Us Considers Vaccinating Men With Hiv Against Monkeypox

US Considers Vaccinating Men With HIV Against Monkeypox

New York – Health officials in the United States are considering expanding recommendations about who gets the monkeypox vaccine, possibly to include many men with HIV or those recently diagnosed with another STD.

The discussion stemmed from a study released Thursday showing that a higher-than-expected proportion of monkeypox infections occur in people who already have other sexually transmitted diseases.

Dr. John T. Brooks, the chief medical officer in charge of the Centers for Disease Control and Prevention (CDC) response to the outbreak, said the report represents “a call to action.” .

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Brooks told The Associated Press on Thursday that he hopes the recommendations for the use of the vaccine will expand and that “the White House, along with the CDC, are working on a plan to determine what the above will look like.”

Currently, the CDC recommends that the vaccine be offered to people in close contact with someone infected, people who know a sexual partner has been diagnosed with monkeypox in the past two weeks, and gay or bisexual men who have had multiple sexual partners in the past two weeks. last two weeks in an area where cases of the virus have been detected.

The vaccine is also recommended for healthcare workers at high risk of exposure to the virus.

The vast majority of monkeypox cases have been reported in men who have sex with men who have reported close contact with an infected person during intercourse. But the new CDC report indicates that infections among people with HIV and other STDs may be higher than previously thought.

The study examined about 2,000 cases of monkeypox in four states and four cities from mid-May to late July.

It found that 38% of those infected with monkeypox had been diagnosed with HIV, a much higher proportion than their proportion of the population of men who have sex with men.

The study also found that 41% of those infected with monkeypox had been diagnosed with a venereal disease in the past year. And about 10% of those patients had been diagnosed with three or more different STDs in the previous year.

The study has severe limitations, including that the data may not be nationally representative, the authors said.

Brooks said the findings could lead to vaccines being recommended for people with recent STDs, people with HIV, people taking prophylactic medications to prevent HIV and, possibly, prostitutes.

Discussions to expand eligibility for vaccines will have to take into account the availability of two-dose vaccine supplies. And any substantial expansion of recommendations to use the monkeypox vaccine will also be subject to review by the CDC’s independent vaccine advisors, health officials said.

Separately, the CDC sent a letter Thursday to state and local health departments noting that federal funds for HIV and STD prevention can now also be used for monkeypox. Officials say cases in the United States appear to be declining.

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