Health

NYC plans to delay second dose of monkeypox vaccine


New York City will delay rolling out a second dose of monkeypox vaccine because it has too few doses, health officials said, amid warnings that an outbreak in the country America is out of control.

The city’s Health Department warned Friday that it may not be able to meet the deadline because it has received too few doses of the drug from the federal government.

Guidelines state that patients should get their second dose four weeks after the first to ensure the best protection.

New York – which is at the epicenter of the outbreak – has shifted its focus to giving as many patients the first dose as possible. It is also releasing the initial 1,000 doses it is keeping for the second injection.

Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention (CDC), who sought to allay fears of vaccine shortages, told STAT News that New York City was among the most heavily-delivered. than.

Dr Peter Marks, director of the Food and Drug Administration’s Center for Biological Evaluation and Research, said it ‘shouldn’t be’ to delay a second dose.

Dr. Rochelle Walensky, head of the Centers for Disease Control and Prevention (CDC), sought to allay fears by saying more doses of the drug would be delivered to New York City in the near future.

Dr. Rochelle Walensky, head of the Centers for Disease Control and Prevention (CDC), sought to allay fears by saying more doses of the drug would be delivered to New York City in the near future.

Dr. Peter Marks, from the Food and Drug Administration, said it is not advisable to prolong the duration of the medication

Dr. Peter Marks, from the Food and Drug Administration, said it is not advisable to prolong the duration of the medication

Rochelle Walensky, head of the Centers for Disease Control and Prevention (CDC), sought to allay fears by saying more doses of the drug would be delivered to New York City in the near future. Dr. Peter Marks, from the Food and Drug Administration, said it is not advisable to prolong the duration of the medication

The US is currently rolling out the Jynneous vaccine, which is given as a two-dose regimen with a second dose given four weeks after the first.

But some countries – including the UK and Canada – have expanded this framework because they prioritize putting first doses of drugs into weapons.

The adjustment to the dosing schedule has echoes of the Covid pandemic, where many countries – but not the US – have widened the gap between doses to reach more people faster.

Officials said:

A former commissioner of the US Food and Drug Administration has warned that monkeypox may have spiraled out of control in the United States.

Speaking in an interview with CBS on Sunday, Dr Scott Gottlieb warned that the window to overcome the disease ‘may have closed’.

He said the national tally – of 1,800 cases – could be ‘a fraction’ of the real number because of poor testing coverage.

And that monkeypox may have spread outside of gays and bisexuals, but this has yet to be discovered.

Monkeypox has now been detected in most of the US states – except for Mississippi in the south, Wyoming, Montana and North Dakota, and in Maine and Vermont.

Of the tally, eight cases have been detected in women nationwide so far, and none in children and adolescents.

No studies have been done on how effective Jynneous vaccine is with longer dosing intervals.

But the manufacturers point to trial results showing it to be as effective as ACAM2000 – another monkeypox vaccine – from two weeks after the first dose to suggest a longer dosing interval may be possible.

Dr Amesh Adalja, an infectious disease expert at Johns Hopkins University in Baltimore, Maryland, raised no concerns about the length of time between doses when asked by DailyMail.com.

“There is nothing magical about the duration of the drug and individuals can be caught up when the supply is more abundant,” he said.

‘The priority is to get some level of immunity in those most at risk of exposure.’

New York City rolled out a rollout of the monkeypox vaccine on June 23 for gay or bisexual men who have multiple sex partners every two weeks.

The first recipients will be eligible for their second shot in just three days’ time.

Revealing the delay Friday, the city said: ‘Given the rapid increase in cases, the Department of Health has decided that providing the first doses to protect at-risk New Yorkers higher is the best strategy until we get a full vaccine supply.

‘In many cases this means that individuals may not receive a second dose within the 28-day interval between doses as indicated in the Food and Drug Administration’s prescribing label ( FDA).’

They added: ‘Until there is sufficient supply in the city, all doses of the vaccine will be treated as the first dose and we will only begin scheduling second dose appointments when we have them. enough vaccines to do so.

‘The Department will notify those who received the first dose of when the second dose is available and how to receive them.’

Demand for monkeypox vaccine is high in New York City, with appointments for 9,300 doses released on Friday, all booked within minutes. Washington DC, which is elsewhere launching attacks, is also seeing appointments run out quickly.

Nationwide, more than 1,800 cases have been detected in all but seven states – Alaska, Maine, Montana, Mississippi, North Dakota, Vermont and Wyoming.

In New York, 489 cases were found to be male, with 60% identifying as gay or bisexual.

But a leading expert has warned that the tropical disease has likely spread to other groups – but remains undetected.

To date, no deaths from the disease have been recorded in the US, but young men make up the majority of very low-risk patients.

However, there are concerns about the risk of death if the disease reaches pregnant women and older adults, who are more at risk.

Donall McNeil, a journalist who has sounded the alarm about Covid, Zika and other viral outbreaks, writing for Common Sense: ‘The insignificant mortality rate will not necessarily last if the virus escapes out of our current networks. it: mostly young men, mostly healthy adults.

He added: “In Africa, children and pregnant women are most at risk of dying from monkeypox.

Dr Scott Gottlieb warned on Sunday that the virus has the potential to spread to groups other than gay or bisexual men, but has yet to be detected.

Dr Scott Gottlieb warned on Sunday that the virus has the potential to spread to groups other than gay or bisexual men, but has yet to be detected.

Dr Scott Gottlieb warned on Sunday that the virus has the potential to spread to groups other than gay or bisexual men, but has yet to be detected.

Walensky told STAT in an interview that anyone who gets the vaccine will need two doses to get a ‘higher level of protection’.

She said: ‘We’re not asking New York – or anyone – to withhold dosages right now because … we’re pretty confident that what’s coming will probably include second doses. .’

Marks also cautioned against delaying the second dose of the vaccine.

“We do not recommend deviating from the schedule suggested here,” he said at a press conference at the Department of Health and Human Services.

‘One dose of this vaccine will not provide the necessary protection over time if people continue this risky behavior.

So a two-dose regimen is the best we can do to make sure we’re really helping people get the protection the vaccine is intended to provide. ‘

A former commissioner of the US Food and Drug Administration has warned monkeypox may have spiraled out of control in the United States.

Speaking in an interview with CBS on Sunday, former FDA commissioner Dr Scott Gottlieb warned that the door to overcoming the disease ‘may have closed’.

He said the nationwide tally – with 1,800 cases – could be ‘a fraction’ of the real number because of poor coverage.

And that monkeypox may have spread outside of gays and bisexuals, but this has yet to be discovered.

Monkeypox has now been detected in most of the US states – except for Mississippi in the south, Wyoming, Montana and North Dakota, and in Maine and Vermont.

Of the tally, eight cases have been detected in women nationwide so far, and none in children and adolescents.

Speaking on CBS’s ”Face the Nation”, Gottlieb said: ‘I think the door to control and contain it is probably closed. If it hasn’t closed yet, it is definitely starting to close. ‘

Of the current tally, he added: ‘We may only be able to detect a fraction of the actual cases because we already have a very narrow case definition of people who have been tested and in general , we’re looking at the community of men who have sex with men and at STD clinics.

‘So we’re looking there, we’re looking for cases there, but the reality is that there are cases outside of that community right now.

‘We don’t pick them up because we’re not looking there.’

Source: | This article originally belonged to Dailymail.co.uk



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