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"content": "\n\u003cp>Ahead of San Francisco’s \u003ca href=\"https://www.kqed.org/arts/tag/fall-guide-2026\">jam-packed\u003c/a> fall slate of gatherings and concerts — including Folsom Street and Portola Music Festival — city health officials are reminding at-risk residents to get fully vaccinated against \u003ca href=\"https://www.kqed.org/news/tag/mpox\">mpox\u003c/a>. \u003c/p>\n\n\n\n\u003cp>The San Francisco Department of Public Health confirmed on Tuesday that over 70 cases of mpox — formerly known as monkeypox — have been reported in San Francisco this year. \u003c/p>\n\n\n\n\u003cp>Eight of these infections involve clade I mpox: a strain that in other parts of the world has caused more severe symptoms than the clade II strain associated with the \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\">2022 outbreak\u003c/a> in the Bay Area.\u003c/p>\n\n\n\n\u003cp>According to SFDPH, mpox cases usually increase in summer and fall — especially when the city is hosting events that draw people from all over the world. “People come together, they’re meeting,” said Dr. Julia Janssen, deputy director of the STI and HIV branch at SFDPH. “That’s why we emphasize and recommend the Jynneos vaccine during this time.”\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg\" alt=\"\" class=\"wp-image-12054358\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" />\u003cfigcaption class=\"wp-element-caption\">Thousands of people dance as Disclosure performs at Portola Music Festival in San Francisco on Sept. 29, 2024. (Estefany Gonzalez for KQED)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cp>Ahead of San Francisco Pride celebrations back in June, health officials recommended the mpox vaccine — which has the brand name Jynneos — to the same at-risk populations that have been most affected by previous mpox outbreaks. These included gay and bisexual men, along with transgender people who have sex with men.\u003c/p>\n\n\n\n\u003cp>But the fact that the clade I strain is also starting to \u003ca href=\"https://www.who.int/emergencies/disease-outbreak-news/item/2025-DON587\">spread\u003c/a> among local populations in popular tourist destinations — including Italy, Spain and Portugal — has prompted San Francisco health officials to now recommend that \u003cem>more \u003c/em>people beyond those primary at-risk groups get vaccinated if they’re planning to travel to these areas.\u003c/p>\n\n\n\n\u003cp>“We have started to see local transmission in Western Europe,” Janssen said. “We recommend that anyone traveling outside of the United States — particularly to a country where clade I mpox is spreading between people — and [who] anticipates having sex during travel: Get the Jynneos vaccine.”\u003c/p>\n\n\n\n\u003cp>The recommendation is also extended to Bay Area folks who have sex here with anyone who has just traveled to those areas.\u003c/p>\n\n\n\n\u003cp>“There’s currently no evidence of local clade I transmission within San Francisco,” Janssen said. All confirmed clade I mpox cases in the city have been associated with international travel.\u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">‘The absolute best protection’\u003c/h2>\n\n\n\n\u003cp>The symptoms of clade I and clade II mpox are similar and can initially resemble the flu. The virus also appears as a rash or sores or spots that resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. \u003c/p>\n\n\n\n\n\n\u003cp>Clade I mpox, however, has historically caused more severe disease and more deaths in other countries, \u003ca href=\"https://www.cdc.gov/monkeypox/about/index.html\">according\u003c/a> to the Centers for Disease Control and Prevention.\u003c/p>\n\n\n\n\u003cp>During the 2022 outbreak, more than 15,000 San Francisco residents \u003ca href=\"https://data.sfgov.org/Health-and-Social-Services/ARCHIVED-Mpox-Vaccinations-Given-to-SF-Residents-O/6vxp-9av3/about_data\">received\u003c/a> both doses of the mpox vaccine. “That led to a dramatic decrease in cases,” Janssen said. “We’re in a much better place now because of the uptake of the Jynneos vaccine in San Francisco.”\u003c/p>\n\n\n\n\u003cp>She called the vaccine “really the absolute best protection” and “the main tool in our toolbox.”\u003c/p>\n\n\n\n\u003cp>Both clade I and clade II usually spread through close skin-to-skin contact, including sex. Anyone can get mpox, but most cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender people who have sex with men.\u003c/p>\n\n\n\n\u003cp>On the heels of SDFPH’s advisory, here’s what to know about mpox and the Jynneos vaccine in the Bay Area this fall. \u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h2>\n\n\n\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.\u003c/p>\n\n\n\n\u003cp>The vaccine “protects against both clade 1 and clade 2 mpox,” Janssen said, and added that if someone just got one dose in the past, they may just need the second dose now.\u003c/p>\n\n\n\n\u003cp>“Anyone who has received one dose can go ahead and receive their second dose if it has been 28 days or more since their first dose,” she said. “There’s no need to restart.”\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1611\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg\" alt=\"The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\" class=\"wp-image-11695637\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-800x671.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1020x856.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1200x1007.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1180x990.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-960x806.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-240x201.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-375x315.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-520x436.jpg 520w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" />\u003cfigcaption class=\"wp-element-caption\">The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018. (Michelle Wiley/KQED)\u003c/figcaption>\u003c/figure>\n\n\n\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:\u003c/p>\n\n\n\n\u003cul class=\"wp-block-list\">\n\u003cli>More than one sexual partner and/or\u003c/li>\n\n\n\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\n\n\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. See the CDC’s \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">full mpox vaccine eligibility recommendations\u003c/a>.\u003c/p>\n\n\n\n\u003cp>San Francisco additionally recommends vaccination for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. \u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">What about travel and mpox?\u003c/h2>\n\n\n\n\u003cp>In 2025, SFDPH expanded their mpox vaccine recommendations to include anyone traveling outside the U.S. — particularly to a country where clade I mpox is spreading between people — who anticipates having sex while they travel. \u003c/p>\n\n\n\n\u003cp>The CDC recommends getting both doses of the Jynneos vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg\" alt=\"\" class=\"wp-image-12097016\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" />\u003cfigcaption class=\"wp-element-caption\">Warren Manio, 36, sits on top of his friend’s shoulders as Natasha Bedingfield performs at Portola Music Festival in San Francisco on Sept. 28, 2024. (Estefany Gonzalez for KQED)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cul class=\"wp-block-list\">\n\u003cli>Sex with a new partner\u003c/li>\n\n\n\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\n\n\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\n\n\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\n\n\n\u003cp>As of August this year, SFDPH also recommends that if you’re a Bay Area resident who is having sex with a person who’s traveled to these countries, you should also seek out the vaccine.\u003c/p>\n\n\n\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">Where can I find an mpox vaccine?\u003c/h2>\n\n\n\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\n\n\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs thanks to the CDC’s recommendations. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of these \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">four pharmacies\u003c/a> in the city (two Walgreens and two CVS locations).\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" class=\"wp-image-11966643\" 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-element-caption\">A vial of the mpox vaccine is displayed by a medical professional at a vaccination site in July, 2022. (James Carbone/Newsday RM via Getty Images)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cp>(As with the COVID-19 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\n\n\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\n\n\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 supplies in stock.\u003c/p>\n\n\n\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n",
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"innerHTML": "\n\u003cp>Ahead of San Francisco’s \u003ca href=\"https://www.kqed.org/arts/tag/fall-guide-2026\">jam-packed\u003c/a> fall slate of gatherings and concerts — including Folsom Street and Portola Music Festival — city health officials are reminding at-risk residents to get fully vaccinated against \u003ca href=\"https://www.kqed.org/news/tag/mpox\">mpox\u003c/a>. \u003c/p>\n",
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"\n\u003cp>Ahead of San Francisco’s \u003ca href=\"https://www.kqed.org/arts/tag/fall-guide-2026\">jam-packed\u003c/a> fall slate of gatherings and concerts — including Folsom Street and Portola Music Festival — city health officials are reminding at-risk residents to get fully vaccinated against \u003ca href=\"https://www.kqed.org/news/tag/mpox\">mpox\u003c/a>. \u003c/p>\n"
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"innerHTML": "\n\u003cp>The San Francisco Department of Public Health confirmed on Tuesday that over 70 cases of mpox — formerly known as monkeypox — have been reported in San Francisco this year. \u003c/p>\n",
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"innerHTML": "\n\u003cp>Eight of these infections involve clade I mpox: a strain that in other parts of the world has caused more severe symptoms than the clade II strain associated with the \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\">2022 outbreak\u003c/a> in the Bay Area.\u003c/p>\n",
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"\n\u003cp>Eight of these infections involve clade I mpox: a strain that in other parts of the world has caused more severe symptoms than the clade II strain associated with the \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\">2022 outbreak\u003c/a> in the Bay Area.\u003c/p>\n"
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"innerHTML": "\n\u003cp>According to SFDPH, mpox cases usually increase in summer and fall — especially when the city is hosting events that draw people from all over the world. “People come together, they’re meeting,” said Dr. Julia Janssen, deputy director of the STI and HIV branch at SFDPH. “That’s why we emphasize and recommend the Jynneos vaccine during this time.”\u003c/p>\n",
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"\n\u003cp>According to SFDPH, mpox cases usually increase in summer and fall — especially when the city is hosting events that draw people from all over the world. “People come together, they’re meeting,” said Dr. Julia Janssen, deputy director of the STI and HIV branch at SFDPH. “That’s why we emphasize and recommend the Jynneos vaccine during this time.”\u003c/p>\n"
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"innerHTML": "\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg\" alt=\"\" class=\"wp-image-12054358\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-1536x1024.jpg 1536w\" sizes=\"(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)\" />\u003cfigcaption class=\"wp-element-caption\">Thousands of people dance as Disclosure performs at Portola Music Festival in San Francisco on Sept. 29, 2024.\u003ccite class=\"wp-inline-image-credit\"> (Estefany Gonzalez for KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n",
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"innerHTML": "\n\u003cp>Ahead of San Francisco Pride celebrations back in June, health officials recommended the mpox vaccine — which has the brand name Jynneos — to the same at-risk populations that have been most affected by previous mpox outbreaks. These included gay and bisexual men, along with transgender people who have sex with men.\u003c/p>\n",
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"\n\u003cp>Ahead of San Francisco Pride celebrations back in June, health officials recommended the mpox vaccine — which has the brand name Jynneos — to the same at-risk populations that have been most affected by previous mpox outbreaks. These included gay and bisexual men, along with transgender people who have sex with men.\u003c/p>\n"
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"innerHTML": "\n\u003cp>But the fact that the clade I strain is also starting to \u003ca href=\"https://www.who.int/emergencies/disease-outbreak-news/item/2025-DON587\">spread\u003c/a> among local populations in popular tourist destinations — including Italy, Spain and Portugal — has prompted San Francisco health officials to now recommend that \u003cem>more \u003c/em>people beyond those primary at-risk groups get vaccinated if they’re planning to travel to these areas.\u003c/p>\n",
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"\n\u003cp>But the fact that the clade I strain is also starting to \u003ca href=\"https://www.who.int/emergencies/disease-outbreak-news/item/2025-DON587\">spread\u003c/a> among local populations in popular tourist destinations — including Italy, Spain and Portugal — has prompted San Francisco health officials to now recommend that \u003cem>more \u003c/em>people beyond those primary at-risk groups get vaccinated if they’re planning to travel to these areas.\u003c/p>\n"
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"innerHTML": "\n\u003cp>“We have started to see local transmission in Western Europe,” Janssen said. “We recommend that anyone traveling outside of the United States — particularly to a country where clade I mpox is spreading between people — and [who] anticipates having sex during travel: Get the Jynneos vaccine.”\u003c/p>\n",
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"\n\u003cp>“We have started to see local transmission in Western Europe,” Janssen said. “We recommend that anyone traveling outside of the United States — particularly to a country where clade I mpox is spreading between people — and [who] anticipates having sex during travel: Get the Jynneos vaccine.”\u003c/p>\n"
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"innerHTML": "\n\u003cp>The recommendation is also extended to Bay Area folks who have sex here with anyone who has just traveled to those areas.\u003c/p>\n",
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"\n\u003cp>The recommendation is also extended to Bay Area folks who have sex here with anyone who has just traveled to those areas.\u003c/p>\n"
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"innerHTML": "\n\u003cp>“There’s currently no evidence of local clade I transmission within San Francisco,” Janssen said. All confirmed clade I mpox cases in the city have been associated with international travel.\u003c/p>\n",
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"\n\u003cp>“There’s currently no evidence of local clade I transmission within San Francisco,” Janssen said. All confirmed clade I mpox cases in the city have been associated with international travel.\u003c/p>\n"
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"innerHTML": "\n\u003cp>The symptoms of clade I and clade II mpox are similar and can initially resemble the flu. The virus also appears as a rash or sores or spots that resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. \u003c/p>\n",
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"\n\u003cp>The symptoms of clade I and clade II mpox are similar and can initially resemble the flu. The virus also appears as a rash or sores or spots that resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. \u003c/p>\n"
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"innerHTML": "\n\u003cp>Clade I mpox, however, has historically caused more severe disease and more deaths in other countries, \u003ca href=\"https://www.cdc.gov/monkeypox/about/index.html\">according\u003c/a> to the Centers for Disease Control and Prevention.\u003c/p>\n",
"innerContent": [
"\n\u003cp>Clade I mpox, however, has historically caused more severe disease and more deaths in other countries, \u003ca href=\"https://www.cdc.gov/monkeypox/about/index.html\">according\u003c/a> to the Centers for Disease Control and Prevention.\u003c/p>\n"
],
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{
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"innerHTML": "\n\u003cp>During the 2022 outbreak, more than 15,000 San Francisco residents \u003ca href=\"https://data.sfgov.org/Health-and-Social-Services/ARCHIVED-Mpox-Vaccinations-Given-to-SF-Residents-O/6vxp-9av3/about_data\">received\u003c/a> both doses of the mpox vaccine. “That led to a dramatic decrease in cases,” Janssen said. “We’re in a much better place now because of the uptake of the Jynneos vaccine in San Francisco.”\u003c/p>\n",
"innerContent": [
"\n\u003cp>During the 2022 outbreak, more than 15,000 San Francisco residents \u003ca href=\"https://data.sfgov.org/Health-and-Social-Services/ARCHIVED-Mpox-Vaccinations-Given-to-SF-Residents-O/6vxp-9av3/about_data\">received\u003c/a> both doses of the mpox vaccine. “That led to a dramatic decrease in cases,” Janssen said. “We’re in a much better place now because of the uptake of the Jynneos vaccine in San Francisco.”\u003c/p>\n"
],
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{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\n\u003cp>She called the vaccine “really the absolute best protection” and “the main tool in our toolbox.”\u003c/p>\n",
"innerContent": [
"\n\u003cp>She called the vaccine “really the absolute best protection” and “the main tool in our toolbox.”\u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\n\u003cp>Both clade I and clade II usually spread through close skin-to-skin contact, including sex. Anyone can get mpox, but most cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender people who have sex with men.\u003c/p>\n",
"innerContent": [
"\n\u003cp>Both clade I and clade II usually spread through close skin-to-skin contact, including sex. Anyone can get mpox, but most cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender people who have sex with men.\u003c/p>\n"
],
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{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\n\u003cp>On the heels of SDFPH’s advisory, here’s what to know about mpox and the Jynneos vaccine in the Bay Area this fall. \u003c/p>\n",
"innerContent": [
"\n\u003cp>On the heels of SDFPH’s advisory, here’s what to know about mpox and the Jynneos vaccine in the Bay Area this fall. \u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/heading",
"attrs": {
"text": "Who’s eligible for an mpox vaccine in the Bay Area?",
"level": 2
},
"innerHTML": "\n\u003ch2 class=\"wp-block-heading\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h2>\n",
"innerContent": [
"\n\u003ch2 class=\"wp-block-heading\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h2>\n"
],
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},
{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\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.\u003c/p>\n",
"innerContent": [
"\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.\u003c/p>\n"
],
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},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\n\u003cp>The vaccine “protects against both clade 1 and clade 2 mpox,” Janssen said, and added that if someone just got one dose in the past, they may just need the second dose now.\u003c/p>\n",
"innerContent": [
"\n\u003cp>The vaccine “protects against both clade 1 and clade 2 mpox,” Janssen said, and added that if someone just got one dose in the past, they may just need the second dose now.\u003c/p>\n"
],
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{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\n\u003cp>“Anyone who has received one dose can go ahead and receive their second dose if it has been 28 days or more since their first dose,” she said. “There’s no need to restart.”\u003c/p>\n",
"innerContent": [
"\n\u003cp>“Anyone who has received one dose can go ahead and receive their second dose if it has been 28 days or more since their first dose,” she said. “There’s no need to restart.”\u003c/p>\n"
],
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},
{
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"attrs": {
"id": 11695637,
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"alt": "The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.",
"srcset": "https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-800x671.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1020x856.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1200x1007.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1180x990.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-960x806.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-240x201.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-375x315.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-520x436.jpg 520w",
"sizes": "(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)"
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"innerHTML": "\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg\" alt=\"The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\" class=\"wp-image-11695637\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-800x671.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1020x856.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1200x1007.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1180x990.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-960x806.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-240x201.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-375x315.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-520x436.jpg 520w\" sizes=\"(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)\" />\u003cfigcaption class=\"wp-element-caption\">The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\u003ccite class=\"wp-inline-image-credit\"> (Michelle Wiley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n",
"innerContent": [
"\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg\" alt=\"The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\" class=\"wp-image-11695637\" />\u003cfigcaption class=\"wp-element-caption\">The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\u003ccite class=\"wp-inline-image-credit\"> (Michelle Wiley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n"
],
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},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\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:\u003c/p>\n",
"innerContent": [
"\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:\u003c/p>\n"
],
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},
{
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"attrs": {
"items": [
"More than one sexual partner and/or",
"A new diagnosis of one or more sexually transmitted infections."
],
"ordered": false,
"values": ""
},
"innerHTML": "\n\u003cul class=\"wp-block-list\">\n\n\u003c/ul>\n",
"innerContent": [
"\n\u003cul class=\"wp-block-list\">",
null,
"\n\n",
null,
"\u003c/ul>\n"
],
"innerBlocks": [
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>More than one sexual partner and/or\u003c/li>\n",
"innerContent": [
"\n\u003cli>More than one sexual partner and/or\u003c/li>\n"
]
},
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n",
"innerContent": [
"\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n"
]
}
]
},
{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\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. See the CDC’s \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">full mpox vaccine eligibility recommendations\u003c/a>.\u003c/p>\n",
"innerContent": [
"\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. See the CDC’s \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">full mpox vaccine eligibility recommendations\u003c/a>.\u003c/p>\n"
],
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},
{
"blockName": "core/paragraph",
"attrs": {
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"innerHTML": "\n\u003cp>San Francisco additionally recommends vaccination for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. \u003c/p>\n",
"innerContent": [
"\n\u003cp>San Francisco additionally recommends vaccination for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. \u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/heading",
"attrs": {
"text": "What about travel and mpox?",
"level": 2
},
"innerHTML": "\n\u003ch2 class=\"wp-block-heading\">What about travel and mpox?\u003c/h2>\n",
"innerContent": [
"\n\u003ch2 class=\"wp-block-heading\">What about travel and mpox?\u003c/h2>\n"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\n\u003cp>In 2025, SFDPH expanded their mpox vaccine recommendations to include anyone traveling outside the U.S. — particularly to a country where clade I mpox is spreading between people — who anticipates having sex while they travel. \u003c/p>\n",
"innerContent": [
"\n\u003cp>In 2025, SFDPH expanded their mpox vaccine recommendations to include anyone traveling outside the U.S. — particularly to a country where clade I mpox is spreading between people — who anticipates having sex while they travel. \u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\n\u003cp>The CDC recommends getting both doses of the Jynneos vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n",
"innerContent": [
"\n\u003cp>The CDC recommends getting both doses of the Jynneos vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/image",
"attrs": {
"id": 12097016,
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"alt": "",
"srcset": "https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-1536x1024.jpg 1536w",
"sizes": "(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)"
},
"innerHTML": "\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg\" alt=\"\" class=\"wp-image-12097016\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-1536x1024.jpg 1536w\" sizes=\"(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)\" />\u003cfigcaption class=\"wp-element-caption\">Warren Manio, 36, sits on top of his friend’s shoulders as Natasha Bedingfield performs at Portola Music Festival in San Francisco on Sept. 28, 2024.\u003ccite class=\"wp-inline-image-credit\"> (Estefany Gonzalez for KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n",
"innerContent": [
"\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg\" alt=\"\" class=\"wp-image-12097016\" />\u003cfigcaption class=\"wp-element-caption\">Warren Manio, 36, sits on top of his friend’s shoulders as Natasha Bedingfield performs at Portola Music Festival in San Francisco on Sept. 28, 2024.\u003ccite class=\"wp-inline-image-credit\"> (Estefany Gonzalez for KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n"
],
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{
"blockName": "core/list",
"attrs": {
"items": [
"Sex with a new partner",
"Sex at a commercial sex venue, such as a sex club or bathhouse",
"Sex in exchange for money, goods, drugs or other trade",
"Sex in association with a large public event, such as a rave, party or festival."
],
"ordered": false,
"values": ""
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"innerHTML": "\n\u003cul class=\"wp-block-list\">\n\n\n\n\n\n\u003c/ul>\n",
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null,
"\n\n",
null,
"\n\n",
null,
"\n\n",
null,
"\u003c/ul>\n"
],
"innerBlocks": [
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>Sex with a new partner\u003c/li>\n",
"innerContent": [
"\n\u003cli>Sex with a new partner\u003c/li>\n"
]
},
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n",
"innerContent": [
"\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n"
]
},
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n",
"innerContent": [
"\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n"
]
},
{
"blockName": "core/list-item",
"attrs": [],
"innerBlocks": [],
"innerHTML": "\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n",
"innerContent": [
"\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n"
]
}
]
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\n\u003cp>As of August this year, SFDPH also recommends that if you’re a Bay Area resident who is having sex with a person who’s traveled to these countries, you should also seek out the vaccine.\u003c/p>\n",
"innerContent": [
"\n\u003cp>As of August this year, SFDPH also recommends that if you’re a Bay Area resident who is having sex with a person who’s traveled to these countries, you should also seek out the vaccine.\u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n",
"innerContent": [
"\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/heading",
"attrs": {
"text": "Where can I find an mpox vaccine?",
"level": 2
},
"innerHTML": "\n\u003ch2 class=\"wp-block-heading\">Where can I find an mpox vaccine?\u003c/h2>\n",
"innerContent": [
"\n\u003ch2 class=\"wp-block-heading\">Where can I find an mpox vaccine?\u003c/h2>\n"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\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",
"innerContent": [
"\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"
],
"innerBlocks": []
},
{
"blockName": "core/paragraph",
"attrs": {
"dropCap": false
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"innerHTML": "\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs thanks to the CDC’s recommendations. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of these \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">four pharmacies\u003c/a> in the city (two Walgreens and two CVS locations).\u003c/p>\n",
"innerContent": [
"\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs thanks to the CDC’s recommendations. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of these \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">four pharmacies\u003c/a> in the city (two Walgreens and two CVS locations).\u003c/p>\n"
],
"innerBlocks": []
},
{
"blockName": "core/image",
"attrs": {
"id": 11966643,
"sizeSlug": "full",
"linkDestination": "none",
"alt": "close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'",
"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": "(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)"
},
"innerHTML": "\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" class=\"wp-image-11966643\" 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=\"(min-width: 992px) min(100vw, 1536px), (min-width: 768px) min(100vw, 1280px), min(100vw, 1020px)\" />\u003cfigcaption class=\"wp-element-caption\">A vial of the mpox vaccine is displayed by a medical professional at a vaccination site in July, 2022.\u003ccite class=\"wp-inline-image-credit\"> (James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n",
"innerContent": [
"\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" class=\"wp-image-11966643\" />\u003cfigcaption class=\"wp-element-caption\">A vial of the mpox vaccine is displayed by a medical professional at a vaccination site in July, 2022.\u003ccite class=\"wp-inline-image-credit\"> (James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n"
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"innerHTML": "\n\u003cp>(As with the COVID-19 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",
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"\n\u003cp>(As with the COVID-19 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"
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"innerHTML": "\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",
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"\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"
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"innerHTML": "\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 supplies in stock.\u003c/p>\n",
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"\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 supplies in stock.\u003c/p>\n"
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"innerHTML": "\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n",
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"\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n"
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"excerpt": "Ahead of San Francisco's slate of gatherings and shows, city health officials are reminding at-risk residents to get fully vaccinated against mpox. Here’s how to find an mpox vaccine.",
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"title": "Who Should Get an Mpox Vaccine Before San Francisco’s Fall Party Season Begins? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Ahead of San Francisco’s \u003ca href=\"https://www.kqed.org/arts/tag/fall-guide-2026\">jam-packed\u003c/a> fall slate of gatherings and concerts — including Folsom Street and Portola Music Festival — city health officials are reminding at-risk residents to get fully vaccinated against \u003ca href=\"https://www.kqed.org/news/tag/mpox\">mpox\u003c/a>. \u003c/p>\n\n\n\n\u003cp>The San Francisco Department of Public Health confirmed on Tuesday that over 70 cases of mpox — formerly known as monkeypox — have been reported in San Francisco this year. \u003c/p>\n\n\n\n\u003cp>Eight of these infections involve clade I mpox: a strain that in other parts of the world has caused more severe symptoms than the clade II strain associated with the \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\">2022 outbreak\u003c/a> in the Bay Area.\u003c/p>\n\n\n\n\u003cp>According to SFDPH, mpox cases usually increase in summer and fall — especially when the city is hosting events that draw people from all over the world. “People come together, they’re meeting,” said Dr. Julia Janssen, deputy director of the STI and HIV branch at SFDPH. “That’s why we emphasize and recommend the Jynneos vaccine during this time.”\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg\" alt=\"\" class=\"wp-image-12054358\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/240928_Portola_EG_59_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" />\u003cfigcaption class=\"wp-element-caption\">Thousands of people dance as Disclosure performs at Portola Music Festival in San Francisco on Sept. 29, 2024. (Estefany Gonzalez for KQED)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cp>Ahead of San Francisco Pride celebrations back in June, health officials recommended the mpox vaccine — which has the brand name Jynneos — to the same at-risk populations that have been most affected by previous mpox outbreaks. These included gay and bisexual men, along with transgender people who have sex with men.\u003c/p>\n\n\n\n\u003cp>But the fact that the clade I strain is also starting to \u003ca href=\"https://www.who.int/emergencies/disease-outbreak-news/item/2025-DON587\">spread\u003c/a> among local populations in popular tourist destinations — including Italy, Spain and Portugal — has prompted San Francisco health officials to now recommend that \u003cem>more \u003c/em>people beyond those primary at-risk groups get vaccinated if they’re planning to travel to these areas.\u003c/p>\n\n\n\n\u003cp>“We have started to see local transmission in Western Europe,” Janssen said. “We recommend that anyone traveling outside of the United States — particularly to a country where clade I mpox is spreading between people — and [who] anticipates having sex during travel: Get the Jynneos vaccine.”\u003c/p>\n\n\n\n\u003cp>The recommendation is also extended to Bay Area folks who have sex here with anyone who has just traveled to those areas.\u003c/p>\n\n\n\n\u003cp>“There’s currently no evidence of local clade I transmission within San Francisco,” Janssen said. All confirmed clade I mpox cases in the city have been associated with international travel.\u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">‘The absolute best protection’\u003c/h2>\n\n\n\n\u003cp>The symptoms of clade I and clade II mpox are similar and can initially resemble the flu. The virus also appears as a rash or sores or spots that resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. \u003c/p>\n\n\n\n\n\n\u003cp>Clade I mpox, however, has historically caused more severe disease and more deaths in other countries, \u003ca href=\"https://www.cdc.gov/monkeypox/about/index.html\">according\u003c/a> to the Centers for Disease Control and Prevention.\u003c/p>\n\n\n\n\u003cp>During the 2022 outbreak, more than 15,000 San Francisco residents \u003ca href=\"https://data.sfgov.org/Health-and-Social-Services/ARCHIVED-Mpox-Vaccinations-Given-to-SF-Residents-O/6vxp-9av3/about_data\">received\u003c/a> both doses of the mpox vaccine. “That led to a dramatic decrease in cases,” Janssen said. “We’re in a much better place now because of the uptake of the Jynneos vaccine in San Francisco.”\u003c/p>\n\n\n\n\u003cp>She called the vaccine “really the absolute best protection” and “the main tool in our toolbox.”\u003c/p>\n\n\n\n\u003cp>Both clade I and clade II usually spread through close skin-to-skin contact, including sex. Anyone can get mpox, but most cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender people who have sex with men.\u003c/p>\n\n\n\n\u003cp>On the heels of SDFPH’s advisory, here’s what to know about mpox and the Jynneos vaccine in the Bay Area this fall. \u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h2>\n\n\n\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.\u003c/p>\n\n\n\n\u003cp>The vaccine “protects against both clade 1 and clade 2 mpox,” Janssen said, and added that if someone just got one dose in the past, they may just need the second dose now.\u003c/p>\n\n\n\n\u003cp>“Anyone who has received one dose can go ahead and receive their second dose if it has been 28 days or more since their first dose,” she said. “There’s no need to restart.”\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1611\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg\" alt=\"The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018.\" class=\"wp-image-11695637\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-800x671.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1020x856.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1200x1007.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-1180x990.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-960x806.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-240x201.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-375x315.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/RS33007_IMG_2033-qut-520x436.jpg 520w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" />\u003cfigcaption class=\"wp-element-caption\">The Leather Pride flag flies at the Folsom Street Fair in San Francisco on Sept. 30, 2018. (Michelle Wiley/KQED)\u003c/figcaption>\u003c/figure>\n\n\n\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:\u003c/p>\n\n\n\n\u003cul class=\"wp-block-list\">\n\u003cli>More than one sexual partner and/or\u003c/li>\n\n\n\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\n\n\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. See the CDC’s \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">full mpox vaccine eligibility recommendations\u003c/a>.\u003c/p>\n\n\n\n\u003cp>San Francisco additionally recommends vaccination for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers. \u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">What about travel and mpox?\u003c/h2>\n\n\n\n\u003cp>In 2025, SFDPH expanded their mpox vaccine recommendations to include anyone traveling outside the U.S. — particularly to a country where clade I mpox is spreading between people — who anticipates having sex while they travel. \u003c/p>\n\n\n\n\u003cp>The CDC recommends getting both doses of the Jynneos vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg\" alt=\"\" class=\"wp-image-12097016\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/08/240928_Portola_EG_34_qed-1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" />\u003cfigcaption class=\"wp-element-caption\">Warren Manio, 36, sits on top of his friend’s shoulders as Natasha Bedingfield performs at Portola Music Festival in San Francisco on Sept. 28, 2024. (Estefany Gonzalez for KQED)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cul class=\"wp-block-list\">\n\u003cli>Sex with a new partner\u003c/li>\n\n\n\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\n\n\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\n\n\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\n\n\n\u003cp>As of August this year, SFDPH also recommends that if you’re a Bay Area resident who is having sex with a person who’s traveled to these countries, you should also seek out the vaccine.\u003c/p>\n\n\n\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\n\n\n\u003ch2 class=\"wp-block-heading\">Where can I find an mpox vaccine?\u003c/h2>\n\n\n\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\n\n\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs thanks to the CDC’s recommendations. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of these \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">four pharmacies\u003c/a> in the city (two Walgreens and two CVS locations).\u003c/p>\n\n\n\n\u003cfigure class=\"wp-block-image size-full\">\u003cimg loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" class=\"wp-image-11966643\" 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-element-caption\">A vial of the mpox vaccine is displayed by a medical professional at a vaccination site in July, 2022. (James Carbone/Newsday RM via Getty Images)\u003c/figcaption>\u003c/figure>\n\n\n\n\u003cp>(As with the COVID-19 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\n\n\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\n\n\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 supplies in stock.\u003c/p>\n\n\n\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "mpox-clade-i-san-francisco-2026-symptoms-rash-where-to-find-monkeypox-vaccine",
"title": "San Francisco Reports Its First Clade I Mpox Case — What to Know and How to Find a Vaccine",
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"headTitle": "San Francisco Reports Its First Clade I Mpox Case — What to Know and How to Find a Vaccine | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/healthnews\">Health\u003c/a> officials in San Francisco say the city now has its \u003ca href=\"https://www.sf.gov/news-san-francisco-department-of-public-health-confirms-first-clade-i-mpox-case-in-san-francisco\">first\u003c/a> case of a newer, potentially more severe mpox strain.\u003c/p>\n\u003cp>This variant of mpox — the disease formerly called monkeypox — is known as clade I, and has been \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">circulating in eastern and central Africa since 2023\u003c/a>, where it’s caused more than 53,000 cases among children and adults and at least 200 deaths.\u003c/p>\n\u003cp>The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On Thursday, the San Francisco Department of Public Health announced that the city’s first clade I mpox case had been confirmed in a resident earlier this week.\u003c/p>\n\u003cp>The patient, who had not received the mpox vaccine, was hospitalized and is improving, according to SFPDH.\u003c/p>\n\u003cp>The agency said that this clade I mpox patient had reported close contact with another person who had traveled internationally.\u003c/p>\n\u003ch2>A more potentially severe strain\u003c/h2>\n\u003cp>The Centers for Disease Control and Prevention said that until now, \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">15 cases of clade I mpox \u003c/a>have been detected in the U.S. since late 2024. Over a quarter of these cases were diagnosed in March 2026 alone.\u003c/p>\n\u003cp>According to the CDC, all U.S. cases of clade I mpox — which are not linked — were in people who had either recently traveled to areas associated with the outbreak in Central and Eastern Africa or parts of Western Europe with more recent outbreaks, or, like the San Francisco case, were linked to travel.\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption aligncenter\" 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>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#Whatarethesymptomsofmpox\">What are the symptoms of mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cb>\u003ca href=\"#WhoseligibleforanmpoxvaccineintheBayArea\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cp>In other parts of the world, clade I has proven a more severe strain of mpox compared to the clade II strain that caused an outbreak\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\"> in the Bay Area in 2022\u003c/a>, and that’s still circulating at low levels. But SFDPH said officials are still determining whether clade I mpox causes more severe disease than clade II mpox in the U.S., and stress that the risk of exposure to mpox “is low for individuals who are not in higher‑risk groups.”\u003c/p>\n\u003cp>“While anyone can get mpox, most reported cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender persons who have sex with men,” the agency said.\u003c/p>\n\u003cfigure id=\"attachment_11921529\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921529\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"People lined up to get the monkeypox vaccine.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people wait in a walk-in line for an mpox vaccine at Zuckerberg San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>“This development reminds us just how important it is to be fully vaccinated against mpox if you are at risk,” said Dr. Susan Philip, San Francisco health officer.\u003c/p>\n\u003cp>“With summer travel and events quickly approaching, now is a great time to seek the mpox vaccine,” Philip said.\u003c/p>\n\u003cp>Keep reading for what we know about this new Bay Area case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an mpox vaccine.\u003c/p>\n\u003ch2>What is clade I mpox, and where has it spread?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus 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. 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>In 2024, the World Health Organization declared a clade I \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">mpox\u003c/a> outbreak that began in late 2023 in eastern and central 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>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cfigure id=\"attachment_11939831\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11939831\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1.jpg\" alt=\"a man in a blue shirt wearing a mask receives a vaccine shot from a nurse with black hair in a dark blue shirt\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Fresno resident Gonzalo Garcia receives the mpox vaccine on Aug. 24, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since Jan. 1, 2024, more than 53,000 clade I mpox cases and more than 200 deaths have been confirmed in several countries throughout Central and Eastern Africa, including the Democratic Republic of the Congo (which was originally the epicenter of the outbreak), Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda.\u003c/p>\n\u003cp>Since March 2025, over 30 countries have reported over 37,000 cases of the strain.\u003c/p>\n\u003cp>The first clade I mpox case outside the African continent \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">was detected in Sweden\u003c/a> in August 2024. In November of that year, the first U.S. clade I mpox case was confirmed \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\">in a Bay Area resident\u003c/a>.\u003c/p>\n\u003ch2>How is clade I different from the clade II mpox that hit the Bay Area in 2022?\u003c/h2>\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 caused by clade II mpox, the less severe strain. \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>[aside postID=news_12074909 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/PandaExpressRestaurantSignGetty.jpg']Wastewater \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\">data\u003c/a> shows that four years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/p>\n\u003cp>According to the CDPH, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">San Francisco\u003c/a> has seen over 1,000 cases of clade II mpox since the 2022 outbreak, but the state’s most recent data shows the average of new cases has dropped to under two people a week.\u003c/p>\n\u003cp>Clade I cases in Central and Eastern African countries “at first spread through heterosexual intimate or sexual contact between adults, then spread likely occurred within households, including to children,” the CDC said.\u003c/p>\n\u003cp>But the agency notes that while the first cases outside that continent were primarily linked to travel to Central and Eastern African countries, as of late 2025 central Western European countries began reporting clade I mpox cases “among individuals who had no documented history of international travel” — cases which the CDC concludes were “likely related to intimate or sexual exposure among men who have sex with men.”\u003c/p>\n\u003cp>The CDC now “expect[s] additional cases” of clade I in Europe and the United States.\u003c/p>\n\u003ch2>\u003ca id=\"Whatarethesymptomsofmpox\">\u003c/a>What are the symptoms of mpox, and how does it spread?\u003c/h2>\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. 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>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 the Bay Area enters respiratory virus season.\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.\u003c/p>\n\u003cfigure id=\"attachment_12014828\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12014828\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/AP24321658476826-scaled-e1776375452652.jpg\" alt=\"Blobs of brown with white and greenish smaller dots in the background.\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">This colorized electron microscope image provided by the National Institute of Allergy and Infectious Diseases in 2024 shows Mpox virus particles, orange, found within infected cells, green. \u003ccite>(NIAID via AP)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>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. If you’re unsure about recognizing an mpox rash, \u003ca href=\"https://www.cdc.gov/monkeypox/signs-symptoms/?CDC_AAref_Val=https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">the CDC has a photo guide.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/monkeypox/signs-symptoms/?CDC_AAref_Val=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 — that can range from three to 17 days, according to the CDC.\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>.\u003c/p>\n\u003ch2>\u003ca id=\"WhoseligibleforanmpoxvaccineintheBayArea\">\u003c/a>Who’s eligible for an 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 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>\n\u003cp>The vaccine “provides the best protection against the mpox virus and protects against both clade I and clade II,” according to \u003ca href=\"https://www.sf.gov/news-san-francisco-department-of-public-health-confirms-first-clade-i-mpox-case-in-san-francisco\">a statement \u003c/a>from the SFDPH.\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:\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. See the\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\"> CDC’s full mpox vaccine eligibility recommendations.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"A long line of men wait in line in front of a Zuckerberg San Francisco General Hospital\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people wait in a walk-in line for a the mpox vaccine at Zuckerberg San Francisco General Hospital on Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\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.\u003c/p>\n\u003cp>In 2024, the CDC updated its vaccination recommendations to extend to people traveling to countries \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">with clade I outbreaks\u003c/a>. 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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>Where can I find an mpox vaccine?\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 thanks to \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">these three recommended clinics in the city\u003c/a>. 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\u003ch2>If you live in or near San Francisco:\u003c/h2>\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 to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>You can also 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\u003ch2>Getting an mpox vaccine at a pharmacy\u003c/h2>\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 ahead 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\u003cfigure id=\"attachment_12021632\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021632\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco Department of Public Health on Feb. 6, 2014. \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\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 supplies in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">\u003cem>Carlos Cabrera-Lomelí \u003c/em>\u003c/a>\u003cem>and \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The case, detected in San Francisco, is the 16th in the U.S. so far of the newer, potentially more severe strain. ",
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"title": "San Francisco Reports Its First Clade I Mpox Case — What to Know and How to Find a Vaccine | KQED",
"description": "The case, detected in San Francisco, is the 16th in the U.S. so far of the newer, potentially more severe strain. ",
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"headline": "San Francisco Reports Its First Clade I Mpox Case — What to Know and How to Find a Vaccine",
"datePublished": "2026-04-17T14:22:45-07:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/healthnews\">Health\u003c/a> officials in San Francisco say the city now has its \u003ca href=\"https://www.sf.gov/news-san-francisco-department-of-public-health-confirms-first-clade-i-mpox-case-in-san-francisco\">first\u003c/a> case of a newer, potentially more severe mpox strain.\u003c/p>\n\u003cp>This variant of mpox — the disease formerly called monkeypox — is known as clade I, and has been \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">circulating in eastern and central Africa since 2023\u003c/a>, where it’s caused more than 53,000 cases among children and adults and at least 200 deaths.\u003c/p>\n\u003cp>The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Thursday, the San Francisco Department of Public Health announced that the city’s first clade I mpox case had been confirmed in a resident earlier this week.\u003c/p>\n\u003cp>The patient, who had not received the mpox vaccine, was hospitalized and is improving, according to SFPDH.\u003c/p>\n\u003cp>The agency said that this clade I mpox patient had reported close contact with another person who had traveled internationally.\u003c/p>\n\u003ch2>A more potentially severe strain\u003c/h2>\n\u003cp>The Centers for Disease Control and Prevention said that until now, \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">15 cases of clade I mpox \u003c/a>have been detected in the U.S. since late 2024. Over a quarter of these cases were diagnosed in March 2026 alone.\u003c/p>\n\u003cp>According to the CDC, all U.S. cases of clade I mpox — which are not linked — were in people who had either recently traveled to areas associated with the outbreak in Central and Eastern Africa or parts of Western Europe with more recent outbreaks, or, like the San Francisco case, were linked to travel.\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption aligncenter\" 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>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#Whatarethesymptomsofmpox\">What are the symptoms of mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cb>\u003ca href=\"#WhoseligibleforanmpoxvaccineintheBayArea\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cp>In other parts of the world, clade I has proven a more severe strain of mpox compared to the clade II strain that caused an outbreak\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\"> in the Bay Area in 2022\u003c/a>, and that’s still circulating at low levels. But SFDPH said officials are still determining whether clade I mpox causes more severe disease than clade II mpox in the U.S., and stress that the risk of exposure to mpox “is low for individuals who are not in higher‑risk groups.”\u003c/p>\n\u003cp>“While anyone can get mpox, most reported cases in the United States are among gay, bisexual and other men who have sex with men, as well as transgender persons who have sex with men,” the agency said.\u003c/p>\n\u003cfigure id=\"attachment_11921529\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921529\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"People lined up to get the monkeypox vaccine.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people wait in a walk-in line for an mpox vaccine at Zuckerberg San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>“This development reminds us just how important it is to be fully vaccinated against mpox if you are at risk,” said Dr. Susan Philip, San Francisco health officer.\u003c/p>\n\u003cp>“With summer travel and events quickly approaching, now is a great time to seek the mpox vaccine,” Philip said.\u003c/p>\n\u003cp>Keep reading for what we know about this new Bay Area case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an mpox vaccine.\u003c/p>\n\u003ch2>What is clade I mpox, and where has it spread?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus 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. 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>In 2024, the World Health Organization declared a clade I \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">mpox\u003c/a> outbreak that began in late 2023 in eastern and central 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>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cfigure id=\"attachment_11939831\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11939831\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1.jpg\" alt=\"a man in a blue shirt wearing a mask receives a vaccine shot from a nurse with black hair in a dark blue shirt\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Fresno resident Gonzalo Garcia receives the mpox vaccine on Aug. 24, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since Jan. 1, 2024, more than 53,000 clade I mpox cases and more than 200 deaths have been confirmed in several countries throughout Central and Eastern Africa, including the Democratic Republic of the Congo (which was originally the epicenter of the outbreak), Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda.\u003c/p>\n\u003cp>Since March 2025, over 30 countries have reported over 37,000 cases of the strain.\u003c/p>\n\u003cp>The first clade I mpox case outside the African continent \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">was detected in Sweden\u003c/a> in August 2024. In November of that year, the first U.S. clade I mpox case was confirmed \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\">in a Bay Area resident\u003c/a>.\u003c/p>\n\u003ch2>How is clade I different from the clade II mpox that hit the Bay Area in 2022?\u003c/h2>\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 caused by clade II mpox, the less severe strain. \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>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Wastewater \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\">data\u003c/a> shows that four years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/p>\n\u003cp>According to the CDPH, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">San Francisco\u003c/a> has seen over 1,000 cases of clade II mpox since the 2022 outbreak, but the state’s most recent data shows the average of new cases has dropped to under two people a week.\u003c/p>\n\u003cp>Clade I cases in Central and Eastern African countries “at first spread through heterosexual intimate or sexual contact between adults, then spread likely occurred within households, including to children,” the CDC said.\u003c/p>\n\u003cp>But the agency notes that while the first cases outside that continent were primarily linked to travel to Central and Eastern African countries, as of late 2025 central Western European countries began reporting clade I mpox cases “among individuals who had no documented history of international travel” — cases which the CDC concludes were “likely related to intimate or sexual exposure among men who have sex with men.”\u003c/p>\n\u003cp>The CDC now “expect[s] additional cases” of clade I in Europe and the United States.\u003c/p>\n\u003ch2>\u003ca id=\"Whatarethesymptomsofmpox\">\u003c/a>What are the symptoms of mpox, and how does it spread?\u003c/h2>\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. 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>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 the Bay Area enters respiratory virus season.\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.\u003c/p>\n\u003cfigure id=\"attachment_12014828\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12014828\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/AP24321658476826-scaled-e1776375452652.jpg\" alt=\"Blobs of brown with white and greenish smaller dots in the background.\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">This colorized electron microscope image provided by the National Institute of Allergy and Infectious Diseases in 2024 shows Mpox virus particles, orange, found within infected cells, green. \u003ccite>(NIAID via AP)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>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. If you’re unsure about recognizing an mpox rash, \u003ca href=\"https://www.cdc.gov/monkeypox/signs-symptoms/?CDC_AAref_Val=https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">the CDC has a photo guide.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/monkeypox/signs-symptoms/?CDC_AAref_Val=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 — that can range from three to 17 days, according to the CDC.\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>.\u003c/p>\n\u003ch2>\u003ca id=\"WhoseligibleforanmpoxvaccineintheBayArea\">\u003c/a>Who’s eligible for an 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 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>\n\u003cp>The vaccine “provides the best protection against the mpox virus and protects against both clade I and clade II,” according to \u003ca href=\"https://www.sf.gov/news-san-francisco-department-of-public-health-confirms-first-clade-i-mpox-case-in-san-francisco\">a statement \u003c/a>from the SFDPH.\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:\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. See the\u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\"> CDC’s full mpox vaccine eligibility recommendations.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"A long line of men wait in line in front of a Zuckerberg San Francisco General Hospital\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57498_005_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people wait in a walk-in line for a the mpox vaccine at Zuckerberg San Francisco General Hospital on Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\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.\u003c/p>\n\u003cp>In 2024, the CDC updated its vaccination recommendations to extend to people traveling to countries \u003ca href=\"https://www.cdc.gov/monkeypox/outbreaks/2023/index.html\">with clade I outbreaks\u003c/a>. 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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>Where can I find an mpox vaccine?\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 thanks to \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, SFDPH said you can visit one of \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">these three recommended clinics in the city\u003c/a>. 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\u003ch2>If you live in or near San Francisco:\u003c/h2>\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 to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>You can also 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\u003ch2>Getting an mpox vaccine at a pharmacy\u003c/h2>\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 ahead 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\u003cfigure id=\"attachment_12021632\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021632\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco Department of Public Health on Feb. 6, 2014. \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\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 supplies in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">\u003cem>Carlos Cabrera-Lomelí \u003c/em>\u003c/a>\u003cem>and \u003c/em>\u003ca href=\"https://www.kqed.org/author/nkhan\">\u003cem>Nisa Khan\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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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"slug": "mpox-monkeypox-san-francisco-bay-area-cases-symptoms-where-to-find-vaccine",
"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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"slug": "the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know",
"title": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know",
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"headTitle": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know | KQED",
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"content": "\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \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\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\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 from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, 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>.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\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=\"(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>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. 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>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\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 caused by clade II mpox, the less severe strain. \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>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\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=\"(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=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It 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>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\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. 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>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 the Bay Area enters respiratory virus season.\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. \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>\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 — that can range from three to 17 days, according to the CDC.\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=\"(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>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:\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.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. 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://sf.gov/information/mpox-vaccine\">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\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\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 ahead 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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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \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\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\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 from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, 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>.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\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=\"(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>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. 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>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\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 caused by clade II mpox, the less severe strain. \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>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\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=\"(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=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It 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>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\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. 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>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 the Bay Area enters respiratory virus season.\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. \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>\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 — that can range from three to 17 days, according to the CDC.\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=\"(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>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:\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.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. 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://sf.gov/information/mpox-vaccine\">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\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\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 ahead 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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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Monday, November 18, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">President-elect Donald Trump has yet to announce his pick to lead the Labor Department. His choice \u003c/span>\u003ca href=\"https://www.kqed.org/news/12014254/federal-enforcement-worker-protections-likely-shifting-california-under-trump\">\u003cspan style=\"font-weight: 400\">will reveal the direction\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> the administration plans for the agency.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The first case of \u003c/span>\u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">\u003cspan style=\"font-weight: 400\">a more severe strain of mpox\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has been found in California. State health officials confirmed the first known U.S. case of the strain – known as clade I – in San Mateo County over the weekend. \u003c/span>\u003c/li>\n\u003cli>A judge \u003ca href=\"https://apnews.com/article/california-huntington-beach-voter-id-lawsuit-0867eae53bc86c978a993e60c7debe71\">has ruled against the state\u003c/a> in its lawsuit against Huntington Beach over a local measure that requires voter identification at the polls.\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12014254/federal-enforcement-worker-protections-likely-shifting-california-under-trump\">\u003cstrong>Federal Enforcement Of Worker Protections Likely Shifting In California Under Trump\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">incoming Trump administration\u003c/a> will likely impact federal workplace enforcement priorities in California and other states and unwind the Biden administration’s efforts to extend employee protections to millions more people in the U.S., according to several experts.\u003c/p>\n\u003cp>The U.S. Department of Labor has long aimed to ensure fair pay and safe working conditions for low-wage earners. The agency’s current leader, Julie Su, a former California labor secretary, \u003ca href=\"https://www.kqed.org/news/11984268/us-department-of-labor-hails-expanded-protections-for-h-2a-farmworkers-in-santa-rosa\">has focused resources\u003c/a> to prioritize protecting those who are most vulnerable to exploitation, including the immigrant workforce and migrant children who come to the U.S. without their parents.\u003c/p>\n\u003cp>Federal law protects workers, regardless of their immigration status. Judy Conti, government affairs director at the National Employment Law Project, a worker advocacy group, expects the Department of Labor’s focus to shift under the administration of a president-elect who campaigned on deporting millions of undocumented immigrants. Tom Homan, Trump’s pick for border czar, plans for immigration agents to conduct \u003ca href=\"https://thehill.com/latino/4984064-trump-administration-workplace-raids/\">more workplace raids\u003c/a> as part of that crackdown. “We know how hostile they are to immigrant workers and just downright disrespectful and disdainful,” said Conti, who has followed labor enforcement and the low-wage workforce for nearly three decades. “So I think you’ll probably see a big change there.”\u003c/p>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003cstrong>\u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">San Mateo County Reports First Known US Case Of Emerging Mpox Strain\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.\u003c/p>\n\u003ch2 class=\"Page-headline\">\u003ca href=\"https://apnews.com/article/california-huntington-beach-voter-id-lawsuit-0867eae53bc86c978a993e60c7debe71\">\u003cstrong>Judge Rules Huntington Beach Can Proceed With Voter ID Law\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>A judge on Friday \u003ca href=\"https://laist.com/news/politics/huntington-beach-scores-early-legal-victory-in-its-voter-id-battle\">rejected \u003cspan class=\"LinkEnhancement\">California’s lawsuit\u003c/span>\u003c/a> against the city of Huntington Beach over a local measure allowing officials to require voter identification at the polls.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Orange County Superior Court Judge Nico Dourbetas ruled that existing state law does not block the local measure, which was approved by voters earlier this year. The ruling could clear the way for the majority-Republican city to implement one of California’s only voter ID requirements at the polls in local elections.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Monday, November 18, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">President-elect Donald Trump has yet to announce his pick to lead the Labor Department. His choice \u003c/span>\u003ca href=\"https://www.kqed.org/news/12014254/federal-enforcement-worker-protections-likely-shifting-california-under-trump\">\u003cspan style=\"font-weight: 400\">will reveal the direction\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> the administration plans for the agency.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">The first case of \u003c/span>\u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">\u003cspan style=\"font-weight: 400\">a more severe strain of mpox\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has been found in California. State health officials confirmed the first known U.S. case of the strain – known as clade I – in San Mateo County over the weekend. \u003c/span>\u003c/li>\n\u003cli>A judge \u003ca href=\"https://apnews.com/article/california-huntington-beach-voter-id-lawsuit-0867eae53bc86c978a993e60c7debe71\">has ruled against the state\u003c/a> in its lawsuit against Huntington Beach over a local measure that requires voter identification at the polls.\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12014254/federal-enforcement-worker-protections-likely-shifting-california-under-trump\">\u003cstrong>Federal Enforcement Of Worker Protections Likely Shifting In California Under Trump\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">incoming Trump administration\u003c/a> will likely impact federal workplace enforcement priorities in California and other states and unwind the Biden administration’s efforts to extend employee protections to millions more people in the U.S., according to several experts.\u003c/p>\n\u003cp>The U.S. Department of Labor has long aimed to ensure fair pay and safe working conditions for low-wage earners. The agency’s current leader, Julie Su, a former California labor secretary, \u003ca href=\"https://www.kqed.org/news/11984268/us-department-of-labor-hails-expanded-protections-for-h-2a-farmworkers-in-santa-rosa\">has focused resources\u003c/a> to prioritize protecting those who are most vulnerable to exploitation, including the immigrant workforce and migrant children who come to the U.S. without their parents.\u003c/p>\n\u003cp>Federal law protects workers, regardless of their immigration status. Judy Conti, government affairs director at the National Employment Law Project, a worker advocacy group, expects the Department of Labor’s focus to shift under the administration of a president-elect who campaigned on deporting millions of undocumented immigrants. Tom Homan, Trump’s pick for border czar, plans for immigration agents to conduct \u003ca href=\"https://thehill.com/latino/4984064-trump-administration-workplace-raids/\">more workplace raids\u003c/a> as part of that crackdown. “We know how hostile they are to immigrant workers and just downright disrespectful and disdainful,” said Conti, who has followed labor enforcement and the low-wage workforce for nearly three decades. “So I think you’ll probably see a big change there.”\u003c/p>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003cstrong>\u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">San Mateo County Reports First Known US Case Of Emerging Mpox Strain\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\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 person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.\u003c/p>\n\u003ch2 class=\"Page-headline\">\u003ca href=\"https://apnews.com/article/california-huntington-beach-voter-id-lawsuit-0867eae53bc86c978a993e60c7debe71\">\u003cstrong>Judge Rules Huntington Beach Can Proceed With Voter ID Law\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>A judge on Friday \u003ca href=\"https://laist.com/news/politics/huntington-beach-scores-early-legal-victory-in-its-voter-id-battle\">rejected \u003cspan class=\"LinkEnhancement\">California’s lawsuit\u003c/span>\u003c/a> against the city of Huntington Beach over a local measure allowing officials to require voter identification at the polls.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Orange County Superior Court Judge Nico Dourbetas ruled that existing state law does not block the local measure, which was approved by voters earlier this year. The ruling could clear the way for the majority-Republican city to implement one of California’s only voter ID requirements at the polls in local elections.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.\u003c/p>\u003c/div>",
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"title": "Mpox is Declared a Global Emergency Again. Here's What to Know",
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"headTitle": "Mpox is Declared a Global Emergency Again. Here’s What to Know | KQED",
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"content": "\u003cp>\u003cem>Updated 10:15 a.m. Thursday\u003c/em>\u003c/p>\n\u003cp>The World Health Organization (WHO) declared the \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">mpox\u003c/a> outbreaks in Congo and elsewhere in Africa \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">a global emergency\u003c/a> last week on August 14, with cases confirmed among children and adults in more than a dozen countries and resulting in more than 500 deaths in 2024.\u003c/p>\n\u003cp>Earlier that week, the Africa Centers for Disease Control and Prevention (CDC) announced that the outbreaks of mpox — \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.\">formerly known as monkeypox\u003c/a> — were a public health emergency, calling for international help to stop the virus’ spread. The Africa CDC said mpox has been detected in 13 countries this year, and more than 96% of all cases and deaths are in Congo.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-wastewater\">Why the mpox detected in Bay Area wastewater is a less dangerous strain\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Mpox mostly spreads via close contact with infected people, including through sex. There is a \u003ca href=\"#mpox-vaccine-near-me\">vaccine \u003c/a>for the disease, but few doses are available on the African continent.\u003c/p>\n\u003cp>“This is something that should concern us all … The potential for further spread within Africa and beyond is very worrying,” WHO director-general Tedros Adhanom Ghebreyesus said.\u003c/p>\n\u003cp>The CDC recommends that any person who has traveled to Congo or any bordering countries in the last 21 days and who develops a new, unexplained skin rash should seek medical evaluation and avoid physical contact with others.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/thailand-confirms-its-mpox-case-is-clade-1b-strain-first-country-2024-08-22/\">Thailand’s Department of Disease Control confirmed\u003c/a> that an mpox case detected in that country was the more infectious form of the virus first seen in Congo. This case in Thailand is now the second such confirmed detection outside of the African continent, after \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">Swedish health officials announced Aug. 15 that they’d identified a case of a person with this more dangerous form of mpox.\u003c/a>\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 Bay Area experienced its own mpox outbreak in 2022\u003c/a>, but the strain of the virus now spreading from Congo is different in several ways. Keep reading for what you need to know about mpox in 2024, including the \u003ca href=\"#mpox-symptoms\">the symptoms of mpox\u003c/a>, \u003ca href=\"#mpox-vaccine-near-me\">where to find an mpox vaccine in the Bay Area\u003c/a> and understanding this global emergency declaration.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-wastewater\">\u003c/a>Understanding the two different strains of mpox\u003c/h2>\n\u003cp>In 2022, WHO declared mpox to be a global emergency after it spread to more than 70 countries that had not previously reported mpox, mostly affecting gay and bisexual men. In that outbreak, fewer than 1% of people died. Before this outbreak, the disease had mostly been seen in sporadic outbreaks in central and West Africa when people came into close contact with infected wild animals.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-vaccine-near-me\">Where to find an mpox vaccine in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\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 global 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 caused by a version of the mpox virus known as “clade II.”\u003c/p>\n\u003cp>The mpox outbreak spreading from Congo is caused by another type of the virus, called “clade I,” which causes more severe illness and higher fatality rates than the clade II type that’s been circulating in the U.S. — albeit at low levels — since the 2022 outbreak.\u003c/p>\n\u003cp>Data from Stanford University’s WastewaterSCAN project, which monitors the presence of viruses including mpox in human sewage across the U.S., shows that two years after the initial 2022 outbreak, this clade II strain of mpox is still occasionally detected in the Bay Area’s wastewater. Most recently, \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGNDViZDBlwAEB&selectedChartId=45bd0e\">clade II mpox has been detected as recently as Aug. 18 at San Francisco’s two wastewater plants\u003c/a>, but WastewaterSCAN’s Ali Boehm confirmed that these detections were “low level” and not related to the the clade I outbreak spreading in Congo.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-symptoms\">What are the symptoms of mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>So far, in 2024,\u003ca href=\"https://apnews.com/article/mpox-africa-outbreak-vaccines-health-congo-3f79d757e7666600c06cbdad39613bc8\"> there have been almost 19,000 cases of clade I from the Congo outbreak, and over 500 people have died.\u003c/a> Cases are up 160% and deaths are up 19% compared with the same period last year. Salim Abdool Karim, a South African infectious diseases expert who chairs the Africa CDC emergency group, said the new version of mpox spreading from Congo appears to have a death rate of about 3%-4%.\u003c/p>\n\u003ch2>Where has clade I mpox spread globally?\u003c/h2>\n\u003cp>So far there have been only two clade I cases detected outside of the African continent, and none of them are in the United States.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/thailand-confirms-its-mpox-case-is-clade-1b-strain-first-country-2024-08-22/\">Thailand’s Department of Disease Control confirmed\u003c/a> that an mpox case detected in that country was the more infectious form of the virus first seen in Congo. Thai health officials said that the patient was a European man who had arrived in Thailand last week from an unnamed African country where the disease was spreading.\u003c/p>\n\u003cp>On Aug. 15, the Swedish public health agency said that \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the clade I case identified in that country\u003c/a> was a patient who recently sought health care in Stockholm after traveling to “the part of Africa where there is a major outbreak,” according to the agency. Officials said the risk to the general public was considered “very low” and that they expected sporadic imported cases to continue.\u003c/p>\n\u003cp>Individual cases of \u003ca href=\"https://www.reuters.com/world/asia-pacific/philippines-says-recent-mpox-case-is-mild-clade-2-variant-2024-08-21/\">mpox reported in the Philippines\u003c/a> and \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/one-case-mpox-detected-pakistan-2024-08-19/\">Pakistan\u003c/a> were confirmed this week to in fact be the less dangerous clade II mpox.\u003c/p>\n\u003ch2>Understanding mpox in the Bay Area\u003c/h2>\n\u003cp>According to data from multiple local health departments, the overwhelming majority of mpox cases in the Bay Area during the 2022 outbreak were reported among gay men and other men who have sex with men. At the peak of the 2022 outbreak, San Francisco health officials \u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">saw dozens of new mpox cases each week in July of that year\u003c/a>.\u003c/p>\n\u003cp>Around the same time, the city \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\">declared a public health emergency\u003c/a> — the first city in the country to do so. The White House soon followed suit and declared mpox a public health emergency in August, when more than 6,000 cases had been confirmed in the U.S.\u003c/p>\n\u003cp>In 2022, organizers from the LGBTQ+ community \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\">quickly mobilized to pressure public health officials\u003c/a> at every level of government to make vaccines and treatment widely available to this vulnerable population. The San Francisco AIDS Foundation (SFAF) helped spearhead these efforts and has continued to provide free mpox vaccines. \u003cstrong>(Jump straight to\u003c/strong> \u003cstrong>\u003ca href=\"#mpox-vaccine-near-me\">where to find an mpox vaccine in the Bay Area\u003c/a>.)\u003c/strong>\u003c/p>\n\u003cp>“We are aware of the mpox health emergency in Africa, and although mpox rates in the Bay Area are currently at low levels, we know that infection rates can change or increase — sometimes rapidly,” said Jorge Roman, senior director of clinical services at SFAF in a statement to KQED.\u003c/p>\n\u003cp>Soon after the WHO declared the global emergency on Wednesday, San Francisco public health officials confirmed that the risk of this new strain remains relatively low in the Bay Area.\u003c/p>\n\u003cp>In a statement, the San Francisco Department of Public Health (SFDPH) said that “the overall risk to the general population in the United States is considered to be very low.” The agency said it will continue “to closely monitor the situation alongside our federal and state partners.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">Cases of clade II mpox “remain low” in San Francisco\u003c/a>, SFDPH said, “and we will continue to update the community if further actions are needed to protect health.” \u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">The current rolling 7-day average of new mpox cases per day in San Francisco is zero.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>‘A failure of the global community’\u003c/h2>\n\u003cp>Officials at the Africa CDC said nearly 70% of cases in Congo are in children younger than 15, who also accounted for 85% of deaths.\u003c/p>\n\u003cp>Jacques Alonda, an epidemiologist working in Congo with international charities, said he and other experts were particularly worried about the spread of mpox in camps for refugees in the country’s conflict-ridden east.[aside postID='news_11988079,news_11973108' label='Related Stories]\u003c/p>\n\u003cp>“The worst case I’ve seen is that of a 6-week-old baby who was just two weeks old when he contracted mpox,” Alonda said, adding the baby has been in their care for a month. “He got infected because hospital overcrowding meant he and his mother were forced to share a room with someone else who had the virus, which was undiagnosed.”\u003c/p>\n\u003cp>Earlier this year, scientists also reported the \u003ca href=\"https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de\">emergence of a new form\u003c/a> of the deadlier clade I form of mpox, which can kill up to 10% of people in a Congolese mining town that they feared might spread more easily.\u003c/p>\n\u003cp>Unlike in previous mpox outbreaks, where lesions were mostly seen on the chest, hands and feet, the new form causes milder symptoms and lesions on the genitals. That makes it harder to spot, meaning people might also sicken others without knowing they’re infected.\u003c/p>\n\u003cp>Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine, said declaring these latest mpox outbreaks in Africa an emergency is warranted if that might lead to more support to contain them.\u003c/p>\n\u003cp>“It’s a failure of the global community that things had to get this bad to release the resources needed,” he said.\u003c/p>\n\u003cp>The U.N. health agency said mpox was recently identified for the first time in four East African countries: Burundi, Kenya, Rwanda and Uganda. All of those outbreaks are linked to the one in Congo. In Ivory Coast and South Africa, health authorities have reported outbreaks of the less dangerous clade II version of mpox that spread worldwide in 2022.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-symptoms\">\u003c/a>What to know about mpox symptoms and how the virus spreads\u003c/h2>\n\u003cp>The mpox virus spreads through close 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. 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>Mpox symptoms often start as flu-like conditions, SFPDH said — which is worth bearing in mind during \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">this current COVID-19 surge\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. \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>\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 — that can range from three to 17 days, according to the CDC.\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"mpox-vaccine-near-me\">\u003c/a>Where you can find an mpox vaccine in the Bay Area\u003c/h2>\n\u003cp>The two-dose mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials were originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\n\u003cp>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>“We recommend that all people who may be at risk of mpox receive both doses of the Jynneos mpox vaccine,” Roman of the San Francisco Aids Foundation said. “Vaccines are plentiful and easily available at this point in time, from San Francisco AIDS Foundation and other City and community partners.” Mpox vaccination is not recommended at this time for those who have previously been infected.\u003c/p>\n\u003cp>\u003cstrong>Who is recommended to get the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>SFDPH said that previous mpox outbreaks have 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. City health officials also especially recommend the mpox vaccine for all people living with HIV and anyone taking or eligible to take HIV PrEP.\u003c/p>\n\u003cp>Public health officials also recommend that sex workers, people who’ve been diagnosed with a bacterial sexually transmitted disease (like chlamydia, gonorrhea or syphilis) in the last three months and folks with certain job-related risks of mpox seek the free vaccine. \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">See SFDPH’s full list of people who may be at higher risk of getting mpox.\u003c/a>\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\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.\u003c/p>\n\u003cp>\u003cb>If you’ve already had both doses of the mpox vaccine, even back in 2022:\u003c/b>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster.\u003c/p>\n\u003cp>\u003cb>If you \u003c/b>\u003cb>\u003ci>haven’t \u003c/i>\u003c/b>\u003cb>already had the mpox vaccine:\u003c/b>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can.\u003c/p>\n\u003cp>If you already have your first dose but forgot to get your second, go get that last dose as soon as possible — even if you got Dose 1 back in 2022.\u003c/p>\n\u003ch2>\u003cb>Locations offering the mpox vaccine in the Bay Area\u003c/b>\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-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>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 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>\u003cb>If you live in or near San Francisco:\u003c/b>\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 confirms that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cb>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">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 style=\"font-weight: 400;\">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\u003cp>SFAF will also administer free first and second doses of the vaccine at the upcoming Castro Street Fair on Oct. 6, with no appointment needed. You can find the SFAF booth at 470 Castro St., San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cem>Associated Press writers Gerald Imray in Cape Town, South Africa, Christina Malkia in Kinshasa, Congo and Mark Banchereau in Dakar, Senegal contributed to this report, as well as KQED’s Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Following the 2022 outbreak that hit the Bay Area, mpox (formerly monkeypox) has been declared a global emergency once more as thousands of cases spread from an outbreak in Congo.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 10:15 a.m. Thursday\u003c/em>\u003c/p>\n\u003cp>The World Health Organization (WHO) declared the \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">mpox\u003c/a> outbreaks in Congo and elsewhere in Africa \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">a global emergency\u003c/a> last week on August 14, with cases confirmed among children and adults in more than a dozen countries and resulting in more than 500 deaths in 2024.\u003c/p>\n\u003cp>Earlier that week, the Africa Centers for Disease Control and Prevention (CDC) announced that the outbreaks of mpox — \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.\">formerly known as monkeypox\u003c/a> — were a public health emergency, calling for international help to stop the virus’ spread. The Africa CDC said mpox has been detected in 13 countries this year, and more than 96% of all cases and deaths are in Congo.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-wastewater\">Why the mpox detected in Bay Area wastewater is a less dangerous strain\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Mpox mostly spreads via close contact with infected people, including through sex. There is a \u003ca href=\"#mpox-vaccine-near-me\">vaccine \u003c/a>for the disease, but few doses are available on the African continent.\u003c/p>\n\u003cp>“This is something that should concern us all … The potential for further spread within Africa and beyond is very worrying,” WHO director-general Tedros Adhanom Ghebreyesus said.\u003c/p>\n\u003cp>The CDC recommends that any person who has traveled to Congo or any bordering countries in the last 21 days and who develops a new, unexplained skin rash should seek medical evaluation and avoid physical contact with others.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/thailand-confirms-its-mpox-case-is-clade-1b-strain-first-country-2024-08-22/\">Thailand’s Department of Disease Control confirmed\u003c/a> that an mpox case detected in that country was the more infectious form of the virus first seen in Congo. This case in Thailand is now the second such confirmed detection outside of the African continent, after \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">Swedish health officials announced Aug. 15 that they’d identified a case of a person with this more dangerous form of mpox.\u003c/a>\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 Bay Area experienced its own mpox outbreak in 2022\u003c/a>, but the strain of the virus now spreading from Congo is different in several ways. Keep reading for what you need to know about mpox in 2024, including the \u003ca href=\"#mpox-symptoms\">the symptoms of mpox\u003c/a>, \u003ca href=\"#mpox-vaccine-near-me\">where to find an mpox vaccine in the Bay Area\u003c/a> and understanding this global emergency declaration.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-wastewater\">\u003c/a>Understanding the two different strains of mpox\u003c/h2>\n\u003cp>In 2022, WHO declared mpox to be a global emergency after it spread to more than 70 countries that had not previously reported mpox, mostly affecting gay and bisexual men. In that outbreak, fewer than 1% of people died. Before this outbreak, the disease had mostly been seen in sporadic outbreaks in central and West Africa when people came into close contact with infected wild animals.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-vaccine-near-me\">Where to find an mpox vaccine in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\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 global 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 caused by a version of the mpox virus known as “clade II.”\u003c/p>\n\u003cp>The mpox outbreak spreading from Congo is caused by another type of the virus, called “clade I,” which causes more severe illness and higher fatality rates than the clade II type that’s been circulating in the U.S. — albeit at low levels — since the 2022 outbreak.\u003c/p>\n\u003cp>Data from Stanford University’s WastewaterSCAN project, which monitors the presence of viruses including mpox in human sewage across the U.S., shows that two years after the initial 2022 outbreak, this clade II strain of mpox is still occasionally detected in the Bay Area’s wastewater. Most recently, \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGNDViZDBlwAEB&selectedChartId=45bd0e\">clade II mpox has been detected as recently as Aug. 18 at San Francisco’s two wastewater plants\u003c/a>, but WastewaterSCAN’s Ali Boehm confirmed that these detections were “low level” and not related to the the clade I outbreak spreading in Congo.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003ca href=\"#mpox-symptoms\">What are the symptoms of mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>So far, in 2024,\u003ca href=\"https://apnews.com/article/mpox-africa-outbreak-vaccines-health-congo-3f79d757e7666600c06cbdad39613bc8\"> there have been almost 19,000 cases of clade I from the Congo outbreak, and over 500 people have died.\u003c/a> Cases are up 160% and deaths are up 19% compared with the same period last year. Salim Abdool Karim, a South African infectious diseases expert who chairs the Africa CDC emergency group, said the new version of mpox spreading from Congo appears to have a death rate of about 3%-4%.\u003c/p>\n\u003ch2>Where has clade I mpox spread globally?\u003c/h2>\n\u003cp>So far there have been only two clade I cases detected outside of the African continent, and none of them are in the United States.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/thailand-confirms-its-mpox-case-is-clade-1b-strain-first-country-2024-08-22/\">Thailand’s Department of Disease Control confirmed\u003c/a> that an mpox case detected in that country was the more infectious form of the virus first seen in Congo. Thai health officials said that the patient was a European man who had arrived in Thailand last week from an unnamed African country where the disease was spreading.\u003c/p>\n\u003cp>On Aug. 15, the Swedish public health agency said that \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the clade I case identified in that country\u003c/a> was a patient who recently sought health care in Stockholm after traveling to “the part of Africa where there is a major outbreak,” according to the agency. Officials said the risk to the general public was considered “very low” and that they expected sporadic imported cases to continue.\u003c/p>\n\u003cp>Individual cases of \u003ca href=\"https://www.reuters.com/world/asia-pacific/philippines-says-recent-mpox-case-is-mild-clade-2-variant-2024-08-21/\">mpox reported in the Philippines\u003c/a> and \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/one-case-mpox-detected-pakistan-2024-08-19/\">Pakistan\u003c/a> were confirmed this week to in fact be the less dangerous clade II mpox.\u003c/p>\n\u003ch2>Understanding mpox in the Bay Area\u003c/h2>\n\u003cp>According to data from multiple local health departments, the overwhelming majority of mpox cases in the Bay Area during the 2022 outbreak were reported among gay men and other men who have sex with men. At the peak of the 2022 outbreak, San Francisco health officials \u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">saw dozens of new mpox cases each week in July of that year\u003c/a>.\u003c/p>\n\u003cp>Around the same time, the city \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\">declared a public health emergency\u003c/a> — the first city in the country to do so. The White House soon followed suit and declared mpox a public health emergency in August, when more than 6,000 cases had been confirmed in the U.S.\u003c/p>\n\u003cp>In 2022, organizers from the LGBTQ+ community \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\">quickly mobilized to pressure public health officials\u003c/a> at every level of government to make vaccines and treatment widely available to this vulnerable population. The San Francisco AIDS Foundation (SFAF) helped spearhead these efforts and has continued to provide free mpox vaccines. \u003cstrong>(Jump straight to\u003c/strong> \u003cstrong>\u003ca href=\"#mpox-vaccine-near-me\">where to find an mpox vaccine in the Bay Area\u003c/a>.)\u003c/strong>\u003c/p>\n\u003cp>“We are aware of the mpox health emergency in Africa, and although mpox rates in the Bay Area are currently at low levels, we know that infection rates can change or increase — sometimes rapidly,” said Jorge Roman, senior director of clinical services at SFAF in a statement to KQED.\u003c/p>\n\u003cp>Soon after the WHO declared the global emergency on Wednesday, San Francisco public health officials confirmed that the risk of this new strain remains relatively low in the Bay Area.\u003c/p>\n\u003cp>In a statement, the San Francisco Department of Public Health (SFDPH) said that “the overall risk to the general population in the United States is considered to be very low.” The agency said it will continue “to closely monitor the situation alongside our federal and state partners.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">Cases of clade II mpox “remain low” in San Francisco\u003c/a>, SFDPH said, “and we will continue to update the community if further actions are needed to protect health.” \u003ca href=\"https://www.sf.gov/resource/2022/mpox-data-and-reports\">The current rolling 7-day average of new mpox cases per day in San Francisco is zero.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>‘A failure of the global community’\u003c/h2>\n\u003cp>Officials at the Africa CDC said nearly 70% of cases in Congo are in children younger than 15, who also accounted for 85% of deaths.\u003c/p>\n\u003cp>Jacques Alonda, an epidemiologist working in Congo with international charities, said he and other experts were particularly worried about the spread of mpox in camps for refugees in the country’s conflict-ridden east.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The worst case I’ve seen is that of a 6-week-old baby who was just two weeks old when he contracted mpox,” Alonda said, adding the baby has been in their care for a month. “He got infected because hospital overcrowding meant he and his mother were forced to share a room with someone else who had the virus, which was undiagnosed.”\u003c/p>\n\u003cp>Earlier this year, scientists also reported the \u003ca href=\"https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de\">emergence of a new form\u003c/a> of the deadlier clade I form of mpox, which can kill up to 10% of people in a Congolese mining town that they feared might spread more easily.\u003c/p>\n\u003cp>Unlike in previous mpox outbreaks, where lesions were mostly seen on the chest, hands and feet, the new form causes milder symptoms and lesions on the genitals. That makes it harder to spot, meaning people might also sicken others without knowing they’re infected.\u003c/p>\n\u003cp>Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine, said declaring these latest mpox outbreaks in Africa an emergency is warranted if that might lead to more support to contain them.\u003c/p>\n\u003cp>“It’s a failure of the global community that things had to get this bad to release the resources needed,” he said.\u003c/p>\n\u003cp>The U.N. health agency said mpox was recently identified for the first time in four East African countries: Burundi, Kenya, Rwanda and Uganda. All of those outbreaks are linked to the one in Congo. In Ivory Coast and South Africa, health authorities have reported outbreaks of the less dangerous clade II version of mpox that spread worldwide in 2022.\u003c/p>\n\u003ch2>\u003ca id=\"mpox-symptoms\">\u003c/a>What to know about mpox symptoms and how the virus spreads\u003c/h2>\n\u003cp>The mpox virus spreads through close 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. 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>Mpox symptoms often start as flu-like conditions, SFPDH said — which is worth bearing in mind during \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">this current COVID-19 surge\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. \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>\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 — that can range from three to 17 days, according to the CDC.\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"mpox-vaccine-near-me\">\u003c/a>Where you can find an mpox vaccine in the Bay Area\u003c/h2>\n\u003cp>The two-dose mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials were originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\n\u003cp>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>“We recommend that all people who may be at risk of mpox receive both doses of the Jynneos mpox vaccine,” Roman of the San Francisco Aids Foundation said. “Vaccines are plentiful and easily available at this point in time, from San Francisco AIDS Foundation and other City and community partners.” Mpox vaccination is not recommended at this time for those who have previously been infected.\u003c/p>\n\u003cp>\u003cstrong>Who is recommended to get the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>SFDPH said that previous mpox outbreaks have 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. City health officials also especially recommend the mpox vaccine for all people living with HIV and anyone taking or eligible to take HIV PrEP.\u003c/p>\n\u003cp>Public health officials also recommend that sex workers, people who’ve been diagnosed with a bacterial sexually transmitted disease (like chlamydia, gonorrhea or syphilis) in the last three months and folks with certain job-related risks of mpox seek the free vaccine. \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">See SFDPH’s full list of people who may be at higher risk of getting mpox.\u003c/a>\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\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.\u003c/p>\n\u003cp>\u003cb>If you’ve already had both doses of the mpox vaccine, even back in 2022:\u003c/b>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster.\u003c/p>\n\u003cp>\u003cb>If you \u003c/b>\u003cb>\u003ci>haven’t \u003c/i>\u003c/b>\u003cb>already had the mpox vaccine:\u003c/b>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can.\u003c/p>\n\u003cp>If you already have your first dose but forgot to get your second, go get that last dose as soon as possible — even if you got Dose 1 back in 2022.\u003c/p>\n\u003ch2>\u003cb>Locations offering the mpox vaccine in the Bay Area\u003c/b>\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-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>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 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>\u003cb>If you live in or near San Francisco:\u003c/b>\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 confirms that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cb>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">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 style=\"font-weight: 400;\">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\u003cp>SFAF will also administer free first and second doses of the vaccine at the upcoming Castro Street Fair on Oct. 6, with no appointment needed. You can find the SFAF booth at 470 Castro St., San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cem>Associated Press writers Gerald Imray in Cape Town, South Africa, Christina Malkia in Kinshasa, Congo and Mark Banchereau in Dakar, Senegal contributed to this report, as well as KQED’s Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Back in the summer and fall of 2022, \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\">an outbreak of the mpox virus\u003c/a>— \u003cu>\u003c/u>\u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>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 sharply to very low numbers in California. But with \u003ca href=\"https://www.kqed.org/news/tag/pride\">San Francisco’s giant 2024 Pride celebrations\u003c/a> a month away, the city’s health officials are once again reminding local communities to seek out the free mpox vaccine if they haven’t already — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading to learn what we know about mpox in the Bay Area in 2024, the precautions local public health officials recommend ahead of Pride month, and where you can find an mpox vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#findmonkeypoxvaccine\">Where can I find a free mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismpox\">What is mpox and how does it spread?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptomsrash\">What are the symptoms of mpox? What does the rash look like?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Do I need to worry about mpox again in the Bay Area in 2024?\u003c/h2>\n\u003cp>The good news: There is no current mpox outbreak in the Bay Area or California, confirmed Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health (SFDPH) — and case counts remain low. In 2024, San Francisco has only seen nine total mpox cases so far.\u003c/p>\n\u003cp>Janssen said that SFPDH is, therefore, basing its vaccine reminder on:\u003c/p>\n\u003cp>\u003cstrong>The possible seasonality of mpox\u003c/strong>\u003c/p>\n\u003cp>Based on previous surges of infections during the summer and fall months, city health officials recognize “that this may be a seasonal pattern,” Janssen said — and they’re making their recommendations accordingly. (After the “large surge of cases” during the initial 2022 outbreak, San Francisco saw a second, smaller surge of 87 cases the following year from July through December 2023.)\u003c/p>\n\u003cp>And while “we don’t know enough about mpox yet to know if we’ll see that again,” Janssen said, “because we’ve seen it in the past, we want to be ready, and we want to be prepared.”\u003c/p>\n\u003cp>\u003cstrong>Summer travel and mpox cases elsewhere\u003c/strong>\u003c/p>\n\u003cp>There’s also San Francisco’s Pride celebrations right around the corner in June — when many folks gather and arrive in the region from other parts of the United States.\u003c/p>\n\u003cp>“In the summer months, with more travel, more events, more interactions, and more gatherings, there’s more opportunities for mpox to spread,” Janssen said. And while nationally, mpox cases have “remained quite low over the past several months,” Janssen said, “we are watching other areas of the country.”\u003c/p>\n\u003cp>Globally, the Centers for Disease Control and Prevention (CDC) are also monitoring\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7319a3.htm?s_cid=mm7319a3_w\"> a recent outbreak in the Democratic Republic of Congo\u003c/a> of a strain of mpox — called “clade I” — that causes more severe illness and higher fatality rates than the “clade II” type that’s been circulating in the U.S. According to the CDC’s most recent available figures, \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/outbreak/2023-drc.html#:~:text=Since%20January%201%2C%202023%2C%20DRC,and%20more%20than%20900%20deaths.\">this clade I outbreak has resulted in more than 19,000 suspected cases and over 900 deaths\u003c/a>.\u003c/p>\n\u003cp>“Thus far, there have been no known clade I cases of mpox in the United States,” Janssen said. “We would provide any updates if that were to change.”\u003c/p>\n\u003cp>\u003cstrong>Making the mpox vaccine routine\u003c/strong>\u003c/p>\n\u003cp>SFPDH and other health agencies want people to consider the mpox vaccine “as a part of comprehensive sexual health care,” Janssen said— rather than an emergency response.\u003c/p>\n\u003cp>“We want to encourage people to think about it as they’re thinking about STI testing, treatment and evaluation … as a part of their comprehensive sexual health,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>SFDPH said that previous mpox outbreaks have 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>City health officials also especially recommend the mpox vaccine for all people living with HIV, and “anyone taking or eligible to take HIV PrEP.”\u003c/p>\n\u003cp>“In San Francisco, over 99% of our cases since July 1, 2023, have been among cis men with male partners,” Janssen said.\u003c/p>\n\u003cp>A reminder: The mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials \u003cem>were\u003c/em> originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"findmonkeypoxvaccine\">\u003c/a>Do I need to get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses.\u003c/p>\n\u003cp>“Maximal immunity is achieved two weeks after receipt of the second dose of the vaccine,” Janssen said.\u003c/p>\n\u003cp>So …\u003c/p>\n\u003cp>\u003cstrong>If you’ve already had both doses of the mpox vaccine:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster, confirmed Janssen.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>haven’t \u003c/em>already had the mpox vaccine\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. A good reason to move quickly to get your first dose right now: You’ll then be able to get your second dose just ahead of Pride, and your immunity will quickly start building to that maximal level.\u003c/p>\n\u003cp>But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can. “Any vaccine is better than no vaccine,” Janssen said, “so we’re encouraging people to get vaccinated as soon as possible to get protection.”\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Go get your second dose as soon as possible, Janssen said — and don’t worry if you got your first dose as long ago as 2022, back in the original outbreak.\u003c/p>\n\u003cp>“You can get the second dose at any time,” Janssen confirmed.\u003c/p>\n\u003ch2>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-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>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 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>\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>. Cohen confirms 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\u003cp>\u003cstrong>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cstrong>How effective is the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>Very. “While we know that no vaccine is 100% effective, we do know that less than 1% of persons who have been fully vaccinated have been diagnosed with mpox,” Janssen said, citing \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7320a3.htm?s_cid=mm7320a3_w\">a recent study from the CDC on the mpox vaccine’s efficacy.\u003c/a>\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It’s been shown to help reduce symptoms — which can be very painful — if you \u003cem>do\u003c/em> still get infected. It also “reduces illness severity and the risk of hospitalization and death,” Janssen said.\u003c/p>\n\u003ch2>\u003ca id=\"whatismpox\">\u003c/a>What is mpox, and how does it spread?\u003c/h2>\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> SFDPH said, which can include sex, kissing and sharing bedding or clothing.\u003c/p>\n\u003cp>See how mpox cases are tracked around the country:\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\u003ch2>\u003ca id=\"monkeypoxsymptomsrash\">\u003c/a>What are the symptoms of mpox?\u003c/h2>\n\u003cp>Mpox symptoms often start as flu-like conditions, SFPDH said, 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 spots often start as “red, flat spots and then become bumps,” SFDPH said, before the bumps become filled with pus and turn into scabs when they break.\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>\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 — that can range from three to 17 days, according to the CDC.\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/h2>\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 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>[ad floatright]\u003c/p>\n",
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"excerpt": "A month from Pride, officials are urging people at higher risk for mpox — formerly monkeypox — to find a free vaccine if they haven't already. Here’s how mpox spreads, the symptoms to look for, and what to do if you have already received an mpox vaccine.",
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"title": "Get Your Free 2024 Mpox Vaccine, Say San Francisco Health Officials | KQED",
"description": "A month from Pride, officials are urging people at higher risk for mpox — formerly monkeypox — to find a free vaccine if they haven't already. Here’s how mpox spreads, the symptoms to look for, and what to do if you have already received an mpox vaccine.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Back in the summer and fall of 2022, \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\">an outbreak of the mpox virus\u003c/a>— \u003cu>\u003c/u>\u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>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 sharply to very low numbers in California. But with \u003ca href=\"https://www.kqed.org/news/tag/pride\">San Francisco’s giant 2024 Pride celebrations\u003c/a> a month away, the city’s health officials are once again reminding local communities to seek out the free mpox vaccine if they haven’t already — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading to learn what we know about mpox in the Bay Area in 2024, the precautions local public health officials recommend ahead of Pride month, and where you can find an mpox vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#findmonkeypoxvaccine\">Where can I find a free mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismpox\">What is mpox and how does it spread?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptomsrash\">What are the symptoms of mpox? What does the rash look like?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Do I need to worry about mpox again in the Bay Area in 2024?\u003c/h2>\n\u003cp>The good news: There is no current mpox outbreak in the Bay Area or California, confirmed Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health (SFDPH) — and case counts remain low. In 2024, San Francisco has only seen nine total mpox cases so far.\u003c/p>\n\u003cp>Janssen said that SFPDH is, therefore, basing its vaccine reminder on:\u003c/p>\n\u003cp>\u003cstrong>The possible seasonality of mpox\u003c/strong>\u003c/p>\n\u003cp>Based on previous surges of infections during the summer and fall months, city health officials recognize “that this may be a seasonal pattern,” Janssen said — and they’re making their recommendations accordingly. (After the “large surge of cases” during the initial 2022 outbreak, San Francisco saw a second, smaller surge of 87 cases the following year from July through December 2023.)\u003c/p>\n\u003cp>And while “we don’t know enough about mpox yet to know if we’ll see that again,” Janssen said, “because we’ve seen it in the past, we want to be ready, and we want to be prepared.”\u003c/p>\n\u003cp>\u003cstrong>Summer travel and mpox cases elsewhere\u003c/strong>\u003c/p>\n\u003cp>There’s also San Francisco’s Pride celebrations right around the corner in June — when many folks gather and arrive in the region from other parts of the United States.\u003c/p>\n\u003cp>“In the summer months, with more travel, more events, more interactions, and more gatherings, there’s more opportunities for mpox to spread,” Janssen said. And while nationally, mpox cases have “remained quite low over the past several months,” Janssen said, “we are watching other areas of the country.”\u003c/p>\n\u003cp>Globally, the Centers for Disease Control and Prevention (CDC) are also monitoring\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7319a3.htm?s_cid=mm7319a3_w\"> a recent outbreak in the Democratic Republic of Congo\u003c/a> of a strain of mpox — called “clade I” — that causes more severe illness and higher fatality rates than the “clade II” type that’s been circulating in the U.S. According to the CDC’s most recent available figures, \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/outbreak/2023-drc.html#:~:text=Since%20January%201%2C%202023%2C%20DRC,and%20more%20than%20900%20deaths.\">this clade I outbreak has resulted in more than 19,000 suspected cases and over 900 deaths\u003c/a>.\u003c/p>\n\u003cp>“Thus far, there have been no known clade I cases of mpox in the United States,” Janssen said. “We would provide any updates if that were to change.”\u003c/p>\n\u003cp>\u003cstrong>Making the mpox vaccine routine\u003c/strong>\u003c/p>\n\u003cp>SFPDH and other health agencies want people to consider the mpox vaccine “as a part of comprehensive sexual health care,” Janssen said— rather than an emergency response.\u003c/p>\n\u003cp>“We want to encourage people to think about it as they’re thinking about STI testing, treatment and evaluation … as a part of their comprehensive sexual health,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>SFDPH said that previous mpox outbreaks have 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>City health officials also especially recommend the mpox vaccine for all people living with HIV, and “anyone taking or eligible to take HIV PrEP.”\u003c/p>\n\u003cp>“In San Francisco, over 99% of our cases since July 1, 2023, have been among cis men with male partners,” Janssen said.\u003c/p>\n\u003cp>A reminder: The mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials \u003cem>were\u003c/em> originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"findmonkeypoxvaccine\">\u003c/a>Do I need to get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses.\u003c/p>\n\u003cp>“Maximal immunity is achieved two weeks after receipt of the second dose of the vaccine,” Janssen said.\u003c/p>\n\u003cp>So …\u003c/p>\n\u003cp>\u003cstrong>If you’ve already had both doses of the mpox vaccine:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster, confirmed Janssen.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>haven’t \u003c/em>already had the mpox vaccine\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. A good reason to move quickly to get your first dose right now: You’ll then be able to get your second dose just ahead of Pride, and your immunity will quickly start building to that maximal level.\u003c/p>\n\u003cp>But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can. “Any vaccine is better than no vaccine,” Janssen said, “so we’re encouraging people to get vaccinated as soon as possible to get protection.”\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Go get your second dose as soon as possible, Janssen said — and don’t worry if you got your first dose as long ago as 2022, back in the original outbreak.\u003c/p>\n\u003cp>“You can get the second dose at any time,” Janssen confirmed.\u003c/p>\n\u003ch2>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-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>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 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>\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>. Cohen confirms 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\u003cp>\u003cstrong>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cstrong>How effective is the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>Very. “While we know that no vaccine is 100% effective, we do know that less than 1% of persons who have been fully vaccinated have been diagnosed with mpox,” Janssen said, citing \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7320a3.htm?s_cid=mm7320a3_w\">a recent study from the CDC on the mpox vaccine’s efficacy.\u003c/a>\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It’s been shown to help reduce symptoms — which can be very painful — if you \u003cem>do\u003c/em> still get infected. It also “reduces illness severity and the risk of hospitalization and death,” Janssen said.\u003c/p>\n\u003ch2>\u003ca id=\"whatismpox\">\u003c/a>What is mpox, and how does it spread?\u003c/h2>\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> SFDPH said, which can include sex, kissing and sharing bedding or clothing.\u003c/p>\n\u003cp>See how mpox cases are tracked around the country:\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\u003ch2>\u003ca id=\"monkeypoxsymptomsrash\">\u003c/a>What are the symptoms of mpox?\u003c/h2>\n\u003cp>Mpox symptoms often start as flu-like conditions, SFPDH said, 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 spots often start as “red, flat spots and then become bumps,” SFDPH said, before the bumps become filled with pus and turn into scabs when they break.\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>\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 — that can range from three to 17 days, according to the CDC.\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/h2>\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 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>\u003c/p>\u003c/div>",
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"title": "Where to Get the Mpox Vaccine as Cases Rise in California",
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"headTitle": "Where to Get the Mpox Vaccine as Cases Rise in California | KQED",
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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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"title": "Mpox Cases Rise in California: Where to Get Vaccinated | KQED",
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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": "SF Pride 2023: Celebrating the LGBTQ+ Community and Activism",
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"content": "\u003cp>San Francisco Pride 2023 is here. And with Pride comes \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">parties, shows and the chance to meet new people\u003c/a>. But we can’t gloss over the fact that with certain activities sometimes comes risks.\u003c/p>\n\u003cp>What you do this weekend is your business, so we want to make sure that you have the information you need to take care of yourself and those around you. This guide includes when and where everything is happening at this year’s celebration in San Francisco’s Civic Center. But it also includes advice from experts on how to protect yourself from COVID-19 risks, take care of your sexual health and avoid being exposed to fentanyl if you’re planning to use heavier drugs.\u003c/p>\n\u003cp>And one thing to keep in mind: Pride is a time to celebrate the progress and achievements of the LGBTQ+ community, but as many advocates point out, it’s also a time to continue pushing for better protections of queer people across the country. Making sure you and those around you are safe this weekend is part of that work.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#paradeschedule\">Pride 2023 parade schedule, route and map\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#drugs\">What to know about drugs this weekend\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox\">Mpox (formerly known as monkeypox) and Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">COVID considerations at Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"paradeschedule\">\u003c/a>Heading to the Pride parade? Know the logistics\u003c/h2>\n\u003cp>Sunday’s Pride parade is not the only way to enjoy Pride, but it definitely is one of the most emblematic Pride celebrations in the country, bringing together hundreds of groups and organizations, along with tens of thousands of people, with hours of music and dancing down Market Street.\u003c/p>\n\u003cp>If you’re not feeling the parade this year, there’s a whole universe of events and parties happening across the Bay Area this weekend: See \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts’ guide to some of the best Pride parties\u003c/a>, and look for other online guides to the myriad cultural and celebratory events going on, like \u003ca href=\"https://48hills.org/2023/06/ultimate-pride-guide-2023-more-more-more/\">48 Hills’ Ultimate Pride Guide 2023\u003c/a>.\u003c/p>\n\u003cp>And if you are planning to head over to the parade, here’s a quick breakdown of what to expect:\u003c/p>\n\u003cp>\u003cb>When is the Pride parade? And what’s the Pride parade route?\u003c/b>\u003c/p>\n\u003cp>The schedule for the Pride parade on Sunday, June 25:\u003c/p>\n\u003cul>\n\u003cli>Starts at 10:30 a.m. at Market and Beale streets (closest BART station: Embarcadero)\u003c/li>\n\u003cli>Ends at Market and 8th streets (closest BART station: Civic Center)\u003c/li>\n\u003c/ul>\n\u003cp>Save this Pride map to your phone’s camera roll, in case you’re in an area with poor or slow cellphone service:\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11953704\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png\" alt='A mag that reads \"San Francisco Pride\" in the top left corner.' width=\"800\" height=\"791\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-1020x1009.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-160x158.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png 1484w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>Check the weather forecast — and stay hydrated\u003c/b>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://forecast.weather.gov/MapClick.php?CityName=San+Francisco&state=CA&site=MTR&textField1=37.775&textField2=-122.418&e=0\">the National Weather Service forecasts mild temperatures for San Francisco this weekend\u003c/a>, with highs around the low-to-mid-60s. SF’s weather is nothing if not changeable, though, so keep an eye on the forecast, pack your sunscreen (you can get surprisingly sunburned even on a cloudy day) and remember to bring a lot of water. (Although, remember that \u003ca href=\"https://sfpride.org/security/\">the official Pride parade prohibits water bottles, “sealed or not,”\u003c/a> and only allows you to bring empty plastic water bottles inside the parade area.)\u003cbr>\n[ad fullwidth]\u003cbr>\n\u003cb>Check the prohibited items list if you’re planning to attend the Sunday Pride parade\u003c/b>\u003c/p>\n\u003cp>There’s a high chance any bag you bring will be searched at Sunday’s Pride parade upon entry, so pack accordingly. Organizers have a description of \u003ca href=\"https://sfpride.org/security/\">the kinds and sizes of bags allowed at the parade\u003c/a> on the Pride site. Be sure to look over the list of\u003ca href=\"https://sfpride.org/security/\"> items that are prohibited\u003c/a>, which include:\u003c/p>\n\u003cul>\n\u003cli>Weapons, regardless of permit\u003c/li>\n\u003cli>Umbrellas\u003c/li>\n\u003cli>Cans, thermoses and glass bottles\u003c/li>\n\u003cli>Any water bottle, even if sealed (although empty plastic water bottles are allowed)\u003c/li>\n\u003cli>Outside food and beverages, including alcohol\u003c/li>\n\u003cli>Narcotics and marijuana\u003c/li>\n\u003cli>Hard-sided coolers\u003c/li>\n\u003cli>Chairs of any kind\u003c/li>\n\u003cli>Drones\u003c/li>\n\u003cli>Pets (except service animals)\u003c/li>\n\u003cli>Bicycles\u003c/li>\n\u003c/ul>\n\u003cp>Speaking of prohibited items, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/safety-tips/pride-safety-tips\">the San Francisco Police Department says there will be “a significant police presence during Pride activities,”\u003c/a> and that “both uniformed and plainclothes officers” will be present. SFPD’s Pride advisory also says that because there is “no organized event taking place Saturday in the Castro District” and no street closures, “laws prohibiting possession of open containers of alcoholic beverages and drinking in public will be strictly enforced.”[aside postID=arts_13930587 hero='https://ww2.kqed.org/app/uploads/sites/2/2023/06/Pink-Block-2022-1020x678.png']\u003c/p>\n\u003cp>\u003cb>Know your public transit options (and how you’ll get home)\u003c/b>\u003c/p>\n\u003cp>Your regular bus or train home may be rerouted or disrupted by Pride, so make a plan for getting around and getting home safely before you head out. (See a \u003ca href=\"https://www.sfmta.com/travel-transit-updates\">list of Muni routes disrupted or closed by Pride setup and celebrations all this week\u003c/a>.)\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/news/articles/2023/news20230609\">BART officials say there will be more service for this year’s Pride Sunday\u003c/a> than for any previous year, opening at 8 a.m. that day and running a five-line service until 9 p.m. “with added special event trains as ridership warrants.” After 9 p.m., that service will be reduced to a three-line service.\u003c/p>\n\u003cp>Expect crowding at BART stations near the parade, as well as in the train carriages (a reason you might consider bringing an N95 mask along). BART recommends using Montgomery Street and Powell Street stations instead of Civic Center or Embarcadero stations, for this reason.\u003c/p>\n\u003ch2>What to know about accessibility at Pride\u003c/h2>\n\u003cp>\u003cb>Accessible viewing areas at Pride\u003c/b>\u003c/p>\n\u003cp>Sunday’s Pride parade has an \u003ca href=\"https://sfpride.org/accessibility/\">accessible parade viewing area\u003c/a>, which organizers say provides “unobstructed parade viewing” for free, for individuals plus one guest. This seated parade viewing area at the parade grandstands also has accessible restroom facilities. You can \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfsSAMJ_jH4mwg3hMMClLSsVuwqPqqTEn4kYIA1RIBA11igEQ/viewform\">request a spot for you and a guest using this Google Form\u003c/a>.\u003c/p>\n\u003cp>Pride organizers say the parade’s main stage also has a seated viewing platform with ASL interpretation, and that wristbands for this area will be available at the Pride information booth on Fulton Street at Larkin Street. \u003ca href=\"https://sfpride.org/accessibility/\">Find more information about accessibility at Pride.\u003c/a>\u003c/p>\n\u003cp>\u003cb>BART and accessibility\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/guide/accessibility/mobility\">All BART stations have accessible elevators\u003c/a>, but being prepared for issues with those elevators is a good idea. You can \u003ca href=\"https://www.bart.gov/news/alerts\">sign up for BART alerts\u003c/a> to be notified if there’s an issue with the elevator at the station you’re planning to use to attend Pride, or check the status of elevator operations at any station by calling (510) 834-LIFT or (888) 2-ELEVAT.\u003c/p>\n\u003cp>If you discover that an elevator is not working at a particular station you’re planning to use, call the BART Transit Information Center to get information about transit alternatives at (510) 465-2278 from 8 a.m. to 6 p.m., Monday to Friday.\u003c/p>\n\u003cp>In a statement about accessibility, Pride organizers say the event has a “zero-tolerance policy for harassment, discrimination, or any form of violence,” and that Pride security personnel, “in collaboration with law enforcement, will be vigilant in enforcing these guidelines and addressing any inappropriate behavior.”\u003c/p>\n\u003cfigure id=\"attachment_11947462\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947462\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A wooden box hanging on a bar wall is open, with medication, cups, instructions inside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. The boxes include Narcan and instructions on how to administer it, along with fentanyl test strips. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"drugs\">\u003c/a>Always test your drugs\u003c/h2>\n\u003cp>In the past few years, there’s been a spike nationwide of accidental fentanyl overdoses. Many party drugs, including cocaine and molly, are increasingly laced with fentanyl. Just in San Francisco, \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">hundreds of people have already lost their lives this year due to fentanyl overdoses\u003c/a>.\u003c/p>\n\u003cp>Kate Franza, who leads the behavioral health services team at the \u003ca href=\"https://sfcommunityhealth.org/\">San Francisco Community Health Center\u003c/a> in the city’s Tenderloin District, says it is very common nowadays to find other drugs laced with fentanyl and that if someone is going to consume drugs like cocaine or molly, they should very much consider the possibility that there may be fentanyl present.\u003c/p>\n\u003cp>“We don’t want folks to be anxious,” she said, “but we want folks to know that there’s ways that they can prepare themselves and do things to be safe so that they can check if their drugs have fentanyl in them and then make an informed decision.”\u003c/p>\n\u003cp>\u003cstrong>Consider testing ahead of time\u003c/strong>\u003c/p>\n\u003cp>If you know you will be taking drugs this weekend, Franza says one way to reduce the risk of being exposed to fentanyl is bringing your own substances that you have already tested and know are free of fentanyl. That way, you avoid consuming from unknown sources at places, like a crowded party, where it might be harder to test.\u003c/p>\n\u003cp>Testing, Franza says, is critical. “Because if your drugs are cut with fentanyl, you can die. It can trigger an overdose. It can trigger death,” she said. “And if folks feel shame or embarrassment, they can test privately as long as they have the strips.”\u003c/p>\n\u003cul>\n\u003cli>The nonprofit FentCheck provides bars and other community spaces with fentanyl test strips and Narcan. \u003ca href=\"https://fentcheck.org/check-your-drugs-1\">Find locations with free fentanyl strips here\u003c/a>, and review a \u003ca href=\"https://fentcheck.org/check-your-drugs-2\">step-by-step tutorial from FentCheck on how to use test strips here\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Know about Narcan\u003c/strong>\u003c/p>\n\u003cp>Franza also recommends bringing your own water and a Narcan kit. Narcan is the brand name for a naloxone nasal spray that is administered to someone when they are experiencing an opioid overdose (that includes fentanyl).\u003c/p>\n\u003cp>Anyone can buy and apply Narcan. You can buy a Narcan kit at a pharmacy without needing a prescription, and you can also get it free of charge at the San Francisco Department of Public Health’s Community Behavioral Health Services pharmacy at 1380 Howard Street. The pharmacy is open Monday to Friday from 9 a.m. to 6:30 p.m., and on weekdays from 9 a.m. to 4:30 p.m.\u003c/p>\n\u003cul>\n\u003cli>Watch this video training from the National Harm Reduction Coalition: \u003ca href=\"https://www.youtube.com/watch?v=01mIImI85lM\">How to safely administer Narcan to someone experiencing an opioid overdose\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>“Mixing various substances increases the risk of access to fentanyl, but [also] overdose with uppers and downers,” said Franza. “Be mindful of making decisions as best as you can about what drugs you want to do and minimize mixing.”\u003c/p>\n\u003cp>\u003cstrong>Set up a buddy system\u003c/strong>\u003c/p>\n\u003cp>Your friends are key in keeping you safe, especially when you’re taking harder drugs, adds Franza. She recommends setting up a buddy system where each person reminds the other to test whatever you will be taking, drinking enough water and having emergency contacts ready if additional help is needed. Additionally, if you made a plan for the weekend, including specific limits of what you will consume and when, a friend can help you remember this information when you may not be sober.\u003c/p>\n\u003cp>“If you’re planning on going out a lot during Pride, you may want to set some limitations because each time you do it, it’s harder on your body,” Franza said. “Another strategy is buying less. The likelihood of you doing more if you have it on you is higher. So if you buy less, it’s essentially one step further to have to purchase more.”\u003c/p>\n\u003ch2>\u003ca id=\"mpox\">\u003c/a>What to know about Pride and mpox\u003c/h2>\n\u003cp>\u003cb>What is mpox, and why should you be vigilant for it?\u003c/b>\u003c/p>\n\u003cp>In the summer and fall of 2022, \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\">an outbreak of the mpox virus\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> — hit the United States. This virus particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>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 both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But in May, with Pride around the corner, \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago that resulted in 13 suspected or confirmed cases\u003c/a> prompted Bay Area health officials to once again urge local communities to be vigilant for the virus ahead of Pride — and to seek out the free mpox vaccine.[aside label='More Guides from KQED' tag='audience-news']\u003c/p>\n\u003cp>Cases of mpox have remained low in the Bay Area since last summer’s outbreak, and health officials in the city aren’t seeing any rise that’s giving them cause for concern, says Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH. But with a huge number of gatherings and celebrations planned — not just over Pride weekend but well into the summer and fall — and also the volume of visitors to the city arriving for these celebrations from other parts of the state and the country, Cohen stresses that she and her colleagues in Bay Area public health will be remaining vigilant and cautious about mpox.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11949273 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small orange discs appear to 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>\u003cb>If I haven’t got an mpox vaccine, is it too late?\u003c/b>\u003c/p>\n\u003cp>It’s definitely not too late, and you should “absolutely” get a free mpox vaccine if you want one, says SFDPH’s Cohen — even if your first dose is coming just days or even hours before Pride.\u003c/p>\n\u003cp>“The body will start producing the antibodies really soon after the vaccine is given,” said Cohen. “And some protection against mpox is definitely better than no protection against mpox.” Cohen also points out that although the vaccine doesn’t offer 100% protection against contracting mpox, “what we’re seeing is that people who got infected with mpox after having been vaccinated … have a much less severe illness.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease expert at UCSF, echoes this recommendation to get your mpox vaccine to keep yourself and the community safer — noting that not only does immunity start building quickly, but that the virus also has a longer incubation period than say, COVID.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#covid\">\u003cstrong>Jump to: Reducing the risk of COVID-19 during Pride\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>This means that even if you get your vaccine within just a few days of exposure, “your body starts making immune cells that start to work,” said Chin-Hong — and \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/interim-considerations/overview.html\">the mpox vaccine can also “be used in a post-exposure prophylaxis situation (PEP\u003c/a>), not just for pre-exposure prophylaxis (PREP).” And while your immediate thoughts may be on mpox exposure during Pride weekend, there are multiple Pride events happening all over the Bay Area for many months. “So think of it as an insurance policy beyond Pride in SF,” he advised.\u003c/p>\n\u003cp>\u003cb>Where can I find an mpox vaccine?\u003c/b>\u003c/p>\n\u003cp>There are several places across the Bay Area to find a free mpox vaccine, which comes in two doses one month apart. \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines#mpoxvaccinenearme\">Find an mpox vaccination clinic near you.\u003c/a>\u003c/p>\n\u003cp>There are no longer any limitations on who can get an mpox vaccine: In 2022 public health officials were originally only offering vaccines to people who’d been exposed, or were categorized as higher risk, but all those eligibility criteria are no longer in effect. If you want an mpox vaccine, you can get one — free.\u003c/p>\n\u003cp>[aside postID=\"news_11939819\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/082422_MonkeyPoxClinicFresno_LV__012-CM-1-1020x680.jpg\"]By getting an mpox vaccine, you’ll be joining many folks locally who have done the same. Cohen says that after SFDPH’s awareness campaign in May, the number of mpox vaccines being given in San Francisco every week has “about doubled.” Although some of these vaccinations are for people getting their second dose, Cohen said that “most of them are actually people getting their first dose.”\u003c/p>\n\u003cp>\u003cb>How does mpox spread?\u003c/b>\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 the California Department of Public Health.\u003c/p>\n\u003cp>Mpox is not strictly a sexually transmitted infection. The virus can spread through close, skin-to-skin contact and through \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with mpox\u003c/a>. This includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for mpox to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>\u003cb>What are the symptoms of mpox?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The incubation period for mpox\u003c/a> — the amount of time between exposure and developing symptoms and becoming contagious — is usually between six and 13 days, according to the Centers for Disease Control and Prevention. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>Mpox symptoms often start as flu-like symptoms, says SFDPH, 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 spots often start as “red, flat spots, and then become bumps,” says 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 postID=\"news_11949180\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\"]“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\u003ch2>\u003cb>Take care of your personal and sexual health\u003c/b>\u003c/h2>\n\u003cp>It goes without saying that taking care of your individual health and that of your partners involves practicing safer sex, and making sure you bring protection like condoms to Pride.\u003c/p>\n\u003cp>SFDPH’s Dr. Stephanie Cohen says that in addition to having a presence at stages at Friday’s Trans March and Sunday’s Pride parade, the department will also be marching in the parade on Sunday and handing out “harm-reduction supply” (such as condoms).\u003c/p>\n\u003cp>You can also find free HIV and hepatitis C screenings at the following events this weekend:\u003c/p>\n\u003cul>\n\u003cli>\u003cb>Trans March SF, Friday, June\u003c/b> \u003cstrong>23:\u003c/strong> The march will include a resource fair at Dolores Park from 3 p.m. to 6 p.m., which will include free screenings.\u003c/li>\n\u003cli>\u003cb>Trans stage at SF Pride, Saturday, June 24:\u003c/b> Screenings will be offered at the Trans Thrive booth on the corner of Golden Gate Avenue and Polk Street, from 12 p.m. to 6 p.m.\u003c/li>\n\u003cli>\u003cb>A&PI LGBT Community Stage at SF Pride, Sunday, June 25:\u003c/b> Screenings will be offered at the the corner of Golden Gate Avenue and Polk Street from 10 a.m. to 6 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>If you need to get tested after Pride, your county may offer free or low-cost screenings. For example, \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic offers low-cost STI testing\u003c/a>, diagnosis and treatment on a walk-in basis, whether you’re insured or not. They also offer free condoms, and you can get at-home tests delivered via City Clinic in discreet packaging including screening kits for HIV and STIs.\u003c/p>\n\u003cfigure id=\"attachment_11950446\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11950446 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg\" alt=\"A young Asian man with glasses and a moustache and goatee squeezes the sample liquid on a test strip while carrying out a COVID-19 rapid self test at home.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">According to the most recent FDA data, antigen tests are effective in detecting arcturus and other omicron subvariants. \u003ccite>(Tang Ming Tung/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"covid\">\u003c/a>Pride and COVID-19\u003c/h2>\n\u003cp>\u003cb>Consider bringing an N95 mask with you\u003c/b>\u003c/p>\n\u003cp>While \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CiIQACABSABSBjM3NDMwYVoGTiBHZW5leKwBigEGNjdiODZi&selectedChartId=67b86b\">the presence of COVID in San Francisco wastewater\u003c/a> has steadily fallen after a spike in March, a huge amount of folks will be traveling into the city from other parts of the Bay Area, the state, the country and even the world — meaning it’s impossible to know just how many COVID-positive people will be present in the same crowded indoor space as you.\u003c/p>\n\u003cp>Even if you \u003ci>really \u003c/i>don’t want to wear a mask at a party or inside a bar, you might want to slip one on when using a busy bathroom (or “well-worn” Porta Potty), on public transit or in a crowded store on a supply run — and carrying one in your back pocket or purse at least gives you this option. And since Pride is for everyone, if you’re going to a celebration that’s primarily attended by disabled folks or people who are otherwise at a higher risk for severe illness from COVID, you might be outright asked to wear a mask.\u003c/p>\n\u003cp>\u003cb>Stay home if you’re not feeling well (even if it’s not COVID)\u003c/b>\u003c/p>\n\u003cp>If you’re experiencing any of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html\">the symptoms of COVID\u003c/a> — which, with the arcturus variant, can include pink eye — seek out a test, and stay home if you’re positive. If you’re negative, but still feeling sick, consider staying home regardless. Missing the celebrations will hurt, but you’ll be keeping your community safer — even if it’s not COVID.\u003c/p>\n\u003cp>\u003cb>Feeling sick a couple days after Pride? Seek out a COVID test\u003c/b>\u003c/p>\n\u003cp>Unfortunately, finding a quick, free COVID test — whether an at-home antigen test or a PCR test — has gotten progressively harder at this stage of the pandemic, as more sites and services have been shuttered for good. As of June 1, the federal government has also ended its \u003ca href=\"https://www.covid.gov/tests\"> free at-home COVID-test-ordering service\u003c/a> through USPS. But you still have options: \u003ca href=\"https://www.kqed.org/news/11940562/how-to-find-a-free-covid-test-near-you-in-2023-because-its-getting-harder\">Find a free or low-cost test near you with our guide\u003c/a>, or use \u003ca href=\"https://testinglocator.cdc.gov/Search\">the CDC’s COVID test locator\u003c/a> — and read \u003ca href=\"https://www.kqed.org/news/11950386/at-home-covid-tests-are-still-effective-in-2023-and-you-can-still-get-them-for-free\">our guide to using at-home antigen tests in 2023\u003c/a>.\u003c/p>\n\u003cp>How long should you wait after a potential COVID exposure to take a test? If you’ve heard that incubation times for the virus are getting shorter, you’re not wrong — people really are testing positive for COVID more quickly than they were in 2020, when the average incubation period was five days. That’s because “the incubation period is definitely changing with the variants,” said UCSF’s Chin-Hong, and the period keeps going down somewhat with every new variant.\u003c/p>\n\u003cp>Given this trend, even with a lack of studies on the arcturus variant, it “makes sense that if someone has symptoms as quickly as two days after exposure, they should test rather than waiting the full five days,” advised Chin-Hong. “But if [you test] negative at two to three days, rinse and repeat.” In other words: If you’re feeling sick as soon as two days after a Pride party, don’t assume it’s just a cold or you’re rundown after the celebrations — it could very well be COVID.\u003c/p>\n\u003ch2>\u003cb>Lastly, remember: You don’t have to stick to the main Sunday parade\u003c/b>\u003c/h2>\n\u003cp>The presence of large corporations in the Pride parade can be jarring for some, who may not feel comfortable celebrating in this particular environment.\u003c/p>\n\u003cp>But there’ll be a huge amount of gatherings, celebrations, parties and safe spaces around Pride weekend — truly, something for everyone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.transmarch.org/trans-march-2023/\">The 2023 Trans March\u003c/a> and accompanying events will kick off Pride weekend on Friday, June 23, starting at 11 a.m. with the Señora Felicia Flames Intergenerational Brunch, and the march itself is at 6 p.m. The following day, on Saturday, June 24, \u003ca href=\"https://www.thedykemarch.org/\">the 2023 Dyke March\u003c/a> begins at 5 p.m., starting from Dolores and 18th streets.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts has a guide to several Pride parties taking place over the weekend.\u003c/a>\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, helpful explainers and guides about issues like 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": "From the Pride schedule and route map to testing your drugs and finding an mpox vaccine, here's everything you need to know about staying safer at Pride this year.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Pride 2023 is here. And with Pride comes \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">parties, shows and the chance to meet new people\u003c/a>. But we can’t gloss over the fact that with certain activities sometimes comes risks.\u003c/p>\n\u003cp>What you do this weekend is your business, so we want to make sure that you have the information you need to take care of yourself and those around you. This guide includes when and where everything is happening at this year’s celebration in San Francisco’s Civic Center. But it also includes advice from experts on how to protect yourself from COVID-19 risks, take care of your sexual health and avoid being exposed to fentanyl if you’re planning to use heavier drugs.\u003c/p>\n\u003cp>And one thing to keep in mind: Pride is a time to celebrate the progress and achievements of the LGBTQ+ community, but as many advocates point out, it’s also a time to continue pushing for better protections of queer people across the country. Making sure you and those around you are safe this weekend is part of that work.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#paradeschedule\">Pride 2023 parade schedule, route and map\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#drugs\">What to know about drugs this weekend\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpox\">Mpox (formerly known as monkeypox) and Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">COVID considerations at Pride\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"paradeschedule\">\u003c/a>Heading to the Pride parade? Know the logistics\u003c/h2>\n\u003cp>Sunday’s Pride parade is not the only way to enjoy Pride, but it definitely is one of the most emblematic Pride celebrations in the country, bringing together hundreds of groups and organizations, along with tens of thousands of people, with hours of music and dancing down Market Street.\u003c/p>\n\u003cp>If you’re not feeling the parade this year, there’s a whole universe of events and parties happening across the Bay Area this weekend: See \u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts’ guide to some of the best Pride parties\u003c/a>, and look for other online guides to the myriad cultural and celebratory events going on, like \u003ca href=\"https://48hills.org/2023/06/ultimate-pride-guide-2023-more-more-more/\">48 Hills’ Ultimate Pride Guide 2023\u003c/a>.\u003c/p>\n\u003cp>And if you are planning to head over to the parade, here’s a quick breakdown of what to expect:\u003c/p>\n\u003cp>\u003cb>When is the Pride parade? And what’s the Pride parade route?\u003c/b>\u003c/p>\n\u003cp>The schedule for the Pride parade on Sunday, June 25:\u003c/p>\n\u003cul>\n\u003cli>Starts at 10:30 a.m. at Market and Beale streets (closest BART station: Embarcadero)\u003c/li>\n\u003cli>Ends at Market and 8th streets (closest BART station: Civic Center)\u003c/li>\n\u003c/ul>\n\u003cp>Save this Pride map to your phone’s camera roll, in case you’re in an area with poor or slow cellphone service:\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11953704\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png\" alt='A mag that reads \"San Francisco Pride\" in the top left corner.' width=\"800\" height=\"791\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-800x791.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-1020x1009.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM-160x158.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/Screenshot-2023-06-21-at-4.21.30-PM.png 1484w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>Check the weather forecast — and stay hydrated\u003c/b>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://forecast.weather.gov/MapClick.php?CityName=San+Francisco&state=CA&site=MTR&textField1=37.775&textField2=-122.418&e=0\">the National Weather Service forecasts mild temperatures for San Francisco this weekend\u003c/a>, with highs around the low-to-mid-60s. SF’s weather is nothing if not changeable, though, so keep an eye on the forecast, pack your sunscreen (you can get surprisingly sunburned even on a cloudy day) and remember to bring a lot of water. (Although, remember that \u003ca href=\"https://sfpride.org/security/\">the official Pride parade prohibits water bottles, “sealed or not,”\u003c/a> and only allows you to bring empty plastic water bottles inside the parade area.)\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\n\u003cb>Check the prohibited items list if you’re planning to attend the Sunday Pride parade\u003c/b>\u003c/p>\n\u003cp>There’s a high chance any bag you bring will be searched at Sunday’s Pride parade upon entry, so pack accordingly. Organizers have a description of \u003ca href=\"https://sfpride.org/security/\">the kinds and sizes of bags allowed at the parade\u003c/a> on the Pride site. Be sure to look over the list of\u003ca href=\"https://sfpride.org/security/\"> items that are prohibited\u003c/a>, which include:\u003c/p>\n\u003cul>\n\u003cli>Weapons, regardless of permit\u003c/li>\n\u003cli>Umbrellas\u003c/li>\n\u003cli>Cans, thermoses and glass bottles\u003c/li>\n\u003cli>Any water bottle, even if sealed (although empty plastic water bottles are allowed)\u003c/li>\n\u003cli>Outside food and beverages, including alcohol\u003c/li>\n\u003cli>Narcotics and marijuana\u003c/li>\n\u003cli>Hard-sided coolers\u003c/li>\n\u003cli>Chairs of any kind\u003c/li>\n\u003cli>Drones\u003c/li>\n\u003cli>Pets (except service animals)\u003c/li>\n\u003cli>Bicycles\u003c/li>\n\u003c/ul>\n\u003cp>Speaking of prohibited items, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/safety-tips/pride-safety-tips\">the San Francisco Police Department says there will be “a significant police presence during Pride activities,”\u003c/a> and that “both uniformed and plainclothes officers” will be present. SFPD’s Pride advisory also says that because there is “no organized event taking place Saturday in the Castro District” and no street closures, “laws prohibiting possession of open containers of alcoholic beverages and drinking in public will be strictly enforced.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>Know your public transit options (and how you’ll get home)\u003c/b>\u003c/p>\n\u003cp>Your regular bus or train home may be rerouted or disrupted by Pride, so make a plan for getting around and getting home safely before you head out. (See a \u003ca href=\"https://www.sfmta.com/travel-transit-updates\">list of Muni routes disrupted or closed by Pride setup and celebrations all this week\u003c/a>.)\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/news/articles/2023/news20230609\">BART officials say there will be more service for this year’s Pride Sunday\u003c/a> than for any previous year, opening at 8 a.m. that day and running a five-line service until 9 p.m. “with added special event trains as ridership warrants.” After 9 p.m., that service will be reduced to a three-line service.\u003c/p>\n\u003cp>Expect crowding at BART stations near the parade, as well as in the train carriages (a reason you might consider bringing an N95 mask along). BART recommends using Montgomery Street and Powell Street stations instead of Civic Center or Embarcadero stations, for this reason.\u003c/p>\n\u003ch2>What to know about accessibility at Pride\u003c/h2>\n\u003cp>\u003cb>Accessible viewing areas at Pride\u003c/b>\u003c/p>\n\u003cp>Sunday’s Pride parade has an \u003ca href=\"https://sfpride.org/accessibility/\">accessible parade viewing area\u003c/a>, which organizers say provides “unobstructed parade viewing” for free, for individuals plus one guest. This seated parade viewing area at the parade grandstands also has accessible restroom facilities. You can \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfsSAMJ_jH4mwg3hMMClLSsVuwqPqqTEn4kYIA1RIBA11igEQ/viewform\">request a spot for you and a guest using this Google Form\u003c/a>.\u003c/p>\n\u003cp>Pride organizers say the parade’s main stage also has a seated viewing platform with ASL interpretation, and that wristbands for this area will be available at the Pride information booth on Fulton Street at Larkin Street. \u003ca href=\"https://sfpride.org/accessibility/\">Find more information about accessibility at Pride.\u003c/a>\u003c/p>\n\u003cp>\u003cb>BART and accessibility\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/guide/accessibility/mobility\">All BART stations have accessible elevators\u003c/a>, but being prepared for issues with those elevators is a good idea. You can \u003ca href=\"https://www.bart.gov/news/alerts\">sign up for BART alerts\u003c/a> to be notified if there’s an issue with the elevator at the station you’re planning to use to attend Pride, or check the status of elevator operations at any station by calling (510) 834-LIFT or (888) 2-ELEVAT.\u003c/p>\n\u003cp>If you discover that an elevator is not working at a particular station you’re planning to use, call the BART Transit Information Center to get information about transit alternatives at (510) 465-2278 from 8 a.m. to 6 p.m., Monday to Friday.\u003c/p>\n\u003cp>In a statement about accessibility, Pride organizers say the event has a “zero-tolerance policy for harassment, discrimination, or any form of violence,” and that Pride security personnel, “in collaboration with law enforcement, will be vigilant in enforcing these guidelines and addressing any inappropriate behavior.”\u003c/p>\n\u003cfigure id=\"attachment_11947462\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947462\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A wooden box hanging on a bar wall is open, with medication, cups, instructions inside.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64551_011_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. The boxes include Narcan and instructions on how to administer it, along with fentanyl test strips. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"drugs\">\u003c/a>Always test your drugs\u003c/h2>\n\u003cp>In the past few years, there’s been a spike nationwide of accidental fentanyl overdoses. Many party drugs, including cocaine and molly, are increasingly laced with fentanyl. Just in San Francisco, \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">hundreds of people have already lost their lives this year due to fentanyl overdoses\u003c/a>.\u003c/p>\n\u003cp>Kate Franza, who leads the behavioral health services team at the \u003ca href=\"https://sfcommunityhealth.org/\">San Francisco Community Health Center\u003c/a> in the city’s Tenderloin District, says it is very common nowadays to find other drugs laced with fentanyl and that if someone is going to consume drugs like cocaine or molly, they should very much consider the possibility that there may be fentanyl present.\u003c/p>\n\u003cp>“We don’t want folks to be anxious,” she said, “but we want folks to know that there’s ways that they can prepare themselves and do things to be safe so that they can check if their drugs have fentanyl in them and then make an informed decision.”\u003c/p>\n\u003cp>\u003cstrong>Consider testing ahead of time\u003c/strong>\u003c/p>\n\u003cp>If you know you will be taking drugs this weekend, Franza says one way to reduce the risk of being exposed to fentanyl is bringing your own substances that you have already tested and know are free of fentanyl. That way, you avoid consuming from unknown sources at places, like a crowded party, where it might be harder to test.\u003c/p>\n\u003cp>Testing, Franza says, is critical. “Because if your drugs are cut with fentanyl, you can die. It can trigger an overdose. It can trigger death,” she said. “And if folks feel shame or embarrassment, they can test privately as long as they have the strips.”\u003c/p>\n\u003cul>\n\u003cli>The nonprofit FentCheck provides bars and other community spaces with fentanyl test strips and Narcan. \u003ca href=\"https://fentcheck.org/check-your-drugs-1\">Find locations with free fentanyl strips here\u003c/a>, and review a \u003ca href=\"https://fentcheck.org/check-your-drugs-2\">step-by-step tutorial from FentCheck on how to use test strips here\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Know about Narcan\u003c/strong>\u003c/p>\n\u003cp>Franza also recommends bringing your own water and a Narcan kit. Narcan is the brand name for a naloxone nasal spray that is administered to someone when they are experiencing an opioid overdose (that includes fentanyl).\u003c/p>\n\u003cp>Anyone can buy and apply Narcan. You can buy a Narcan kit at a pharmacy without needing a prescription, and you can also get it free of charge at the San Francisco Department of Public Health’s Community Behavioral Health Services pharmacy at 1380 Howard Street. The pharmacy is open Monday to Friday from 9 a.m. to 6:30 p.m., and on weekdays from 9 a.m. to 4:30 p.m.\u003c/p>\n\u003cul>\n\u003cli>Watch this video training from the National Harm Reduction Coalition: \u003ca href=\"https://www.youtube.com/watch?v=01mIImI85lM\">How to safely administer Narcan to someone experiencing an opioid overdose\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>“Mixing various substances increases the risk of access to fentanyl, but [also] overdose with uppers and downers,” said Franza. “Be mindful of making decisions as best as you can about what drugs you want to do and minimize mixing.”\u003c/p>\n\u003cp>\u003cstrong>Set up a buddy system\u003c/strong>\u003c/p>\n\u003cp>Your friends are key in keeping you safe, especially when you’re taking harder drugs, adds Franza. She recommends setting up a buddy system where each person reminds the other to test whatever you will be taking, drinking enough water and having emergency contacts ready if additional help is needed. Additionally, if you made a plan for the weekend, including specific limits of what you will consume and when, a friend can help you remember this information when you may not be sober.\u003c/p>\n\u003cp>“If you’re planning on going out a lot during Pride, you may want to set some limitations because each time you do it, it’s harder on your body,” Franza said. “Another strategy is buying less. The likelihood of you doing more if you have it on you is higher. So if you buy less, it’s essentially one step further to have to purchase more.”\u003c/p>\n\u003ch2>\u003ca id=\"mpox\">\u003c/a>What to know about Pride and mpox\u003c/h2>\n\u003cp>\u003cb>What is mpox, and why should you be vigilant for it?\u003c/b>\u003c/p>\n\u003cp>In the summer and fall of 2022, \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\">an outbreak of the mpox virus\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> — hit the United States. This virus particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>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 both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But in May, with Pride around the corner, \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago that resulted in 13 suspected or confirmed cases\u003c/a> prompted Bay Area health officials to once again urge local communities to be vigilant for the virus ahead of Pride — and to seek out the free mpox vaccine.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cases of mpox have remained low in the Bay Area since last summer’s outbreak, and health officials in the city aren’t seeing any rise that’s giving them cause for concern, says Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH. But with a huge number of gatherings and celebrations planned — not just over Pride weekend but well into the summer and fall — and also the volume of visitors to the city arriving for these celebrations from other parts of the state and the country, Cohen stresses that she and her colleagues in Bay Area public health will be remaining vigilant and cautious about mpox.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11949273 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small orange discs appear to 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>\u003cb>If I haven’t got an mpox vaccine, is it too late?\u003c/b>\u003c/p>\n\u003cp>It’s definitely not too late, and you should “absolutely” get a free mpox vaccine if you want one, says SFDPH’s Cohen — even if your first dose is coming just days or even hours before Pride.\u003c/p>\n\u003cp>“The body will start producing the antibodies really soon after the vaccine is given,” said Cohen. “And some protection against mpox is definitely better than no protection against mpox.” Cohen also points out that although the vaccine doesn’t offer 100% protection against contracting mpox, “what we’re seeing is that people who got infected with mpox after having been vaccinated … have a much less severe illness.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease expert at UCSF, echoes this recommendation to get your mpox vaccine to keep yourself and the community safer — noting that not only does immunity start building quickly, but that the virus also has a longer incubation period than say, COVID.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#covid\">\u003cstrong>Jump to: Reducing the risk of COVID-19 during Pride\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>This means that even if you get your vaccine within just a few days of exposure, “your body starts making immune cells that start to work,” said Chin-Hong — and \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/interim-considerations/overview.html\">the mpox vaccine can also “be used in a post-exposure prophylaxis situation (PEP\u003c/a>), not just for pre-exposure prophylaxis (PREP).” And while your immediate thoughts may be on mpox exposure during Pride weekend, there are multiple Pride events happening all over the Bay Area for many months. “So think of it as an insurance policy beyond Pride in SF,” he advised.\u003c/p>\n\u003cp>\u003cb>Where can I find an mpox vaccine?\u003c/b>\u003c/p>\n\u003cp>There are several places across the Bay Area to find a free mpox vaccine, which comes in two doses one month apart. \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines#mpoxvaccinenearme\">Find an mpox vaccination clinic near you.\u003c/a>\u003c/p>\n\u003cp>There are no longer any limitations on who can get an mpox vaccine: In 2022 public health officials were originally only offering vaccines to people who’d been exposed, or were categorized as higher risk, but all those eligibility criteria are no longer in effect. If you want an mpox vaccine, you can get one — free.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>By getting an mpox vaccine, you’ll be joining many folks locally who have done the same. Cohen says that after SFDPH’s awareness campaign in May, the number of mpox vaccines being given in San Francisco every week has “about doubled.” Although some of these vaccinations are for people getting their second dose, Cohen said that “most of them are actually people getting their first dose.”\u003c/p>\n\u003cp>\u003cb>How does mpox spread?\u003c/b>\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 the California Department of Public Health.\u003c/p>\n\u003cp>Mpox is not strictly a sexually transmitted infection. The virus can spread through close, skin-to-skin contact and through \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with mpox\u003c/a>. This includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for mpox to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>\u003cb>What are the symptoms of mpox?\u003c/b>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The incubation period for mpox\u003c/a> — the amount of time between exposure and developing symptoms and becoming contagious — is usually between six and 13 days, according to the Centers for Disease Control and Prevention. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>Mpox symptoms often start as flu-like symptoms, says SFDPH, 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 spots often start as “red, flat spots, and then become bumps,” says 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\u003ch2>\u003cb>Take care of your personal and sexual health\u003c/b>\u003c/h2>\n\u003cp>It goes without saying that taking care of your individual health and that of your partners involves practicing safer sex, and making sure you bring protection like condoms to Pride.\u003c/p>\n\u003cp>SFDPH’s Dr. Stephanie Cohen says that in addition to having a presence at stages at Friday’s Trans March and Sunday’s Pride parade, the department will also be marching in the parade on Sunday and handing out “harm-reduction supply” (such as condoms).\u003c/p>\n\u003cp>You can also find free HIV and hepatitis C screenings at the following events this weekend:\u003c/p>\n\u003cul>\n\u003cli>\u003cb>Trans March SF, Friday, June\u003c/b> \u003cstrong>23:\u003c/strong> The march will include a resource fair at Dolores Park from 3 p.m. to 6 p.m., which will include free screenings.\u003c/li>\n\u003cli>\u003cb>Trans stage at SF Pride, Saturday, June 24:\u003c/b> Screenings will be offered at the Trans Thrive booth on the corner of Golden Gate Avenue and Polk Street, from 12 p.m. to 6 p.m.\u003c/li>\n\u003cli>\u003cb>A&PI LGBT Community Stage at SF Pride, Sunday, June 25:\u003c/b> Screenings will be offered at the the corner of Golden Gate Avenue and Polk Street from 10 a.m. to 6 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>If you need to get tested after Pride, your county may offer free or low-cost screenings. For example, \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic offers low-cost STI testing\u003c/a>, diagnosis and treatment on a walk-in basis, whether you’re insured or not. They also offer free condoms, and you can get at-home tests delivered via City Clinic in discreet packaging including screening kits for HIV and STIs.\u003c/p>\n\u003cfigure id=\"attachment_11950446\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11950446 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg\" alt=\"A young Asian man with glasses and a moustache and goatee squeezes the sample liquid on a test strip while carrying out a COVID-19 rapid self test at home.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/GettyImages-1369841386-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">According to the most recent FDA data, antigen tests are effective in detecting arcturus and other omicron subvariants. \u003ccite>(Tang Ming Tung/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"covid\">\u003c/a>Pride and COVID-19\u003c/h2>\n\u003cp>\u003cb>Consider bringing an N95 mask with you\u003c/b>\u003c/p>\n\u003cp>While \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CiIQACABSABSBjM3NDMwYVoGTiBHZW5leKwBigEGNjdiODZi&selectedChartId=67b86b\">the presence of COVID in San Francisco wastewater\u003c/a> has steadily fallen after a spike in March, a huge amount of folks will be traveling into the city from other parts of the Bay Area, the state, the country and even the world — meaning it’s impossible to know just how many COVID-positive people will be present in the same crowded indoor space as you.\u003c/p>\n\u003cp>Even if you \u003ci>really \u003c/i>don’t want to wear a mask at a party or inside a bar, you might want to slip one on when using a busy bathroom (or “well-worn” Porta Potty), on public transit or in a crowded store on a supply run — and carrying one in your back pocket or purse at least gives you this option. And since Pride is for everyone, if you’re going to a celebration that’s primarily attended by disabled folks or people who are otherwise at a higher risk for severe illness from COVID, you might be outright asked to wear a mask.\u003c/p>\n\u003cp>\u003cb>Stay home if you’re not feeling well (even if it’s not COVID)\u003c/b>\u003c/p>\n\u003cp>If you’re experiencing any of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html\">the symptoms of COVID\u003c/a> — which, with the arcturus variant, can include pink eye — seek out a test, and stay home if you’re positive. If you’re negative, but still feeling sick, consider staying home regardless. Missing the celebrations will hurt, but you’ll be keeping your community safer — even if it’s not COVID.\u003c/p>\n\u003cp>\u003cb>Feeling sick a couple days after Pride? Seek out a COVID test\u003c/b>\u003c/p>\n\u003cp>Unfortunately, finding a quick, free COVID test — whether an at-home antigen test or a PCR test — has gotten progressively harder at this stage of the pandemic, as more sites and services have been shuttered for good. As of June 1, the federal government has also ended its \u003ca href=\"https://www.covid.gov/tests\"> free at-home COVID-test-ordering service\u003c/a> through USPS. But you still have options: \u003ca href=\"https://www.kqed.org/news/11940562/how-to-find-a-free-covid-test-near-you-in-2023-because-its-getting-harder\">Find a free or low-cost test near you with our guide\u003c/a>, or use \u003ca href=\"https://testinglocator.cdc.gov/Search\">the CDC’s COVID test locator\u003c/a> — and read \u003ca href=\"https://www.kqed.org/news/11950386/at-home-covid-tests-are-still-effective-in-2023-and-you-can-still-get-them-for-free\">our guide to using at-home antigen tests in 2023\u003c/a>.\u003c/p>\n\u003cp>How long should you wait after a potential COVID exposure to take a test? If you’ve heard that incubation times for the virus are getting shorter, you’re not wrong — people really are testing positive for COVID more quickly than they were in 2020, when the average incubation period was five days. That’s because “the incubation period is definitely changing with the variants,” said UCSF’s Chin-Hong, and the period keeps going down somewhat with every new variant.\u003c/p>\n\u003cp>Given this trend, even with a lack of studies on the arcturus variant, it “makes sense that if someone has symptoms as quickly as two days after exposure, they should test rather than waiting the full five days,” advised Chin-Hong. “But if [you test] negative at two to three days, rinse and repeat.” In other words: If you’re feeling sick as soon as two days after a Pride party, don’t assume it’s just a cold or you’re rundown after the celebrations — it could very well be COVID.\u003c/p>\n\u003ch2>\u003cb>Lastly, remember: You don’t have to stick to the main Sunday parade\u003c/b>\u003c/h2>\n\u003cp>The presence of large corporations in the Pride parade can be jarring for some, who may not feel comfortable celebrating in this particular environment.\u003c/p>\n\u003cp>But there’ll be a huge amount of gatherings, celebrations, parties and safe spaces around Pride weekend — truly, something for everyone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.transmarch.org/trans-march-2023/\">The 2023 Trans March\u003c/a> and accompanying events will kick off Pride weekend on Friday, June 23, starting at 11 a.m. with the Señora Felicia Flames Intergenerational Brunch, and the march itself is at 6 p.m. The following day, on Saturday, June 24, \u003ca href=\"https://www.thedykemarch.org/\">the 2023 Dyke March\u003c/a> begins at 5 p.m., starting from Dolores and 18th streets.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/arts/13930587/drag-dance-and-liberation-5-parties-for-your-2023-sf-pride-weekend\">KQED Arts has a guide to several Pride parties taking place over the weekend.\u003c/a>\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, helpful explainers and guides about issues like 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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"slug": "mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines",
"title": "Mpox and the Bay Area: Why Health Officials Are Again Urging Vigilance and Vaccines",
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"content": "\u003cp>In the summer and fall of 2022, \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\">an outbreak of the mpox virus\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> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>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 both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But after \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago in the last week resulted in 13 suspected or confirmed cases\u003c/a>, Bay Area health officials are once again urging local communities to be vigilant for the virus ahead of Pride festivities next month, and to seek out the free mpox vaccine — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading for what we know about mpox in the Bay Area, the precautions local public health officials are recommending ahead of Pride month, and where you can find an mpox vaccine in the Bay Area — including at \u003ca href=\"https://sf.gov/news/san-francisco-encourages-mpox-vaccinations-advance-summer-season-and-pride-celebrations\">a special mpox vaccination event in San Francisco on Saturday.\u003c/a>\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>Do I need to worry about mpox again in the Bay Area?\u003c/h2>\n\u003cp>The good news: “Over the last five, six months, cases of mpox in the United States and in San Francisco have been low,” said Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at the San Francisco Department of Public Health (SFDPH). San Francisco hadn’t seen any mpox cases at \u003cem>all\u003c/em> since January 2023, said Cohen — with the exception of one lone case in April.\u003c/p>\n\u003cp>But Cohen says that the United States has started to see an uptick in cases nationally — including the recent outbreak in Chicago — and city health officials are “remaining vigilant and [encouraging] everyone who wants to get fully protected against mpox to get the vaccine.”\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]\u003cbr>\nIf mpox cases are still very low, why is SFPDH recommending awareness? One big reason: The city’s Pride celebrations are just around the corner in June, and it’s a time when many folks are gathering and also arriving into the region from other parts of the United States, says Cohen.\u003c/p>\n\u003cp>“Last year we saw that the mpox outbreak really was fueled during the spring and summer season,” Cohen said, “and we think that that was largely related to a lot more travel — as well as large gatherings — with many people coming together from different parts of the country, and the world.” In the realm of infectious diseases, Cohen said, that’s “a time when things can spread more quickly.”\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\u003cp>Another reason: Last year’s mpox outbreak starting in the spring and the summer makes public health officials think that “it’s also possible there is a seasonal nature to mpox,” said Cohen — as there is with many viruses. “There’s a lot we still are learning about mpox.”\u003c/p>\n\u003ch2>Who is most at risk?\u003c/h2>\n\u003cp>SFDPH says 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,” said Cohen, because the virus “really seemed to spread through sexual transmission, and [was] associated with sexual activities.” \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data, almost 97% of cases in the U.S. were in people who are cis men,” said Cohen. “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 is a two-dose vaccine series, with roughly a month between doses. 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, says Cohen.\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. A good reason to move quickly to get your first dose: “If you receive your first dose on May 13, you will be eligible for your second dose by the Saturday, June 10 event and will receive maximum immunity before Pride,” stated SFDPH in a recent statement regarding \u003ca href=\"#mpoxvaccinenearme\">an upcoming mpox vaccination event taking place in San Francisco on Saturday, May 13\u003c/a>.\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, says Cohen. “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 originally only offering vaccines to people who’d been 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 anyone who wants an mpox vaccine can get one in San Francisco, and in many other areas of California. \u003c/strong>\u003c/p>\n\u003cp>“Right now there are no limitations on supply,” said Cohen. “So I think that that is really going to help us with our response this summer.”\u003c/p>\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>To be fully vaccinated against mpox in time for Pride, SFDPH recommends going to this weekend’s vaccination event, held in partnership with Folsom Street Events and the Leather and LGBTQ Cultural District. First and second doses of the mpox vaccine will be available at the May and June SOMA Second Saturday events:\u003c/p>\n\u003cp>\u003cstrong>Dates:\u003c/strong> Saturday, May 13 and Saturday, June 10\u003c/p>\n\u003cp>\u003cstrong>Location:\u003c/strong> 12th Street between Folsom and Harrison streets\u003c/p>\n\u003cp>\u003cstrong>Time:\u003c/strong> 12 p.m. to 5 p.m.\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>. Cohen confirms 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>How effective is the mpox vaccine?\u003c/h2>\n\u003cp>“We’re still learning about the durability of protection after a vaccine or after [an mpox] infection itself,” said Cohen. No vaccine is 100% effective, she stresses, and the mpox vaccine is no exception — but several analyses by the CDC show that “it looks like it provides about 69% reduction in risk with the full two dose series.” So while protection from mpox isn’t 100%, it’s still “really good protection,” said Cohen.\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It could help reduce your symptoms — which can be painful — if you \u003cem>do\u003c/em> still get infected, said Cohen.\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,” said Cohen. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\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> says SFDPH, which can include sex, kissing and sharing bedding or clothing.\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, says 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,” says 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\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 fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Mpox and the Bay Area: Why Health Officials Are Again Urging Vigilance and Vaccines | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the summer and fall of 2022, \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\">an outbreak of the mpox virus\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> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men, in California.\u003c/p>\n\u003cp>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 both by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California. But after \u003ca href=\"https://www.cbsnews.com/news/mpox-resurgence-dozens-new-cases-nationwide-cdc-investigating/\">an outbreak in Chicago in the last week resulted in 13 suspected or confirmed cases\u003c/a>, Bay Area health officials are once again urging local communities to be vigilant for the virus ahead of Pride festivities next month, and to seek out the free mpox vaccine — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading for what we know about mpox in the Bay Area, the precautions local public health officials are recommending ahead of Pride month, and where you can find an mpox vaccine in the Bay Area — including at \u003ca href=\"https://sf.gov/news/san-francisco-encourages-mpox-vaccinations-advance-summer-season-and-pride-celebrations\">a special mpox vaccination event in San Francisco on Saturday.\u003c/a>\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>Do I need to worry about mpox again in the Bay Area?\u003c/h2>\n\u003cp>The good news: “Over the last five, six months, cases of mpox in the United States and in San Francisco have been low,” said Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at the San Francisco Department of Public Health (SFDPH). San Francisco hadn’t seen any mpox cases at \u003cem>all\u003c/em> since January 2023, said Cohen — with the exception of one lone case in April.\u003c/p>\n\u003cp>But Cohen says that the United States has started to see an uptick in cases nationally — including the recent outbreak in Chicago — and city health officials are “remaining vigilant and [encouraging] everyone who wants to get fully protected against mpox to get the vaccine.”\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>\u003cbr>\nIf mpox cases are still very low, why is SFPDH recommending awareness? One big reason: The city’s Pride celebrations are just around the corner in June, and it’s a time when many folks are gathering and also arriving into the region from other parts of the United States, says Cohen.\u003c/p>\n\u003cp>“Last year we saw that the mpox outbreak really was fueled during the spring and summer season,” Cohen said, “and we think that that was largely related to a lot more travel — as well as large gatherings — with many people coming together from different parts of the country, and the world.” In the realm of infectious diseases, Cohen said, that’s “a time when things can spread more quickly.”\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\u003cp>Another reason: Last year’s mpox outbreak starting in the spring and the summer makes public health officials think that “it’s also possible there is a seasonal nature to mpox,” said Cohen — as there is with many viruses. “There’s a lot we still are learning about mpox.”\u003c/p>\n\u003ch2>Who is most at risk?\u003c/h2>\n\u003cp>SFDPH says 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,” said Cohen, because the virus “really seemed to spread through sexual transmission, and [was] associated with sexual activities.” \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data, almost 97% of cases in the U.S. were in people who are cis men,” said Cohen. “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 is a two-dose vaccine series, with roughly a month between doses. 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, says Cohen.\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. A good reason to move quickly to get your first dose: “If you receive your first dose on May 13, you will be eligible for your second dose by the Saturday, June 10 event and will receive maximum immunity before Pride,” stated SFDPH in a recent statement regarding \u003ca href=\"#mpoxvaccinenearme\">an upcoming mpox vaccination event taking place in San Francisco on Saturday, May 13\u003c/a>.\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, says Cohen. “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 originally only offering vaccines to people who’d been 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 anyone who wants an mpox vaccine can get one in San Francisco, and in many other areas of California. \u003c/strong>\u003c/p>\n\u003cp>“Right now there are no limitations on supply,” said Cohen. “So I think that that is really going to help us with our response this summer.”\u003c/p>\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>To be fully vaccinated against mpox in time for Pride, SFDPH recommends going to this weekend’s vaccination event, held in partnership with Folsom Street Events and the Leather and LGBTQ Cultural District. First and second doses of the mpox vaccine will be available at the May and June SOMA Second Saturday events:\u003c/p>\n\u003cp>\u003cstrong>Dates:\u003c/strong> Saturday, May 13 and Saturday, June 10\u003c/p>\n\u003cp>\u003cstrong>Location:\u003c/strong> 12th Street between Folsom and Harrison streets\u003c/p>\n\u003cp>\u003cstrong>Time:\u003c/strong> 12 p.m. to 5 p.m.\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>. Cohen confirms 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>How effective is the mpox vaccine?\u003c/h2>\n\u003cp>“We’re still learning about the durability of protection after a vaccine or after [an mpox] infection itself,” said Cohen. No vaccine is 100% effective, she stresses, and the mpox vaccine is no exception — but several analyses by the CDC show that “it looks like it provides about 69% reduction in risk with the full two dose series.” So while protection from mpox isn’t 100%, it’s still “really good protection,” said Cohen.\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It could help reduce your symptoms — which can be painful — if you \u003cem>do\u003c/em> still get infected, said Cohen.\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,” said Cohen. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\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> says SFDPH, which can include sex, kissing and sharing bedding or clothing.\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, says 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,” says 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\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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},
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},
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"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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},
"link": "/radio/program/bbc-world-service",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
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"source": "kqed",
"order": 8
},
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
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"order": 18
},
"link": "/podcasts/jerrybrown",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
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