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Biden administration declares monkeypox outbreak a public health emergency

Biden administration declares monkeypox outbreak a public health emergency
MARIA: AS WE'VE BEEN REPORTING, THE WHITE HOUSE SAYS THE MONKEYPOX OUTBREAK IN THE U.S. IS A NATIONAL HEALTH EMERGENCY. HERE TO ANSWER YOUR QUESTIONS ABOUT IS THANK IS DR. RICK, AN INFECTIOUS DISEASE SPECIALIST AT BOSTON CHILDREN'S HOSPITAL. NICE TO SEE YOU. ED: FEDERAL HEALTH OFFICIALS BELIEVE THAT THE MONKEYPOX VIRUS NOW POSES SIGNIFICANT HEALTH THREAT, THEIR WORDS TO AMERICANS SO, IN YOUR OPINION, WHAT HAS CHANGED IN TIME? >> WELL, REALLY TWO THINGS. THE FIRST ONE IS THAT THE ADMINISTRATION HAS BEEN CRITICIZED FOR WHAT SOME HAVE VIEWED AS A VERY SLOW RESPONSE TO THE M.P.X. OUTBREAK. SO I THINK THIS DECLARATION OF COURSE IS TO TRY TO CHANGE THAT SENTIMENT. THE OTHER REASON IS THAT THIS DECLARATION ALSO MEANS THAT SIGNIFICANT RESOURCES CAN NOW BE PLACED AT THE FEDERAL AND THE STATE LEVEL TO TRY TO COMBAT THIS OUTBREAK. AND IN PARTICULAR THIS MEANS MORE TREATMENT, THIS MEANS MORE VACCINES, AND THIS MEANS MUCH BETTER COORDINATION BETWEEN FEDERAL, STATE AND LOCAL DEPARTMENTS OF HEALTH. MARIA: RIGHT NOW THE C.D.C. HAS CONFIRMED ABOUT 6600 MONKEYPOX CASES HERE IN THE U.S. THAT'S A SMALL NUMBER COMPARED TO OTHER VIRUSES LIKE COVID-19. THE NUMBER OF CHILDREN WHO HAVE BEEN INFECTED IS EVEN SMALLER. FIVE CASES SINCE JULY. SO DO YOU HAVE ANY INFORMATION ABOUT HOW THOSE KIDS WERE INFECTED? HOW THESE KIDS ARE DOING? >> WHAT WE KNOW AND A LOT OF THIS OF COURSE IS LIMITED BY CONFIDENTIALITY, BUT WHAT WE KNOW IS THAT THESE CASES, THE FOUR OF THE FIVE WERE ACQUIRED LOCALLY. MEANING IN THE UNITED STATES. PRESUMABLY BY CONTACT, YOU KNOW, COULD BE AS SIMPLE AS A PHYSICAL CONTACT WITH A FAMILY MEMBER, FOR EXAMPLE, OR A FRIEND WHO HAD MONKEYPOX LESIONS AND THEN INADVERTENTLY INFECTED THE CHILD. THE FIFTH CASE FROM AN INDIVIDUAL WHO -- A CHILD WHO CAME FROM ABROAD. SO PRESUMABLY THAT INFECTION OCCURRED OUTSIDE OF THE UNITED STATES INITIALLY. ED: AS YOU KNOW, MANY KIDS DEVELOP RASHES FOR A MILLION DIFFERENT REASONS. RIGHT? SO WHAT OTHER SYMPTOMS FOR PARENTS IF THEY WANT TO ZERO IN, WHAT SYMPTOMS? WHAT CLUES THAT MIGHT LEAD YOU TO SUSPECT MONKEYPOX? >> I THINK THE FIRST THING TO POINT OUT IS, AS YOU DID, THAT THERE ARE VERY FEW CASES SHAH THANK HAVE BEEN REPORTED IN CHILDREN SO FAR. SO BY AND LARGE, MOST PARENTS SHOULD NOT BE THINKING THAT THEIR CHILD WHO HAS A RASH IS COMING DOWN WITH M.P.X. BECAUSE IT'S REALLY VERY UNLIKELY STATISTICALLY SPEAKING. ON THE OTHER HAND, IF THERE IS A RASH THAT LOOKS UNUSUAL TO THE PARENT, SOMETHING THAT REALLY THEY'VE NEVER SEEN BEFORE, THAT SEEMS TO BE UNUSUAL, HAS SOME FEATURES THAT INDICATE MAYBE SOME VESICLES, FOR EXAMPLE, WHICH ARE TYPICALLY SEEN IN CHICKENPOX BUT CAN ALSO BE SEEN WITH M.P.X., THEN THOSE TYPES OF CLUES SHOULD LEAD THE PARENT TO CONTACT THEIR HEALTH CARE PROVIDER. I THINK OTHER SYMPTOMS SUCH AS FEVER AND MORE GENERALIZED MALAISE, SWELLING OF GLANDS UNDER THE ARM PITS, FOR EXAMPLE, ALL OF THOSE HAVE BEEN REPORTED BUT ARE REALLY RARE, PARTICULARLY IN CHILDREN. WE DO WORRY ESPECIALLY ABOUT CHILDREN UNDER THE AGE OF 8. THOSE WHO HAVE EX MA AND OF COURSE ANYBODY WHO IS IMMUNOCOMPROMISED BECAUSE IN THOSE INDIVIDUALS, M.P.X. CAN BE MUCH MORE DANGEROUS. ED: THANK YOU SO MUCH FOR BEING WITH US THIS AFTERNOON. IT'S GREAT TO SEE Y
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Biden administration declares monkeypox outbreak a public health emergency
Video above: Infectious disease specialist explains significance of monkeypox public health emergency declarationThe Biden administration on Thursday declared monkeypox a public health emergency, with cases on the rise across the U.S.The announcement came during a briefing with the Department of Health and Human Services.The administration has been criticized at times for its handling of the outbreak, and some have called on the government to declare a national emergency without delay. Since the first U.S. monkeypox case was identified in mid-May, more than 6,600 probable or confirmed cases have been detected in the United States. Cases have been identified in every state except Montana and Wyoming.Video above: White House monkeypox commentsThe declaration follows the World Health Organization announcement last month that monkeypox is a public health emergency of international concern. WHO defines a public health emergency of international concern, or PHEIC, as "an extraordinary event" that constitutes a "public health risk to other States through the international spread of disease" and "to potentially require a coordinated international response."Some cities and states, including New York City, San Francisco, California, Illinois and New York, have already declared monkeypox an emergency, allowing them to free up funding and resources for their responses to the outbreak.On Tuesday, President Joe Biden named Robert Fenton as the White House's national monkeypox response coordinator. Fenton -- a regional Federal Emergency Management Agency administrator who oversees Arizona, California, Hawaii and Nevada -- will coordinate the federal government's response to the outbreak. Dr. Demetre Daskalakis, the US Centers for Disease Control and Prevention's director of the Division of HIV/AIDS Prevention, serves as the deputy coordinator.Video above: Massachusetts man shares 'horrific' experience with monkeypoxThe Biden administration has been heavily criticized by some public health experts for not moving faster to address the crisis.One of the criticisms of the administration's response, as CNN reported earlier Thursday, was that HHS waited more than three weeks after the first confirmed case of monkeypox in the US to order bulk stocks of the monkeypox vaccine, which the government owns and stores in Denmark, be bottled and sent to the US for distribution. The delay was in part out of concern that once those vaccines were taken out of bulk storage, they would lose years of shelf life. Monkeypox can infect anyone, but the majority of cases in the US outbreak have been among men who have sex with men, including gay and bisexual men and people who identify as transgender. Close contact with an infected individual is required for the spread of the monkeypox virus, experts say.The CDC initially announced vaccines for monkeypox were being released from the Strategic National Stockpile and offered to the "high-risk" contacts of monkeypox patients, as well as the health care workers treating them. Federal health officials have since expanded vaccination efforts to focus on the broader community of men who have sex with men, the demographic that makes up most US monkeypox cases.In addition to providing vaccines, the CDC has said since June it has made a concerted effort to do extensive education and outreach to the LGBTQ community.Video above: Doctor explains what monkeypox state of emergency declaration means in CaliforniaPossible change to how vaccine is administeredHealth officials are considering changing the way monkeypox vaccine doses are administered because the country is "at a critical inflection point" with the virus' spread, US Food and Drug Administration Commissioner Dr. Robert Califf told reporters on Thursday."In recent days, it's become clear to all of us that given the continued spread of the virus, we're at a critical inflection point, dictating the need for additional solutions to address the rise in infection rates," Califf said. "The goal has always been to vaccinate as many people as possible."The commissioner said officials are considering allowing health care providers to be able to use a dose-sharing method where one vial of Jynneos vaccine -- previously used as one dose -- will be used to administer up to five separate doses.This approach would change the way Jynneos is administered, Califf said. Instead of the vaccine being administered in the fat layer under the skin, it will be delivered underneath the skin layer."There are some advantages to intradermal administration including an improved immune response to the vaccine," Califf said. "It's important to note that overall safety and efficacy profile will not be sacrificed for this approach. Please know, we've been exploring all scientifically feasible options and we believe this could be a promising approach."

Video above: Infectious disease specialist explains significance of monkeypox public health emergency declaration

The Biden administration on Thursday declared monkeypox a public health emergency, with cases on the rise across the U.S.

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The announcement came during a briefing with the Department of Health and Human Services.

The administration has been criticized at times for its handling of the outbreak, and some have called on the government to declare a national emergency without delay.

Since the first U.S. monkeypox case was identified in mid-May, more than 6,600 probable or confirmed cases have been detected in the United States. Cases have been identified in every state except Montana and Wyoming.

Video above: White House monkeypox comments

The declaration follows the World Health Organization announcement last month that monkeypox is a public health emergency of international concern. WHO defines a public health emergency of international concern, or PHEIC, as "an extraordinary event" that constitutes a "public health risk to other States through the international spread of disease" and "to potentially require a coordinated international response."

Some cities and states, including New York City, San Francisco, California, Illinois and New York, have already declared monkeypox an emergency, allowing them to free up funding and resources for their responses to the outbreak.

On Tuesday, President Joe Biden named Robert Fenton as the White House's national monkeypox response coordinator. Fenton -- a regional Federal Emergency Management Agency administrator who oversees Arizona, California, Hawaii and Nevada -- will coordinate the federal government's response to the outbreak. Dr. Demetre Daskalakis, the US Centers for Disease Control and Prevention's director of the Division of HIV/AIDS Prevention, serves as the deputy coordinator.

Video above: Massachusetts man shares 'horrific' experience with monkeypox

The Biden administration has been heavily criticized by some public health experts for not moving faster to address the crisis.

One of the criticisms of the administration's response, as CNN reported earlier Thursday, was that HHS waited more than three weeks after the first confirmed case of monkeypox in the US to order bulk stocks of the monkeypox vaccine, which the government owns and stores in Denmark, be bottled and sent to the US for distribution. The delay was in part out of concern that once those vaccines were taken out of bulk storage, they would lose years of shelf life.

Monkeypox can infect anyone, but the majority of cases in the US outbreak have been among men who have sex with men, including gay and bisexual men and people who identify as transgender. Close contact with an infected individual is required for the spread of the monkeypox virus, experts say.

The CDC initially announced vaccines for monkeypox were being released from the Strategic National Stockpile and offered to the "high-risk" contacts of monkeypox patients, as well as the health care workers treating them. Federal health officials have since expanded vaccination efforts to focus on the broader community of men who have sex with men, the demographic that makes up most US monkeypox cases.

In addition to providing vaccines, the CDC has said since June it has made a concerted effort to do extensive education and outreach to the LGBTQ community.

Video above: Doctor explains what monkeypox state of emergency declaration means in California

Possible change to how vaccine is administered

Health officials are considering changing the way monkeypox vaccine doses are administered because the country is "at a critical inflection point" with the virus' spread, US Food and Drug Administration Commissioner Dr. Robert Califf told reporters on Thursday.

"In recent days, it's become clear to all of us that given the continued spread of the virus, we're at a critical inflection point, dictating the need for additional solutions to address the rise in infection rates," Califf said. "The goal has always been to vaccinate as many people as possible."

The commissioner said officials are considering allowing health care providers to be able to use a dose-sharing method where one vial of Jynneos vaccine -- previously used as one dose -- will be used to administer up to five separate doses.

This approach would change the way Jynneos is administered, Califf said. Instead of the vaccine being administered in the fat layer under the skin, it will be delivered underneath the skin layer.

"There are some advantages to intradermal administration including an improved immune response to the vaccine," Califf said. "It's important to note that overall safety and efficacy profile will not be sacrificed for this approach. Please know, we've been exploring all scientifically feasible options and we believe this could be a promising approach."