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"title": "When Mpox Hit, Community Clinics Stepped In. Why Hasn't the Government Paid Them Back Yet?",
"headTitle": "CALmatters | KQED News",
"content": "\u003cp>Seven months ago, California battled its second widespread infectious disease outbreak in as many years — \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease#:~:text=Following%20a%20series%20of%20consultations,%E2%80%9Cmonkeypox%E2%80%9D%20is%20phased%20out.\">mpox, formerly referred to as monkeypox\u003c/a>. Cases spread exponentially, primarily among the state’s male LGBTQ population, and officials \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox-2/\">struggled to roll out limited vaccine supplies\u003c/a> from the federal government.\u003c/p>\n\u003cp>Community clinics and LGBTQ health centers opened mass mpox vaccination sites as quickly as possible and clamored for assistance from local and legislative leaders, but oftentimes \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">red tape at both the federal and state levels\u003c/a> hampered a speedy response.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11920455,news_11926465,news_11921709\"]Today, as the federal government ends its mpox state of emergency, those clinics say bureaucracy is once again standing in the way. State and federal reimbursement for services — potentially in the millions of dollars — has not been approved and likely won’t be for months.\u003c/p>\n\u003cp>“I’m not clear what the holdup is,” said Craig Pulsipher, former associate director of government affairs at APLA Health, a clinic in Los Angeles specializing in LGBTQ populations. APLA Health administered more than 4,000 vaccines and was one of the largest vaccinators in the city. It received an \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DOA/CDPH%20Document%20Library/MPX-CBO-Grant-RFA-Awardees_ADA.pdf\">$83,000 grant for mpox work (PDF)\u003c/a> from the state Office of AIDS, but dedicated “hundreds of thousands of dollars” to vaccination and shifted funding from other programs to the response effort.\u003c/p>\n\u003cp>The Legislature released \u003ca href=\"https://www.sfchronicle.com/politics/article/California-will-pour-money-into-fight-against-17405442.php\">$41 million in emergency funding\u003c/a> for mpox response efforts last year, half of which has stayed with the state Department of Public Health. Approximately $1.4 million went to community organizations helping directly with vaccine efforts, but organizations say it’s not nearly enough to cover their costs.\u003c/p>\n\u003cp>Although the vaccine itself was given to states free-of-charge from the federal stockpile, community organizations dispensing the shots still had to invest staff time, equipment and other resources to respond. Typically, shots and other minor procedures are billed as part of a “provider visit,” but that requires being seen by a doctor, which doesn’t happen during the kind of mass vaccine drives that became commonplace for COVID-19 and mpox.\u003c/p>\n\u003cp>Instead, the state must \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/laws/Documents/SPA-22-0062-Pending.pdf\">petition the federal government (PDF)\u003c/a> to use Medi-Cal dollars for standalone vaccine reimbursement to try to recoup some of the labor expenses. Medi-Cal is the state’s insurance program for patients with lower incomes, and it’s funded through state and federal dollars.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Ward Carpenter, chief health officer, Los Angeles LGBT Center\"]'The virus isn't gone. It's not surging right now, but it's not gone, so we're at risk of a resurgence.'[/pullquote]“This was everything we did for probably three months,” said Dr. Ward Carpenter, chief health officer with the Los Angeles LGBT Center. “We were barely able to keep our urgent care visits open for non-mpox related things. ... It was at least as busy as the early days of COVID if not more so.”\u003c/p>\n\u003cp>The LGBT Center doled out more than 6,500 vaccines, Carpenter said, and has more than $500,000 in outstanding expenses. It received an $116,000 mpox grant from the AIDS office in November.\u003c/p>\n\u003cp>In September, California’s Department of Health Care Services submitted a federal \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/laws/Documents/SPA-22-0062-Pending.pdf\">request for reimbursement (PDF)\u003c/a>. Shortly after, members of California’s Congressional delegation, led by Democratic Rep. Jimmy Gomez of Los Angeles, \u003ca href=\"https://gomez.house.gov/news/documentsingle.aspx?DocumentID=2698\">sent a letter\u003c/a> to the U.S. Health and Human Services branch urging timely approval of the request. Community clinics, which often serve as safety nets for underrepresented patients and those with lower incomes, have little financial wiggle room and already had to \u003ca href=\"https://calmatters.org/health/coronavirus/2022/03/california-covid-vaccines-community-clinics-payment/\">wait two years for COVID-19 payment\u003c/a>.\u003c/p>\n\u003cp>“Your rapid and urgent attention to these requests will help to ensure that critical providers and community clinics in our districts are able to continue their vital work,” the letter read.\u003c/p>\n\u003cp>Pulsipher said in November that Gomez’s office asked APLA Health if additional pressure on federal partners would be helpful, but the organization turned him down at the time because state officials were confident the approval was coming soon.\u003c/p>\n\u003cp>“What we heard from [the state Department of Health Care Services] was they were moving forward and that pressure wouldn’t be needed,” Pulsipher said. “It has yet to be approved.”\u003c/p>\n\u003cfigure id=\"attachment_11921529\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11921529\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg\" alt=\"People lined up to get the monkeypox vaccine.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\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>The department told CalMatters in a statement that the federal government must approve California’s plan to use Medi-Cal dollars for mpox reimbursement. The federal government sent the state comments and revisions to the plan in December with a 90-day review window, which potentially pushes the timeline for clinics to receive checks past March. Although clinics will eventually be able to ask for payment for services they provided as far back as August, when mpox was at its height, the more time that goes by, the less likely overburdened staff will be able to bill retroactively, Pulsipher said.\u003c/p>\n\u003cp>“It is extremely time-intensive to go back and submit those claims,” he said. “Some clinics will do that and some probably won’t.”\u003c/p>\n\u003ch2>Mpox outbreak today\u003c/h2>\n\u003cp>California reported its \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">first mpox case in Sacramento last May\u003c/a>. What began as an isolated travel-related infection quickly ballooned into a statewide outbreak, which \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">peaked in August at 145 cases in one day\u003c/a>, according to state data. More than 5,700 cases have been reported in California, the most of any state, including the \u003ca href=\"https://www.google.com/search?q=california+monkeypox+deaths&ei=SUTUY5rpG7OfkPIPnZuy4Ao&ved=0ahUKEwjasef32uj8AhWzD0QIHZ2NDKwQ4dUDCBA&uact=5&oq=california+monkeypox+deaths&gs_lcp=Cgxnd3Mtd2l6LXNlcnAQAzIGCAAQFhAeMgYIABAWEB4yBQgAEIYDMgUIABCGAzIFCAAQhgM6CggAEEcQ1gQQsAM6DQgAEEcQ1gQQyQMQsANKBAhBGABKBAhGGABQpAFYpAFg2ANoAXABeACAAWeIAWeSAQMwLjGYAQCgAQHIAQjAAQE&sclient=gws-wiz-serp\">country’s first death\u003c/a>.\u003c/p>\n\u003cp>“It would be hard to kind of overstate how frantic and frenetic and all-consuming it was at that point versus now,” Carpenter said.\u003c/p>\n\u003cp>In stark contrast, there were two cases reported on Jan. 10, the most recent date data was available.\u003c/p>\n\u003cp>Although state officials have not set an end date for California’s state of emergency, the Department of Public Health plans to roll routine surveillance and response duties into its Sexually Transmitted Disease Control Branch and Office of AIDS, according to an unsigned email from its media department.\u003c/p>\n\u003cp>“As cases decline, the outbreak comes under control, and the public health components for a robust response are fully operational, there should be no impact to providers, [local health jurisdictions], or patients of ending the state of emergency,” the email said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the end of the emergency does not mean “the end of disease,” Carpenter said. Plenty of LA's LGBT Center patients are vaccinated during routine doctor’s visits, often having been unaware of the outbreak and the need for protection.\u003c/p>\n\u003cp>“The virus isn’t gone. It’s not surging right now, but it’s not gone, so we’re at risk of a resurgence,” Carpenter said.\u003c/p>\n\u003cp>Pulsipher, with APLA Health, said his organization is still working hard to educate and vaccinate Black and Latino patients, who often face the greatest health care barriers — even though the expense for that work will likely never be reimbursed.\u003c/p>\n\u003cp>“It’s important to remain vigilant,” he said, “to continue outreach and education, continue to reach folks that aren’t vaccinated and to recognize the inequities around vaccine uptake.”\u003c/p>\n\u003cp>Black and Latino Californians account for \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">58% of all mpox cases but only 33% of all vaccinations\u003c/a>, according to state data.\u003c/p>\n\u003cp>“What has become so clear between COVID and mpox is that one person’s poor access to health care affects all of us,” Carpenter said. “That’s, again, why we are not putting these vaccines down and going back to business as usual. Even within our own community we know that we still have a lot more work to do.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Cash-strapped LGBTQ health centers provided thousands of mpox vaccines under a state of emergency, but as cases wane, the promised reimbursements have been mired in red tape.",
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"description": "Cash-strapped LGBTQ health centers provided thousands of mpox vaccines under a state of emergency, but as cases wane, the promised reimbursements have been mired in red tape.",
"title": "When Mpox Hit, Community Clinics Stepped In. Why Hasn't the Government Paid Them Back Yet? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Seven months ago, California battled its second widespread infectious disease outbreak in as many years — \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease#:~:text=Following%20a%20series%20of%20consultations,%E2%80%9Cmonkeypox%E2%80%9D%20is%20phased%20out.\">mpox, formerly referred to as monkeypox\u003c/a>. Cases spread exponentially, primarily among the state’s male LGBTQ population, and officials \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox-2/\">struggled to roll out limited vaccine supplies\u003c/a> from the federal government.\u003c/p>\n\u003cp>Community clinics and LGBTQ health centers opened mass mpox vaccination sites as quickly as possible and clamored for assistance from local and legislative leaders, but oftentimes \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">red tape at both the federal and state levels\u003c/a> hampered a speedy response.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Today, as the federal government ends its mpox state of emergency, those clinics say bureaucracy is once again standing in the way. State and federal reimbursement for services — potentially in the millions of dollars — has not been approved and likely won’t be for months.\u003c/p>\n\u003cp>“I’m not clear what the holdup is,” said Craig Pulsipher, former associate director of government affairs at APLA Health, a clinic in Los Angeles specializing in LGBTQ populations. APLA Health administered more than 4,000 vaccines and was one of the largest vaccinators in the city. It received an \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DOA/CDPH%20Document%20Library/MPX-CBO-Grant-RFA-Awardees_ADA.pdf\">$83,000 grant for mpox work (PDF)\u003c/a> from the state Office of AIDS, but dedicated “hundreds of thousands of dollars” to vaccination and shifted funding from other programs to the response effort.\u003c/p>\n\u003cp>The Legislature released \u003ca href=\"https://www.sfchronicle.com/politics/article/California-will-pour-money-into-fight-against-17405442.php\">$41 million in emergency funding\u003c/a> for mpox response efforts last year, half of which has stayed with the state Department of Public Health. Approximately $1.4 million went to community organizations helping directly with vaccine efforts, but organizations say it’s not nearly enough to cover their costs.\u003c/p>\n\u003cp>Although the vaccine itself was given to states free-of-charge from the federal stockpile, community organizations dispensing the shots still had to invest staff time, equipment and other resources to respond. Typically, shots and other minor procedures are billed as part of a “provider visit,” but that requires being seen by a doctor, which doesn’t happen during the kind of mass vaccine drives that became commonplace for COVID-19 and mpox.\u003c/p>\n\u003cp>Instead, the state must \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/laws/Documents/SPA-22-0062-Pending.pdf\">petition the federal government (PDF)\u003c/a> to use Medi-Cal dollars for standalone vaccine reimbursement to try to recoup some of the labor expenses. Medi-Cal is the state’s insurance program for patients with lower incomes, and it’s funded through state and federal dollars.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This was everything we did for probably three months,” said Dr. Ward Carpenter, chief health officer with the Los Angeles LGBT Center. “We were barely able to keep our urgent care visits open for non-mpox related things. ... It was at least as busy as the early days of COVID if not more so.”\u003c/p>\n\u003cp>The LGBT Center doled out more than 6,500 vaccines, Carpenter said, and has more than $500,000 in outstanding expenses. It received an $116,000 mpox grant from the AIDS office in November.\u003c/p>\n\u003cp>In September, California’s Department of Health Care Services submitted a federal \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/laws/Documents/SPA-22-0062-Pending.pdf\">request for reimbursement (PDF)\u003c/a>. Shortly after, members of California’s Congressional delegation, led by Democratic Rep. Jimmy Gomez of Los Angeles, \u003ca href=\"https://gomez.house.gov/news/documentsingle.aspx?DocumentID=2698\">sent a letter\u003c/a> to the U.S. Health and Human Services branch urging timely approval of the request. Community clinics, which often serve as safety nets for underrepresented patients and those with lower incomes, have little financial wiggle room and already had to \u003ca href=\"https://calmatters.org/health/coronavirus/2022/03/california-covid-vaccines-community-clinics-payment/\">wait two years for COVID-19 payment\u003c/a>.\u003c/p>\n\u003cp>“Your rapid and urgent attention to these requests will help to ensure that critical providers and community clinics in our districts are able to continue their vital work,” the letter read.\u003c/p>\n\u003cp>Pulsipher said in November that Gomez’s office asked APLA Health if additional pressure on federal partners would be helpful, but the organization turned him down at the time because state officials were confident the approval was coming soon.\u003c/p>\n\u003cp>“What we heard from [the state Department of Health Care Services] was they were moving forward and that pressure wouldn’t be needed,” Pulsipher said. “It has yet to be approved.”\u003c/p>\n\u003cfigure id=\"attachment_11921529\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11921529\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg\" alt=\"People lined up to get the monkeypox vaccine.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\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>The department told CalMatters in a statement that the federal government must approve California’s plan to use Medi-Cal dollars for mpox reimbursement. The federal government sent the state comments and revisions to the plan in December with a 90-day review window, which potentially pushes the timeline for clinics to receive checks past March. Although clinics will eventually be able to ask for payment for services they provided as far back as August, when mpox was at its height, the more time that goes by, the less likely overburdened staff will be able to bill retroactively, Pulsipher said.\u003c/p>\n\u003cp>“It is extremely time-intensive to go back and submit those claims,” he said. “Some clinics will do that and some probably won’t.”\u003c/p>\n\u003ch2>Mpox outbreak today\u003c/h2>\n\u003cp>California reported its \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">first mpox case in Sacramento last May\u003c/a>. What began as an isolated travel-related infection quickly ballooned into a statewide outbreak, which \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">peaked in August at 145 cases in one day\u003c/a>, according to state data. More than 5,700 cases have been reported in California, the most of any state, including the \u003ca href=\"https://www.google.com/search?q=california+monkeypox+deaths&ei=SUTUY5rpG7OfkPIPnZuy4Ao&ved=0ahUKEwjasef32uj8AhWzD0QIHZ2NDKwQ4dUDCBA&uact=5&oq=california+monkeypox+deaths&gs_lcp=Cgxnd3Mtd2l6LXNlcnAQAzIGCAAQFhAeMgYIABAWEB4yBQgAEIYDMgUIABCGAzIFCAAQhgM6CggAEEcQ1gQQsAM6DQgAEEcQ1gQQyQMQsANKBAhBGABKBAhGGABQpAFYpAFg2ANoAXABeACAAWeIAWeSAQMwLjGYAQCgAQHIAQjAAQE&sclient=gws-wiz-serp\">country’s first death\u003c/a>.\u003c/p>\n\u003cp>“It would be hard to kind of overstate how frantic and frenetic and all-consuming it was at that point versus now,” Carpenter said.\u003c/p>\n\u003cp>In stark contrast, there were two cases reported on Jan. 10, the most recent date data was available.\u003c/p>\n\u003cp>Although state officials have not set an end date for California’s state of emergency, the Department of Public Health plans to roll routine surveillance and response duties into its Sexually Transmitted Disease Control Branch and Office of AIDS, according to an unsigned email from its media department.\u003c/p>\n\u003cp>“As cases decline, the outbreak comes under control, and the public health components for a robust response are fully operational, there should be no impact to providers, [local health jurisdictions], or patients of ending the state of emergency,” the email said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the end of the emergency does not mean “the end of disease,” Carpenter said. Plenty of LA's LGBT Center patients are vaccinated during routine doctor’s visits, often having been unaware of the outbreak and the need for protection.\u003c/p>\n\u003cp>“The virus isn’t gone. It’s not surging right now, but it’s not gone, so we’re at risk of a resurgence,” Carpenter said.\u003c/p>\n\u003cp>Pulsipher, with APLA Health, said his organization is still working hard to educate and vaccinate Black and Latino patients, who often face the greatest health care barriers — even though the expense for that work will likely never be reimbursed.\u003c/p>\n\u003cp>“It’s important to remain vigilant,” he said, “to continue outreach and education, continue to reach folks that aren’t vaccinated and to recognize the inequities around vaccine uptake.”\u003c/p>\n\u003cp>Black and Latino Californians account for \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">58% of all mpox cases but only 33% of all vaccinations\u003c/a>, according to state data.\u003c/p>\n\u003cp>“What has become so clear between COVID and mpox is that one person’s poor access to health care affects all of us,” Carpenter said. “That’s, again, why we are not putting these vaccines down and going back to business as usual. Even within our own community we know that we still have a lot more work to do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">Thanks to the efforts of organizers, public health officials and attendees themselves, the Folsom Street Fair in San Francisco, a celebration of kink and sexual liberation, continued despite the ongoing outbreak of MPX (also known as monkeypox).\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">MPX cases have been declining — with just two new cases last week compared to 30 on one day alone at the virus’s peak in late July. A\u003c/span>\u003cspan style=\"font-weight: 400\">s of September 21, \u003c/span>\u003ca href=\"https://sf.gov/data/mpx-case-counts\">\u003cspan style=\"font-weight: 400\">San Francisco, once an epicenter of the outbreak, had 794 total reported cases\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. The \u003c/span>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">\u003cspan style=\"font-weight: 400\">U.S. Centers for Disease Control and Prevention\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> reported that California had a total of 4,886 cases on September 23.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Earlier this summer, when MPX cases began to increase and the \u003c/span>\u003ca href=\"https://www.kqed.org/news/11920864/lgbtq-community-hears-painful-echoes-of-aids-crisis-in-government-response-to-monkeypox\">\u003cspan style=\"font-weight: 400\">government response was still sluggish\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, leading to a callout by several LGBTQ+ advocates, many people who are in sexually open networks said they took their own precautions.\u003c/span>[pullquote size=\"medium\" align=\"right\" citation=\"Angel Adeyoha, executive director, Folsom Street\"]‘Our community is fantastic at mobilizing and getting on top of a health crisis.’[/pullquote]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">When Folsom Street Executive Director and fair go-to Angel Adeyoha caught a break from a steady stream of demands, they said that, unlike earlier LGBTQ+ events — such as Up Your Alley in late July, which scaled back due to a spike in MPX cases — the fair is benefitting from a better moment. Adeyoha didn’t think the Folsom Street Fair would be a “super-spreader” event based on the safety protocols they were following from the San Francisco Department of Public Health, as well as having vaccine clinics and education on MPX available.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Our community is fantastic at mobilizing and getting on top of a health crisis,” said Adeyoha. “We have a lot of practice, so I think we did fantastic.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fair operations lead Sarah Kidder organizes events for a living, and said the Folsom Street Fair is special when it comes to creating a culture of care.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“One of the things that I’ve noticed and appreciate about this event [is that] there’s just a sense of community and kindness throughout everything from just sort of politeness and interacting, as well as, like, putting recycling into the recycling [bins],” said Kidder. “There is a consideration and an inclusion element that is very refreshing to see. It’s very encouraging to see. And so that sense of community is expressed in a number of ways here.”\u003c/span>[aside postID=\"news_11920864,news_11926465,news_11920455\" label=\"Related Post\"]\u003cspan style=\"font-weight: 400\">Violet Moon of San José, clad in a black leather harness, said many events over the summer were postponed. Moon, who is gender-fluid, said the “Horse Market” finally took place this weekend, just before the fair.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“In the communities I’m in, I know that they did react quickly to it,” said Moon. “For example, there was a party that was supposed to happen around the time when MPX was first spiking, even before it had become a real worry on the national arena. And they went ahead and canceled that just out of an abundance of caution.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fair first-timer Will Smyack said he and his partner decided to limit their sexual contacts as a precaution.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“[We] were open for a little bit, but because of monkeypox and everything, we’re not anymore just to be safe,” said Smyack. “But hopefully the vaccination can help. Not just us, but everybody.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Others said they simply tried to educate themselves on the symptoms and science of the latest virus, and adapt. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“In the kink scene that I belong to, we just had a rule about putting towels down on public furniture, basically making sure no naked body parts are touching surfaces,” said a festivalgoer who asked to go by “L,” because she described herself as a member of the “horny community” and said she’s in the running for a job as an elementary school teacher.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">L was seated in a folding chair outside the gates of the Folsom Street Fair with bunny ears, a bra and matching panties, and a fresh Band-Aid on her upper arm. She’d just gotten her MPX vaccine at one of two city Department of Public Health pop-up vaccine clinics at the fair; SFDPH came prepared with 2,000 doses, and the convenient offering seemed to be a draw for many.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">UCSF Professor of Medicine and Infectious Disease Specialist Peter Chin-Hong said when MPX came on the scene, San Francisco was instrumental in pushing the state and then the federal government to declare MPX an emergency to, for example, unlock resources for vaccines.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I think it was probably a month before vaccines started trickling in, in higher and higher numbers. It was an agonizing month,” said Chin-Hong.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He said the revelation that one dose could be divided up to five times and administered under the skin was another coup. But there were other lessons learned from the city’s response to MPX: Chin-Hong said that, initially, the message from public health officials was too vague, in their effort to be sex-positive and not stigmatize men and transpeople who have sex with men. More recently, he said, they’ve gotten specific, something he said has likely led to 50% of that population voluntarily reducing their sexual behavior.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It was kind of average, just like, you know, here are the 12 ways you can get MPX,” said Chin-Hong. He said that’s changed to “… you can protect yourself by reducing the number of sexual partners, by cleaning your sex toys … I think the message did get out as to how you got it. You didn’t get it from a thrift store. \u003ca href=\"https://www.kqed.org/news/11922286/monkeypox-surfaces-air-transmission\">You didn’t get it from doing yoga\u003c/a> in an overheated Bikram yoga \u003c/span>\u003cspan style=\"font-weight: 400\">studio\u003c/span>\u003cspan style=\"font-weight: 400\">. You got it from intimate contact for hours. And that was the way that you protected yourself in the absence of not having enough vaccines.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Chin-Hong said having vaccine clinics at events like Folsom Street Fair became a strategy to correct another challenge: the disproportionate presence of MPX among Black and Latino men.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“If you’re lining up in a public line at [San Francisco] General [Hospital] to get a vaccine, everybody knows what group you’re part of. Maybe you’re not comfortable with that. So I think that’s still a big barrier and probably why there’s a bigger divide between minority populations and the general population,” said Chin-Hong, “I remember people were wearing hoodies in line because they just didn’t want to be seen.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Just a stone’s throw down Folsom Street, contestants tried their luck at winning a free T-shirt via the San Francisco Community Health Center’s public health “Jeopardy” game. The game featured an MPX category with questions like, “What is the Monkeypox incubation period?” (According to the CDC, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">the answer is three to 17 days\u003c/a>). It was part of a targeted outreach and street medicine campaign, executed by community groups and public health staff, and it seemed to be bearing fruit. But with cases still circulating and the likelihood they will rise again at some point, health experts say it’s still too early to put down one’s guard.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Thanks to the efforts of organizers, public health officials and attendees themselves, the Folsom Street Fair in San Francisco, a celebration of kink and sexual liberation, continued despite the ongoing outbreak of MPX (also known as monkeypox).\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">MPX cases have been declining — with just two new cases last week compared to 30 on one day alone at the virus’s peak in late July. A\u003c/span>\u003cspan style=\"font-weight: 400\">s of September 21, \u003c/span>\u003ca href=\"https://sf.gov/data/mpx-case-counts\">\u003cspan style=\"font-weight: 400\">San Francisco, once an epicenter of the outbreak, had 794 total reported cases\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. The \u003c/span>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">\u003cspan style=\"font-weight: 400\">U.S. Centers for Disease Control and Prevention\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> reported that California had a total of 4,886 cases on September 23.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Earlier this summer, when MPX cases began to increase and the \u003c/span>\u003ca href=\"https://www.kqed.org/news/11920864/lgbtq-community-hears-painful-echoes-of-aids-crisis-in-government-response-to-monkeypox\">\u003cspan style=\"font-weight: 400\">government response was still sluggish\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, leading to a callout by several LGBTQ+ advocates, many people who are in sexually open networks said they took their own precautions.\u003c/span>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">When Folsom Street Executive Director and fair go-to Angel Adeyoha caught a break from a steady stream of demands, they said that, unlike earlier LGBTQ+ events — such as Up Your Alley in late July, which scaled back due to a spike in MPX cases — the fair is benefitting from a better moment. Adeyoha didn’t think the Folsom Street Fair would be a “super-spreader” event based on the safety protocols they were following from the San Francisco Department of Public Health, as well as having vaccine clinics and education on MPX available.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Our community is fantastic at mobilizing and getting on top of a health crisis,” said Adeyoha. “We have a lot of practice, so I think we did fantastic.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fair operations lead Sarah Kidder organizes events for a living, and said the Folsom Street Fair is special when it comes to creating a culture of care.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“One of the things that I’ve noticed and appreciate about this event [is that] there’s just a sense of community and kindness throughout everything from just sort of politeness and interacting, as well as, like, putting recycling into the recycling [bins],” said Kidder. “There is a consideration and an inclusion element that is very refreshing to see. It’s very encouraging to see. And so that sense of community is expressed in a number of ways here.”\u003c/span>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400\">Violet Moon of San José, clad in a black leather harness, said many events over the summer were postponed. Moon, who is gender-fluid, said the “Horse Market” finally took place this weekend, just before the fair.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“In the communities I’m in, I know that they did react quickly to it,” said Moon. “For example, there was a party that was supposed to happen around the time when MPX was first spiking, even before it had become a real worry on the national arena. And they went ahead and canceled that just out of an abundance of caution.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fair first-timer Will Smyack said he and his partner decided to limit their sexual contacts as a precaution.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“[We] were open for a little bit, but because of monkeypox and everything, we’re not anymore just to be safe,” said Smyack. “But hopefully the vaccination can help. Not just us, but everybody.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Others said they simply tried to educate themselves on the symptoms and science of the latest virus, and adapt. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“In the kink scene that I belong to, we just had a rule about putting towels down on public furniture, basically making sure no naked body parts are touching surfaces,” said a festivalgoer who asked to go by “L,” because she described herself as a member of the “horny community” and said she’s in the running for a job as an elementary school teacher.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">L was seated in a folding chair outside the gates of the Folsom Street Fair with bunny ears, a bra and matching panties, and a fresh Band-Aid on her upper arm. She’d just gotten her MPX vaccine at one of two city Department of Public Health pop-up vaccine clinics at the fair; SFDPH came prepared with 2,000 doses, and the convenient offering seemed to be a draw for many.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">UCSF Professor of Medicine and Infectious Disease Specialist Peter Chin-Hong said when MPX came on the scene, San Francisco was instrumental in pushing the state and then the federal government to declare MPX an emergency to, for example, unlock resources for vaccines.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I think it was probably a month before vaccines started trickling in, in higher and higher numbers. It was an agonizing month,” said Chin-Hong.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He said the revelation that one dose could be divided up to five times and administered under the skin was another coup. But there were other lessons learned from the city’s response to MPX: Chin-Hong said that, initially, the message from public health officials was too vague, in their effort to be sex-positive and not stigmatize men and transpeople who have sex with men. More recently, he said, they’ve gotten specific, something he said has likely led to 50% of that population voluntarily reducing their sexual behavior.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It was kind of average, just like, you know, here are the 12 ways you can get MPX,” said Chin-Hong. He said that’s changed to “… you can protect yourself by reducing the number of sexual partners, by cleaning your sex toys … I think the message did get out as to how you got it. You didn’t get it from a thrift store. \u003ca href=\"https://www.kqed.org/news/11922286/monkeypox-surfaces-air-transmission\">You didn’t get it from doing yoga\u003c/a> in an overheated Bikram yoga \u003c/span>\u003cspan style=\"font-weight: 400\">studio\u003c/span>\u003cspan style=\"font-weight: 400\">. You got it from intimate contact for hours. And that was the way that you protected yourself in the absence of not having enough vaccines.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Chin-Hong said having vaccine clinics at events like Folsom Street Fair became a strategy to correct another challenge: the disproportionate presence of MPX among Black and Latino men.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“If you’re lining up in a public line at [San Francisco] General [Hospital] to get a vaccine, everybody knows what group you’re part of. Maybe you’re not comfortable with that. So I think that’s still a big barrier and probably why there’s a bigger divide between minority populations and the general population,” said Chin-Hong, “I remember people were wearing hoodies in line because they just didn’t want to be seen.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Just a stone’s throw down Folsom Street, contestants tried their luck at winning a free T-shirt via the San Francisco Community Health Center’s public health “Jeopardy” game. The game featured an MPX category with questions like, “What is the Monkeypox incubation period?” (According to the CDC, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">the answer is three to 17 days\u003c/a>). It was part of a targeted outreach and street medicine campaign, executed by community groups and public health staff, and it seemed to be bearing fruit. But with cases still circulating and the likelihood they will rise again at some point, health experts say it’s still too early to put down one’s guard.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "our-community-has-been-very-responsive-oakland-lgbtq-community-centers-joe-hawkins-on-managing-the-mpx-outbreak",
"title": "'Our Community Has Been Very Responsive': Oakland LGBTQ Community Center's Joe Hawkins on Managing the MPX Outbreak",
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"headTitle": "‘Our Community Has Been Very Responsive’: Oakland LGBTQ Community Center’s Joe Hawkins on Managing the MPX Outbreak | KQED",
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"content": "\u003cp>California and other parts of the country look like they’ve turned a corner on the spread of MPX, also known as monkeypox.\u003c/p>\n\u003cp>“The rate of increase is definitely slowing down,” said UCSF infectious disease specialist Dr. Peter Chin-Hong. He frames the slowdown as “probably driven by the epicenters, which are parts of Europe and the big cities in the U.S., on the coasts and New York and LA and San Francisco.”\u003c/p>\n\u003cp>“But it doesn’t mean that it’s gone away,” cautioned Chin-Hong. On September 12, the CDC and public health officials in Los Angeles County confirmed \u003ca href=\"https://www.latimes.com/california/story/2022-09-12/l-a-county-confirms-first-monkeypox-mpx-death\">the first death linked to MPX\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Joe Hawkins, CEO and co-founder, Oakland LGBTQ Community Center\"]‘I think that what we’ve seen is in these larger areas, these larger cities — especially where we saw monkeypox being most aggressive — there are a number of people in our community who have been very aggressive about trying to get this vaccine.’[/pullquote]\u003c/p>\n\u003cp>Chin-Hong and other experts attribute the decline in cases in part to behavior change among the highest-risk groups, including men who have sex with men. And one of the community groups raising awareness and getting out the public health message is the \u003ca href=\"https://www.oaklandlgbtqcenter.org/\">Oakland LGBTQ Community Center\u003c/a>.\u003c/p>\n\u003cp>KQED’s Danielle Venton spoke with the organization’s CEO and co-founder, Joe Hawkins, about this phase of the MPX outbreak, and what role spaces like the Oakland LGBTQ Community Center have played in serving the community.\u003c/p>\n\u003cp>\u003cem>This interview has been lightly edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>DANIELLE VENTON: Have we really reached a turning point where we can say MPX has been contained?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>JOE HAWKINS:\u003c/strong> I think that what we’ve seen is in these larger areas, these larger cities — especially where we saw monkeypox being most aggressive — there are a number of people in our community who have been very aggressive about trying to get this vaccine.\u003c/p>\n\u003cp>However, while cases in white men have dropped in recent weeks, Black people are still making up a growing percentage of infections, nearly about 38% here in California. And Latinos also make up a majority of these new cases as well.\u003c/p>\n\u003cp>\u003cstrong>What do you expect is driving these disparities that we see?\u003c/strong>\u003c/p>\n\u003cp>I think the disparities are consistent with other health disparities in our community.\u003c/p>\n\u003cp>When you look at the HIV case rates, we’ve not heard much about HIV in America. And that’s, in my opinion, largely because when it comes to white gay males, those numbers have decreased dramatically. Whereas for HIV among Black and Latinx men, there’s … it’s still a problem. A major problem.\u003c/p>\n\u003cp>The CDC projected that one in two Black gay men will be infected with HIV in their lifetime, and one in four Latinx individuals in their lifetimes if something isn’t done.\u003c/p>\n\u003cp>\u003cstrong>We’ve heard folks talk about the potential stigma of lining up publicly for an MPX vaccine, or not wanting to talk to a clinician they don’t trust. Has this been part of the strategy for organizations like yours in trying to address these disparities?\u003c/strong>\u003c/p>\n\u003cp>Yes, definitely. I’ve been actually speaking about that from the very beginning. I noticed as the press was descending upon these monkeypox lines and as the weeks went on, you would start seeing more and more people with hoodies on covering their heads. And even from the very outset, many people of color would not go to those vaccination pods — because there was so much press. And because it’s even though it’s not an STI, it’s being associated with sex. The stigma is just quite great.\u003c/p>\n\u003cp>So we’ve offered still the mass vax clinics here and near our center, but we allow people to have confidential appointments as well. So just allowing people to have options has been critical.[aside postID=\"news_11920455,news_11919070\" label=\"Related Posts\"]\u003cstrong>In that public health messaging, how have you described MPX? There’s a conversation around it not being compared to a sexually transmitted infection — has that been helpful or harmful in the long run?\u003c/strong>\u003c/p>\n\u003cp>I think that the long run is not here yet. So I think we will see at this time \u003cem>next\u003c/em> year what impact we’ve had.\u003c/p>\n\u003cp>I do believe we’re all trying to figure this thing out. The scientists are trying to figure out how this is manifesting in the way that it is. But I just think people just want to be protected, and they want to ask questions about the muscle, whether it should be shot subcutaneously or intradermal. There have been a lot of questions about that. And, “What is this vaccine?” So, similar to vaccine hesitancy that we experience with COVID, we’re seeing with people of color [that] a lot of those questions have been coming up.\u003c/p>\n\u003cp>Coming into a space like ours, our center serves everyone. But we are Black-founded and Black-led. And our clinic is very representative of this, the most marginalized people in our community. So when people come in, they see people like them who are able to explain what we understand so far to them, and people have been very appreciative.\u003c/p>\n\u003cp>\u003cstrong>I see your center’s website uses both “MPX” and “monkeypox.” How are you navigating that?\u003c/strong>\u003c/p>\n\u003cp>We have been saying “MPX” [pronounced “em-pox”] to people. But it is monkeypox. I know the CDC is working to change that language, or the name, but people know “monkeypox” now because it’s been out there.\u003c/p>\n\u003cp>But we’ve also been sort of changing the language. When we talk with people, we will say “MPX” just as a way to get away from that whole “monkeypox” language, which has also been stigmatizing to a lot of people.\u003c/p>\n\u003cfigure id=\"attachment_11926484\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11926484\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-800x533.jpg\" alt='A man wearing a black shirt with rainbow colors in the middle spelling \"Oakland\" stands next to a man sitting down with a red jacket and white shirt with stripes.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Joe Hawkins (left) speaks with Maurice Tobin, director of prevention services, at the Oakland LGBTQ Community Center on Sept. 16, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A connected question is, if people feel less stigmatized, are they more likely to seek help?\u003c/strong>\u003c/p>\n\u003cp>Definitely. And with HIV, the whole HIV social marketing and media process was all about destigmatizing getting tested for HIV, getting treatment for HIV.\u003c/p>\n\u003cp>And [MPX] is new. So it’s going to take time. But we are seeing a lot of people come in who do not want to be exposed to MPX. You know, I’ve never seen this. There \u003cem>was\u003c/em> no vaccine for HIV. So just to see people coming in in droves to get vaccinated — it’s new.\u003c/p>\n\u003cp>\u003cstrong>Folsom Street Fair is happening in San Francisco on Sunday, September 25 — which draws a lot of people and promotes a sex-positive message. How can people continue to participate while keeping in mind the risk of getting infected?\u003c/strong>\u003c/p>\n\u003cp>I can say that here in Oakland, I know that \u003ca href=\"https://www.oaklandpride.org/\">PrideFest\u003c/a> was just [on September 4], and before that was \u003ca href=\"https://oaklandside.org/2022/09/01/oakland-gets-not-1-but-2-large-pride-celebrations-for-2022/\">Oakland’s other Pride event\u003c/a>. And so I know thousands of people have been vaccinated working through Alameda County Department of Public Health, which has been setting up those pods throughout the city. So more people have had access to at least first-dose vaccinations.\u003c/p>\n\u003cp>I just think as long as people follow \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/prevention/sexual-health.html\">the guidance that is on the CDC’s website\u003c/a>. There are other organizations, [like the] San Francisco AIDS Foundation, so many other organizations out there that are helping people to understand how to be safer. I feel our LGBTQ community has been very responsive, and they’ve been very responsible, just wanting to get vaccinated. And that is one reason you’re seeing the numbers come down.\u003c/p>\n\u003cp>\u003cstrong>Is there something like a playbook for how an organization responds when there is an outbreak of a virus like MPX? What are those steps and what are some of the priorities?\u003c/strong>\u003c/p>\n\u003cp>I really believe that counties have to include POC communities, in addition to other communities as well. Because when the outbreak happened here, the county went to — which makes sense — the Steamworks [bathhouse], which is a place that’s known for sex, where people have sex.\u003c/p>\n\u003cp>But what I believe is, they should have immediately prioritized people of color communities, and people who have access to those communities. It should be something that happens simultaneously, instead of a sort of reactionary approach, which resulted in lots of white gay men having access right off the bat to this vaccine, and other communities not having immediate access.\u003c/p>\n\u003cp>But when we reached out to the county and let them know, “Hey, what’s going on? What about us?” there was an immediate pivot. And we’ve been working in partnership with [Alameda County]. And it’s been really a great partnership.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "'Our Community Has Been Very Responsive': Oakland LGBTQ Community Center's Joe Hawkins on Managing the MPX Outbreak | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California and other parts of the country look like they’ve turned a corner on the spread of MPX, also known as monkeypox.\u003c/p>\n\u003cp>“The rate of increase is definitely slowing down,” said UCSF infectious disease specialist Dr. Peter Chin-Hong. He frames the slowdown as “probably driven by the epicenters, which are parts of Europe and the big cities in the U.S., on the coasts and New York and LA and San Francisco.”\u003c/p>\n\u003cp>“But it doesn’t mean that it’s gone away,” cautioned Chin-Hong. On September 12, the CDC and public health officials in Los Angeles County confirmed \u003ca href=\"https://www.latimes.com/california/story/2022-09-12/l-a-county-confirms-first-monkeypox-mpx-death\">the first death linked to MPX\u003c/a>.\u003c/p>\u003c/div>",
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"content": "‘I think that what we’ve seen is in these larger areas, these larger cities — especially where we saw monkeypox being most aggressive — there are a number of people in our community who have been very aggressive about trying to get this vaccine.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Chin-Hong and other experts attribute the decline in cases in part to behavior change among the highest-risk groups, including men who have sex with men. And one of the community groups raising awareness and getting out the public health message is the \u003ca href=\"https://www.oaklandlgbtqcenter.org/\">Oakland LGBTQ Community Center\u003c/a>.\u003c/p>\n\u003cp>KQED’s Danielle Venton spoke with the organization’s CEO and co-founder, Joe Hawkins, about this phase of the MPX outbreak, and what role spaces like the Oakland LGBTQ Community Center have played in serving the community.\u003c/p>\n\u003cp>\u003cem>This interview has been lightly edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>DANIELLE VENTON: Have we really reached a turning point where we can say MPX has been contained?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>JOE HAWKINS:\u003c/strong> I think that what we’ve seen is in these larger areas, these larger cities — especially where we saw monkeypox being most aggressive — there are a number of people in our community who have been very aggressive about trying to get this vaccine.\u003c/p>\n\u003cp>However, while cases in white men have dropped in recent weeks, Black people are still making up a growing percentage of infections, nearly about 38% here in California. And Latinos also make up a majority of these new cases as well.\u003c/p>\n\u003cp>\u003cstrong>What do you expect is driving these disparities that we see?\u003c/strong>\u003c/p>\n\u003cp>I think the disparities are consistent with other health disparities in our community.\u003c/p>\n\u003cp>When you look at the HIV case rates, we’ve not heard much about HIV in America. And that’s, in my opinion, largely because when it comes to white gay males, those numbers have decreased dramatically. Whereas for HIV among Black and Latinx men, there’s … it’s still a problem. A major problem.\u003c/p>\n\u003cp>The CDC projected that one in two Black gay men will be infected with HIV in their lifetime, and one in four Latinx individuals in their lifetimes if something isn’t done.\u003c/p>\n\u003cp>\u003cstrong>We’ve heard folks talk about the potential stigma of lining up publicly for an MPX vaccine, or not wanting to talk to a clinician they don’t trust. Has this been part of the strategy for organizations like yours in trying to address these disparities?\u003c/strong>\u003c/p>\n\u003cp>Yes, definitely. I’ve been actually speaking about that from the very beginning. I noticed as the press was descending upon these monkeypox lines and as the weeks went on, you would start seeing more and more people with hoodies on covering their heads. And even from the very outset, many people of color would not go to those vaccination pods — because there was so much press. And because it’s even though it’s not an STI, it’s being associated with sex. The stigma is just quite great.\u003c/p>\n\u003cp>So we’ve offered still the mass vax clinics here and near our center, but we allow people to have confidential appointments as well. So just allowing people to have options has been critical.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>In that public health messaging, how have you described MPX? There’s a conversation around it not being compared to a sexually transmitted infection — has that been helpful or harmful in the long run?\u003c/strong>\u003c/p>\n\u003cp>I think that the long run is not here yet. So I think we will see at this time \u003cem>next\u003c/em> year what impact we’ve had.\u003c/p>\n\u003cp>I do believe we’re all trying to figure this thing out. The scientists are trying to figure out how this is manifesting in the way that it is. But I just think people just want to be protected, and they want to ask questions about the muscle, whether it should be shot subcutaneously or intradermal. There have been a lot of questions about that. And, “What is this vaccine?” So, similar to vaccine hesitancy that we experience with COVID, we’re seeing with people of color [that] a lot of those questions have been coming up.\u003c/p>\n\u003cp>Coming into a space like ours, our center serves everyone. But we are Black-founded and Black-led. And our clinic is very representative of this, the most marginalized people in our community. So when people come in, they see people like them who are able to explain what we understand so far to them, and people have been very appreciative.\u003c/p>\n\u003cp>\u003cstrong>I see your center’s website uses both “MPX” and “monkeypox.” How are you navigating that?\u003c/strong>\u003c/p>\n\u003cp>We have been saying “MPX” [pronounced “em-pox”] to people. But it is monkeypox. I know the CDC is working to change that language, or the name, but people know “monkeypox” now because it’s been out there.\u003c/p>\n\u003cp>But we’ve also been sort of changing the language. When we talk with people, we will say “MPX” just as a way to get away from that whole “monkeypox” language, which has also been stigmatizing to a lot of people.\u003c/p>\n\u003cfigure id=\"attachment_11926484\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11926484\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-800x533.jpg\" alt='A man wearing a black shirt with rainbow colors in the middle spelling \"Oakland\" stands next to a man sitting down with a red jacket and white shirt with stripes.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58726_005_KQED_JoeHawkinsLGBTQCenter_09162022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Joe Hawkins (left) speaks with Maurice Tobin, director of prevention services, at the Oakland LGBTQ Community Center on Sept. 16, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A connected question is, if people feel less stigmatized, are they more likely to seek help?\u003c/strong>\u003c/p>\n\u003cp>Definitely. And with HIV, the whole HIV social marketing and media process was all about destigmatizing getting tested for HIV, getting treatment for HIV.\u003c/p>\n\u003cp>And [MPX] is new. So it’s going to take time. But we are seeing a lot of people come in who do not want to be exposed to MPX. You know, I’ve never seen this. There \u003cem>was\u003c/em> no vaccine for HIV. So just to see people coming in in droves to get vaccinated — it’s new.\u003c/p>\n\u003cp>\u003cstrong>Folsom Street Fair is happening in San Francisco on Sunday, September 25 — which draws a lot of people and promotes a sex-positive message. How can people continue to participate while keeping in mind the risk of getting infected?\u003c/strong>\u003c/p>\n\u003cp>I can say that here in Oakland, I know that \u003ca href=\"https://www.oaklandpride.org/\">PrideFest\u003c/a> was just [on September 4], and before that was \u003ca href=\"https://oaklandside.org/2022/09/01/oakland-gets-not-1-but-2-large-pride-celebrations-for-2022/\">Oakland’s other Pride event\u003c/a>. And so I know thousands of people have been vaccinated working through Alameda County Department of Public Health, which has been setting up those pods throughout the city. So more people have had access to at least first-dose vaccinations.\u003c/p>\n\u003cp>I just think as long as people follow \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/prevention/sexual-health.html\">the guidance that is on the CDC’s website\u003c/a>. There are other organizations, [like the] San Francisco AIDS Foundation, so many other organizations out there that are helping people to understand how to be safer. I feel our LGBTQ community has been very responsive, and they’ve been very responsible, just wanting to get vaccinated. And that is one reason you’re seeing the numbers come down.\u003c/p>\n\u003cp>\u003cstrong>Is there something like a playbook for how an organization responds when there is an outbreak of a virus like MPX? What are those steps and what are some of the priorities?\u003c/strong>\u003c/p>\n\u003cp>I really believe that counties have to include POC communities, in addition to other communities as well. Because when the outbreak happened here, the county went to — which makes sense — the Steamworks [bathhouse], which is a place that’s known for sex, where people have sex.\u003c/p>\n\u003cp>But what I believe is, they should have immediately prioritized people of color communities, and people who have access to those communities. It should be something that happens simultaneously, instead of a sort of reactionary approach, which resulted in lots of white gay men having access right off the bat to this vaccine, and other communities not having immediate access.\u003c/p>\n\u003cp>But when we reached out to the county and let them know, “Hey, what’s going on? What about us?” there was an immediate pivot. And we’ve been working in partnership with [Alameda County]. And it’s been really a great partnership.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"headTitle": "¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía? | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca href=\"https://twitter.com/justoescribe\">Kervy Robles\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ya existe una vacuna contra la viruela del mono (\"monkeypox\" o \"MPX\" en inglés), ¿pero quién se puede vacunar ahora en California?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California's Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened?",
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"content": "\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. [pullquote size='medium' align='left' citation=\"Sen. Scott Wiener (D-San Francisco)\"]‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’[/pullquote]\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. [aside postID=\"news_11921709\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg']\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. [pullquote size='medium' align='left' citation=\"Karen Elliott, public health director with Tulare County\"]‘I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.’[/pullquote]\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.[aside label=\"Related Coverage\" tag=\"monkeypox\"] “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” [pullquote size='medium' align='left' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco\"]‘We don’t have enough money for robust contact tracing given the number of case. That leaves people to do their own contact tracing. They need to get tested.’[/pullquote] Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.[pullquote size='medium' align='right' citation=\"Kat DeBurgh, executive director of the Health Officers Association of California\"]‘I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have.’[/pullquote]\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“This is a self-limiting, non-fatal disease,” Solano County Public Health Director Dr. Bela Matyas said. “Here we are redeploying from COVID to monkeypox. COVID kills. Monkeypox doesn’t. And I think it’s fair to ask where the logic is in that kind of decision-making.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. \u003c/p>\u003c/div>",
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"content": "‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. \u003c/p>\u003c/div>",
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"content": "‘I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” \u003c/p>\u003c/div>",
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"content": "‘We don’t have enough money for robust contact tracing given the number of case. That leaves people to do their own contact tracing. They need to get tested.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.\u003c/p>\u003c/div>",
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"content": "‘I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is a self-limiting, non-fatal disease,” Solano County Public Health Director Dr. Bela Matyas said. “Here we are redeploying from COVID to monkeypox. COVID kills. Monkeypox doesn’t. And I think it’s fair to ask where the logic is in that kind of decision-making.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Hundreds of people have lined up for multiple blocks every day this week to receive the monkeypox vaccine at a walk-in clinic at the Zuckerberg San Francisco General Hospital and Trauma Center, the city’s main public hospital.\u003c/p>\n\u003cp>With California and the city of San Francisco declaring a public health emergency over the growing number of monkeypox cases, officials say more vaccine doses should be arriving soon. But demand is high and supply remains low.\u003c/p>\n\u003cp>Officials said the city received about 4,000 doses at the end of last week. The ZSFG was \u003ca href=\"https://ww2.kqed.org/news/lp-post-preview?preview_id=11921478&_thumbnail_id=&pformat=&post_id=11921165\">able to administer 650 doses Tuesday, according to the San Francisco Public Health Department\u003c/a>. More people lined up Wednesday, some getting there as early as 6:30 a.m., \u003ca href=\"https://twitter.com/SF_DPH/status/1554850228209037312?s=20&t=caDOn29lc8jaeWZW_RbZfg\">and all available doses there were assigned by about 9 a.m.\u003c/a> Officials said another allotment of more than 10,000 vaccines is expected, but it’s unclear when those will arrive.\u003c/p>\n\u003cp>https://twitter.com/SF_DPH/status/1554544183192326144?s=20&t=9_7vYeGdy53o7Lj5uSyiEw\u003c/p>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\n\u003cp>https://twitter.com/LomeliCabrera/status/1554834168076349443\u003c/p>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.[aside postID=\"news_11919070\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg']Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of people have lined up for multiple blocks every day this week to receive the monkeypox vaccine at a walk-in clinic at the Zuckerberg San Francisco General Hospital and Trauma Center, the city’s main public hospital.\u003c/p>\n\u003cp>With California and the city of San Francisco declaring a public health emergency over the growing number of monkeypox cases, officials say more vaccine doses should be arriving soon. But demand is high and supply remains low.\u003c/p>\n\u003cp>Officials said the city received about 4,000 doses at the end of last week. The ZSFG was \u003ca href=\"https://ww2.kqed.org/news/lp-post-preview?preview_id=11921478&_thumbnail_id=&pformat=&post_id=11921165\">able to administer 650 doses Tuesday, according to the San Francisco Public Health Department\u003c/a>. More people lined up Wednesday, some getting there as early as 6:30 a.m., \u003ca href=\"https://twitter.com/SF_DPH/status/1554850228209037312?s=20&t=caDOn29lc8jaeWZW_RbZfg\">and all available doses there were assigned by about 9 a.m.\u003c/a> Officials said another allotment of more than 10,000 vaccines is expected, but it’s unclear when those will arrive.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Gov. Gavin Newsom declared a public health state of emergency Monday to boost California’s monkeypox vaccination efforts as the virus continues its rapid spread in the state.\u003c/p>\n\u003cp>The governor said the declaration will help California coordinate a government-wide response, acquire and distribute more vaccines and steer outreach efforts.\u003c/p>\n\u003cp>“California is working urgently across all levels of government to slow the spread of monkeypox, leveraging our robust testing, contact tracing and community partnerships strengthened during the pandemic to ensure that those most at risk are our focus for vaccines, treatment and outreach,” Newsom said in a statement. “We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization.”\u003c/p>\n\u003cp>https://twitter.com/KQEDnews/status/1554527744767041537\u003c/p>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"monkeypox\"]In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it,” he added. “And I honestly just don’t want the lesions on my body. I heard the lesions are painful and leave scarring. So I think that’s another motivation to go out and get it.”\u003c/p>\n\u003cp>The city received about 4,000 doses on Friday and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at ZSFG.\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Don Thompson of The Associated Press and KQED’s Matthew Green.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom declared a public health state of emergency Monday to boost California’s monkeypox vaccination efforts as the virus continues its rapid spread in the state.\u003c/p>\n\u003cp>The governor said the declaration will help California coordinate a government-wide response, acquire and distribute more vaccines and steer outreach efforts.\u003c/p>\n\u003cp>“California is working urgently across all levels of government to slow the spread of monkeypox, leveraging our robust testing, contact tracing and community partnerships strengthened during the pandemic to ensure that those most at risk are our focus for vaccines, treatment and outreach,” Newsom said in a statement. “We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. 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"content": "\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.[aside postID=news_11920455 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. 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 (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also 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 MPX 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>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. 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 (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also 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 MPX 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>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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. ",
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"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.",
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"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>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
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"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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