Sun Sentinel Broward Edition

South Florida prepares as CDC warns of potential summer mpox resurgence

New report shows two-dose vaccines work

- By Cindy Krischer Goodman

With summer PRIDE events ahead, federal health officials urged people at risk for mpox to get vaccinated and released new research Thursday that shows the two-shot series is highly effective.

“Vaccines work, and our strategy of vaccinatin­g people remains core to preventing mpox,” said Dr. Demetre Daskalakis, White House national mpox response deputy coordinato­r. He added that only one-fourth of the 1.7 million individual­s at risk are fully vaccinated.

In South Florida, where 1,741 people have had mpox, formerly called monkeypox, since the U.S. outbreak began last summer, organizati­ons like the Pride Center at Equality Park held town halls and vaccine drives to stop the spread. During the height of the outbreak, cases in South Florida were, in some instances, doubling or tripling every week. Now, local organizati­ons will need to re-energize their efforts.

Robert Boo, CEO of the Pride Center at Equality Park, said his organizati­on hosted a virtual town hall last week to educate South Florida residents on mpox. He plans to post the recording on the Pride Center’s YouTube channel.

“We talked about the need for vaccinatio­n as we head into the warmer months,” Boo said. “Throughout the country there are PRIDE events, and as the weather gets warm, there’s more opportunit­ies for parties, celebratio­ns, dances and people taking off their shirts, so there’s more exposure.”

A year after the organizati­on’s previous town hall, Boo said the education needs to continue. “If they got one shot, it’s never too late to get a second. Even people

who have gotten both shots need to be careful. It’s not 100% effective. It’s not like you have a shield around you.”

Boo said he has reached out to the local health department and hopes to have a vaccinatio­n event prior to the PRIDE event in Delray Beach on June 10. Since January, six new cases of mpox have been diagnosed in Broward County.

Nationwide, as of March 31, nearly 31,400 mpox cases and 42 deaths have been reported since the outbreak last year, the CDC report released Thursday shows. The study comes as the CDC and the Chicago Department of Public Health reported a recent outbreak of mpox, with 21 people infected.

To evaluate the vaccine’s effectiven­ess against mpox, which circulates mostly among men who have sex with men and transgende­r adults, the researcher­s from CDC and other U.S. institutio­ns analyzed data on 309 patients with mpox and 608

control patients ages 18 to 49. The report findings show: Initial cases of mpox were associated with internatio­nal travel, and spread throughout all 50 states, the District of Columbia, and Puerto Rico.

An overwhelmi­ng majority of cases occurred among adult males who have sex with males and persons aged 21–55 years

Vaccine effectiven­ess was 75% for one dose and 86% for two doses of JYNNEOS vaccine, indicating substantia­l protection against mpox, irrespecti­ve of route of administra­tion or immunocomp­romise status.

Global mpox spread continues and might accelerate during summer 2023, given remaining unvaccinat­ed persons with behavioral risk.

Broward County was at the epicenter of the outbreak in Florida last summer and on the forefront of giving out vaccine doses. As mpox rapidly spread in the fall of 2022, federal officials became concerned about shortages of the JYNNEOS vaccine. To extend doses available, the FDA authorized a strategy

in August to inject the vaccine intraderma­lly, just below the first layer of skin, rather than subcutaneo­usly, or under all the layers of skin. The change allowed one vial of vaccine to be given out as five separate doses rather than a single dose.

Since summer 2022, more than 1.2 million doses have been administer­ed.

Dr. Christophe­r R. Braden, the CDC mpox response incident manager, said supply is no longer a concern and people should be able to get vaccinated using either method. “We are in a very different place than the spring-summer 2022.”

Daskalakis said with the potential for the risk this summer of a new outbreak, federal agencies are doing outreach at PRIDE celebratio­ns and creating partnershi­ps to hold vaccinatio­n programs at events. “We are working with organizati­ons and local health department­s to see where those opportunit­ies make sense,” he said.

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