As part of those efforts, about 1,200 doses of smallpox vaccine have been offered in the United States, he said. Raj Punjabi, White House Senior Director for Global Health Security and Biological Defense.
“We want to ensure that people at high risk have access to vaccines as soon as possible, and we want to make it possible for them to receive appropriate treatment if they become ill. To date, we have delivered about 1,200 vaccines,” Punjabi said. “And with 100 courses of treatment in eight jurisdictions, we have more offers for states.”
Medical workers treating patients with smallpox in Massachusetts were the first to be vaccinated against the virus.
In the United States, the two-dose Jynneos vaccine is licensed to prevent smallpox and especially monkey smallpox. Another smallpox vaccine, ACAM2000, which is licensed in the United States, can also be used against monkeys.
To date, more than 120 orthopedic PCR tests have been performed in the United States as part of epidemic monitoring.
“This is just a small part of what is possible,” said Punjabi, and 67 laboratories in 46 states – part of a network called the Laboratory Response Network – have the “collective capacity” to conduct more than 1,000 tests a day.
“So what we are working on now is to ensure the use of testing capabilities,” he said. People with symptoms of smallpox are advised to seek medical attention, and providers encourage testing if anyone suspects they may be infected with smallpox.
It could spread “at the community level,” the CDC official warns
On Friday, staff at the U.S. Centers for Disease Control and Prevention urged clinics to beware of possible cases of monkey disease as the virus could spread to the general public.
Twenty cases of smallpox have been identified in 11 states, as well as additional cases of infection and testing elsewhere in the United States, the doctor said. Jennifer McQueiston, Deputy Director of the CDC’s Highly Dangerous Pathogens and Pathology Division.
All patients have recovered or have recovered, and those who still have rash are advised to stay home and isolate themselves until they have fully recovered.
“I would like to point out that this could happen in other parts of the United States. There could be infectious diseases at the community level, so we really want to step up our surveillance efforts,” Mackwiston said. “We want to encourage doctors to check it out if they really see rashes and are worried they might have a monkey lice.”
He added that in this epidemic, rashes caused by smallpox in monkeys can be easily mistaken for latent and other types of infections, especially sexually transmitted infections, and that monkeys can be infected with STIs.
According to McQuiston, rashes from smallpox usually occur in the form of “deep-seated” and “well-rounded” ulcers, which rise to pustules filled with fluid. It can be confused with other infectious diseases such as herpes or syphilis, he added.
“Look, we don’t want to reduce this situation. Rash caused by the monkey smallpox virus can be widespread in the body or in sensitive areas such as the genitals,” McCuiston said. “It can be really painful, and some patients have reported that they need prescription medication to alleviate the pain. Wounds can cause long-term scars on the skin.”
Analysis of genetic sequencing data from cases in the United States shows that monkeys can be circumvented by two genetically different variants, McQuiston said.
The data on genetic sequencing are “certainly interesting from a scientific point of view,” but “to determine how long the monkey smallpox virus has lasted, a lot of patients need to analyze a series of lists to begin solving this puzzle more clearly.” There may be cases of monkey disease in the United States that have been on the radar in the past, but not on a large scale. ”
He added that the threat to the public was still low and the discovery of cases of various origins was a “positive sign” that the country’s oversight network was working.
Of the 17 cases described in the nine states, all had rashes, 14 of which reported that they had traveled internationally for 21 days before symptoms began, and all but one had male sexual intercourse (MSM). All three had reduced immunity. All the patients were adults.
“The high proportion of early cases diagnosed in this epidemic in people identified as gay, bisexual or other MSM may reflect the early introduction of smallpox into interconnected social networks; this finding may also reflect bias due to strong, established relationships. There is extensive knowledge of STIs, including reliable services and rare conditions, including infectious diseases, ”the CDC researchers wrote in the report.
“However, infections are often not limited to specific geographic or population groups; because close physical contact with infected people spreads smallpox, anyone can become infected with smallpox, regardless of gender or sexual orientation.”
According to the World Health Organization, there have been many cases of the virus in monkeys who have never seen the virus before.
“The virus has been registered in 26 non-endemic countries,” Maria Van Kerhove said at a World Health Organization briefing Thursday on emerging diseases and zoonoses and Covid-19’s technical lead. He added that more than 600 cases have been identified in these countries.
“As control grows, as more attention is paid, we expect more cases to be identified,” he said. “There is a lot of research going on to promote public health.”
“What we’re seeing now is starting in small groups, and then the investigation quickly led to the discovery of infections in a group of men who had sex with men, which led to additional investigations, so we don’t do that. But we know the source of the current epidemic,” Lewis said. “The main thing now is not to stigmatize.”