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U.S. Declares Monkeypox A Public Health Emergency

On Thursday, the federal government declared the ongoing monkeypox outbreak — which has now affected 7,012 Americans — a public health emergency in an attempt to help strengthen responses. With that declaration, additional money will be directed toward resources for the virus.

“Ending the monkeypox outbreak is a critical priority for the Biden-Harris Administration,” Department of Health and Human Services (HHS) Secretary Xavier Becerra explained in a release.

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“With today’s declaration we can further strengthen and accelerate our response further,” Becerra said. “We urge every American to take monkeypox seriously and to take responsibility to help us tackle this virus.”

White House National Monkeypox Response Coordinator Robert Fenton emphasized the strategies being deployed against monkeypox are helped by prior learning experiences with outbreaks, such as COVID-19.

“We are applying lessons learned from the battles we’ve fought – from COVID response to wildfires to measles, and will tackle this outbreak with the urgency this moment demands.”

HHS is now able to utilize emergency funds and hire or assign staff to deal with the outbreak. The department also noted work being done in concert with the Food and Drug Administration (FDA) that will help to provide the Jynneos monkeypox vaccinations across the country.

The partnership plans to utilize a “new dose-sparing approach that could increase the number of doses available, up to five-fold.” This sparsing would be accomplished through a shallower injection than the one recommended for Jynneos.

However, the approach would need approval from regulators and another declaration from the federal government altering guidelines on vaccine administration.

The announcement comes as vaccines are seeing struggles with availability. Minnesota has just 3,000 of the 90,000 vaccines needed to help those most at-risk, while California has received just around 37,000 of the 800,000 requested.

Health officials also have concerns that should the shortage not be addressed immediately and effectively, the virus could become far more widespread, marking it as the second public health disaster in a span of over two years.

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HHS has shipped over 602,000 doses of the vaccine, a number that’s up 266,000 from last week, bringing the total amount of allocated vaccines to 1.1 million. The department also announced it’s ordered an additional 150,000 vaccines, which are expected to arrive in September. Similar to most COVID-19 vaccines, Jynneos requires two doses, 28 days apart.

According to the Center for Disease Control’s (CDC) case count, as of Thursday, New York continues to lead all states in cases with 1,748. California sits second with 826 cases, while Florida is third with 577. Just two out of the 50 states (Wyoming and Montana) have no reported cases.

California, New York, and Illinois all declared public health emergencies last week, as did the cities of New York City and San Francisco. Despite the rising cases, no Americans have died, though several deaths have been reported in other countries. In recent times, monkeypox fatality rates have ranged from 3% to 6%.

Monkeypox had previously been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO) in late July following a substantial global increase. Worldwide, over 26,800 cases in more than 70 countries have been confirmed.

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World Health Organization Declares Monkeypox Outbreak As A Global Health Emergency 

The World Health Organization (WHO) has officially declared the global monkeypox outbreak as a public health emergency of international concern, the strongest call to action the agency can make. 

Since 2009, the WHO has declared seven global health emergencies, the most recent being for Covid-19, which was declared an emergency back in 2020. 

According to the WHO’s international health regulations, a Public Health Emergency of International Concern (PHEIC) is “an extraordinary event which is determined to constitute a public health risk to other states through the international spread of disease and to potentially require a coordinated international response.”

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The UN health agency states that the term implies that the situation is very serious, sudden, unusual, and/or unexpected. A global health emergency also implies this is a threat for public health beyond national borders, and may require immediate international attention. 

Dr Tedros Adhanom Ghebreyesus, the WHO’s director general, said at a press conference that the “committee met on Thursday to review the latest data, but were unable to reach a consensus.”

“In short, we have an outbreak that has spread around the world rapidly through new modes of transmission about which we understand too little and which meets the criteria in the international health regulations,” he said. 

“For all of these reasons I have decided that the global monkeypox outbreak represents a global health emergency of international concern.”

While he said the “risk of monkeypox is moderate globally, it’s high in Europe and there is a clear risk of further international spread.”

So far there have been around 16,000 cases of monkeypox globally, 4,132 of which were in the past week according to data from WHO. It’s now been found in 75 countries and territories, and there have been five deaths. 

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European regions have the highest number of total cases at 11,865, and the highest increase in cases within the last week, with 2,705. 

Dr. Rosamund Lewis, the technical lead for monkeypox at the WHO health emergency program, stated that there’s “a lot of work to be done. Action must be taken to establish what causes risk and to reduce situations that could put people at risk so they can protect themselves. This is how we will get to the end of this outbreak.” 

Monkeypox is classified as a viral infection typically found in animals in central and western Africa, although it can cause outbreaks in humans, as we’ve been seeing. 

Besides Europe, cases have been reported throughout the US, Canada, Australia, Nigeria, Israel, Brazil, Mexico, and others. 

Experts have stressed that anyone can get monkeypox as it’s spread through close or intimate contact. The UN has warned that some media portrayals of the virus impacting mainly Africans and individuals in the LGBT+ community “reinforce homophobic and racist stereotypes and exacerbate stigma.” 

Dr Michael Ryan, the executive director of the WHO emergencies program, said: “We all know how difficult it has been historically to deal with issues like this because of stigma. If nothing else this is about enlightened self-interest, as well as solidarity with those affected.”

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