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href="//assets-cdn.abcnews.com/abcnews/8addf4423cdd-release-11-12-2024.17/client/abcnews/prism-story-691d7910.js" as="script" /> <title data-react-helmet="true">Here's what you need to know about mpox after CDC sent alert to doctors - ABC News</title> <meta data-react-helmet="true" name="description" content="The CDC issued a health advisory about mpox in the U.S. after a more severe case was detected in California."/><meta data-react-helmet="true" name="keywords" content="Article, 116004320"/><meta data-react-helmet="true" name="theme-color" content="#fff"/><meta data-react-helmet="true" name="copyright" content="2024 ABC News"/><meta data-react-helmet="true" name="author" content="ABC News"/><meta data-react-helmet="true" name="robots" content="index, follow"/><meta data-react-helmet="true" property="fb:admins" content="704409894"/><meta data-react-helmet="true" property="fb:app_id" content="4942312939"/><meta data-react-helmet="true" name="fb_title" content="Here's what you need to 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style="--spacing-top:40px;--spacing-bottom:32px;--spacing-child-top:initial;--spacing-child-bottom:24px;--spacing-firstChild-top:initial;--spacing-firstChild-bottom:initial;--spacing-lastChild-top:initial;--spacing-lastChild-bottom:initial;--spacing-compact-top:24px;--spacing-compact-bottom:32px;--spacing-firstChild-compact-top:initial;--spacing-firstChild-compact-bottom:initial;--spacing-child-compact-top:initial;--spacing-child-compact-bottom:24px;--spacing-lastChild-compact-top:initial;--spacing-lastChild-compact-bottom:initial" class="dHdHP jLREf zXXje aGO eCClZ nTLv jLsYA gmuro TOSFd VmeZt sCkVm hkQai wGrlE MUuGM fciaN qQjt DhNVo Tgcqk IGLAf tWjkv "><div class="kCTVx qtHut lqtkC HkWF HfYhe kGyAC " data-testid="prism-headline"><h1 class="vMjAx gjbzK tntuS eHrJ mTgUP "><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Here's what you need to know about mpox after CDC sent alert to doctors</span></h1><p class="jxTEW Poyse uieav lqtkC HkWF HfYhe kGyAC "><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">California recently reported the first U.S. case of a more severe form of mpox.</span></p></div><div class="QHblV nkdHX kvZxL hTosT whbOj " data-testid="prism-byline"><div class="VZTD mLASH OcxMG oJce "><div class="kKfXc ubAkB VZTD rEPuv "><div class="TQPvQ fVlAg HUcap kxY REjk UamUc WxHIR HhZOB yaUf VOJBn KMpjV XSbaH Umfib ukdDD "><span class="tChGB zbFav ">By</span><span><a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" target="_blank" href="https://abcnews.go.com/author/Mary_Kekatos">Mary Kekatos</a></span></div><div class="VZTD mLASH gpiba "><div class="xAPpq JQYD ZdbeE jTKbV zIIsP xpuOU pCRh ">November 19, 2024, 3:05 PM</div></div></div></div><div class="RwkLV Wowzl FokqZ LhXlJ FjRYD toBqx 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focusable="false" aria-hidden="true" class="MediaPlaceholder__Icon MediaPlaceholder__Icon--video icon__svg" viewBox="0 0 24 24"><use xlink:href="#icon__controls__play"></use></svg></div><div aria-hidden="true" aria-label="Duration: 3:07" class="MediaPlaceholder__Pill items-center absolute flex">3:07</div></div><div class="MediaPlaceholder__PlaybackWrapper absolute-fill"></div></div><div class="Caption__Wrapper"><div class="Caption"><div class="Caption__TextWrapper"><div class="Caption__Text" aria-live="polite"><span class="Truncate Truncate--collapsed"><span><span class="RichText">A patient infected with mpox shows lesions on his body at the treatment centre in Kamituga, South Kivu province in the east of the Democratic Republic of Congo, Sept. 20, 2024.</span></span></span></div></div><span aria-label="Glody Murhabazi/AFP via Getty Images" class="RichText Caption__Credit">Glody Murhabazi/AFP via Getty Images</span></div></div></div></aside></div></div></div></div><div class="ScrollSpy_container"><span></span></div><div class="XQpSH " data-testid="prism-divider"></div><div class="xvlfx ZRifP TKoO eaKKC EcdEg bOdfO " data-testid="prism-article-body"><p class="EkqkG IGXmU nlgHS yuUao MvWXB TjIXL aGjvy ebVHC">Doctors are encouraging Americans not to panic about mpox even after a <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://abcnews.go.com/Health/california-confirms-us-case-severe-mpox-strain-risk/story?id=115936257" target="_blank">recent severe case was detected in California</a> and federal health officials sent out a notice to physicians to be on the lookout for symptoms, especially in travelers from parts of Africa where the virus is more widespread.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">The Centers for Disease Control and Prevention <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://emergency.cdc.gov/han/2024/han00519.asp" target="_blank">issued an alert this week</a> to health care workers to be aware of mpox symptoms and to report cases of the more severe strain to public health authorities as soon as possible.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">The alert came just two days after California reported the first domestic case of the more severe strain in a traveler from Africa who experienced mild illness and is now recovering.</p><div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "><div class="zzkIM UtCfs sXthe lyRMG XQpSH " data-testid="prism-divider"></div><div><section class="CHWlW ZgZTu FlDNH hQfuy feniZ wBpop uAyYK yJYJo OGgqj tQHio PCVZs Kiog iKqXF eeiyR " data-testid="prism-collection"><div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop FbRJS VsDDe puLAk IlWTY uPokU OSGug wBYl eBjQR NZiwR liAe uMOq zYIfP pYgZk Mxrkk hsDdd lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc dVINO " data-testid="prism-linkbase" href="https://abcnews.go.com/Health/us-back-mpox-oubreak/story?id=94574493" aria-label="MORE: How US came back from mpox outbreak"><div class="QGHKv iVcn avodi rEPuv ICwhc ibBnq "><div class="VZTD HNQqj QXDKT QBuju SHKi nCIGi NxHUa sJErG nJjCu dlVQH " data-testid="prism-meta"><div class="CJAFL gDeX "><h3 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU " id="MOREHowUScamebackfroheadline">MORE: How US came back from mpox outbreak</h3></div><div class="NwMid ExxYR tyAg WZxmx dWIDw ZxQhU " id="MOREHowUScamebackfroindicators"><svg aria-hidden="true" class="prism-Iconography prism-Iconography--general-arrowRight" focusable="false" height="1em" viewBox="0 0 32 32" width="1em" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path fill="currentColor" d="M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z"></path></svg></div></div></div></a></div></section></div><div class="zzkIM UtCfs Ufjyt XQpSH " data-testid="prism-divider"></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">No additional cases of the more severe strain have been reported in the U.S., and the CDC says the risk to the general public remains low.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">"At the moment, mpox is occurring at extremely low levels in the United States," Dr. William Schaffner, a professor of preventive medicine at Vanderbilt University Medical Center in Nashville, told ABC News. "So, I think general public awareness is always a good thing, but I don't think they really need to be concerned."</p><div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX "><div><div class="InlineImage GpQCA lZur asrEW " data-testid="prism-inline-image"><figure class="kzIjN GNmeK pYrtp dSqFO " data-testid="prism-figure"><div class="GpQCA lZur gIjeL " data-testid="prism-ratio-frame"><div class="FvQLF iLTd NqeUA UzzHi iWsMV "><picture data-testid="prism-picture"><source media="(max-width: 414px)" srcSet="https://i.abcnewsfe.com/a/28a2bb36-61ae-41f2-9849-5ea020eda580/mpox-2-gty-er-241119_1732038047871_hpEmbed.jpg?w=375, https://i.abcnewsfe.com/a/28a2bb36-61ae-41f2-9849-5ea020eda580/mpox-2-gty-er-241119_1732038047871_hpEmbed.jpg?w=750 2x"/><source media="(min-width: 415px)" srcSet="https://i.abcnewsfe.com/a/28a2bb36-61ae-41f2-9849-5ea020eda580/mpox-2-gty-er-241119_1732038047871_hpEmbed.jpg?w=750, https://i.abcnewsfe.com/a/28a2bb36-61ae-41f2-9849-5ea020eda580/mpox-2-gty-er-241119_1732038047871_hpEmbed.jpg?w=1500 2x"/><img alt="" class="hsDdd vBqtr KrDt itslR SjwtZ hakZw HlUVI " data-testid="prism-image" draggable="false" loading="lazy" src="https://i.abcnewsfe.com/a/28a2bb36-61ae-41f2-9849-5ea020eda580/mpox-2-gty-er-241119_1732038047871_hpEmbed.jpg"/></picture></div></div><figcaption><div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption"><div class="HXPPJ barbu yKsXL IzgMt VcHIt uhSzI YGNMU cRAsZ xqMcl QtRul "><span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">A vial of the mpox vaccine is seen during the launch of the vaccination campaign at the General Hospital of Goma, Dr Congo, Oct. 5, 2024.</span></span></span></div><div class="qinlA IpWvx oqZz tylGM lyWxS nWcVF UhTug PPcLh "><span class="YNujN JGtjI aZFDu rkKLh gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Aubin Mukoni/AFP via Getty Images</span></div></div></figcaption></figure></div></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Dr. Kelly Gebo, a professor of medicine at Johns Hopkins University, told ABC News the CDC has sent out similar alerts for other diseases spreading in other parts of the world to let health care providers know what is happening.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">"I think they're trying to make sure that health care providers are paying attention, as it could be that [mpox] is presenting in a patient who might not be considered for the disease," she said. "I don't think they're trying to cause alarm for the general population, but trying to get health care providers to be more active in screening."</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">There are two types of mpox: clade I and clade II, with clade roughly meaning they are descended from a common ancestor organism. Clade I has historically been associated with severe illness and death, and is endemic to parts of central and western Africa, <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://www.cdc.gov/mpox/situation-summary/index.html#:~:text=Children%20have%20historically%20gotten%20mpox,animals%20are%20called%20%22reservoirs.%22" target="_blank">according to the CDC</a>.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">People with mpox, which was formerly known as monkeypox, often get a rash that can be located on hands, feet, chest, face, mouth or near the genitals, the CDC said.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Mpox cases have been rising dramatically in the Democratic Republic of Congo this year. Since Jan. 1, there have been 9,000 confirmed cases in Congo and more than 40 confirmed deaths, although the number of suspected cases and deaths is much higher, according to the <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://www.cdc.gov/mpox/outbreaks/2023/index.html" target="_blank">CDC</a>.</p><div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "><div class="zzkIM UtCfs sXthe lyRMG XQpSH " data-testid="prism-divider"></div><div><section class="CHWlW ZgZTu FlDNH hQfuy feniZ wBpop uAyYK yJYJo OGgqj tQHio PCVZs Kiog iKqXF eeiyR " data-testid="prism-collection"><div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop FbRJS VsDDe puLAk IlWTY uPokU OSGug wBYl eBjQR NZiwR liAe uMOq zYIfP pYgZk Mxrkk hsDdd lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc dVINO " data-testid="prism-linkbase" href="https://abcnews.go.com/Health/declares-mpox-public-health-emergency-new-strain-spreads/story?id=112827103" aria-label="MORE: WHO declares mpox a public health emergency as newer strain spreads in Africa "><div class="QGHKv iVcn avodi rEPuv ICwhc ibBnq "><div class="VZTD HNQqj QXDKT QBuju SHKi nCIGi NxHUa sJErG nJjCu dlVQH " data-testid="prism-meta"><div class="CJAFL gDeX "><h3 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU " id="MOREWHOdeclaresmpoxaheadline">MORE: WHO declares mpox a public health emergency as newer strain spreads in Africa </h3></div><div class="NwMid ExxYR tyAg WZxmx dWIDw ZxQhU " id="MOREWHOdeclaresmpoxaindicators"><svg aria-hidden="true" class="prism-Iconography prism-Iconography--general-arrowRight" focusable="false" height="1em" viewBox="0 0 32 32" width="1em" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path fill="currentColor" d="M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z"></path></svg></div></div></div></a></div></section></div><div class="zzkIM UtCfs Ufjyt XQpSH " data-testid="prism-divider"></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">In the U.S., there have been 2,368 cases of the less severe strain of mpox reported this year as of Nov. 1, according to <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://www.cdc.gov/mpox/data-research/cases/index.html" target="_blank">CDC data</a>. This figure is much lower than the roughly 32,000 cases associated with the 2022 mpox outbreak in the U.S.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">"People who are traveling, or who are engaging in high-risk activities with people who have traveled to, potentially, areas where mpox is more prevalent, would be at risk," Gebo said. "But in general, I think for the average American citizen, the risk is very low."</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">She added that the incubation period for mpox is generally between three and 18 days, so those who traveled weeks or months ago to areas in Africa where mpox is endemic are not at high risk.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Schaffner said the CDC issuing a warning is a sign the public health agency is being proactive as opposed to reactive.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">"Mpox had kind of receded because the cases were so low in the United States, in certainly the public's mind, but also in the mind of public health," he said. "And so this was a reminder [of] what you've heard about that's going on in Africa, actually cases are coming to Europe, and here we've had one in the United States. So let's refresh ourselves about mpox, be on the alert for it."</p><div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "><div data-testid="prism-ad-wrapper" style="transition:min-height 0.3s linear 1s" data-ad-placeholder="true"><div data-box-type="fitt-adbox-fitt-article-inline-outstream" data-testid="prism-ad"><div class="Ad fitt-article-inline-outstream ad-slot " data-slot-type="fitt-article-inline-outstream" data-slot-kvps="pos=fitt-article-inline-outstream-1"></div></div></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Schaffner said one big difference between 2022 and now is that there is a vaccine readily available to help prevent mpox.</p><div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX "><div><div class="InlineImage GpQCA lZur asrEW " data-testid="prism-inline-image"><figure class="kzIjN GNmeK pYrtp dSqFO " data-testid="prism-figure"><div class="GpQCA lZur gIjeL " data-testid="prism-ratio-frame"><div class="FvQLF iLTd NqeUA UzzHi iWsMV "><picture data-testid="prism-picture"><source media="(max-width: 414px)" srcSet="https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=375, https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=750 2x"/><source media="(min-width: 415px)" srcSet="https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=750, https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=1500 2x"/><img alt="" class="hsDdd vBqtr KrDt itslR SjwtZ hakZw HlUVI " data-testid="prism-image" draggable="false" loading="lazy" src="https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg"/></picture></div></div><figcaption><div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption"><div class="HXPPJ barbu yKsXL IzgMt VcHIt uhSzI YGNMU cRAsZ xqMcl QtRul "><span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">A patient infected with mpox shows lesions on his body at the treatment centre in Kamituga, South Kivu province in the east of the Democratic Republic of Congo, Sept. 20, 2024.</span></span></span></div><div class="qinlA IpWvx oqZz tylGM lyWxS nWcVF UhTug PPcLh "><span class="YNujN JGtjI aZFDu rkKLh gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Glody Murhabazi/AFP via Getty Images</span></div></div></figcaption></figure></div></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Currently, the JYNNEOS vaccine, a two-dose vaccine approved by the Food and Drug Administration to prevent smallpox and mpox, is the only vaccine being used in the U.S.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Data from Africa has shown that two doses of JYNNEOS are at least 85% effective in preventing mpox infection. There is currently no recommendation for a booster in those who are considered high-risk and already fully vaccinated.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">To increase the number of JYNNEOS doses available, the FDA authorized a <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://abcnews.go.com/Health/monkeypox-vaccination-stretch-supplies/story?id=88010313" target="_blank">proven strategy</a> in August 2022 to inject the vaccine intradermally, just below the first layer of skin, rather than subcutaneously, or under all the layers of skin. This allows one vial of vaccine to be given out as five separate doses rather than a single dose.</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">Schaffner recommended that at-risk groups get vaccinated and the general population should continue to stay alert.</p><div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "><div data-testid="prism-ad-wrapper" style="transition:min-height 0.3s linear 1s" data-ad-placeholder="true"><div data-box-type="fitt-adbox-fitt-article-inline-outstream" data-testid="prism-ad"><div class="Ad fitt-article-inline-outstream ad-slot " data-slot-type="fitt-article-inline-outstream" data-slot-kvps="pos=fitt-article-inline-outstream-2"></div></div></div></div><p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy">"The likelihood that there will be a few cases imported into this country, as well as perhaps into Canada and into Western Europe, seems a reasonable expectation," Schaffner said. "We would like to identify them as quickly as possible, provide appropriate treatment for the individual, and then do case investigation for all those contacts."</p><p class="EkqkG IGXmU nlgHS yuUao lqtkC eTIW sUzSN"><em>ABC News' Youri Benadjaoud contributed to this report. </em></p></div><div><div data-testid="prism-tags"><h2 class="QOIir HJolv pZjYK JKlkC RZhHM ">Related Topics</h2><ul class="VZTD UeCOM dAmzA ltDkr qBPOY uoPjL "><li class=" "><a class="theme-iPcRv theme-HReFq mLASH egFzk qXWHA ScoIf zYXIH jIRH wNxoc OJpwZ eqFg wSPfd ofvJb bMrzT LaUnX EgONj ibBnq kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX oIWqB mzm MbcTC sXtkB yayQB vXSTR ENhiS dQa-Du SVBll bpBbX GpQCA tuAKv xTell wdAqb ZqGqs LVAIE TnrRA uECag DcwSV XnBOJ cELRj SUAFz XzYk zkmjG aSyef pFen hoNVj TQOOL Haltu NafGB KpEhF jyjDy kZHqU FZKIw QddLR SKDYB UmcQM giepU cTjQC aRMla MMxXy fFMcX PbMFf hJRbU MRTyf iFJTR koyYF TkdYt DZNRX MALjb VUFMN " data-testid="prism-Tag" href="/alerts/Monkeypox" 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wBpop uAyYK yJYJo OGgqj tQHio PCVZs Kiog iKqXF eeiyR " data-testid="prism-collection"><header class="mLASH VZTD bhaVx "><div><h2 class="KuBvM RTkZF lFzlq GbVC HkWF exKgG kGyAC SwCrv ">Popular Reads</h2></div></header><div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv VuOFc " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc Bkgbl ZLXw kSqqG rEBmF " data-testid="prism-linkbase" href="https://abcnews.go.com/GMA/Shop/amazon-black-friday-week/story?id=116089406" aria-label="Amazon's Black Friday Week starts now 2024-11-26T17:50:00Z"><div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ qrShQ iRFVw ZZxEf zHngH jCA-DP TucPs XifJd MWLZF PEVz VbrfA zZsl kjmkg OwbFk QuuaM cBQOR "><div class="GpQCA lZur oVsVV nFtJ GHKp awJgN EuJtJ " data-testid="prism-ratio-frame"><div class="FvQLF iLTd NqeUA UzzHi iWsMV "><img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://i.abcnewsfe.com/a/cfad450a-0ed2-498c-9e81-c1877c342fa4/GMA_BlackFridayMain_v01_DP_1732549650150_hpMain_1x1.jpg?w=208"/></div></div></div><div class="QGHKv iVcn avodi rEPuv ICwhc ibBnq Bkgbl ZLXw kSqqG rEBmF "><div class="VZTD rEPuv QXDKT pJYTK " data-testid="prism-meta"><div class="CJAFL gDeX "><h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU nPLLM tuAKv " id="AmazonsBlackFridayWeheadline">Amazon's Black Friday Week starts now</h2></div></div><div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG pJYTK "><div class="VZTD rEPuv ltDkr QXDKT "><ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "><li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="AmazonsBlackFridayWepubDate"><div class="theme-JfHmw theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN cvDzE ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm MbcTC bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM tVKun zUtsb yHyni pzxXD AbcH " data-testid="prism-Badge"><span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV zIIsP xpuOU pCRh ">Nov 26, 12:50 PM</span></span></div></li></ul></div></div></div></a></div><div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv VuOFc " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc Bkgbl ZLXw kSqqG rEBmF " data-testid="prism-linkbase" href="https://abcnews.go.com/Entertainment/wireStory/watch-stream-macys-thanksgiving-day-parade-116064231" aria-label="How to watch and stream the Macy's Thanksgiving Day Parade 2024-11-20T20:47:35Z"><div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ qrShQ iRFVw ZZxEf zHngH jCA-DP TucPs XifJd MWLZF PEVz VbrfA zZsl kjmkg OwbFk QuuaM cBQOR "><div class="GpQCA lZur oVsVV nFtJ GHKp awJgN EuJtJ " data-testid="prism-ratio-frame"><div class="FvQLF iLTd NqeUA UzzHi iWsMV "><img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://i.abcnewsfe.com/a/d5dad39e-fd8e-49fc-8e80-7189559ef4ea/wirestory_17ae1bbad2f54973715b39c82b0557a2_square.jpg?w=208"/></div></div></div><div class="QGHKv iVcn avodi rEPuv ICwhc ibBnq Bkgbl ZLXw kSqqG rEBmF "><div class="VZTD rEPuv QXDKT pJYTK " data-testid="prism-meta"><div class="CJAFL gDeX "><h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU nPLLM tuAKv " id="Howtowatchandstreamtheadline">How to watch and stream the Macy's Thanksgiving Day Parade</h2></div></div><div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG pJYTK "><div class="VZTD rEPuv ltDkr QXDKT "><ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "><li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="HowtowatchandstreamtpubDate"><div class="theme-JfHmw theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN cvDzE ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm MbcTC bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM tVKun zUtsb yHyni pzxXD AbcH " data-testid="prism-Badge"><span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV zIIsP xpuOU pCRh ">Nov 20, 3:47 PM</span></span></div></li></ul></div></div></div></a></div><div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv VuOFc " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc Bkgbl ZLXw kSqqG rEBmF " data-testid="prism-linkbase" href="https://abcnews.go.com/Sports/wireStory/jets-fire-general-manager-joe-douglas-after-team-116013377" aria-label="Jets fire general manager Joe Douglas 2024-11-19T17:33:33Z"><div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ qrShQ iRFVw ZZxEf zHngH jCA-DP TucPs XifJd MWLZF PEVz VbrfA zZsl kjmkg OwbFk QuuaM cBQOR "><div class="GpQCA lZur oVsVV nFtJ GHKp awJgN EuJtJ " data-testid="prism-ratio-frame"><div class="FvQLF iLTd NqeUA UzzHi iWsMV "><img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://i.abcnewsfe.com/a/6724595d-0171-4e9e-9855-26e98edb02f5/wirestory_4235b786e49176371923205f5a019f6c_square.jpg?w=208"/></div></div></div><div class="QGHKv iVcn avodi rEPuv ICwhc ibBnq Bkgbl ZLXw kSqqG rEBmF "><div class="VZTD rEPuv QXDKT pJYTK " data-testid="prism-meta"><div class="CJAFL gDeX "><h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU nPLLM tuAKv " id="Jetsfiregeneralmanagheadline">Jets fire general manager Joe Douglas</h2></div></div><div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG pJYTK "><div class="VZTD rEPuv ltDkr QXDKT "><ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "><li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="JetsfiregeneralmanagpubDate"><div class="theme-JfHmw theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN cvDzE ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm MbcTC bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM tVKun zUtsb yHyni pzxXD AbcH " data-testid="prism-Badge"><span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV zIIsP xpuOU pCRh ">Nov 19, 12:33 PM</span></span></div></li></ul></div></div></div></a></div><div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv VuOFc " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc Bkgbl ZLXw kSqqG rEBmF " data-testid="prism-linkbase" href="https://abcnews.go.com/GMA/Family/family-invites-mail-carrier-fathers-aid-spend-thanksgiving/story?id=116221987" aria-label="Family extends Thanksgiving 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zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "><li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="FamilyextendsThanksgpubDate"><div class="theme-JfHmw theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN cvDzE ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm MbcTC bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM tVKun zUtsb yHyni pzxXD AbcH " data-testid="prism-Badge"><span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV zIIsP xpuOU pCRh ">Nov 26, 4:32 PM</span></span></div></li></ul></div></div></div></a></div><div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp halTF KzevM LFuuA xTOeQ jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv VuOFc " data-testid="prism-card"><a class="iVcn UbGlr ibBnq qdXbA avodi DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc Bkgbl ZLXw kSqqG rEBmF " data-testid="prism-linkbase" 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California"],"attrs":{"href":"https://abcnews.go.com/Health/california-confirms-us-case-severe-mpox-strain-risk/story?id=115936257","target":"_blank"}}," and federal health officials sent out a notice to physicians to be on the lookout for symptoms, especially in travelers from parts of Africa where the virus is more widespread."]},{"type":"p","content":["The Centers for Disease Control and Prevention ",{"type":"a","content":["issued an alert this week"],"attrs":{"href":"https://emergency.cdc.gov/han/2024/han00519.asp","target":"_blank"}}," to health care workers to be aware of mpox symptoms and to report cases of the more severe strain to public health authorities as soon as possible."]},{"type":"p","content":["The alert came just two days after California reported the first domestic case of the more severe strain in a traveler from Africa who experienced mild illness and is now recovering."]},{"type":"inline","content":{"name":"ContentPromo","props":{"cards":[{"headline":"MORE: How US came back from mpox outbreak","link":"https://abcnews.go.com/Health/us-back-mpox-oubreak/story?id=94574493","type":"floating","inline":true,"image":null,"indicators":{"contentType":{"key":null,"ref":null,"props":{"icon":{"key":"general-arrowRight","paths":[{"d":"M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z","fill":"currentColor","clipRule":null,"fillRule":null}],"viewBox":"0 0 32 32","title":"Arrow Right"},"ariaLabel":null,"size":"1em","viewBox":"0 0 32 32"},"_owner":null}}}],"dividerEnabled":true,"type":"callout","style":{"IconsConfig":{"isArray":true,"arrayKey":"cards","propkey":"indicators.contentType","iconPath":"general.arrowRight","elementName":"ContentPromo","exceptionKey":"image"}}},"context":{},"config":{}}},{"type":"p","content":["No additional cases of the more severe strain have been reported in the U.S., and the CDC says the risk to the general public remains low."]},{"type":"p","content":["\"At the moment, mpox is occurring at extremely low levels in the United States,\" Dr. William Schaffner, a professor of preventive medicine at Vanderbilt University Medical Center in Nashville, told ABC News. \"So, I think general public awareness is always a good thing, but I don't think they really need to be concerned.\""]},{"type":"inline","content":{"name":"Image","props":{"link":{},"caption":{"credit":"Aubin Mukoni/AFP via Getty Images","text":"A vial of the mpox vaccine is seen during the launch of the vaccination campaign at the General Hospital of Goma, Dr Congo, Oct. 5, 2024.","lines":4,"showMoreAriaLabel":"Show More about Image 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what is happening."]},{"type":"p","content":["\"I think they're trying to make sure that health care providers are paying attention, as it could be that [mpox] is presenting in a patient who might not be considered for the disease,\" she said. \"I don't think they're trying to cause alarm for the general population, but trying to get health care providers to be more active in screening.\""]},{"type":"p","content":["There are two types of mpox: clade I and clade II, with clade roughly meaning they are descended from a common ancestor organism. Clade I has historically been associated with severe illness and death, and is endemic to parts of central and western Africa, ",{"type":"a","content":["according to the CDC"],"attrs":{"href":"https://www.cdc.gov/mpox/situation-summary/index.html#:~:text=Children%20have%20historically%20gotten%20mpox,animals%20are%20called%20%22reservoirs.%22","target":"_blank"}},"."]},{"type":"p","content":["People with mpox, which was formerly known as monkeypox, often get a rash that can be located on hands, feet, chest, face, mouth or near the genitals, the CDC said."]},{"type":"p","content":["Mpox cases have been rising dramatically in the Democratic Republic of Congo this year. Since Jan. 1, there have been 9,000 confirmed cases in Congo and more than 40 confirmed deaths, although the number of suspected cases and deaths is much higher, according to the ",{"type":"a","content":["CDC"],"attrs":{"href":"https://www.cdc.gov/mpox/outbreaks/2023/index.html","target":"_blank"}},"."]},{"type":"inline","content":{"name":"ContentPromo","props":{"cards":[{"headline":"MORE: WHO declares mpox a public health emergency as newer strain spreads in Africa ","link":"https://abcnews.go.com/Health/declares-mpox-public-health-emergency-new-strain-spreads/story?id=112827103","type":"floating","inline":true,"image":null,"indicators":{"contentType":{"key":null,"ref":null,"props":{"icon":{"key":"general-arrowRight","paths":[{"d":"M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z","fill":"currentColor","clipRule":null,"fillRule":null}],"viewBox":"0 0 32 32","title":"Arrow Right"},"ariaLabel":null,"size":"1em","viewBox":"0 0 32 32"},"_owner":null}}}],"dividerEnabled":true,"type":"callout","style":{"IconsConfig":{"isArray":true,"arrayKey":"cards","propkey":"indicators.contentType","iconPath":"general.arrowRight","elementName":"ContentPromo","exceptionKey":"image"}}},"context":{},"config":{}}},{"type":"p","content":["In the U.S., there have been 2,368 cases of the less severe strain of mpox reported this year as of Nov. 1, according to ",{"type":"a","content":["CDC data"],"attrs":{"href":"https://www.cdc.gov/mpox/data-research/cases/index.html","target":"_blank"}},". This figure is much lower than the roughly 32,000 cases associated with the 2022 mpox outbreak in the U.S."]},{"type":"p","content":["\"People who are traveling, or who are engaging in high-risk activities with people who have traveled to, potentially, areas where mpox is more prevalent, would be at risk,\" Gebo said. \"But in general, I think for the average American citizen, the risk is very low.\""]},{"type":"p","content":["She added that the incubation period for mpox is generally between three and 18 days, so those who traveled weeks or months ago to areas in Africa where mpox is endemic are not at high risk."]},{"type":"p","content":["Schaffner said the CDC issuing a warning is a sign the public health agency is being proactive as opposed to reactive."]},{"type":"p","content":["\"Mpox had kind of receded because the cases were so low in the United States, in certainly the public's mind, but also in the mind of public health,\" he said. \"And so this was a reminder [of] what you've heard about that's going on in Africa, actually cases are coming to Europe, and here we've had one in the United States. So let's refresh ourselves about mpox, be on the alert for it.\""]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"kvps":{"pos":"fitt-article-inline-outstream-1"},"type":"fitt-article-inline-outstream","className":"fitt-article-inline-outstream"},"placeholders":{"compact":{"ratio":0.5625,"delay":1},"regular":{"ratio":0.5625,"delay":1}}},"context":{},"config":{}}},{"type":"p","content":["Schaffner said one big difference between 2022 and now is that there is a vaccine readily available to help prevent mpox."]},{"type":"inline","content":{"name":"Image","props":{"link":{},"caption":{"credit":"Glody Murhabazi/AFP via Getty Images","text":"A patient infected with mpox shows lesions on his body at the treatment centre in Kamituga, South Kivu province in the east of the Democratic Republic of Congo, Sept. 20, 2024.","lines":4,"showMoreAriaLabel":"Show More about Image Caption"},"image":{"alt":"","src":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg","loading":"lazy","sources":[{"src":{"x1":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=375","x2":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=750"},"max":414},{"src":{"x1":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=750","x2":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain.jpg?w=1500"},"min":415}]},"ratio":"3x2"},"context":{},"config":{"align":"full"}}},{"type":"p","content":["Currently, the JYNNEOS vaccine, a two-dose vaccine approved by the Food and Drug Administration to prevent smallpox and mpox, is the only vaccine being used in the U.S."]},{"type":"p","content":["Data from Africa has shown that two doses of JYNNEOS are at least 85% effective in preventing mpox infection. There is currently no recommendation for a booster in those who are considered high-risk and already fully vaccinated."]},{"type":"p","content":["To increase the number of JYNNEOS doses available, the FDA authorized a ",{"type":"a","content":["proven strategy"],"attrs":{"href":"https://abcnews.go.com/Health/monkeypox-vaccination-stretch-supplies/story?id=88010313","target":"_blank"}}," in August 2022 to inject the vaccine intradermally, just below the first layer of skin, rather than subcutaneously, or under all the layers of skin. This allows one vial of vaccine to be given out as five separate doses rather than a single dose."]},{"type":"p","content":["Schaffner recommended that at-risk groups get vaccinated and the general population should continue to stay alert."]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"kvps":{"pos":"fitt-article-inline-outstream-2"},"type":"fitt-article-inline-outstream","className":"fitt-article-inline-outstream"},"placeholders":{"compact":{"ratio":0.5625,"delay":1},"regular":{"ratio":0.5625,"delay":1}}},"context":{},"config":{}}},{"type":"p","content":["\"The likelihood that there will be a few cases imported into this country, as well as perhaps into Canada and into Western Europe, seems a reasonable expectation,\" Schaffner said. \"We would like to identify them as quickly as possible, provide appropriate treatment for the individual, and then do case investigation for all those contacts.\""]},{"type":"p","content":[{"type":"em","content":["ABC News' Youri Benadjaoud contributed to this report. 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lesions on his body at the treatment centre in Kamituga, South Kivu province in the east of the Democratic Republic of Congo, Sept. 20, 2024.","src":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain_16x9.jpg?w=1600","sources":[{"min":0,"max":374,"src":{"x1":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain_16x9.jpg?w=384"}},{"min":375,"max":693,"src":{"x1":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain_16x9.jpg?w=608"}},{"min":694,"src":{"x1":"https://i.abcnewsfe.com/a/e5d644d9-dac5-49cd-a9a1-f8005877e6c0/mpox-1-gty-er-241119_1732037918517_hpMain_16x9.jpg?w=1600"}}]}},"body":"<p>Doctors are encouraging Americans not to panic about mpox even after a <a href=\"https://abcnews.go.com/Health/california-confirms-us-case-severe-mpox-strain-risk/story?id=115936257\" target=\"_blank\">recent severe case was detected in California</a> and federal health officials sent out a notice to physicians to be on the lookout for symptoms, especially in travelers from parts of Africa where the virus is more widespread.</p><p>The Centers for Disease Control and Prevention <a href=\"https://emergency.cdc.gov/han/2024/han00519.asp\" target=\"_blank\">issued an alert this week</a> to health care workers to be aware of mpox symptoms and to report cases of the more severe strain to public health authorities as soon as possible.</p><p>The alert came just two days after California reported the first domestic case of the more severe strain in a traveler from Africa who experienced mild illness and is now recovering.</p><p><inline1></p><p>No additional cases of the more severe strain have been reported in the U.S., and the CDC says the risk to the general public remains low.</p><p>\"At the moment, mpox is occurring at extremely low levels in the United States,\" Dr. William Schaffner, a professor of preventive medicine at Vanderbilt University Medical Center in Nashville, told ABC News. \"So, I think general public awareness is always a good thing, but I don't think they really need to be concerned.\"</p><p><inline2></p><p>Dr. Kelly Gebo, a professor of medicine at Johns Hopkins University, told ABC News the CDC has sent out similar alerts for other diseases spreading in other parts of the world to let health care providers know what is happening.</p><p>\"I think they're trying to make sure that health care providers are paying attention, as it could be that [mpox] is presenting in a patient who might not be considered for the disease,\" she said. \"I don't think they're trying to cause alarm for the general population, but trying to get health care providers to be more active in screening.\"</p><p>There are two types of mpox: clade I and clade II, with clade roughly meaning they are descended from a common ancestor organism. Clade I has historically been associated with severe illness and death, and is endemic to parts of central and western Africa, <a href=\"https://www.cdc.gov/mpox/situation-summary/index.html#:~:text=Children%20have%20historically%20gotten%20mpox,animals%20are%20called%20%22reservoirs.%22\" target=\"_blank\">according to the CDC</a>.</p><p>People with mpox, which was formerly known as monkeypox, often get a rash that can be located on hands, feet, chest, face, mouth or near the genitals, the CDC said.</p><p>Mpox cases have been rising dramatically in the Democratic Republic of Congo this year. Since Jan. 1, there have been 9,000 confirmed cases in Congo and more than 40 confirmed deaths, although the number of suspected cases and deaths is much higher, according to the <a href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\" target=\"_blank\">CDC</a>.</p><p><inline3></p><p>In the U.S., there have been 2,368 cases of the less severe strain of mpox reported this year as of Nov. 1, according to <a href=\"https://www.cdc.gov/mpox/data-research/cases/index.html\" target=\"_blank\">CDC data</a>. This figure is much lower than the roughly 32,000 cases associated with the 2022 mpox outbreak in the U.S.</p><p>\"People who are traveling, or who are engaging in high-risk activities with people who have traveled to, potentially, areas where mpox is more prevalent, would be at risk,\" Gebo said. \"But in general, I think for the average American citizen, the risk is very low.\"</p><p>She added that the incubation period for mpox is generally between three and 18 days, so those who traveled weeks or months ago to areas in Africa where mpox is endemic are not at high risk.</p><p>Schaffner said the CDC issuing a warning is a sign the public health agency is being proactive as opposed to reactive.</p><p>\"Mpox had kind of receded because the cases were so low in the United States, in certainly the public's mind, but also in the mind of public health,\" he said. \"And so this was a reminder [of] what you've heard about that's going on in Africa, actually cases are coming to Europe, and here we've had one in the United States. So let's refresh ourselves about mpox, be on the alert for it.\"</p><p>Schaffner said one big difference between 2022 and now is that there is a vaccine readily available to help prevent mpox.</p><p><inline4></p><p>Currently, the JYNNEOS vaccine, a two-dose vaccine approved by the Food and Drug Administration to prevent smallpox and mpox, is the only vaccine being used in the U.S.</p><p>Data from Africa has shown that two doses of JYNNEOS are at least 85% effective in preventing mpox infection. There is currently no recommendation for a booster in those who are considered high-risk and already fully vaccinated.</p><p>To increase the number of JYNNEOS doses available, the FDA authorized a <a href=\"https://abcnews.go.com/Health/monkeypox-vaccination-stretch-supplies/story?id=88010313\" target=\"_blank\">proven strategy</a> in August 2022 to inject the vaccine intradermally, just below the first layer of skin, rather than subcutaneously, or under all the layers of skin. This allows one vial of vaccine to be given out as five separate doses rather than a single dose.</p><p>Schaffner recommended that at-risk groups get vaccinated and the general population should continue to stay alert.</p><p>\"The likelihood that there will be a few cases imported into this country, as well as perhaps into Canada and into Western Europe, seems a reasonable expectation,\" Schaffner said. \"We would like to identify them as quickly as possible, provide appropriate treatment for the individual, and then do case investigation for all those contacts.\"</p><p><em>ABC News' Youri Benadjaoud contributed to this report. </em></p>","publishedDate":"2024-11-19T20:05:00Z","contributors":[{"name":"Mary Kekatos","url":"https://abcnews.go.com/author/Mary_Kekatos","role":"","logo":"","logoAlt":""}],"authorsStr":"Mary Kekatos","modifiedDate":"2024-11-19T23:25:12Z","section":"Health","wordCount":856,"relatedTags":{"heading":"Related 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