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New York Monkeypox Cases Up 34% – NBC New York

What you should know

  • The United States is in the midst of the largest monkeypox outbreak in its history, and while there is a vaccine for this virus, it has been difficult to get an appointment to get vaccinated in New York City, either due to high demand or to technological errors.
  • New York accounts for more than 25% of monkeypox cases in the US, according to the CDC; at this point, eligibility is limited to gay, bisexual, or other men who have sex with men and transgender, gender non-conforming, or gender non-binary individuals over the age of 18 who have had multiple or anonymous sexual partners in the past 14 days.
  • Symptoms of monkeypox include fever, headache, muscle aches, and exhaustion. The lymph nodes may also swell. The incubation period is usually 7 to 14 days, but can range from 5 to 21 days.

NEW YORK – Authorities are scrambling to contain monkeypox in New York City, which is at the epicenter of another major public health crisis as the latest batch of reported cases keeps the Big Apple ahead of all other states.

The city’s health department on Monday reported 618 positive cases, a 34% increase from its Friday report, just a day after three one-day mass vaccination sites opened in the Bronx, Brooklyn and Queens.

Elected leaders and health officials across the city have denounced the lack of vaccine supply (the city reportedly gets 10% of the country’s supply, but accounts for at least a quarter of all cases) and the inequity in its distribution. A single clinic opened in Chelsea during the first rounds of vaccine quotas before more followed in Harlem, Queens and Staten Island.

“We are starting to see a repeat of almost every challenge we faced in the early days of COVID: lack of testing capacity, lack of vaccine, lack of treatment. We learned these lessons the hard way during the last pandemic and we should have been prepared for this,” said Manhattan Borough President Mark Levine.

Levine released a seven-point “action plan” on Monday that he hopes to reverse initial setbacks, which have included significant technological blunders in obtaining vaccine appointments. Here are Levine’s seven steps:

  • Give NYC its fair share of the vaccine
  • Create a pre-registration dating portal
  • Increase access to testing
  • Reopen the city’s sexual health clinics
  • Better educate physicians and health care providers
  • Focus on fairness

The Borough President’s second point directly addresses the technological inefficiencies that have plagued the vaccine rollout to date. He argues that a pre-registration system would allow New Yorkers to be ready before appointment openings, especially those that are geographically tied to zip codes.

Rep. Ritchie Torres (NY-15) added his voice to New Yorkers frustrated by the government’s response to a virus outbreak. On Monday morning, he called on Health and Human Services to investigate “the poor implementation of testing, vaccination and educational material regarding” the outbreak.

Meanwhile, the city’s health commissioner over the weekend classified the outbreak as a pandemic. He toured the Bronx mass vaccination site, where he addressed the early setbacks of the city’s outbreak response and described its obstacles to “fighting two pandemics at once.”

“The fact is that you have higher than normal transmission of a disease in several countries, on several continents. So that’s the definition, the technical definition of a pandemic,” the health commissioner said.

City health officials have changed their vaccine distribution strategy when it comes to second doses, instead delaying additional injections to get more first doses as quickly as possible. That adjustment helped the city make an additional 1,000 first-dose appointments available in the Friday night blitz.

The City Council has now formally asked the Biden Administration to delay those second doses, precisely so that it can get more first doses on weapons while supplies are limited.

“We made the decision last week to prioritize first shots because my scientists looked at the data and said the first shot provides enough protection. Not as much as two shots, but it’s significant,” Vasan added.

There are another 33 cases of monkeypox in the other New York counties, with Westchester now home to the second highest number, with 16 confirmed cases. The vaccination plan is also underway there, with several hospitals and community health centers administering 450 doses of vaccines. Another 520 will be available starting July 18, by appointment only at the Count Health Clinic on Court Street.

Gov. Kathy Hochul said Friday that another 32,000 doses from the federal government will be shipped to New York and the city beginning next week.

At this time, eligibility in New York City is limited to “gay, bisexual, or other men who have sex with men and transgender, gender non-conforming, or gender non-binary persons age 18 or older who have had multiple or anonymous sexual partners in the past 14 days,” according to guidelines released by the health department. Lee more here.

While monkeypox is highly contagious and generally confined to the African continent, health officials say the risk to the general US public is low. They say this is not COVID again because there are already vaccines to treat orthopoxvirus, the family of viruses to which monkeypox and diseases like smallpox and chickenpox belong.

The city is also rolling out more active messaging, saying people can now receive text alerts about the virus and new open appointments by texting MONKEYPOX to 692692, or MONKEYPOXESP for alerts in Spanish.

Getting a first dose has been difficult, with only a few thousand appointments opening in the past few weeks. And the portal used to make the appointments hasn’t been working exactly as officials had hoped.

Last Tuesday, appointments sold out almost immediately after a wave of bugs left many people unable to access the booking website. The city’s Health Department said the scheduling site stopped working “due to high traffic,” a problem many hope will be fixed in time for Friday’s launch.

That mishap followed what the city said was an “unfortunate glitch” the week before. A mistake on July 6 opened the appointment window prematurely, prompting an avalanche of confusion and an outpouring of apologies from city health officials as they worked to correct the problem.

All 2,500 inadvertently released citations were picked up again extremely quickly, within 10 minutes. The city said the failure was the result of an outside vendor, not the department itself. The department later said it would honor all wrongly booked appointments that same day.

IF YOU HAVE SYMPTOMS

There is no specific approved treatment for monkeypox. Most people get better on their own without treatment. However, antivirals developed for use in smallpox patients may be of benefit.

If you start experiencing symptoms, talk to your health care provider. If you don’t have a health care provider, call 311. A provider will review your symptoms and may order tests.

A person is contagious until all sores have healed and a new layer of skin has formed, which can take two to four weeks.

To protect others while you are sick:

  • Avoid having sex or being intimate with anyone until you have been seen by a provider.
  • Stay home and separate from other people in your home.
  • If you can’t completely separate yourself from others in your home, wear a face mask and avoid physical contact. Wear clothing that covers your injuries when you are in shared spaces.
  • If you must leave home for essential needs or medical care, cover your rashes and injuries with clothing and wear a mask.
  • Do not share or allow others to touch your clothes, towels, bedding, or utensils. Don’t share a bed.
  • Do not share dishes, food, drink or utensils. Wash dishes in warm, soapy water or in a dishwasher.
  • Wash your hands and clean shared surfaces, like countertops and doorknobs, often. Household members should also wash their hands frequently, especially if they touch materials or surfaces that may have come into contact with injuries.

¿QUIT IS IS IT MONKEYPOX?

Monkeypox was first discovered in 1958, when outbreaks occurred in colonies of monkeys kept for research, giving rise to its name. (What you need to know about monkeypox).

The first human case was reported in 1970 in the Democratic Republic of the Congo, which still has the majority of infections. Other African countries where it has been found: Cameroon, Central African Republic, Ivory Coast, Democratic Republic of Congo, Gabon, Liberia, Nigeria, Republic of Congo and Sierra Leone.

Human symptoms of monkeypox are similar to but milder than smallpox symptoms, the CDC says. It presents as a flu-like illness accompanied by swollen lymph nodes and a rash on the face and body.

Monkeypox begins with a fever, headache, muscle aches, and exhaustion. Monkeypox also causes the lymph nodes to swell, something that smallpox does not. The incubation period is usually 7 to 14 days, but can range from 5 to 21 days.

Cases reported outside of Africa have generally been linked to international travel or animals that have been imported.

HOW DO YOU GET MONKEYPOX?

The CDC urges healthcare providers in the US to be vigilant for patients who have monkeypox-like rashes, regardless of whether they have traveled or are at specific risk for monkeypox. See more information about the travel advisory here.

The CDC issued new guidance on monkeypox as the number of suspected cases rose across the country, marking the largest monkeypox outbreak in U.S. history, which has generally been confined to other continents.

While the CDC says the risk to the general public remains low, people are urged to avoid close contact with sick people, including those with skin or genital lesions, as well as sick or dead animals. Anyone showing symptoms, such as unexplained rashes or lesions, should contact their health care provider for guidance.

It is also advisable to avoid the consumption of meat that comes from wild game or the use of products (such as creams, powders or lotions) that come from wild animals in Africa.

Yolanda Vásquez gives us the latest details.

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