Monkeypox

2022 - 7 - 23

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Image courtesy of "STAT"

WHO declares monkeypox outbreak a public health emergency (STAT)

The decision will empower the agency to take additional measures to try to curb the virus, which has now spread to more than 70 countries.

The Central African Republic and Nigeria — two of the countries were monkeypox is endemic — have reported five deaths so far in 2022. Governments must take this more seriously and work together internationally to bring this outbreak under control,” Golding said in a statement. “Nine and six is very, very close,” Tedros said in a news conference called to announce the decision. Four of the six were in men who have sex with men. Monkeypox infections lead to painful lesions and rashes, including vesicles forming on the palms. The same committee met just one month ago and declined to declare a public health emergency of international concern, or PHEIC.

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Image courtesy of "CNN"

Monkeypox is public health emergency of international concern ... (CNN)

The World Health Organization (WHO) has declared the monkeypox outbreak a public health emergency of international concern.

A large number of cases this year have been in men who have sex with men, and public health officials are focusing their prevention efforts in this group. WHO initially stopped short of declaring the monkeypox outbreak a public health emergency of international concern after its first emergency committee meeting on June 23. IHR require that all countries have the ability to detect, assess, report, and respond to public health events."

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The WHO declares monkeypox a public health emergency (NPR)

The World Health Organization on Saturday declared the monkeypox outbreak a public health emergency. The move is aimed at boosting coordination and sharing ...

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WHO declares monkeypox a global health emergency as infections ... (The Washington Post)

The World Health Organization on Saturday declared the international monkeypox outbreak a global emergency, a decision that underscores concerns about ...

The WHO’s move is not likely to have a direct effect on the U.S. response. On Friday, health authorities reported the first two U.S. cases of monkeypox in children. They also noted scant evidence of substantial transmission beyond men who have sex with men and concerns that a health emergency would fuel discrimination against the LGBT community in countries where homosexuality is criminalized. Experts believe close contact during male-to-male sexual activity is a major driver of transmission in the ongoing outbreak. Monkeypox has spread across the world at an unprecedented rate in the last two months. The decision means the world is now confronting two viral diseases that have crossed the extraordinary threshold of being declared health emergencies: covid-19 and monkeypox.

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World Health Organization chief says monkeypox outbreak is now a ... (USA TODAY)

The rare designation may help spur more investment in combatting the once rare disease amid a scramble for scarce vaccines. WHO Director-General Tedros Adhanom ...

"Vaccination in the West might help stop the outbreak there, but there will still be cases in Africa," he said. So far, monkeypox deaths have only been reported in Africa, where a more dangerous version of the virus is spreading. However, in Europe, North America and other regions, monkeypox is spreading from human to human without links to animals or travel to Africa. At the time, 3,040 monkeypox cases had been reported in 47 countries, he said. "So in short, we have an outbreak that has spread around the world rapidly, through new modes of transmission, about which we understand too little," he said. While a global emergency is the organization's highest alert level, it doesn't always mean a disease is highly transmissible or lethal. There have been 2,891 confirmed cases of monkeypox in the U.S. as of Friday, according to the Centers for Disease Control and Prevention. States reporting cases have received 370,000 vaccine doses. As a more dangerous version of the virus spreads mainly in Nigeria and the Congo, the only monkeypox deaths as of now have been reported in Africa, where it mainly spreads to people from infected animals such as rodents. On Friday, the U.S. reported its first two cases of monkeypox in children, according to the Centers for Disease Control and Prevention. While the virus has been found in parts of central and west Africa for decades, monkeypox began to spread more widely in May as authorities reported dozens of epidemics globally. "... For all of these reasons, I have decided that the global monkeypox outbreak represents a public health emergency of international concern." The head of the U.N. health agency said Saturday that monkeypox is a global emergency after the World Health Organization's expert committee didn't reach a consensus on whether to urge a coordinated international response to prevent the virus's spread.

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W.H.O. Declares Monkeypox Spread a Global Health Emergency (The New York Times)

Dr. Tedros Adhanom Ghebreyesus, the W.H.O.'s director general, on Saturday overruled a panel of advisers, who could not come to a consensus, and declared a “ ...

It’s possible that only severe cases were detected in the endemic regions of Africa, and the current outbreak offers a more accurate picture of the disease, Dr. Eckerle said. Containing the virus may be even more challenging in countries with limited or no supply of vaccines and treatments. Some — especially those who develop sores in the throat, urethra or rectum — have suffered excruciating pain. Dr. James Lawler, co-director of the University of Nebraska’s Global Center for Health Security, estimated that it might take a year or more to control the outbreak. And in interviews, some experts said they did not agree with the rationale. This time the cause is monkeypox, which has spread in just a few weeks to dozens of countries and infected tens of thousands of people. As of Saturday, the United States had recorded nearly 3,000 cases, including two children, but the real toll is thought to be much higher, as testing is only now being scaled up. “We’ve now unfortunately really missed the boat on being able to put a lid on the outbreak earlier,” Dr. Lawler said. This is one way that a disease can become endemic in a region. Some global health experts have criticized the W.H.O.’s criteria for declaring such emergencies as opaque and inconsistent. The W.H.O.’s declaration signals a public health risk requiring a coordinated international response. It was apparently the first time that the director general had sidestepped his advisers to declare an emergency.

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Monkeypox is in Bay Area wastewater (MIT Technology Review)

It showed up in Stanford's Sewer Coronavirus Alert Network, which is the only group publishing data on monkeypox in US wastewater.

In recent years, monkeypox has killed 3 to 6 percent of those it infects, and it is deadlier in young children. A question remains as to how much monkeypox DNA needs to get into the wastewater for SCAN to actually detect it. SCAN is, at present, the only effort releasing data on monkeypox in wastewater. It could be the beginning of new era in disease prevention. That includes respiratory and nasal secretions, spit, urine, feces, and semen—meaning a flushed tissue from someone with monkeypox can register the virus in wastewater. There is no evidence that you can contract monkeypox from wastewater itself. If a pathogen’s genetic footprint can persist in wastewater for over 24 hours, SCAN can likely detect it. Monkeypox is in the same virus family as smallpox but is less infectious and generally has more mild symptoms. Running water over these open sores in the shower or while washing your hands can catapult monkeypox DNA into wastewater. In late 2021, wastewater surveillance suggested the omicron variant was prevalent in the US much earlier than clinical testing reported. Last month, Stanford’s Sewer Coronavirus Alert Network, or SCAN, added monkeypox to the suite of viruses it checks wastewater for daily. It's the only public effort in the US to test if monkeypox is detectable in the shower, sink, and toilet water that is sent to wastewater treatment plants for decontamination.

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WHO chief declares monkeypox a global emergency (PBS NewsHour)

LONDON (AP) — The chief of the World Health Organization said the expanding monkeypox outbreak in more than 70 countries is an “extraordinary” situation ...

“Vaccination in the West might help stop the outbreak there, but there will still be cases in Africa,” he said. And he’s reflecting that uncertainty and his determination of the event” to be a global emergency. Dr. Placide Mbala, a virologist who directs the global health department at Congo’s Institute of National Biomedical Research, said he hoped any global efforts to stop monkeypox would be equitable. “The window has probably closed for us to quickly stop the outbreaks in Europe and the U.S., but it’s not too late to stop monkeypox from causing huge damage to poorer countries without the resources to handle it.” “Although I am declaring a public health emergency of international concern for the moment, this is an outbreak that is concentrated among men who have sex with men, especially those with multiple sexual partners,” Tedros said. Experts suspect the monkeypox outbreaks in Europe and North America were spread via sex at two raves in Belgium and Spain. Declaring a global emergency means the monkeypox outbreak is an “extraordinary event” that could spill over into more countries and requires a coordinated global response. Past announcements had mixed impact, given that the U.N. health agency is largely powerless in getting countries to act. A global emergency is WHO’s highest level of alert, but the designation does not necessarily mean a disease is particularly transmissible or lethal. WHO Director-General Tedros Adhanom Ghebreyesus made the decision to issue the declaration despite a lack of consensus among experts serving on the U.N. health agency’s emergency committee. “That means that this is an outbreak that can be stopped with the right strategies in the right groups.” According to the U.S. Centers for Disease Control and Prevention, more than 16,000 cases of monkeypox have been reported in 74 countries since about May. To date, monkeypox deaths have only been reported in Africa, where a more dangerous version of the virus is spreading, mainly in Nigeria and Congo.

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City officials hit bars and clubs to spread word about monkeypox (Spectrum News NY1)

After 5 p.m. on Friday, Friend's Tavern, a gay bar in Queens, served up more than cocktails — there were flyers passed around the bar with information about ...

"These are community hubs for the gay community, for gay men, in particular," Vasan said. "We don’t need to deal with two pandemics at the same time." Can I tell them where to get the vaccine?"

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WHO declares rapidly spreading monkeypox outbreak a global ... (CNBC)

The WHO last issued a global health emergency in response to Covid-19 in January 2020.

The U.S. is already distributing tens of thousands of doses of a vaccine called Jynneos in an effort to quash the outbreak. ACAM2000 uses a mild virus strain in the same family as monkeypox and smallpox to confer immunity. Men who have sex with men are at the highest risk right now, as the majority of transmission has occurred in the gay community. The CDC and WHO have said the rash is easily confused with common sexually transmitted diseases. Tedros warned stigma and discrimination are violations of human rights that will undermine the public health response to the outbreak. The WHO has said the international community did not invest enough resources in fighting monkeypox in Africa before the global outbreak. In 2020, the agency declared Covid a pandemic in an effort to warn complacent governments about the "alarming levels of spread and severity" of the virus. In contrast to Covid-19, monkeypox is not a new virus. Before a global health emergency is declared, the WHO's emergency committee meets to weigh the evidence and make a recommendation to the director general. She said public health authorities had a window of opportunity to contain the outbreak. The WHO last issued a global health emergency in January 2020 in response to the Covid-19 outbreak and two months later declared it a pandemic. Historically, monkeypox has spread at low levels in remote parts of West and Central Africa where rodents and other animals carried the virus.

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WHO declares monkeypox outbreak to be public health emergency ... (ABC News)

The outbreak has spread worldwide "rapidly," and officials understand "too little" about the disease, according to the World Health Organization.

"In the days and weeks ahead, you're gonna just see more and more." Last week, HHS announced that it has ordered another 2.5 million doses of the JYNNEOS monkeypox vaccine, amidst increased demand for the shots. The risk of monkeypox is moderate globally except in the European region, where the risk is assessed as high, he said. Ghebreyesus said it is possible that increased travel during the COVID-19 pandemic may have helped the virus spread. The department's latest order is in addition to its July 1 order of 2.5 million doses, which will begin arriving over the next year. Monkeypox is generally a mild illness with the most common symptoms being fever, headache, fatigue and muscle aches.

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WHO declares global health emergency over monkeypox outbreak (Reuters)

The rapidly spreading monkeypox outbreak represents a global health emergency, the World Health Organization's highest level of alert, WHO Director-General ...

Raj Panjabi, director of the White House pandemic preparedness office, said a "coordinated, international response is essential" to stop the spread of the disease and protect communities at the greatest risk of contracting it. Register now for FREE unlimited access to Reuters.com Register now for FREE unlimited access to Reuters.com Register now for FREE unlimited access to Reuters.com The White House said the declaration was a "call to action for the world community to stop the spread of this virus." The WHO label - a "public health emergency of international concern (PHEIC)" - is designed to trigger a coordinated international response and could unlock funding to collaborate on sharing vaccines and treatments.

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Monkeypox is a public health emergency. Here's what you need to ... (NPR)

The World Health Organization has declared monkeypox a public health emergency of global concern. From how it spreads to preventive measures, here's what ...

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Responding to the monkeypox outbreak - World (ReliefWeb)

Perspectives of clinicians treating patients with the disease. 24 July 2022. In just over two months a global outbreak of monkeypox in non-endemic countries ...

Even so, it is important to point out that MSM are currently at higher risk of contracting monkeypox because of the social and sexual networks in which the disease has been spreading the fastest. This will protect your health and the health of those you hold close. "Most people are looking for what they've been told to watch out for on social media -- so a rash -- but it's not what we always see. "At the beginning of May I had several patients presenting with what appeared to be ulcers. However, since then we have also seen others as a result of referrals from our sexual health clinic". Dr Francisco Silva is a General Practitioner in Lisbon, Portugal, who also works at a sexual health clinic in the city.

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Monkeypox is declared a global health emergency (The Economist)

The virus has spread to 75 countries but remains almost entirely confined to gay and bisexual men | Science & technology.

If countries’ tussling for covid-19 jabs in the early days of the pandemic is a guide, that will be the organisation’s toughest job. It has been used against monkeypox in America and Europe based on limited data of efficacy from monkeypox outbreaks in Africa. About half of countries that are currently reporting monkeypox cases have secured some amount of the vaccine, says the who. One of its tasks now is to ensure that the supplies rolling off production lines are sent to where they are needed the most. That probably explains, at least in part, the higher mortality among monkeypox cases in Africa (where as many as 3-6% of cases can be fatal). There have been no deaths so far among the thousands of cases diagnosed in Western countries. In the current outbreak about 70% of cases are in Europe and 15% are in America, though far more limited testing in other regions means that transmission chains there may be going undetected. On july 23rd the World Health Organisation (who) declared the spread of monkeypox a “public health emergency of international concern”, the highest level of alert in its hierarchy of warnings.

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Monkeypox: Schiff demands to know why US does not have more ... (The Guardian)

Ashish Jha, coronavirus response coordinator, defends Biden administration response but California Democrat wants answers.

“We really don’t know the future course of this virus. His host, Margaret Brennan, said: “You said the federal response falls short in terms of supply and timeliness, regarding a vaccine. Schiff said: “I don’t know why there aren’t more vaccines available. But, we have substantially ramped up that response, and that is now I think being felt in localities around the country.” So what I would say is this is a virus that we have known for, you know, 60 years, we had the vaccine and diagnostic capabilities to manage it. I had them on my skull, on my face, my arms, my legs, my feet, my hands, my torso, my back, and five just on my right elbow.

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Monkeypox 'Can Be Contained' in US, White House Doctor Says (Bloomberg)

WHO Director-General Tedros Adhanom Ghebreyesus personally intervened after nine members of the expert committee were against declaring the monkeypox outbreak ...

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Monkeypox Proves Elusive Foe as WHO Sounds Alarm on Global ... (Bloomberg)

The Covid-19 outbreak forced governments around the world to revamp their pandemic response programs, invest in drugs and vaccines and establish viral ...

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White House COVID Adviser addresses current Monkeypox threat ... (Fox News)

White House COVID-19 Adviser Ashish Jha said the U.S. will wait and observe how the virus continues to spread before declaring a domestic state of ...

"None of them have tested positive," Jha said. "Here in the United States, we have a little over 2,000 cases," he continued. "I think Dr. Tedros made the right call.

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Monkeypox deemed public health emergency by WHO, South ... (WPLG Local 10)

Data from the Centers for Disease Control shows 247 cases in Florida over the past week, with South Florida being the epicenter. Broward County has the highest ...

Symptoms of monkeypox include fever, headache, fatigue and painful rashes. Doctors say the majority of the cases so far are found in men who have sex with other men. Data from the Centers for Disease Control shows 247 cases in Florida over the past week, with South Florida being the epicenter.

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Lawmakers step up pressure on administration over monkeypox (The Hill)

Congressional leaders have begun raising the heat on the Biden administration over monkeypox, demanding to know what its plan is for handling the outbreak ...

Sunday Talk Shows We invite you to join the discussion on Facebook and Twitter. Sunday Talk Shows “I think with public health emergencies, it’s always important to sort of ask very specific questions about what exactly would that allow us to be able to do differently than we’re doing now. That is ongoing work but it’s going to continue to accelerate,” said Jha, adding that the administration was looking to reduce the paperwork needed to provide TPOXX which is not technically authorized to treat monkeypox. While the supply of vaccines increases, there are still obstacles preventing many from accessing treatments like antivirals.

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Struggle to get monkeypox vaccine continues after World Health ... (CBS News)

For a second weekend in a row, mass vaccination sites for monkeypox are opening up in New York City.

I know that, obviously this is a serious thing and a lot of people didn't take COVID very seriously, especially people around me. "There would be one appointment in the Bronx or something, and then that one would be gone. There'd be one in Staten Island, that would be gone.

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New Yorkers line up for monkeypox vaccine (Spectrum News NY1)

Sunday marked the first of three days of monkeypox mass vaccination events happening across the city over the next week.

“This kind of thing happened when HIV became a thing and it was not taken seriously until it started affecting everybody else.” Clark got an appointment at the Brooklyn location Sunday but said many of his friends did not sign up in time. “I tried to reschedule it 10 minutes later and they were all gone.” “Some folks did not. I got an appointment at like 6:02,” he said. “Some folks did,” Richard Clark said.

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Monkeypox 'Can Be Contained' in the U.S., a Senior Health Official ... (TIME)

A Northwell Health staff member holds the monkeypox vaccine, at Cherry Grove on Fire Island, New York, where monkey pox vaccines were administered on July 14, ...

On Friday, the U.S. Centers for Disease Control and Prevention said that two pediatric patients had been identified this week, raising concerns that the virus is finding its way into other populations. Tedros and the health organization had faced criticism in some quarters that they acted too slowly to ratchet up the alarms on Covid. Ashish Jha repeated that, with more than 2,000 cases nationwide, the U.S. Department of Health and Human Services is weighing whether to declare monkeypox a public health emergency. Fauci said the goal is to vaccinate groups where monkeypox is spreading, including people who have been exposed to someone with the virus and those who are simply more at risk, including men who have sex with other men. “We think we can get our arms around this thing,” Jha said in an interview with CBS’s “Face the Nation” on Sunday. “But obviously, if we need further tools, we will invoke them as we need them.” Monkeypox “can be contained” in the U.S., with the goal of eventually eliminating the illness as testing and vaccinations ramp up, the White House’s Covid-19 response coordinator said.

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Unheeded lessons: Torpid U.S. and state monkeypox responses ... (Virginia Mercury)

Virginia was tardy to respond at the dawn of the COVID-19 pandemic, and there are early signs that a similar pattern may be playing out now.

Monkeypox Now a Global Emergency (eagletimes.com)

LONDON — The expanding monkeypox outbreak in more than 70 countries is an “extraordinary” situation that qualifies as a global emergency, the World Health ...

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