas can be varied\u003c/strong>\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as \u003ca href=\"https://www.kqed.org/news/12045979/nimbus-nb181-covid-variant-symptoms-razor-blade-throat-incubation-period-testing\">the Bay Area comes down from another COVID-19 wave\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003ch2>I’ve already got my mpox vaccine. Should I seek out a booster now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">There’s no current recommendation\u003c/a> for a booster dose of the mpox vaccine.\u003c/p>\n\u003ch2>Will the mpox vaccine protect me against both strains of mpox?\u003c/h2>\n\u003cp>Yes, confirmed Janssen: “The mpox vaccine protects against both clades: clade I and clade II.”\u003c/p>\n\u003ch2>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for a new mpox vaccine in the Bay Area?\u003c/h2>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will be built two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had, or anticipate having:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. SFDPH also recommends it for anyone who has sex “at a large event in a geographic area where mpox virus transmission is occurring, or has a sex partner with any of the stated risks,” Janssen said earlier in 2025.\u003c/p>\n\u003cp>\u003cstrong>Will the mpox vaccine stop me getting mpox entirely?\u003c/strong>\u003c/p>\n\u003cp>Like the COVID-19 vaccine, the mpox vaccine can’t prevent all infections.\u003c/p>\n\u003cp>Janssen told KQED earlier this year that while fewer than 1% of people who are fully vaccinated have been diagnosed with the disease, “no vaccine is 100% effective” — “and while mpox infection after vaccination is rare, it does occur.”\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even if someone who’s fully vaccinated with Jynneos \u003cem>does\u003c/em> get infected with mpox, she said, “those cases are typically mild.”\u003c/p>\n\u003cp>In other words, like the COVID-19 shot, the mpox vaccine makes it far more likely that any infection you get is far less severe than it would have been if you hadn’t been vaccinated.\u003c/p>\n\u003cp>And the difference between suffering from severe mpox versus a mild case can be considerable, as attested to by the \u003ca href=\"https://www.nytimes.com/2022/07/18/nyregion/new-york-monkeypox-vaccine.html\">“excruciating” symptoms reported during the early days of the 2022 U.S. outbreak\u003c/a>, when most patients hadn’t yet been offered the mpox vaccine. ”\u003c/p>\n\u003cp>\u003cstrong>Travel and mpox vaccination\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">The CDC has updated its vaccination recommendations\u003c/a> to extend to people traveling to countries with clade I \u003cem>and\u003c/em> clade II outbreaks.\u003c/p>\n\u003cp>As of Sept. 15, these countries with clade I outbreaks include Burundi, Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, Malawi, Mozambique, Republic of the Congo, Rwanda, South Sudan, Tanzania, Uganda and Zambia. Countries with new clade II outbreaks include Liberia and Sierra Leone.\u003c/p>\n\u003cp>The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022, the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Where can I find an mpox vaccine near me?\u003c/h2>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/monkeypox/hcp/vaccine-considerations/vaccination-overview.html\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cp>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy:\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer \u003cem>ahead\u003c/em> of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics “while supplies last.”\u003c/a>\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Mpox Cases Are Rising in San Francisco Again. From Symptoms to Vaccines, What to Know for Summer 2025",
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"headTitle": "Mpox Cases Are Rising in San Francisco Again. From Symptoms to Vaccines, What to Know for Summer 2025 | KQED",
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"content": "\u003cp>San Francisco health officials have confirmed that cases of \u003ca href=\"https://www.kqed.org/monkeypox\">mpox\u003c/a> are once again rising in the city.\u003c/p>\n\u003cp>Since late June, 14 San Francisco residents have been diagnosed with mpox, the disease formerly known as “monkeypox.” So far in 2025, the city’s average was around one case per month.\u003c/p>\n\u003cp>As the name suggests, mpox is related to the smallpox virus but is generally less severe and far less contagious than smallpox, according to \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/mpox.aspx\">the California Department of Public Health\u003c/a>. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>Anyone can get mpox, which spreads mainly through close physical contact, including sex, but past outbreaks have particularly affected gay and bisexual men, along with trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>The cases seen in San Francisco are all of the clade II strain of mpox, the same kind \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\"> that caused an outbreak in the Bay Area in 2022\u003c/a> and that’s been circulating at low levels since.\u003c/p>\n\u003cp>Here’s what we know about the current rise in Bay Area mpox cases, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk now from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"#mpox-monkeypox-symptoms\">What are the symptoms of mpox?\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What’s happening with the summer 2025 mpox cases in San Francisco?\u003c/h2>\n\u003cp>Since the 2022 outbreak of clade II mpox, the virus has been circulating at low levels in the Bay Area. From January to May, the average mpox case count in San Francisco has hovered around one per month, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>In late June, one mpox case was reported in San Francisco, rising to 10 in July. Three more cases have been confirmed so far in August.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://media.api.sf.gov/documents/Health-Update-Rise-in-Mpox-Cases-in-San-Francisco-SFDPH-FINAL-8.14.2025.pdf\">SFDPH issued a health update to local providers\u003c/a>, noting that these cases have “typically been mild, with no signs of severe infection or need for hospitalization” — but also that most 2025 cases in San Francisco had been in people who had received both doses of the mpox vaccine, Jynneos.\u003c/p>\n\u003cp>How does this increase compare to previous years? While current mpox cases in the city \u003cem>are\u003c/em> higher than they were at this time last year and in 2023, “this increase is not a cause for alarm, as it’s small,” said Dr. Julia Janssen, deputy director of SFDPH’s HIV/STI Prevention and Control Branch.\u003c/p>\n\u003cp>“We often see an increase in mpox cases in the summer and fall starting since 2022,” she said. And since 2022, SFDPH has conducted increased awareness campaigns around mpox and mpox vaccinations ahead of big annual gatherings such as San Francisco Pride in late June and Folsom Street Fair in September. The agency says this regular summer and fall increase in cases \u003ca href=\"https://media.api.sf.gov/documents/Health-Update-Rise-in-Mpox-Cases-in-San-Francisco-SFDPH-FINAL-8.14.2025.pdf\">“may be associated with larger events and summer and fall gatherings.”\u003c/a>\u003c/p>\n\u003ch2>If these 2025 mpox cases are in people who’ve been vaccinated, should I still even seek out a vaccine?\u003c/h2>\n\u003cp>Yes, says SFDPH.\u003c/p>\n\u003cp>Firstly, while fewer than 1% of people who are fully vaccinated have been diagnosed with the disease, “no vaccine is 100% effective,” said Janssen. “And while mpox infection after vaccination is rare, it does occur.” Like the COVID-19 vaccine, the mpox vaccine can’t prevent all infections.\u003c/p>\n\u003cp>But even if someone who’s fully vaccinated with Jynneos \u003cem>does\u003c/em> get infected with mpox, she said, “those cases are typically mild.”\u003c/p>\n\u003cp>In other words: Like the COVID-19 shot, the mpox vaccine makes it far more likely that any infection you get is far less severe than it would have been if you hadn’t been vaccinated.\u003c/p>\n\u003cp>“I think what’s most important here is that the vaccine reduces the risk of infection and offers really strong protection against severe illness, hospitalization and death,” she said.\u003c/p>\n\u003cp>And the difference between suffering from severe mpox versus a mild case can be considerable, as attested to by the \u003ca href=\"https://www.nytimes.com/2022/07/18/nyregion/new-york-monkeypox-vaccine.html\">“excruciating” symptoms reported during the early days of the 2022 U.S. outbreak\u003c/a>, when most patients hadn’t yet been offered the mpox vaccine. Janssen confirmed that during the Bay Area’s initial surge back then, before the widespread Jynneos vaccination campaign, “the illness severity was different from what we see now.”\u003c/p>\n\u003cp>Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>I’ve already got my mpox vaccine. Should I seek out a booster now?\u003c/h2>\n\u003cp>No, said SFDPH’s Janssen: “Booster doses are not recommended” for the mpox vaccine.\u003c/p>\n\u003ch2>Aren’t there several kinds of mpox?\u003c/h2>\n\u003cp>Yes, there are two types of mpox: clade I, which is more severe, and clade II.\u003c/p>\n\u003cp>The cases currently being seen in San Francisco are all clade II mpox, the less severe strain.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was also caused by clade II mpox. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>In August 2024, the World Health Organization declared a series of clade I mpox outbreaks in Congo and elsewhere in Africa \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">a global emergency,\u003c/a> with\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\"> thousands of cases of sickness and even death confirmed\u003c/a> among children and adults in many countries.\u003c/p>\n\u003cp>The clade I strain that spread in eastern and central Africa “primarily affects heterosexual people and children within households,” UCSF infectious disease expert Dr. Peter Chin-Hong told KQED in 2024. However, this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">Only five known clade I cases have been detected in the U.S.\u003c/a>, with \u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">the first case found in San Mateo County in 2024\u003c/a>. The most recent U.S. clade I mpox case was found in Massachusetts in June of this year.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">All of these cases were from people who traveled\u003c/a> to affected countries in Africa, according to the WHO, and no further clade I spread has been detected.\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpox-monkeypox-symptoms\">\u003c/a>What should I know about the symptoms of mpox?\u003c/h2>\n\u003cp>\u003cstrong>Mpox spreads through physical contact\u003c/strong>\u003c/p>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex.\u003c/p>\n\u003cp>Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>In 2024, UCSF’s Chin-Hong issued a reminder that infection still “requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga, or from going to Trader Joe’s.”\u003c/p>\n\u003cp>“It’s still very hard to get mpox, even from somebody with active lesions,” he said.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms don’t start straight away after exposure\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms.\u003c/p>\n\u003cp>This period can range be as short as three days and as long as 17 days (almost three weeks), according to the CDC.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms and affected areas can be varied\u003c/strong>\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as \u003ca href=\"https://www.kqed.org/news/12045979\">the Bay Area experiences another COVID-19 wave\u003c/a>.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>In 2024, the U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had, or anticipates having:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. SFDPH also recommends it for anyone who has sex “at a large event in a geographic area where mpox virus transmission is occurring, or has a sex partner with any of the stated risks,” said Janssen.\u003c/p>\n\u003cp>\u003cstrong>Travel and mpox vaccination\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">The CDC has updated its vaccination recommendations\u003c/a> to extend to people traveling to countries with clade I \u003cem>and\u003c/em> clade II outbreaks. As of Aug. 15 these countries with clade I outbreaks include Burundi, Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, Malawi, Mozambique, Republic of the Congo, Rwanda, South Sudan, Tanzania, Uganda, and Zambia. Countries with new clade II outbreaks include Liberia and Sierra Leone.\u003c/p>\n\u003cp>The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cp>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy:\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer \u003cem>ahead\u003c/em> of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "San Francisco health officials say that cases of mpox (formerly called monkeypox) are on the rise this summer. What to know about symptoms, where to find an mpox vaccine and the difference between the two strains of mpox.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco health officials have confirmed that cases of \u003ca href=\"https://www.kqed.org/monkeypox\">mpox\u003c/a> are once again rising in the city.\u003c/p>\n\u003cp>Since late June, 14 San Francisco residents have been diagnosed with mpox, the disease formerly known as “monkeypox.” So far in 2025, the city’s average was around one case per month.\u003c/p>\n\u003cp>As the name suggests, mpox is related to the smallpox virus but is generally less severe and far less contagious than smallpox, according to \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/mpox.aspx\">the California Department of Public Health\u003c/a>. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>Anyone can get mpox, which spreads mainly through close physical contact, including sex, but past outbreaks have particularly affected gay and bisexual men, along with trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>The cases seen in San Francisco are all of the clade II strain of mpox, the same kind \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\"> that caused an outbreak in the Bay Area in 2022\u003c/a> and that’s been circulating at low levels since.\u003c/p>\n\u003cp>Here’s what we know about the current rise in Bay Area mpox cases, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk now from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"#mpox-monkeypox-symptoms\">What are the symptoms of mpox?\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What’s happening with the summer 2025 mpox cases in San Francisco?\u003c/h2>\n\u003cp>Since the 2022 outbreak of clade II mpox, the virus has been circulating at low levels in the Bay Area. From January to May, the average mpox case count in San Francisco has hovered around one per month, according to the city’s Department of Public Health.\u003c/p>\n\u003cp>In late June, one mpox case was reported in San Francisco, rising to 10 in July. Three more cases have been confirmed so far in August.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://media.api.sf.gov/documents/Health-Update-Rise-in-Mpox-Cases-in-San-Francisco-SFDPH-FINAL-8.14.2025.pdf\">SFDPH issued a health update to local providers\u003c/a>, noting that these cases have “typically been mild, with no signs of severe infection or need for hospitalization” — but also that most 2025 cases in San Francisco had been in people who had received both doses of the mpox vaccine, Jynneos.\u003c/p>\n\u003cp>How does this increase compare to previous years? While current mpox cases in the city \u003cem>are\u003c/em> higher than they were at this time last year and in 2023, “this increase is not a cause for alarm, as it’s small,” said Dr. Julia Janssen, deputy director of SFDPH’s HIV/STI Prevention and Control Branch.\u003c/p>\n\u003cp>“We often see an increase in mpox cases in the summer and fall starting since 2022,” she said. And since 2022, SFDPH has conducted increased awareness campaigns around mpox and mpox vaccinations ahead of big annual gatherings such as San Francisco Pride in late June and Folsom Street Fair in September. The agency says this regular summer and fall increase in cases \u003ca href=\"https://media.api.sf.gov/documents/Health-Update-Rise-in-Mpox-Cases-in-San-Francisco-SFDPH-FINAL-8.14.2025.pdf\">“may be associated with larger events and summer and fall gatherings.”\u003c/a>\u003c/p>\n\u003ch2>If these 2025 mpox cases are in people who’ve been vaccinated, should I still even seek out a vaccine?\u003c/h2>\n\u003cp>Yes, says SFDPH.\u003c/p>\n\u003cp>Firstly, while fewer than 1% of people who are fully vaccinated have been diagnosed with the disease, “no vaccine is 100% effective,” said Janssen. “And while mpox infection after vaccination is rare, it does occur.” Like the COVID-19 vaccine, the mpox vaccine can’t prevent all infections.\u003c/p>\n\u003cp>But even if someone who’s fully vaccinated with Jynneos \u003cem>does\u003c/em> get infected with mpox, she said, “those cases are typically mild.”\u003c/p>\n\u003cp>In other words: Like the COVID-19 shot, the mpox vaccine makes it far more likely that any infection you get is far less severe than it would have been if you hadn’t been vaccinated.\u003c/p>\n\u003cp>“I think what’s most important here is that the vaccine reduces the risk of infection and offers really strong protection against severe illness, hospitalization and death,” she said.\u003c/p>\n\u003cp>And the difference between suffering from severe mpox versus a mild case can be considerable, as attested to by the \u003ca href=\"https://www.nytimes.com/2022/07/18/nyregion/new-york-monkeypox-vaccine.html\">“excruciating” symptoms reported during the early days of the 2022 U.S. outbreak\u003c/a>, when most patients hadn’t yet been offered the mpox vaccine. Janssen confirmed that during the Bay Area’s initial surge back then, before the widespread Jynneos vaccination campaign, “the illness severity was different from what we see now.”\u003c/p>\n\u003cp>Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>I’ve already got my mpox vaccine. Should I seek out a booster now?\u003c/h2>\n\u003cp>No, said SFDPH’s Janssen: “Booster doses are not recommended” for the mpox vaccine.\u003c/p>\n\u003ch2>Aren’t there several kinds of mpox?\u003c/h2>\n\u003cp>Yes, there are two types of mpox: clade I, which is more severe, and clade II.\u003c/p>\n\u003cp>The cases currently being seen in San Francisco are all clade II mpox, the less severe strain.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was also caused by clade II mpox. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>In August 2024, the World Health Organization declared a series of clade I mpox outbreaks in Congo and elsewhere in Africa \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">a global emergency,\u003c/a> with\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\"> thousands of cases of sickness and even death confirmed\u003c/a> among children and adults in many countries.\u003c/p>\n\u003cp>The clade I strain that spread in eastern and central Africa “primarily affects heterosexual people and children within households,” UCSF infectious disease expert Dr. Peter Chin-Hong told KQED in 2024. However, this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">Only five known clade I cases have been detected in the U.S.\u003c/a>, with \u003ca href=\"https://www.kqed.org/news/12014961/the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know\">the first case found in San Mateo County in 2024\u003c/a>. The most recent U.S. clade I mpox case was found in Massachusetts in June of this year.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">All of these cases were from people who traveled\u003c/a> to affected countries in Africa, according to the WHO, and no further clade I spread has been detected.\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpox-monkeypox-symptoms\">\u003c/a>What should I know about the symptoms of mpox?\u003c/h2>\n\u003cp>\u003cstrong>Mpox spreads through physical contact\u003c/strong>\u003c/p>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex.\u003c/p>\n\u003cp>Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>In 2024, UCSF’s Chin-Hong issued a reminder that infection still “requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga, or from going to Trader Joe’s.”\u003c/p>\n\u003cp>“It’s still very hard to get mpox, even from somebody with active lesions,” he said.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms don’t start straight away after exposure\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms.\u003c/p>\n\u003cp>This period can range be as short as three days and as long as 17 days (almost three weeks), according to the CDC.\u003c/p>\n\u003cp>\u003cstrong>Mpox symptoms and affected areas can be varied\u003c/strong>\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as \u003ca href=\"https://www.kqed.org/news/12045979\">the Bay Area experiences another COVID-19 wave\u003c/a>.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2024, the U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had, or anticipates having:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. SFDPH also recommends it for anyone who has sex “at a large event in a geographic area where mpox virus transmission is occurring, or has a sex partner with any of the stated risks,” said Janssen.\u003c/p>\n\u003cp>\u003cstrong>Travel and mpox vaccination\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">The CDC has updated its vaccination recommendations\u003c/a> to extend to people traveling to countries with clade I \u003cem>and\u003c/em> clade II outbreaks. As of Aug. 15 these countries with clade I outbreaks include Burundi, Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, Malawi, Mozambique, Republic of the Congo, Rwanda, South Sudan, Tanzania, Uganda, and Zambia. Countries with new clade II outbreaks include Liberia and Sierra Leone.\u003c/p>\n\u003cp>The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cp>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy:\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer \u003cem>ahead\u003c/em> of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Where to Get the Mpox Vaccine as Cases Rise in California",
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"content": "\u003cp>After a summer of very low case rates, public health officials are warning that \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">cases of mpox \u003c/a>— \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — are rising around California, including in the Bay Area.\u003c/p>\n\u003cp>The initial outbreak of the virus hit the United States in the summer and fall of 2022, particularly affecting gay and bisexual men as well as trans and nonbinary people who have sex with men. After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California — but now, the average number of cases reported every week around the state has more than doubled from the summer months.\u003c/p>\n\u003cp>Keep reading for what we know about the recent rise in mpox cases in the Bay Area and across the state, recommendations from local public health officials, and where you can find an mpox vaccine in the Bay Area.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxvaccinenearme\">Where can I find an mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxsymptoms\">How does mpox spread, and what are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>What are mpox cases like around the state and in the Bay Area right now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Bay Area health officials had originally been concerned about the potential for a resurgence of mpox\u003c/a>, a viral disease which spreads mainly from close physical contact, much earlier this year ahead of Pride festivities in June. Fears of a 2022-style outbreak did not materialize, and case counts stayed very low: From February to August 2023, the average weekly case number across California was approximately 1 to 7 cases, according to data from the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>But on Oct. 31, CDPH Director Dr. Tomás J. Aragón announced that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-031.aspx\">the agency was now “beginning to see an uptick in mpox cases across the state.”\u003c/a>\u003c/p>\n\u003cp>According to CDPH data, the number of mpox cases in California has “significantly increased,” up from this summer’s low to “approximately 17 cases per week in the most recent three-week period” (with available data being from Sept. 20 to Oct. 10).\u003c/p>\n\u003cp>CDPH also noted a rise in the number of California counties reporting mpox cases: 15 counties in that most recent three-week period, compared to 11 counties in the three weeks before that. Similar increases, said the agency, are also being seen nationwide in states “including \u003ca href=\"https://kingcounty.gov/en/legacy/depts/health/communicable-diseases/health-care-providers/advisories/2023/11-oct\">Washington\u003c/a>, \u003ca href=\"https://www.ncdhhs.gov/news/press-releases/2023/10/17/ncdhhs-encourages-mpox-vaccination-those-higher-risk-after-recent-cases-reported\">North Carolina\u003c/a> and \u003ca href=\"https://health.hawaii.gov/news/newsroom/doh-reports-two-additional-mpox-cases/\">Hawaii\u003c/a>.”\u003c/p>\n\u003cp>What about the Bay Area? In a statement, the San Francisco Department of Public Health (SFDPH) said that \u003ca href=\"https://sf.gov/data/mpox-case-counts\">mpox cases in the city have risen too\u003c/a>, from only 7 cases in August to 20 cases in September and at least 20 cases in October. SFDPH noted that “some Bay Area counties have seen increased incidence rates in the last several months,” too, as had other large cities around the United States, albeit at slightly different times compared to San Francisco’s rise. Los Angeles said SFDPH saw its mpox increase in June, and \u003ca href=\"https://www.chicagohan.org/alert-detail/-/alert-details/46678186\">mpox cases increased in Chicago in May\u003c/a>. The latter was \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">the outbreak that initially prompted Bay Area health officials to urge renewed vigilance against mpox\u003c/a> ahead of Pride.\u003c/p>\n\u003ch2>How much should I worry about this rise in mpox cases?\u003c/h2>\n\u003cp>“While the average number of weekly cases remains low compared with last year at this time, mpox continues to circulate in California, and recent data indicate that transmission levels are increasing,” CDPH said. SFDPH also stresses that their count of October cases is still being completed, and this number may rise further.\u003c/p>\n\u003cp>CDPH noted two important things about this latest rise in mpox case numbers. The first: This latest increase appears to be fueled more by “ongoing transmission within sexual networks” than by people traveling to or from specific areas.\u003c/p>\n\u003cp>“Importantly, most cases did not report travel or attending any specific event,” CDPH said.\u003c/p>\n\u003cp>SFDPH has been more open to the notion that travel and event attendance could have played at least some role in this latest mpox rise, noting that during this outbreak, transmission “is primarily related to intimate contact during oral or anal sex” and that “when people are connecting more frequently or with new sexual partners, there are more opportunities for mpox to spread.”\u003c/p>\n\u003cp>“Things like late summer travel, gatherings, and events may be associated with changes in sexual practices that can lead to increases in cases,” SFDPH said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Joe Hawkins, CEO and co-founder of the Oakland LGBTQ Community Center\"]‘People are still contracting mpox, and this will continue. Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.’[/pullquote]The second highlight from CDPH was the role of the two-dose mpox vaccine and what it does (and doesn’t) do.\u003c/p>\n\u003cp>CPDPH said that since early September, over 40% of people with a documented case of mpox had at least one dose of the vaccine. A lower proportion of people, 31%, had two doses. This, said CDPH, highlights that “while mpox vaccine is effective at reducing infections and disease severity, infections after vaccination are possible and testing is warranted among vaccinated persons.”\u003c/p>\n\u003cp>“With this, we are reminding and encouraging all Californians to be aware of the signs and symptoms of mpox and to take preventive measures, including vaccination, to protect against severe illness,” Aragón said.\u003c/p>\n\u003cp>SFDPH said that more than 50,000 doses of the mpox vaccine had been administered to date, but “more than 40% of those who received their first dose” are due for their second dose. If case rates are lower in people with two shots of the mpox vaccine than those with one shot, is there a reason people are not seeking out that second shot?\u003c/p>\n\u003cp>Joe Hawkins, CEO and co-founder of the\u003ca href=\"https://www.oaklandlgbtqcenter.org/clinic\"> Oakland LGBTQ Community Center, which offers mpox shots at its clinic\u003c/a>, said that the “huge number of people out there who received their first dose and who never came back for the second dose” might have something to do with this summer’s low case rates — which stayed low at least in part \u003cem>because\u003c/em> of vaccinations.\u003c/p>\n\u003cp>“I think that when people see that the news reports show that the cases have dropped dramatically, I just think … and this is obviously me just assuming, that people don’t feel that the risk is still out there,” Hawkins said.\u003c/p>\n\u003cp>“But people are still contracting mpox, and this will continue,” he stressed. “Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.”\u003c/p>\n\u003cp>\u003cstrong>How mpox cases are tracked around the country:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need to know about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, but SFDPH said that the 2022 mpox outbreak predominantly affected communities of gay and bisexual men and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>This 2022 outbreak was “unique compared to what had been known about mpox previously,” \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH, told KQED earlier this year.\u003c/a> That’s because the virus “really seemed to spread through sexual transmission and [was] associated with sexual activities,” she said. \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data [from 2022], almost 97% of cases in the U.S. were in people who are cis men,” Cohen said. “There were very, very few cases in cisgender women and also very few cases — about 0.08% — in children under the age of 16.”\u003c/p>\n\u003ch2>Should I get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine is a two-dose series, with roughly a month between doses, and public health officials are urging people to seek vaccination in light of this most recent rise in cases. So …\u003c/p>\n\u003cp>\u003cstrong>If you got both doses of the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2023. There’s no recommendation at this time to get an mpox booster, SFDPH’s Cohen said.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>didn’t\u003c/em> get the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, and get your second dose around 28 days later.\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine in 2022, or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Get your second dose as soon as possible, Cohen said. “Getting both doses of the vaccine is very critical for protection,” she said.\u003c/p>\n\u003cp>\u003cstrong>Reminder: The mpox vaccine is available for everyone.\u003c/strong>\u003c/p>\n\u003cp>In 2022, public health officials were initially only offering vaccines to people exposed to mpox or were categorized as being in a specific group more at risk from mpox. \u003cstrong>Those eligibility criteria are no longer in effect, and \u003ca href=\"https://sf.gov/information/mpox-vaccine\">anyone who wants an mpox vaccine can get one in San Francisco\u003c/a> and in many other areas of California.\u003c/strong>\u003c/p>\n\u003cp>“There is no shortage of mpox vaccine now,” the SFDPH website said, and there is “no need to prove eligibility for the vaccine.”\u003c/p>\n\u003cp>Remember, getting your mpox vaccine won’t 100% prevent you from getting mpox, as the CDPH data show. But being vaccinated could also help reduce your symptoms — which can be painful — if you do get infected, SFDPH’s Cohen said.\u003c/p>\n\u003cp>“That’s, of course, really a good outcome of the vaccine — because we did see some pretty severe cases of mpox last summer in unvaccinated individuals,” Cohen said. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\n\u003cfigure id=\"attachment_11966643\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11966643\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the mpox vaccine displayed by a medical professional at a vaccination site in July 2022. \u003ccite>(James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpoxvaccinenearme\">\u003c/a>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. As with the COVID vaccine, receiving an mpox vaccine won’t make you a public charge or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.\u003c/p>\n\u003cp>You can schedule an appointment for an mpox vaccine, or choose a walk-in clinic.\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH’s Stephanie Cohen confirmed that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>.\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"mpoxsymptoms\">\u003c/a>What you need to know about mpox\u003c/h2>\n\u003cp>\u003cstrong>How does mpox spread?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> said SFDPH, which notes that transmission during this latest 2023 rise in cases “\u003cspan class=\"normaltextrun\">is primarily related to intimate contact during oral or anal sex”. It can also spread through kissing and sharing bedding or clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>What are the symptoms of mpox?\u003c/strong>\u003c/p>\n\u003cp>The symptoms of mpox often start as flu-like symptoms, said SFPDH, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spot often start as “red, flat spots, and then become bumps,” said SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>[aside label='More Guides from KQED' tag='kqed-guides']“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/p>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a>, in the light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this story.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With cases of the disease formerly known as monkeypox increasing again, here's what to know about mpox symptoms and why you should get two doses of the vaccine.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After a summer of very low case rates, public health officials are warning that \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">cases of mpox \u003c/a>— \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — are rising around California, including in the Bay Area.\u003c/p>\n\u003cp>The initial outbreak of the virus hit the United States in the summer and fall of 2022, particularly affecting gay and bisexual men as well as trans and nonbinary people who have sex with men. After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California — but now, the average number of cases reported every week around the state has more than doubled from the summer months.\u003c/p>\n\u003cp>Keep reading for what we know about the recent rise in mpox cases in the Bay Area and across the state, recommendations from local public health officials, and where you can find an mpox vaccine in the Bay Area.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxvaccinenearme\">Where can I find an mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxsymptoms\">How does mpox spread, and what are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>What are mpox cases like around the state and in the Bay Area right now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Bay Area health officials had originally been concerned about the potential for a resurgence of mpox\u003c/a>, a viral disease which spreads mainly from close physical contact, much earlier this year ahead of Pride festivities in June. Fears of a 2022-style outbreak did not materialize, and case counts stayed very low: From February to August 2023, the average weekly case number across California was approximately 1 to 7 cases, according to data from the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>But on Oct. 31, CDPH Director Dr. Tomás J. Aragón announced that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-031.aspx\">the agency was now “beginning to see an uptick in mpox cases across the state.”\u003c/a>\u003c/p>\n\u003cp>According to CDPH data, the number of mpox cases in California has “significantly increased,” up from this summer’s low to “approximately 17 cases per week in the most recent three-week period” (with available data being from Sept. 20 to Oct. 10).\u003c/p>\n\u003cp>CDPH also noted a rise in the number of California counties reporting mpox cases: 15 counties in that most recent three-week period, compared to 11 counties in the three weeks before that. Similar increases, said the agency, are also being seen nationwide in states “including \u003ca href=\"https://kingcounty.gov/en/legacy/depts/health/communicable-diseases/health-care-providers/advisories/2023/11-oct\">Washington\u003c/a>, \u003ca href=\"https://www.ncdhhs.gov/news/press-releases/2023/10/17/ncdhhs-encourages-mpox-vaccination-those-higher-risk-after-recent-cases-reported\">North Carolina\u003c/a> and \u003ca href=\"https://health.hawaii.gov/news/newsroom/doh-reports-two-additional-mpox-cases/\">Hawaii\u003c/a>.”\u003c/p>\n\u003cp>What about the Bay Area? In a statement, the San Francisco Department of Public Health (SFDPH) said that \u003ca href=\"https://sf.gov/data/mpox-case-counts\">mpox cases in the city have risen too\u003c/a>, from only 7 cases in August to 20 cases in September and at least 20 cases in October. SFDPH noted that “some Bay Area counties have seen increased incidence rates in the last several months,” too, as had other large cities around the United States, albeit at slightly different times compared to San Francisco’s rise. Los Angeles said SFDPH saw its mpox increase in June, and \u003ca href=\"https://www.chicagohan.org/alert-detail/-/alert-details/46678186\">mpox cases increased in Chicago in May\u003c/a>. The latter was \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">the outbreak that initially prompted Bay Area health officials to urge renewed vigilance against mpox\u003c/a> ahead of Pride.\u003c/p>\n\u003ch2>How much should I worry about this rise in mpox cases?\u003c/h2>\n\u003cp>“While the average number of weekly cases remains low compared with last year at this time, mpox continues to circulate in California, and recent data indicate that transmission levels are increasing,” CDPH said. SFDPH also stresses that their count of October cases is still being completed, and this number may rise further.\u003c/p>\n\u003cp>CDPH noted two important things about this latest rise in mpox case numbers. The first: This latest increase appears to be fueled more by “ongoing transmission within sexual networks” than by people traveling to or from specific areas.\u003c/p>\n\u003cp>“Importantly, most cases did not report travel or attending any specific event,” CDPH said.\u003c/p>\n\u003cp>SFDPH has been more open to the notion that travel and event attendance could have played at least some role in this latest mpox rise, noting that during this outbreak, transmission “is primarily related to intimate contact during oral or anal sex” and that “when people are connecting more frequently or with new sexual partners, there are more opportunities for mpox to spread.”\u003c/p>\n\u003cp>“Things like late summer travel, gatherings, and events may be associated with changes in sexual practices that can lead to increases in cases,” SFDPH said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘People are still contracting mpox, and this will continue. Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The second highlight from CDPH was the role of the two-dose mpox vaccine and what it does (and doesn’t) do.\u003c/p>\n\u003cp>CPDPH said that since early September, over 40% of people with a documented case of mpox had at least one dose of the vaccine. A lower proportion of people, 31%, had two doses. This, said CDPH, highlights that “while mpox vaccine is effective at reducing infections and disease severity, infections after vaccination are possible and testing is warranted among vaccinated persons.”\u003c/p>\n\u003cp>“With this, we are reminding and encouraging all Californians to be aware of the signs and symptoms of mpox and to take preventive measures, including vaccination, to protect against severe illness,” Aragón said.\u003c/p>\n\u003cp>SFDPH said that more than 50,000 doses of the mpox vaccine had been administered to date, but “more than 40% of those who received their first dose” are due for their second dose. If case rates are lower in people with two shots of the mpox vaccine than those with one shot, is there a reason people are not seeking out that second shot?\u003c/p>\n\u003cp>Joe Hawkins, CEO and co-founder of the\u003ca href=\"https://www.oaklandlgbtqcenter.org/clinic\"> Oakland LGBTQ Community Center, which offers mpox shots at its clinic\u003c/a>, said that the “huge number of people out there who received their first dose and who never came back for the second dose” might have something to do with this summer’s low case rates — which stayed low at least in part \u003cem>because\u003c/em> of vaccinations.\u003c/p>\n\u003cp>“I think that when people see that the news reports show that the cases have dropped dramatically, I just think … and this is obviously me just assuming, that people don’t feel that the risk is still out there,” Hawkins said.\u003c/p>\n\u003cp>“But people are still contracting mpox, and this will continue,” he stressed. “Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.”\u003c/p>\n\u003cp>\u003cstrong>How mpox cases are tracked around the country:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need to know about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, but SFDPH said that the 2022 mpox outbreak predominantly affected communities of gay and bisexual men and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>This 2022 outbreak was “unique compared to what had been known about mpox previously,” \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH, told KQED earlier this year.\u003c/a> That’s because the virus “really seemed to spread through sexual transmission and [was] associated with sexual activities,” she said. \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data [from 2022], almost 97% of cases in the U.S. were in people who are cis men,” Cohen said. “There were very, very few cases in cisgender women and also very few cases — about 0.08% — in children under the age of 16.”\u003c/p>\n\u003ch2>Should I get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine is a two-dose series, with roughly a month between doses, and public health officials are urging people to seek vaccination in light of this most recent rise in cases. So …\u003c/p>\n\u003cp>\u003cstrong>If you got both doses of the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2023. There’s no recommendation at this time to get an mpox booster, SFDPH’s Cohen said.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>didn’t\u003c/em> get the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, and get your second dose around 28 days later.\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine in 2022, or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Get your second dose as soon as possible, Cohen said. “Getting both doses of the vaccine is very critical for protection,” she said.\u003c/p>\n\u003cp>\u003cstrong>Reminder: The mpox vaccine is available for everyone.\u003c/strong>\u003c/p>\n\u003cp>In 2022, public health officials were initially only offering vaccines to people exposed to mpox or were categorized as being in a specific group more at risk from mpox. \u003cstrong>Those eligibility criteria are no longer in effect, and \u003ca href=\"https://sf.gov/information/mpox-vaccine\">anyone who wants an mpox vaccine can get one in San Francisco\u003c/a> and in many other areas of California.\u003c/strong>\u003c/p>\n\u003cp>“There is no shortage of mpox vaccine now,” the SFDPH website said, and there is “no need to prove eligibility for the vaccine.”\u003c/p>\n\u003cp>Remember, getting your mpox vaccine won’t 100% prevent you from getting mpox, as the CDPH data show. But being vaccinated could also help reduce your symptoms — which can be painful — if you do get infected, SFDPH’s Cohen said.\u003c/p>\n\u003cp>“That’s, of course, really a good outcome of the vaccine — because we did see some pretty severe cases of mpox last summer in unvaccinated individuals,” Cohen said. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\n\u003cfigure id=\"attachment_11966643\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11966643\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the mpox vaccine displayed by a medical professional at a vaccination site in July 2022. \u003ccite>(James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpoxvaccinenearme\">\u003c/a>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. As with the COVID vaccine, receiving an mpox vaccine won’t make you a public charge or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.\u003c/p>\n\u003cp>You can schedule an appointment for an mpox vaccine, or choose a walk-in clinic.\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH’s Stephanie Cohen confirmed that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>.\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"mpoxsymptoms\">\u003c/a>What you need to know about mpox\u003c/h2>\n\u003cp>\u003cstrong>How does mpox spread?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> said SFDPH, which notes that transmission during this latest 2023 rise in cases “\u003cspan class=\"normaltextrun\">is primarily related to intimate contact during oral or anal sex”. It can also spread through kissing and sharing bedding or clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>What are the symptoms of mpox?\u003c/strong>\u003c/p>\n\u003cp>The symptoms of mpox often start as flu-like symptoms, said SFPDH, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spot often start as “red, flat spots, and then become bumps,” said SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/p>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a>, in the light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this story.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca href=\"https://twitter.com/justoescribe\">Kervy Robles\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ya existe una vacuna contra la viruela del mono (\"monkeypox\" o \"MPX\" en inglés), ¿pero quién se puede vacunar ahora en California?",
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"title": "¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Men who have sex with men are still, overwhelmingly, the people most affected by monkeypox, according to \u003ca href=\"https://www.who.int/publications/m/item/multi-country-outbreak-of-monkeypox--external-situation-report--3---10-august-2022\">the World Health Organization\u003c/a>. And that's caused some hurdles when it comes to public health messaging about how people can protect themselves. Everything from what we call the virus to offering advice on preventing transmission runs the risk of further stigmatizing gay and bisexual men.[aside postID=news_11919070 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg']\u003c/p>\n\u003cp>But experts said that in spite of that risk, it's important to keep sex at the front and center of the monkeypox conversation.\u003c/p>\n\u003cp>\"You have to be specific about who's actually at risk, and what are the transmission routes,\" said epidemiologist Chris Beyrer, incoming director of Duke Global Health Institute.\u003c/p>\n\u003cp>While it is possible to get monkeypox through ways besides sex, such as touching fabrics that have been used by someone with monkeypox, those instances remain extremely rare. So far in the current outbreak, sexual contact between men remains the primary mode of transmission\u003cstrong>, \u003c/strong>which is important to keep in mind, especially \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/16/1117658734/the-who-wants-to-help-low-income-nations-combat-the-monkeypox-outbreak\">during a shortage of vaccines\u003c/a>. \"In a period of vaccine scarcity, you have to try and use vaccines, to interrupt chains of transmissions,\" said Beyrer. \"It's important to try and contain the outbreak by getting higher rates of population immunity in the networks where this is spreading.\"\u003c/p>\n\u003cp>One of the biggest public health challenges has been limiting risky behavior involving sex, said Beyrer. That is, advising queer and gay people to reduce the number of sexual partners and avoid close contact with strangers.\u003c/p>\n\u003cp>Messaging which harkens back to the messaging of the early HIV/AIDS.\u003c/p>\n\u003cp>\"And people found it to have some kind of elements of homophobia, and anti-sex when sexuality is a very big part of identity,\" said Beyrer.\u003c/p>\n\u003ch3>How To Have Sex In An Epidemic\u003c/h3>\n\u003cp>Jennifer Brier is a historian of HIV/AIDS at the University of Illinois Chicago. As the debates over how to talk about monkeypox went around – such as does monkeypox count as an STI? How should we think about bad-faith actors calling it a \"gay disease\" – she pointed back at one of the formative texts of public health, titled \u003ca href=\"https://richardberkowitz.com/category/4-how-to-have-sex-in-an-epidemic/\">\u003cem>How to Have Sex in an Epidemic\u003c/em>\u003c/a>. Written by two men Michael Callen and Richard Berkowitz, in response to a dearth of information coming from the government.\u003c/p>\n\u003cp>While the booklet contained direct and detailed information about the dangers of sex during the HIV/AIDS crisis, it first started as a screed titled \"We Know Who We Are: Two Gay Men Declare War on Promiscuity.\"\u003c/p>\n\u003cp>\"And people went banana pants at that article,\" said Brier. \"Like, 'you're attacking gay liberation, that's who we are.' And I understand that at some level. But they were also trying to figure out a model of harm reduction before it existed.\"\u003c/p>\n\u003cp>It's a playbook people are still learning lessons from today. Nick Diamond is a co-investigator with \u003ca href=\"https://www.mpxresponse.org/\">RESPND-MI\u003c/a>, a community-driven effort to anonymously collect data on sexual networks among queer and trans people in New York City. And in July, in response to a dearth of information about monkeypox from local, state and federal officials, Diamond co-wrote a document titled \"\u003ca href=\"https://docs.google.com/document/d/18-ImoLo5iRTuV6MmQyYt5XUHQEitBm8tPhM3J7gBt9A/edit\">Six Ways We Can Have Safer Sex in the Time of Monkeypox.\u003c/a>\"\u003c/p>\n\u003cp>\"I'll be the first to say that we have been leaning on activists from the AIDS response to develop these actions around our response to monkeypox,\" said Diamond.\u003c/p>\n\u003cp>But he adds that it's an imperfect line to draw. HIV/AIDS was a much deadlier disease and broke out during a politically different time. That said, Diamond says people still have a hard time talking about queer and trans sex.\u003c/p>\n\u003cp>\"We have to talk about sex when we're talking about monkeypox. I think that these are uncomfortable conversations but it is one of the determinants of our health and rights,\" said Diamond.\u003c/p>\n\u003cp>And it's important to talk about the totality of human sexuality when doing so. While men who have sex with men are currently at the center of the monkeypox outbreak, HIV/AIDS historian Jennifer Brier says that specific turn of phrase can be limiting. Men who have sex with men don't only have sex with men, and vice-versa.\u003c/p>\n\u003cp>\"Our sexual desires and our sexual practices are way more complicated than any phrase can give us,\" she said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">npr.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Talking+about+monkeypox%3F+Then+you+should+be+talking+about+sex&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>[ad fullwidth]\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But experts said that in spite of that risk, it's important to keep sex at the front and center of the monkeypox conversation.\u003c/p>\n\u003cp>\"You have to be specific about who's actually at risk, and what are the transmission routes,\" said epidemiologist Chris Beyrer, incoming director of Duke Global Health Institute.\u003c/p>\n\u003cp>While it is possible to get monkeypox through ways besides sex, such as touching fabrics that have been used by someone with monkeypox, those instances remain extremely rare. So far in the current outbreak, sexual contact between men remains the primary mode of transmission\u003cstrong>, \u003c/strong>which is important to keep in mind, especially \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/16/1117658734/the-who-wants-to-help-low-income-nations-combat-the-monkeypox-outbreak\">during a shortage of vaccines\u003c/a>. \"In a period of vaccine scarcity, you have to try and use vaccines, to interrupt chains of transmissions,\" said Beyrer. \"It's important to try and contain the outbreak by getting higher rates of population immunity in the networks where this is spreading.\"\u003c/p>\n\u003cp>One of the biggest public health challenges has been limiting risky behavior involving sex, said Beyrer. That is, advising queer and gay people to reduce the number of sexual partners and avoid close contact with strangers.\u003c/p>\n\u003cp>Messaging which harkens back to the messaging of the early HIV/AIDS.\u003c/p>\n\u003cp>\"And people found it to have some kind of elements of homophobia, and anti-sex when sexuality is a very big part of identity,\" said Beyrer.\u003c/p>\n\u003ch3>How To Have Sex In An Epidemic\u003c/h3>\n\u003cp>Jennifer Brier is a historian of HIV/AIDS at the University of Illinois Chicago. As the debates over how to talk about monkeypox went around – such as does monkeypox count as an STI? How should we think about bad-faith actors calling it a \"gay disease\" – she pointed back at one of the formative texts of public health, titled \u003ca href=\"https://richardberkowitz.com/category/4-how-to-have-sex-in-an-epidemic/\">\u003cem>How to Have Sex in an Epidemic\u003c/em>\u003c/a>. Written by two men Michael Callen and Richard Berkowitz, in response to a dearth of information coming from the government.\u003c/p>\n\u003cp>While the booklet contained direct and detailed information about the dangers of sex during the HIV/AIDS crisis, it first started as a screed titled \"We Know Who We Are: Two Gay Men Declare War on Promiscuity.\"\u003c/p>\n\u003cp>\"And people went banana pants at that article,\" said Brier. \"Like, 'you're attacking gay liberation, that's who we are.' And I understand that at some level. But they were also trying to figure out a model of harm reduction before it existed.\"\u003c/p>\n\u003cp>It's a playbook people are still learning lessons from today. Nick Diamond is a co-investigator with \u003ca href=\"https://www.mpxresponse.org/\">RESPND-MI\u003c/a>, a community-driven effort to anonymously collect data on sexual networks among queer and trans people in New York City. And in July, in response to a dearth of information about monkeypox from local, state and federal officials, Diamond co-wrote a document titled \"\u003ca href=\"https://docs.google.com/document/d/18-ImoLo5iRTuV6MmQyYt5XUHQEitBm8tPhM3J7gBt9A/edit\">Six Ways We Can Have Safer Sex in the Time of Monkeypox.\u003c/a>\"\u003c/p>\n\u003cp>\"I'll be the first to say that we have been leaning on activists from the AIDS response to develop these actions around our response to monkeypox,\" said Diamond.\u003c/p>\n\u003cp>But he adds that it's an imperfect line to draw. HIV/AIDS was a much deadlier disease and broke out during a politically different time. That said, Diamond says people still have a hard time talking about queer and trans sex.\u003c/p>\n\u003cp>\"We have to talk about sex when we're talking about monkeypox. I think that these are uncomfortable conversations but it is one of the determinants of our health and rights,\" said Diamond.\u003c/p>\n\u003cp>And it's important to talk about the totality of human sexuality when doing so. While men who have sex with men are currently at the center of the monkeypox outbreak, HIV/AIDS historian Jennifer Brier says that specific turn of phrase can be limiting. Men who have sex with men don't only have sex with men, and vice-versa.\u003c/p>\n\u003cp>\"Our sexual desires and our sexual practices are way more complicated than any phrase can give us,\" she said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">npr.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Talking+about+monkeypox%3F+Then+you+should+be+talking+about+sex&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/p>\u003c/div>",
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"content": "\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.[aside postID='news_11920455,news_11919070,news_11920913' label='More monkeypox resources']So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right']A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.[/pullquote]\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UCSF\"]‘It’s very, very low risk to get monkeypox in a swimming pool.’[/pullquote]\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Can monkeypox spread on surfaces? Does monkeypox spread through the air? KQED spoke to the experts to learn how monkeypox transmits and what you can do to protect yourself and your family.",
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"title": "Monkeypox Spreads on Surfaces Only in Certain Cases — Here's What to Know | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "‘It’s very, very low risk to get monkeypox in a swimming pool.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "californias-monkeypox-response-is-still-bumpy-despite-covid-lessons-so-what-happened",
"title": "California's Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened?",
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"headTitle": "California’s Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened? | KQED",
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"content": "\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. [pullquote size='medium' align='left' citation=\"Sen. Scott Wiener (D-San Francisco)\"]‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’[/pullquote]\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. [aside postID=\"news_11921709\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg']\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. [pullquote size='medium' align='left' citation=\"Karen Elliott, public health director with Tulare County\"]‘I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.’[/pullquote]\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.[aside label=\"Related Coverage\" tag=\"monkeypox\"] “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” [pullquote size='medium' align='left' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco\"]‘We don’t have enough money for robust contact tracing given the number of case. That leaves people to do their own contact tracing. They need to get tested.’[/pullquote] Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.[pullquote size='medium' align='right' citation=\"Kat DeBurgh, executive director of the Health Officers Association of California\"]‘I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have.’[/pullquote]\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“This is a self-limiting, non-fatal disease,” Solano County Public Health Director Dr. Bela Matyas said. “Here we are redeploying from COVID to monkeypox. COVID kills. Monkeypox doesn’t. And I think it’s fair to ask where the logic is in that kind of decision-making.”\u003c/p>\n\n",
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"excerpt": "Monkeypox tests and vaccines are in short supply as public health officials grapple with red tape and short supplies. Yet some of the processes put in place in response to COVID-19 have helped.",
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"title": "California's Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened? | KQED",
"description": "Monkeypox tests and vaccines are in short supply as public health officials grapple with red tape and short supplies. Yet some of the processes put in place in response to COVID-19 have helped.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. \u003c/p>\u003c/div>",
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"content": "‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as \"MPX\" (pronounced \"em-pox\") with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use \"MPX\" for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">MPX cases are rising quickly throughout the country. Both the state of California and San Francisco have declared \u003c/span>\u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">\u003cspan style=\"font-weight: 400;\">a state of emergency\u003c/span>\u003c/a> around the virus\u003cspan style=\"font-weight: 400;\">, and state and local health officials are working with the federal government to\u003c/span>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cspan style=\"font-weight: 400;\"> make more MPX vaccines available\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Anybody can get MPX, but at the moment \u003c/span>\u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">\u003cspan style=\"font-weight: 400;\">it’s particularly affecting communities of gay and bisexual men, and men and trans people who have sex with men\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">. \u003c/span>\u003c/p>\n\u003cp>So tell us: do you have a question about MPX and can't find an answer in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide to where to find a MPX vaccine near you\u003c/a>, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our explainer on MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>\u003cstrong>You can use the box below to submit your question\u003c/strong>, whether it's about treatment and recovery or something else you're wondering. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>Please know that we can't reach back out directly to everyone who asks a question, and we can't give out individual medical advice. If you're concerned about MPX or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don't have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">We’re also always open to feedback about how we can make our coverage better, so feel free to use this box to send a message about that as well.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as \"MPX\" (pronounced \"em-pox\") with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use \"MPX\" for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">MPX cases are rising quickly throughout the country. Both the state of California and San Francisco have declared \u003c/span>\u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">\u003cspan style=\"font-weight: 400;\">a state of emergency\u003c/span>\u003c/a> around the virus\u003cspan style=\"font-weight: 400;\">, and state and local health officials are working with the federal government to\u003c/span>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cspan style=\"font-weight: 400;\"> make more MPX vaccines available\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Anybody can get MPX, but at the moment \u003c/span>\u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">\u003cspan style=\"font-weight: 400;\">it’s particularly affecting communities of gay and bisexual men, and men and trans people who have sex with men\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">. \u003c/span>\u003c/p>\n\u003cp>So tell us: do you have a question about MPX and can't find an answer in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide to where to find a MPX vaccine near you\u003c/a>, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our explainer on MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>\u003cstrong>You can use the box below to submit your question\u003c/strong>, whether it's about treatment and recovery or something else you're wondering. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Hundreds of people have lined up for multiple blocks every day this week to receive the monkeypox vaccine at a walk-in clinic at the Zuckerberg San Francisco General Hospital and Trauma Center, the city’s main public hospital.\u003c/p>\n\u003cp>With California and the city of San Francisco declaring a public health emergency over the growing number of monkeypox cases, officials say more vaccine doses should be arriving soon. But demand is high and supply remains low.\u003c/p>\n\u003cp>Officials said the city received about 4,000 doses at the end of last week. The ZSFG was \u003ca href=\"https://ww2.kqed.org/news/lp-post-preview?preview_id=11921478&_thumbnail_id=&pformat=&post_id=11921165\">able to administer 650 doses Tuesday, according to the San Francisco Public Health Department\u003c/a>. More people lined up Wednesday, some getting there as early as 6:30 a.m., \u003ca href=\"https://twitter.com/SF_DPH/status/1554850228209037312?s=20&t=caDOn29lc8jaeWZW_RbZfg\">and all available doses there were assigned by about 9 a.m.\u003c/a> Officials said another allotment of more than 10,000 vaccines is expected, but it’s unclear when those will arrive.\u003c/p>\n\u003cp>https://twitter.com/SF_DPH/status/1554544183192326144?s=20&t=9_7vYeGdy53o7Lj5uSyiEw\u003c/p>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\n\u003cp>https://twitter.com/LomeliCabrera/status/1554834168076349443\u003c/p>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.[aside postID=\"news_11919070\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg']Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "SOLD OUT: Rethinking Housing in America",
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