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width="1.25rem" xmlns="http://www.w3.org/2000/svg"><polyline points="6 9 6 2 18 2 18 9"></polyline><path d="M6 18H4a2 2 0 0 1-2-2v-5a2 2 0 0 1 2-2h16a2 2 0 0 1 2 2v5a2 2 0 0 1-2 2h-2"></path><rect x="6" y="14" width="12" height="8"></rect></svg></a></button></div></div><div><div class="flex flex-wrap"><p class=" text-primary font-semibold">News</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1"></div><p class=" text-primary font-semibold">Article</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1 "></div><time class="text-gray-500 " dateTime="2024-08-20T13:44:00.000">August 20, 2024</time></div><h1 class="text-[26px] font-medium leading-8">WHO Declares Another Mpox Global Emergency—What Americans Should Know</h1><div class="py-3 text-gray-600 md:flex flex-col md:justify-between"><div class="flex flex-col xs:flex-row"><p class="mr-1 self-start">Author(s):</p><div class="flex flex-col xs:flex-row mb-3 md:mb-0"><div class="flex flex-wrap"><span class="text-md mr-2"><a class="text-author text-gray-500 hover:text-primary underline hover:no-underline decoration-gray-400" href="/authors/hayden-e-klein">Hayden E. Klein</a></span></div></div></div><div class="max-w-full"><div class="flex flex-wrap sm:flex-nowrap items-center w-fit my-2"></div><div class="w-full flex flex-col sm:flex-row justify-between mt-2"><div class="block md:hidden "><div class="mt-2 flex items-center max-w-fit"><button title="WHO Declares Another Mpox Global Emergency—What Americans Should Know" aria-label="facebook" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#3b5998"></circle><path d="M34.1,47V33.3h4.6l0.7-5.3h-5.3v-3.4c0-1.5,0.4-2.6,2.6-2.6l2.8,0v-4.8c-0.5-0.1-2.2-0.2-4.1-0.2 c-4.1,0-6.9,2.5-6.9,7V28H24v5.3h4.6V47H34.1z" fill="white"></path></svg></button><button aria-label="twitter" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg fill="#DC7633" xmlns="http://www.w3.org/2000/svg" width="32" zoomAndPan="magnify" viewBox="0 0 375 374.9999" height="32" preserveAspectRatio="xMidYMid meet" version="1.0"><defs><path d="M 7.09375 7.09375 L 367.84375 7.09375 L 367.84375 367.84375 L 7.09375 367.84375 Z M 7.09375 7.09375 " fill="#000000"></path></defs><g><path d="M 187.46875 7.09375 C 87.851562 7.09375 7.09375 87.851562 7.09375 187.46875 C 7.09375 287.085938 87.851562 367.84375 187.46875 367.84375 C 287.085938 367.84375 367.84375 287.085938 367.84375 187.46875 C 367.84375 87.851562 287.085938 7.09375 187.46875 7.09375 " fill-opacity="1" fill-rule="nonzero" fill="#000000"></path></g><g transform="translate(85, 75)"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" version="1.1" height="215" width="215"><path d="M18.244 2.25h3.308l-7.227 8.26 8.502 11.24H16.17l-5.214-6.817L4.99 21.75H1.68l7.73-8.835L1.254 2.25H8.08l4.713 6.231zm-1.161 17.52h1.833L7.084 4.126H5.117z" fill="#ffffff"></path></svg> </g></svg></button><button aria-label="linkedin" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#007fb1"></circle><path d="M20.4,44h5.4V26.6h-5.4V44z M23.1,18c-1.7,0-3.1,1.4-3.1,3.1c0,1.7,1.4,3.1,3.1,3.1 c1.7,0,3.1-1.4,3.1-3.1C26.2,19.4,24.8,18,23.1,18z M39.5,26.2c-2.6,0-4.4,1.4-5.1,2.8h-0.1v-2.4h-5.2V44h5.4v-8.6 c0-2.3,0.4-4.5,3.2-4.5c2.8,0,2.8,2.6,2.8,4.6V44H46v-9.5C46,29.8,45,26.2,39.5,26.2z" fill="white"></path></svg></button><button title="WHO Declares Another Mpox Global Emergency—What Americans Should Know" aria-label="pinterest" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#cb2128"></circle><path d="M32,16c-8.8,0-16,7.2-16,16c0,6.6,3.9,12.2,9.6,14.7c0-1.1,0-2.5,0.3-3.7 c0.3-1.3,2.1-8.7,2.1-8.7s-0.5-1-0.5-2.5c0-2.4,1.4-4.1,3.1-4.1c1.5,0,2.2,1.1,2.2,2.4c0,1.5-0.9,3.7-1.4,5.7 c-0.4,1.7,0.9,3.1,2.5,3.1c3,0,5.1-3.9,5.1-8.5c0-3.5-2.4-6.1-6.7-6.1c-4.9,0-7.9,3.6-7.9,7.7c0,1.4,0.4,2.4,1.1,3.1 c0.3,0.3,0.3,0.5,0.2,0.9c-0.1,0.3-0.3,1-0.3,1.3c-0.1,0.4-0.4,0.6-0.8,0.4c-2.2-0.9-3.3-3.4-3.3-6.1c0-4.5,3.8-10,11.4-10 c6.1,0,10.1,4.4,10.1,9.2c0,6.3-3.5,11-8.6,11c-1.7,0-3.4-0.9-3.9-2c0,0-0.9,3.7-1.1,4.4c-0.3,1.2-1,2.5-1.6,3.4 c1.4,0.4,3,0.7,4.5,0.7c8.8,0,16-7.2,16-16C48,23.2,40.8,16,32,16z" fill="white"></path></svg></button><button aria-label="email" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#7f7f7f"></circle><path d="M17,22v20h30V22H17z M41.1,25L32,32.1L22.9,25H41.1z M20,39V26.6l12,9.3l12-9.3V39H20z" fill="white"></path></svg></button><a class="print-wrap flex justify-center items-center cursor-pointer"><svg id="print" xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="currentColor" class="print bi bi-printer" viewBox="0 0 16 16"> <path d="M2.5 8a.5.5 0 1 0 0-1 .5.5 0 0 0 0 1z"></path> <path d="M5 1a2 2 0 0 0-2 2v2H2a2 2 0 0 0-2 2v3a2 2 0 0 0 2 2h1v1a2 2 0 0 0 2 2h6a2 2 0 0 0 2-2v-1h1a2 2 0 0 0 2-2V7a2 2 0 0 0-2-2h-1V3a2 2 0 0 0-2-2H5zM4 3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1v2H4V3zm1 5a2 2 0 0 0-2 2v1H2a1 1 0 0 1-1-1V7a1 1 0 0 1 1-1h12a1 1 0 0 1 1 1v3a1 1 0 0 1-1 1h-1v-1a2 2 0 0 0-2-2H5zm7 2v3a1 1 0 0 1-1 1H5a1 1 0 0 1-1-1v-3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1z"></path></svg></a></div><style> .print-wrap { width: 32px; height: 32px; background: #7F7F7F; border-radius: 100%; } .print { background: #7F7F7F; color: white; padding: 2px; border-radius: 100%; } </style></div></div></div></div><div class=" lg:w-full flex flex-col lg:flex-row lg:items-center lg:justify-end"></div><p class="py-2 mb-2 text-sm italic text-gray-600">The current outbreak stems from the clade I strain of mpox, different from the clade II strain that caused the 2022 global health emergency.</p><div class="py-2"><div class="blockText_blockContent__TbCXh"><p class="pb-2">The <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern">World Health Organization</a> (WHO) has declared <a target="_blank" href="https://www.ajmc.com/compendium/infectious-disease">mpox</a> a public health emergency of international concern based on the ongoing outbreak in the Democratic Republic of Congo (DRC) that has spread to at least 13 other African countries, with possible cases in Europe and Asia.<sup class="text-inherit">1</sup></p><p class="pb-2"></p><p class="pb-2">According to the Africa CDC, mpox cases across the continent are up 160% and deaths are up 19% compared with the same period in 2023.<sup class="text-inherit">2</sup> In general, WHO has recorded more than 14,000 cases and 524 deaths in Africa in 2024 so far, exceeding figures from 2023 with more than 96% of cases and deaths in the DRC alone. The ongoing mpox outbreak has now reached previously unaffected African nations such as Burundi, Kenya, Rwanda, and Uganda.<sup class="text-inherit">3</sup> The Africa CDC has confirmed 2863 cases and 517 deaths across the continent, but suspected cases have passed 17,000—a significant jump from 7146 cases in 2022 and almost 15,000 in 2023.</p><p class="pb-2"></p><p class="pb-2">“This is just the tip of the iceberg when we consider the many weaknesses in surveillance, laboratory testing and contact tracing,” said an Africa CDC news release.</p><p class="pb-2"></p><p class="pb-2">This news comes almost exactly 2 years after <a target="_blank" href="https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts">WHO first declared mpox</a> a global emergency, with the <a target="_blank" href="https://www.ajmc.com/view/us-declares-monkeypox-a-public-health-emergency">US announcing</a> a public health emergency soon after.<sup class="text-inherit">4,5</sup> A week before the new WHO announcement, the US CDC issued a health advisory stating that, although the risk of this more severe form of mpox in the US remains low, doctors should maintain a “heightened index of suspicion for mpox” in patients who have recently traveled to affected regions.<sup class="text-inherit">6</sup></p><p class="pb-2"></p><div class=""><div style="width:35%;float:right;max-width:525px;margin:0 0 1.5rem 1.5rem;clear:both;cursor:" class=" figure"><div class="flex-none relative text-center"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%276000%27%20height=%274000%27/%3e"/></span><img alt="WHO | Image credit: hectorchristiaen – stock.adobe.com" title="WHO | Image credit: hectorchristiaen – stock.adobe.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain"/><noscript><img alt="WHO | Image credit: hectorchristiaen – stock.adobe.com" title="WHO | Image credit: hectorchristiaen – stock.adobe.com" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2F45e0554a02d30605f2fd179d9a509050a005222e-6000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 1x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2F45e0554a02d30605f2fd179d9a509050a005222e-6000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">WHO has declared mpox a public health emergency of international concern | Image credit: hectorchristiaen – stock.adobe.com</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/ajmc/45e0554a02d30605f2fd179d9a509050a005222e-6000x4000.jpg?fit=crop&auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">Additionally, the day after WHO announced the global health emergency, Swedish health officials said they identified the first related case in their country after a patient sought care in Stockholm after returning from travel in Africa.<sup class="text-inherit">7 </sup>The following day, Pakistan’s Ministry of National Health Services announced its first confirmed case of the virus, stating that the individual had arrived from Saudi Arabia and that health officials are still working on sequencing to identify the specific strain of the virus the individual was infected with.</p><p class="pb-2"></p><p class="pb-2">Despite the initial declaration of mpox as a public health emergency of international concern in 2022—which ended in July 2023—Africa did not receive the critical support it needed.<sup class="text-inherit">1</sup> While global cases decreased, the growing outbreak in Africa was mostly overlooked.</p><p class="pb-2"></p><p class="pb-2">“The current upsurge of mpox in parts of Africa, along with the spread of a new sexually transmissible strain of the monkeypox virus, is an emergency, not only for Africa, but for the entire globe,” said Dimie Ogoina, MBBS, FWACP, FMCP, FACP, FIDSA, chair of WHO's mpox emergency committee and president of the Nigeria Infectious Diseases Society. “Mpox, originating in Africa, was neglected there, and later caused a global outbreak in 2022. It is time to act decisively to prevent history from repeating itself."</p><p class="pb-2"></p><p class="pb-2"><strong>How Is This Different From the First Outbreak?</strong></p><p class="pb-2"></p><p class="pb-2">The mpox virus is classified into 2 strains: clade I and clade II.<sup class="text-inherit">8</sup></p><p class="pb-2"></p><p class="pb-2">Clade I is responsible for the current outbreak and is endemic to Central Africa—where the outbreak is now stemming from—and is deemed the more contagious version of the 2 strains, leading to more severe illness and death. This new form of mpox was reported on earlier this year, with scientists saying this strain can kill up to 10% of those infected based on research in a Congolese mining town.<sup class="text-inherit">9,10</sup></p><p class="pb-2"></p><p class="pb-2">Meanwhile, clade II was the strain responsible for the 2022 outbreak that led to nearly 100,000 global cases, with about a third being from the US.<sup class="text-inherit">11</sup> Federal and state health officials are continuing to track mpox cases in the country, including in Florida, but so far none have been linked to the more contagious clade I strain driving the surge in Africa, according to the CDC. Clade II is considered endemic to West Africa, and infections from this strain are less severe, with more than 99.9% of people surviving infection.<sup class="text-inherit">10</sup></p><p class="pb-2"></p><p class="pb-2">"From experiences in 2022, it has become clear that mpox can spread well beyond these countries where mpox is endemic," Richard Martinello, MD, professor of medicine at Yale School of Medicine, said in a news advisory.<sup class="text-inherit">12</sup> "Further concerning, the current outbreak is due to a variant known as 'clade I'. Infections due to clade I mpox tend to be more severe compared with infections due to clade II mpox, which was responsible for the 2022 global outbreak."</p><p class="pb-2"></p><p class="pb-2">Although vaccines like Jynneos have helped curb mpox transmission outside of Africa during the global clade II outbreak, health officials have highlighted the lack of vaccines available for Africa, where the disease remains endemic.<sup class="text-inherit">13</sup> An estimated 10 million doses are needed to address current outbreaks in the region, yet only the DRC and Nigeria have initiated regulatory steps to access supplies.</p><p class="pb-2"></p><p class="pb-2">At a briefing following the public emergency announcement, Tim Nguyen, MPH, head of WHO's High Impact Events Preparedness unit, noted there are 500,000 doses of the Bavarian Nordic MVA-BN vaccine available, with the potential to produce an additional 2.4 million doses by the end of 2024 if orders are placed. A second vaccine, LC16, is stockpiled in Japan but is not commercially available. WHO officials emphasized the need for better data on the disease’s spread to optimize vaccine deployment and urged countries to signal interest in donating supplies. WHO also recently invited mpox vaccine manufacturers to express interest in having their products emergency-listed. Officials noted that 1 company plans to submit paperwork this week, with another set to meet next week, and WHO’s advisory group is expected to discuss the listings in mid-September.</p><p class="pb-2"></p><p class="pb-2"><strong>What Should Americans Know?</strong></p><p class="pb-2"></p><p class="pb-2">HHS announced that it is closely monitoring the spread of clade I mpox in Africa and has provided $17 million in preparedness and response support in recent months. Additionally, the US plans to donate 50,000 doses of the Jynneos vaccine to the DRC.</p><p class="pb-2"></p><p class="pb-2">While most cases of mpox are generally not life-threatening in the US, certain people are at higher risk of severe illness, including those with severely weakened immune systems, those with a history of eczema, those who are pregnant, and infants younger than 1 year.<sup class="text-inherit">10</sup></p><p class="pb-2"></p><p class="pb-2">Both types of the virus can spread through direct contact with infected animals, close contact—including intimate contact—with someone who has mpox, and contact with contaminated objects or surfaces. To protect themselves and others from mpox, the CDC said Americans should avoid close, skin-to-skin contact with people who have a rash that resembles mpox and with animals that may carry the virus. Patients can also take precautions to reduce their risk during social gatherings or sexual activity, and can consult their health care provider to see whether the mpox vaccine is recommended for them.</p><p class="pb-2"></p><p class="pb-2">According to Martinello, there is very little mpox circulating in the US at the moment, but Americans should be aware of the outbreak.<sup class="text-inherit">12</sup></p><p class="pb-2"></p><p class="pb-2">"This could quickly change as it did in 2022, so it is important for people to be aware," Martinello said "Transmission of mpox does seem to require close skin-to-skin contact, so this is not a situation where persons need to change how they use, for example, public transportation."</p><p class="pb-2"></p><p class="pb-2">Americans can also track mpox detection levels in wastewater across the country.<sup class="text-inherit">14</sup> In the past 4 weeks, detection has been low in the US with most sites not measuring any mpox. While some areas in California and Illinois may have intermittent detection (1% to 80% of samples positive), the CDC reported a lack of recent data.</p><p class="pb-2"></p><p class="pb-2"><strong>References</strong></p><ol class="my-2"><li class="list-decimal ml-8">WHO Director-General declares mpox outbreak a public health emergency of international concern. News release. WHO. August 14, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern">https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern</a></li><li class="list-decimal ml-8">Cheng M. A new global health emergency: what is mpox, where are the outbreaks and will the virus spread? Associated Press. Updated August 15, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern">https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47</a></li><li class="list-decimal ml-8">Africa CDC declares mpox a public health emergency of continental security, mobilizing resources across the continent. News release. Africa CDC. August 13, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://africacdc.org/news-item/africa-cdc-declares-mpox-a-public-health-emergency-of-continental-security-mobilizing-resources-across-the-continent/">https://africacdc.org/news-item/africa-cdc-declares-mpox-a-public-health-emergency-of-continental-security-mobilizing-resources-across-the-continent/</a></li><li class="list-decimal ml-8">AJMC Staff. What we’re reading: monkeypox declared global emergency; Amazon, One Medical deal raises concerns; White House COVID-19 efforts. <em>AJMC</em>®. July 25, 2022. Accessed August 19, 2024. <a target="_blank" href="https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts">https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts</a></li><li class="list-decimal ml-8">Gavidia M. US declares monkeypox a public health emergency. <em>AJMC. </em>August 4, 2022. Accessed August 19, 2024. <a target="_blank" href="https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts">https://www.ajmc.com/view/us-declares-monkeypox-a-public-health-emergency</a></li><li class="list-decimal ml-8">Mpox caused by human-to-human transmission of monkeypox virus in the Democratic Republic of the Congo with spread to neighboring countries. News release. CDC. August 7, 2024. Accessed August 19, 2024. <a target="_blank" href="https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts">https://emergency.cdc.gov/han/2024/han00513.asp</a></li><li class="list-decimal ml-8">Bendix A. The mpox strain spreading now is different from the one in 2022: Here's what to know. NBC News. August 16, 2024. Accessed August 19, 2024. <a target="_blank" href="https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts">https://www.nbcnews.com/health/health-news/mpox-virus-outbreak-symptoms-2024-spread-rcna166778</a></li><li class="list-decimal ml-8">Marchante M. Global emergency declared over a new mpox outbreak. What to know in Florida. <em>Miami Herald</em>. Updated August 19, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.miamiherald.com/news/health-care/article291081815.html">https://www.miamiherald.com/news/health-care/article291081815.html</a></li><li class="list-decimal ml-8">Cheng M, Malkia C. A new form of mpox that may spread more easily found in Congo’s biggest outbreak. Associated Press. Updated May 2, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de">https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de</a></li><li class="list-decimal ml-8">About Mpox. CDC. Updated April 18, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.cdc.gov/poxvirus/mpox/about/index.html">https://www.cdc.gov/poxvirus/mpox/about/index.html</a></li><li class="list-decimal ml-8">Ongoing 2022 global outbreak cases and data. CDC. Updated March 5, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.cdc.gov/poxvirus/mpox/response/2022/index.html">https://www.cdc.gov/poxvirus/mpox/response/2022/index.html</a></li><li class="list-decimal ml-8">Yale School of Medicine professor available to discuss mpox emergency. Yale School of Medicine. August 16, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://d.newswise.com/articles/view/815695/?sc=mwhr&xy=10050189">https://d.newswise.com/articles/view/815695/?sc=mwhr&xy=10050189</a></li><li class="list-decimal ml-8">Schnirring L. WHO declares global public health emergency for mpox surge in Africa. CIDRAP. August 14, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.cidrap.umn.edu/mpox/who-declares-global-public-health-emergency-mpox-surge-africa">https://www.cidrap.umn.edu/mpox/who-declares-global-public-health-emergency-mpox-surge-africa</a></li><li class="list-decimal ml-8">U.S. mpox wastewater data. CDC. Updated August 14, 2024. Accessed August 19, 2024. <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.cdc.gov/nwss/wastewater-surveillance/mpox-data.html">https://www.cdc.gov/nwss/wastewater-surveillance/mpox-data.html</a></li></ol></div></div><div class="flex items-center lg:w-3/4 mb-4 pb-12"></div><div class="jsx-19ede9f0a5a45918 py-4 relative bg-primary md:px-8 -ml-6 xs:ml-0 w-screen xs:w-auto"><div class="jsx-19ede9f0a5a45918 px-4 sm:px-0"><div class="flex justify-between items-center py-1 space-x-4 border-0 select-none sm:border-b border-secondary"><div class="text-3xl text-white text-lg sm:text-3xl">Related Videos</div></div></div><div style="scroll-snap-type:none" class="jsx-19ede9f0a5a45918 flex items-start overflow-x-auto space-x-4 py-4 relative mx-auto w-full pl-4"><a id="" class="w-[200px] h-fit space-y-3 flex-none select-none no-underline" style="scroll-snap-align:center;text-decoration:none" 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loading="lazy"/></noscript></span></div><div class="w-full flex-wrap text-center text-sm mt-4 font-light no-underline text-white"></div></a></div></div><div class="relative block sm:hidden"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/316299cbd01bd7c3bfd4e4ae6e25c984d9f6cad1-5760x3840.jpg?fit=crop&auto=format" alt="Nursing home care | Image credit: Kzenon - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 24th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent">Low RSV Vaccination Rates in Nursing Homes Highlight Urgent Need for Uptake </a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Significant gaps in vaccination coverage among nursing home residents leaves vulnerable populations at risk for severe complications, report finds. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/9de113904a026205cbaf84d08420c4065d52fd67-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">June 18th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent">Elevating Equitable Health Care for the LGBTQ+ Community</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">For the third episode in our special Pride Month series, we speak with Patrick McGovern, CEO of Callen-Lorde since August of 2023 and an outspoken advocate for HIV; lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+); and community health.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/39b5cd25fdc4e2947697c1fbad78955d026f6cc5-6000x4000.jpg?fit=crop&auto=format" alt="RSV risk survey | Image credit: Richelle - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 20th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent">Community Pharmacies Hold Key Role in Protecting Older Adults From RSV</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">New research reveals gaps in respiratory syncytial virus (RSV) knowledge among older adults and emphasizes the impact community pharmacies can have at improving education and vaccine uptake.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/9de113904a026205cbaf84d08420c4065d52fd67-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">April 3rd 2023</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent">A Conversation on the Past, Present, and Future of Public Health: NPHW 2023</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">For National Public Health Week this year, we sat down with Kristen Krause, PhD, MPH, instructor in the Department of Urban-Global Public Health and deputy director, Center for Health, Identity, Behavior and Prevention Studies, Rutgers School of Public Health. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/e8f84cbf1ee43306488ab1b15a39570c4a3242b9-5404x3602.jpg?fit=crop&auto=format" alt="RSV, COVID, Flu vaccines. | Image credit: angellodeco - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 14th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent">Impact of RSV on Hospitalizations in US Adults Prior to Vaccine Introduction</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Respiratory syncytial virus (RSV) caused significant hospitalizations and severe outcomes in adults, especially those aged 75 years and older.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/f7e04cbc83dfad74d8bdb0df2c82f0d80ff4f7ea-4160x2981.jpg?fit=crop&auto=format" alt="STI test | Image credit: Saiful52 - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 13th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent">STI Epidemic May Be Slowing, CDC Data Suggest</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Latest data from the CDC shows signs that the number of sexually transmitted infections (STIs) is declining. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="relative hidden sm:block"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/316299cbd01bd7c3bfd4e4ae6e25c984d9f6cad1-5760x3840.jpg?fit=crop&auto=format" alt="Nursing home care | Image credit: Kzenon - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 24th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent">Low RSV Vaccination Rates in Nursing Homes Highlight Urgent Need for Uptake </a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/low-rsv-vaccination-rates-in-nursing-homes-highlight-urgent-need-for-uptake?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Significant gaps in vaccination coverage among nursing home residents leaves vulnerable populations at risk for severe complications, report finds. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/9de113904a026205cbaf84d08420c4065d52fd67-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">June 18th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent">Elevating Equitable Health Care for the LGBTQ+ Community</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/elevating-equitable-health-care-for-the-lgbtq-community?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">For the third episode in our special Pride Month series, we speak with Patrick McGovern, CEO of Callen-Lorde since August of 2023 and an outspoken advocate for HIV; lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+); and community health.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/39b5cd25fdc4e2947697c1fbad78955d026f6cc5-6000x4000.jpg?fit=crop&auto=format" alt="RSV risk survey | Image credit: Richelle - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 20th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent">Community Pharmacies Hold Key Role in Protecting Older Adults From RSV</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/community-pharmacies-hold-key-role-in-protecting-older-adults-from-rsv?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">New research reveals gaps in respiratory syncytial virus (RSV) knowledge among older adults and emphasizes the impact community pharmacies can have at improving education and vaccine uptake.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/9de113904a026205cbaf84d08420c4065d52fd67-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">April 3rd 2023</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent">A Conversation on the Past, Present, and Future of Public Health: NPHW 2023</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/a-conversation-on-the-past-present-and-future-of-public-health-nphw-2023?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">For National Public Health Week this year, we sat down with Kristen Krause, PhD, MPH, instructor in the Department of Urban-Global Public Health and deputy director, Center for Health, Identity, Behavior and Prevention Studies, Rutgers School of Public Health. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/e8f84cbf1ee43306488ab1b15a39570c4a3242b9-5404x3602.jpg?fit=crop&auto=format" alt="RSV, COVID, Flu vaccines. | Image credit: angellodeco - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 14th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent">Impact of RSV on Hospitalizations in US Adults Prior to Vaccine Introduction</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/impact-of-rsv-on-hospitalizations-in-us-adults-prior-to-vaccine-introduction?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Respiratory syncytial virus (RSV) caused significant hospitalizations and severe outcomes in adults, especially those aged 75 years and older.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/f7e04cbc83dfad74d8bdb0df2c82f0d80ff4f7ea-4160x2981.jpg?fit=crop&auto=format" alt="STI test | Image credit: Saiful52 - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 13th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent">STI Epidemic May Be Slowing, CDC Data Suggest</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/sti-epidemic-may-be-slowing-cdc-data-suggests?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Latest data from the CDC shows signs that the number of sexually transmitted infections (STIs) is declining. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="pb-24"></div></div><script type="application/ld+json">{"@context":"https://schema.org","@type":"NewsArticle","headline":"WHO Declares Another Mpox Global Emergency—What Americans Should Know","datePublished":"2024-08-20T13:44:00.000Z","dateModified":"2024-08-20T13:53:18Z","inLanguage":"en-US","image":"https://cdn.sanity.io/images/0vv8moc6/ajmc/45e0554a02d30605f2fd179d9a509050a005222e-6000x4000.jpg?fit=crop&auto=format","mainEntityOfPage":{"@type":"WebPage","@id":"https://www.ajmc.com/view/who-declares-another-mpox-global-emergency-what-americans-should-know"},"publisher":{"@type":"Organization","name":"AJMC","logo":{"@type":"ImageObject","url":"https://www.ajmc.com/ajmc_logo_inverted.png"}},"keywords":"who,mpox,monkeypox,global emergency,public health emergency of international concern,congo","articleBody":"The World Health Organization (WHO) has declared mpox a public health emergency of international concern based on the ongoing outbreak in the Democratic Republic of Congo (DRC) that has spread to at least 13 other African countries, with possible cases in Europe and Asia.1\n\n\n\nAccording to the Africa CDC, mpox cases across the continent are up 160% and deaths are up 19% compared with the same period in 2023.2 In general, WHO has recorded more than 14,000 cases and 524 deaths in Africa in 2024 so far, exceeding figures from 2023 with more than 96% of cases and deaths in the DRC alone. The ongoing mpox outbreak has now reached previously unaffected African nations such as Burundi, Kenya, Rwanda, and Uganda.3 The Africa CDC has confirmed 2863 cases and 517 deaths across the continent, but suspected cases have passed 17,000—a significant jump from 7146 cases in 2022 and almost 15,000 in 2023.\n\n\n\n“This is just the tip of the iceberg when we consider the many weaknesses in surveillance, laboratory testing and contact tracing,” said an Africa CDC news release.\n\n\n\nThis news comes almost exactly 2 years after WHO first declared mpox a global emergency, with the US announcing a public health emergency soon after.4,5 A week before the new WHO announcement, the US CDC issued a health advisory stating that, although the risk of this more severe form of mpox in the US remains low, doctors should maintain a “heightened index of suspicion for mpox” in patients who have recently traveled to affected regions.6\n\n\n\n\n\nAdditionally, the day after WHO announced the global health emergency, Swedish health officials said they identified the first related case in their country after a patient sought care in Stockholm after returning from travel in Africa.7 The following day, Pakistan’s Ministry of National Health Services announced its first confirmed case of the virus, stating that the individual had arrived from Saudi Arabia and that health officials are still working on sequencing to identify the specific strain of the virus the individual was infected with.\n\n\n\nDespite the initial declaration of mpox as a public health emergency of international concern in 2022—which ended in July 2023—Africa did not receive the critical support it needed.1 While global cases decreased, the growing outbreak in Africa was mostly overlooked.\n\n\n\n“The current upsurge of mpox in parts of Africa, along with the spread of a new sexually transmissible strain of the monkeypox virus, is an emergency, not only for Africa, but for the entire globe,” said Dimie Ogoina, MBBS, FWACP, FMCP, FACP, FIDSA, chair of WHO's mpox emergency committee and president of the Nigeria Infectious Diseases Society. “Mpox, originating in Africa, was neglected there, and later caused a global outbreak in 2022. It is time to act decisively to prevent history from repeating itself.\"\n\n\n\nHow Is This Different From the First Outbreak?\n\n\n\nThe mpox virus is classified into 2 strains: clade I and clade II.8\n\n\n\nClade I is responsible for the current outbreak and is endemic to Central Africa—where the outbreak is now stemming from—and is deemed the more contagious version of the 2 strains, leading to more severe illness and death. This new form of mpox was reported on earlier this year, with scientists saying this strain can kill up to 10% of those infected based on research in a Congolese mining town.9,10\n\n\n\nMeanwhile, clade II was the strain responsible for the 2022 outbreak that led to nearly 100,000 global cases, with about a third being from the US.11 Federal and state health officials are continuing to track mpox cases in the country, including in Florida, but so far none have been linked to the more contagious clade I strain driving the surge in Africa, according to the CDC. Clade II is considered endemic to West Africa, and infections from this strain are less severe, with more than 99.9% of people surviving infection.10\n\n\n\n\"From experiences in 2022, it has become clear that mpox can spread well beyond these countries where mpox is endemic,\" Richard Martinello, MD, professor of medicine at Yale School of Medicine, said in a news advisory.12 \"Further concerning, the current outbreak is due to a variant known as 'clade I'. Infections due to clade I mpox tend to be more severe compared with infections due to clade II mpox, which was responsible for the 2022 global outbreak.\"\n\n\n\nAlthough vaccines like Jynneos have helped curb mpox transmission outside of Africa during the global clade II outbreak, health officials have highlighted the lack of vaccines available for Africa, where the disease remains endemic.13 An estimated 10 million doses are needed to address current outbreaks in the region, yet only the DRC and Nigeria have initiated regulatory steps to access supplies.\n\n\n\nAt a briefing following the public emergency announcement, Tim Nguyen, MPH, head of WHO's High Impact Events Preparedness unit, noted there are 500,000 doses of the Bavarian Nordic MVA-BN vaccine available, with the potential to produce an additional 2.4 million doses by the end of 2024 if orders are placed. A second vaccine, LC16, is stockpiled in Japan but is not commercially available. WHO officials emphasized the need for better data on the disease’s spread to optimize vaccine deployment and urged countries to signal interest in donating supplies. WHO also recently invited mpox vaccine manufacturers to express interest in having their products emergency-listed. Officials noted that 1 company plans to submit paperwork this week, with another set to meet next week, and WHO’s advisory group is expected to discuss the listings in mid-September.\n\n\n\nWhat Should Americans Know?\n\n\n\nHHS announced that it is closely monitoring the spread of clade I mpox in Africa and has provided $17 million in preparedness and response support in recent months. Additionally, the US plans to donate 50,000 doses of the Jynneos vaccine to the DRC.\n\n\n\nWhile most cases of mpox are generally not life-threatening in the US, certain people are at higher risk of severe illness, including those with severely weakened immune systems, those with a history of eczema, those who are pregnant, and infants younger than 1 year.10\n\n\n\nBoth types of the virus can spread through direct contact with infected animals, close contact—including intimate contact—with someone who has mpox, and contact with contaminated objects or surfaces. To protect themselves and others from mpox, the CDC said Americans should avoid close, skin-to-skin contact with people who have a rash that resembles mpox and with animals that may carry the virus. Patients can also take precautions to reduce their risk during social gatherings or sexual activity, and can consult their health care provider to see whether the mpox vaccine is recommended for them.\n\n\n\nAccording to Martinello, there is very little mpox circulating in the US at the moment, but Americans should be aware of the outbreak.12\n\n\n\n\"This could quickly change as it did in 2022, so it is important for people to be aware,\" Martinello said \"Transmission of mpox does seem to require close skin-to-skin contact, so this is not a situation where persons need to change how they use, for example, public transportation.\"\n\n\n\nAmericans can also track mpox detection levels in wastewater across the country.14 In the past 4 weeks, detection has been low in the US with most sites not measuring any mpox. While some areas in California and Illinois may have intermittent detection (1% to 80% of samples positive), the CDC reported a lack of recent data.\n\n\n\nReferences\n\nWHO Director-General declares mpox outbreak a public health emergency of international concern. News release. WHO. August 14, 2024. Accessed August 19, 2024. https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern\n\nCheng M. A new global health emergency: what is mpox, where are the outbreaks and will the virus spread? Associated Press. Updated August 15, 2024. Accessed August 19, 2024. https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\n\nAfrica CDC declares mpox a public health emergency of continental security, mobilizing resources across the continent. News release. Africa CDC. August 13, 2024. Accessed August 19, 2024. https://africacdc.org/news-item/africa-cdc-declares-mpox-a-public-health-emergency-of-continental-security-mobilizing-resources-across-the-continent/\n\nAJMC Staff. What we’re reading: monkeypox declared global emergency; Amazon, One Medical deal raises concerns; White House COVID-19 efforts. AJMC®. July 25, 2022. Accessed August 19, 2024. https://www.ajmc.com/view/what-we-re-reading-monkeypox-declared-global-emergency-amazon-one-medical-deal-raises-concerns-white-house-covid-19-efforts\n\nGavidia M. US declares monkeypox a public health emergency. AJMC. August 4, 2022. Accessed August 19, 2024. https://www.ajmc.com/view/us-declares-monkeypox-a-public-health-emergency\n\nMpox caused by human-to-human transmission of monkeypox virus in the Democratic Republic of the Congo with spread to neighboring countries. News release. CDC. August 7, 2024. Accessed August 19, 2024. https://emergency.cdc.gov/han/2024/han00513.asp\n\nBendix A. The mpox strain spreading now is different from the one in 2022: Here's what to know. NBC News. August 16, 2024. Accessed August 19, 2024. https://www.nbcnews.com/health/health-news/mpox-virus-outbreak-symptoms-2024-spread-rcna166778\n\nMarchante M. Global emergency declared over a new mpox outbreak. What to know in Florida. Miami Herald. Updated August 19, 2024. Accessed August 19, 2024. https://www.miamiherald.com/news/health-care/article291081815.html\n\nCheng M, Malkia C. A new form of mpox that may spread more easily found in Congo’s biggest outbreak. Associated Press. Updated May 2, 2024. Accessed August 19, 2024. https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de\n\nAbout Mpox. CDC. Updated April 18, 2024. Accessed August 19, 2024. https://www.cdc.gov/poxvirus/mpox/about/index.html\n\nOngoing 2022 global outbreak cases and data. CDC. Updated March 5, 2024. Accessed August 19, 2024. https://www.cdc.gov/poxvirus/mpox/response/2022/index.html\n\nYale School of Medicine professor available to discuss mpox emergency. Yale School of Medicine. August 16, 2024. Accessed August 19, 2024. https://d.newswise.com/articles/view/815695/?sc=mwhr&xy=10050189\n\nSchnirring L. WHO declares global public health emergency for mpox surge in Africa. CIDRAP. August 14, 2024. Accessed August 19, 2024. https://www.cidrap.umn.edu/mpox/who-declares-global-public-health-emergency-mpox-surge-africa\n\nU.S. mpox wastewater data. CDC. Updated August 14, 2024. Accessed August 19, 2024. https://www.cdc.gov/nwss/wastewater-surveillance/mpox-data.html","description":"The current outbreak stems from the clade I strain of mpox, different from the clade II strain that caused the 2022 global health emergency.","author":[{"@type":"Person","name":"Hayden E. 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It is time to act decisively to prevent history from repeating itself.\"","_key":"36c15ed40b790"}],"upload_doc":null},{"markDefs":[],"upload_doc":null,"uploadAudio":null,"medias":null,"children":[{"marks":[],"text":"","_key":"5e95fa012b8c0","_type":"span"}],"_type":"block","style":"normal","_key":"e61c10190c7f"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"How Is This Different From the First Outbreak?","_key":"2baa25ea23d90"}],"_type":"block","style":"normal","_key":"561efbd597b6","upload_doc":null,"uploadAudio":null,"medias":null},{"medias":null,"_type":"block","style":"normal","_key":"a771be176318","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"10fe567d43920"}],"upload_doc":null,"uploadAudio":null},{"markDefs":[],"upload_doc":null,"uploadAudio":null,"medias":null,"children":[{"_type":"span","marks":[],"text":"The mpox virus is classified into 2 strains: clade I and clade II.","_key":"1fb4a74781a90"},{"_type":"span","marks":["superscript"],"text":"8","_key":"0d61363ab100"}],"_type":"block","style":"normal","_key":"22dc0b85d7f9"},{"medias":null,"_type":"block","style":"normal","_key":"0d93aee28390","markDefs":[],"children":[{"marks":[],"text":"","_key":"764206a4a1f10","_type":"span"}],"upload_doc":null,"uploadAudio":null},{"children":[{"_key":"5164d010d3460","_type":"span","marks":[],"text":"Clade I is responsible for the current outbreak and is endemic to Central Africa—where the outbreak is now stemming from—and is deemed the more contagious version of the 2 strains, leading to more severe illness and death. This new form of mpox was reported on earlier this year, with scientists saying this strain can kill up to 10% of those infected based on research in a Congolese mining town."},{"_type":"span","marks":["superscript"],"text":"9,10","_key":"4e91f1abbfad"}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"7d0e8cfc2467","markDefs":[]},{"_type":"block","style":"normal","_key":"52bc6af57618","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"95a1015b25a60"}],"upload_doc":null,"uploadAudio":null,"medias":null},{"markDefs":[],"children":[{"_key":"625bc26d722b0","_type":"span","marks":[],"text":"Meanwhile, clade II was the strain responsible for the 2022 outbreak that led to nearly 100,000 global cases, with about a third being from the US."},{"_key":"ed9aaed91c30","_type":"span","marks":["superscript"],"text":"11"},{"_type":"span","marks":[],"text":" Federal and state health officials are continuing to track mpox cases in the country, including in Florida, but so far none have been linked to the more contagious clade I strain driving the surge in Africa, according to the CDC. Clade II is considered endemic to West Africa, and infections from this strain are less severe, with more than 99.9% of people surviving infection.","_key":"73a2d6dce198"},{"_type":"span","marks":["superscript"],"text":"10","_key":"dedbc586f389"}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"deac9c646229"},{"_key":"0419bd67eef0","upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"a9003c0534710"}],"_type":"block","style":"normal"},{"uploadAudio":null,"medias":null,"_key":"ba0a873c274f","markDefs":[],"children":[{"_type":"span","marks":[],"text":"\"From experiences in 2022, it has become clear that mpox can spread well beyond these countries where mpox is endemic,\" Richard Martinello, MD, professor of medicine at Yale School of Medicine, said in a news advisory.","_key":"93237ce6e4b40"},{"marks":["superscript"],"text":"12","_key":"84e1c25af538","_type":"span"},{"marks":[],"text":" \"Further concerning, the current outbreak is due to a variant known as 'clade I'. Infections due to clade I mpox tend to be more severe compared with infections due to clade II mpox, which was responsible for the 2022 global outbreak.\"","_key":"7c04328fd82e","_type":"span"}],"_type":"block","style":"normal","upload_doc":null},{"upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"text":"","_key":"426f9a78e7210","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"9409b1c2609a"},{"_type":"block","style":"normal","_key":"21eb0ca7f1ee","upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Although vaccines like Jynneos have helped curb mpox transmission outside of Africa during the global clade II outbreak, health officials have highlighted the lack of vaccines available for Africa, where the disease remains endemic.","_key":"aededcbb5a080"},{"marks":["superscript"],"text":"13","_key":"a755db08ef7c","_type":"span"},{"text":" An estimated 10 million doses are needed to address current outbreaks in the region, yet only the DRC and Nigeria have initiated regulatory steps to access supplies.","_key":"d408efe6bbb0","_type":"span","marks":[]}]},{"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"f1b83b00679b","markDefs":[],"children":[{"_key":"a7a077d54a090","_type":"span","marks":[],"text":""}]},{"upload_doc":null,"uploadAudio":null,"medias":null,"_key":"7a5347eec9a4","markDefs":[],"children":[{"_type":"span","marks":[],"text":"At a briefing following the public emergency announcement, Tim Nguyen, MPH, head of WHO's High Impact Events Preparedness unit, noted there are 500,000 doses of the Bavarian Nordic MVA-BN vaccine available, with the potential to produce an additional 2.4 million doses by the end of 2024 if orders are placed. A second vaccine, LC16, is stockpiled in Japan but is not commercially available. WHO officials emphasized the need for better data on the disease’s spread to optimize vaccine deployment and urged countries to signal interest in donating supplies. WHO also recently invited mpox vaccine manufacturers to express interest in having their products emergency-listed. Officials noted that 1 company plans to submit paperwork this week, with another set to meet next week, and WHO’s advisory group is expected to discuss the listings in mid-September.","_key":"94dd1b98d8b80"}],"_type":"block","style":"normal"},{"_key":"f366e1edf28a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"a91d22924ffc0"}],"_type":"block","style":"normal","upload_doc":null,"uploadAudio":null,"medias":null},{"children":[{"_key":"788837d78c2a0","_type":"span","marks":["strong"],"text":"What Should Americans Know?"}],"_type":"block","style":"normal","upload_doc":null,"uploadAudio":null,"medias":null,"_key":"a5ba5dc718a0","markDefs":[]},{"style":"normal","_key":"930e2f0f0660","markDefs":[],"children":[{"_key":"6c695e7f35f60","_type":"span","marks":[],"text":""}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"HHS announced that it is closely monitoring the spread of clade I mpox in Africa and has provided $17 million in preparedness and response support in recent months. Additionally, the US plans to donate 50,000 doses of the Jynneos vaccine to the DRC.","_key":"5da5ad98f9450"}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"2023b193dd8c","markDefs":[]},{"children":[{"marks":[],"text":"","_key":"eed19ab9ccdd0","_type":"span"}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"42c39c14ea60","markDefs":[]},{"_key":"d0c58208177b","upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"While most cases of mpox are generally not life-threatening in the US, certain people are at higher risk of severe illness, including those with severely weakened immune systems, those with a history of eczema, those who are pregnant, and infants younger than 1 year.","_key":"cfbddfbc26db0"},{"_type":"span","marks":["superscript"],"text":"10","_key":"4ecce5dc2d9c"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"72620a31016f","markDefs":[],"upload_doc":null,"uploadAudio":null,"medias":null,"children":[{"_type":"span","marks":[],"text":"","_key":"6b8408d21d0c0"}]},{"medias":null,"_key":"4cdf4c15b3c9","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Both types of the virus can spread through direct contact with infected animals, close contact—including intimate contact—with someone who has mpox, and contact with contaminated objects or surfaces. To protect themselves and others from mpox, the CDC said Americans should avoid close, skin-to-skin contact with people who have a rash that resembles mpox and with animals that may carry the virus. Patients can also take precautions to reduce their risk during social gatherings or sexual activity, and can consult their health care provider to see whether the mpox vaccine is recommended for them.","_key":"d2fdc3aac68d0"}],"_type":"block","style":"normal","upload_doc":null,"uploadAudio":null},{"upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"59579a19106c0"}],"_type":"block","style":"normal","_key":"570f3f0d5fed"},{"markDefs":[],"children":[{"text":"According to Martinello, there is very little mpox circulating in the US at the moment, but Americans should be aware of the outbreak.","_key":"d6ff099f499e0","_type":"span","marks":[]},{"_type":"span","marks":["superscript"],"text":"12","_key":"d6c71a05d37a"}],"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"f5bc44159426"},{"_key":"9347f875811e","markDefs":[],"children":[{"_key":"acfce236c3e00","_type":"span","marks":[],"text":""}],"_type":"block","upload_doc":null,"uploadAudio":null,"medias":null,"style":"normal"},{"uploadAudio":null,"medias":null,"markDefs":[],"children":[{"_key":"5bdf3556e0e70","_type":"span","marks":[],"text":"\"This could quickly change as it did in 2022, so it is important for people to be aware,\" Martinello said \"Transmission of mpox does seem to require close skin-to-skin contact, so this is not a situation where persons need to change how they use, for example, public transportation.\""}],"_type":"block","style":"normal","_key":"19a2dda6d85f","upload_doc":null},{"upload_doc":null,"uploadAudio":null,"medias":null,"_type":"block","style":"normal","_key":"8cce0682272b","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"8d9652bbf5ad0"}]},{"uploadAudio":null,"medias":null,"children":[{"_type":"span","marks":[],"text":"Americans can also track mpox detection levels in wastewater across the country.","_key":"aea1e9e6b2020"},{"_key":"412a4e00286a","_type":"span","marks":["superscript"],"text":"14"},{"_type":"span","marks":[],"text":" In the past 4 weeks, detection has been low in the US with most sites not measuring any mpox. While some areas in California and Illinois may have intermittent detection (1% to 80% of samples positive), the CDC reported a lack of recent data.","_key":"990c3630af4c"}],"_type":"block","style":"normal","_key":"c67698a3c77f","markDefs":[],"upload_doc":null},{"children":[{"_type":"span","marks":[],"text":"","_key":"0ba819cec35a0"}],"_type":"block","style":"normal","_key":"c16577a44366","upload_doc":null,"uploadAudio":null,"medias":null,"markDefs":[]},{"_type":"block","style":"normal","upload_doc":null,"uploadAudio":null,"medias":null,"_key":"ae4f723a70ab","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"References","_key":"0716236769a10"}]},{"medias":null,"level":1,"style":"normal","_key":"5e7497cd0af4","listItem":"number","markDefs":[{"_type":"link","href":"https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern","_key":"ec228b712100","nofollow":true,"blank":true}],"upload_doc":null,"_type":"block","children":[{"_type":"span","marks":[],"text":"WHO Director-General declares mpox outbreak a public health emergency of international concern. 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Yet, early data from the 2024 to 2025 respiratory virus season show concerningly low vaccination rates across the country, according to a study published in the CDC’s ","_key":"29a4f763d9e04"},{"_key":"29a4f763d9e05","_type":"span","marks":["em","0b1e150b543a"],"text":"Morbidity and Mortality Weekly Report"},{"_type":"span","marks":[],"text":".","_key":"29a4f763d9e06"},{"text":"1","_key":"0e5d43636777","_type":"span","marks":["superscript"]}],"_type":"block","style":"normal"},{"_type":"figure","imgcaption":[{"markDefs":[],"children":[{"_type":"span","marks":["aligncenter"],"text":"Findings underscore the urgent need to boost vaccination efforts to safeguard one of the most vulnerable populations from preventable respiratory illnesses. | Image credit: Kzenon - stock.adobe.com","_key":"fc1135718d360"}],"_type":"block","style":"normal","_key":"f7080a022f4d"}],"asset":{"_ref":"image-316299cbd01bd7c3bfd4e4ae6e25c984d9f6cad1-5760x3840-jpg","_type":"reference"},"_key":"b57b5285ea9e","alignment":"left","widthP":35,"disableTextWrap":false,"disableLightBox":true,"alt":"Nursing home care | Image credit: Kzenon - stock.adobe.com"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"“Most nursing home residents have not been afforded the protection offered by vaccination against severe COVID-19, influenza, and RSV disease during the 2024–2025 respiratory virus season,” wrote the investigators of the report. “Addressing low coverage of vaccination against COVID-19, influenza, and RSV must be prioritized, and larger facilities and those in counties with high social vulnerability could benefit from effective interventions.”","_key":"961b4560b1e60"}],"_type":"block","style":"normal","_key":"37782ba74549"},{"_type":"block","style":"normal","_key":"201f2818d226","markDefs":[],"children":[{"_key":"5c0d97a7c5b00","_type":"span","marks":[],"text":""}]},{"style":"normal","_key":"160d1fa93f68","markDefs":[],"children":[{"_key":"8fbe3635fb430","_type":"span","marks":[],"text":"Current CDC guidelines recommend a single dose of the RSV vaccine for all adults aged 75 years and older, and adults aged 60 to 74 years at increased risk for severe RSV."},{"_key":"fe850fe3e887","_type":"span","marks":["superscript"],"text":"2"}],"_type":"block"},{"markDefs":[],"children":[{"text":"","_key":"d58d8d64b6720","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"c5afdbe65bf6"},{"children":[{"_key":"92a1143910a40","_type":"span","marks":[],"text":"To evaluate vaccination coverage among nursing home residents, data were collected from CMS-certified nursing homes reporting to the CDC’s National Healthcare Safety Network (NHSN) during the week of November 10, 2024."},{"_type":"span","marks":["superscript"],"text":"1 ","_key":"3483f0446c9c"},{"_type":"span","marks":[],"text":"Facilities electronically reported the number of residents who occupied a bed for at least 1 day during the collection week and the number vaccinated with the 2024 to 2025 COVID-19 vaccine, influenza vaccine, and RSV vaccine. Influenza and RSV vaccination data were reported voluntarily, while COVID-19 vaccination reporting was mandatory.","_key":"6aa20a28c07f"}],"_type":"block","style":"normal","_key":"a54a651555f3","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"\nVaccination coverage among nursing home residents was reported by 51.8% of facilities, with only 17.9% of residents receiving the vaccine. Coverage varied widely by region, from 9.3% in HHS Region 6 to 29.2% in HHS Region 8, and was highest in counties with lower social vulnerability (21.3%) and in smaller facilities (24.1%).","_key":"6aa9a95312e70"}],"_type":"block","style":"normal","_key":"242200872a9c"},{"children":[{"text":"","_key":"a3b4712b0f6f0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"4f23d31519ae","markDefs":[]},{"_type":"block","style":"normal","_key":"655c13299ace","markDefs":[],"children":[{"_key":"6d6e2e1e43230","_type":"span","marks":[],"text":"Influenza vaccination coverage was voluntarily reported by 59.4% of facilities, with 58.4% of residents vaccinated. Coverage ranged from 50.9% in HHS Region 10 to 64.1% in HHS Region 1 and was higher in the least socially vulnerable counties (60.8%) and smaller facilities (62.9%)."}]},{"style":"normal","_key":"ef79beabf256","markDefs":[],"children":[{"text":"","_key":"9b05c96fb9c70","_type":"span","marks":[]}],"_type":"block"},{"children":[{"_key":"2e9941b21abf0","_type":"span","marks":[],"text":"COVID-19 vaccination coverage, which was reported by 92.9% of facilities, remained low, with only 29.7% of residents receiving the 2024 to 2025 COVID-19 vaccine. Coverage was lowest in HHS Region 6 (19.8%) and highest in Region 8 (38.6%), with better rates observed in smaller facilities (34.7%) and less vulnerable counties (33.6%). These findings highlight substantial gaps in vaccine uptake, particularly for RSV and COVID-19."}],"_type":"block","style":"normal","_key":"e026ae7211c9","markDefs":[]},{"style":"normal","_key":"54cc79d7a6ea","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"b61eb94f9e580"}],"_type":"block"},{"_type":"block","style":"normal","_key":"c7463e245961","markDefs":[],"children":[{"_type":"span","marks":[],"text":"However, the investigators noted some limitations. First, reporting of influenza and RSV vaccination coverage was voluntary, and facilities that chose to report may have had higher vaccination rates than those that did not, potentially biasing the results. Second, the increase in the number of facilities reporting influenza and RSV vaccination coverage compared with the previous season limited direct comparisons between seasons. Third, RSV vaccination coverage was calculated for residents of all ages, although approximately 91% of nursing home residents are aged 60 years and older, for whom the vaccine is recommended. Finally, vaccination data were aggregated, preventing assessment of individual-level factors influencing vaccine uptake, such as demographic or clinical characteristics.","_key":"a0321c48d9f60"}]},{"markDefs":[],"children":[{"text":"","_key":"8a018cb91a740","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"e2063803964a"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Despite these limitations, these findings underscore the urgent need to boost vaccination efforts to safeguard one of the most vulnerable populations from preventable respiratory illnesses.","_key":"2435609055e90"}],"_type":"block","style":"normal","_key":"dc1de8833529"},{"style":"normal","_key":"b158846d9f4c","markDefs":[],"children":[{"text":"","_key":"4b5169f9282e0","_type":"span","marks":[]}],"_type":"block"},{"style":"normal","_key":"4c732e0da54e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"“Although CDC and other federal agencies have programs in place to address both the financial and vaccine hesitancy–related barriers to vaccination in nursing homes, more needs to be done at every level to protect nursing home residents, who constitute one of the population groups at highest risk for severe respiratory disease,” wrote the investigators.","_key":"499c0bfb4d2d0"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"","_key":"c5e804155d1a0"}],"_type":"block","style":"normal","_key":"c10bc8ecf31f","markDefs":[]},{"children":[{"_type":"span","marks":["strong"],"text":"References","_key":"ef3b9dcea98d0"}],"_type":"block","style":"normal","_key":"9aaf3d9a68fb","markDefs":[]},{"_key":"8735f3f6f08a","markDefs":[{"nofollow":true,"blank":true,"_type":"link","href":"http://dx.doi.org/10.15585/mmwr.mm7346a2","_key":"0b631d436eed"}],"children":[{"_key":"7b8f957b8f2e0","_type":"span","marks":[],"text":"1. Reses HE, Segovia G, Dubendris H, et al. Coverage with influenza, respiratory syncytial virus, and COVID-19 vaccines among nursing home residents — National Healthcare Safety Network, United States, November 2024. "},{"marks":["em"],"text":"MMWR Morb Mortal Wkly Rep.","_key":"7b8f957b8f2e1","_type":"span"},{"marks":[],"text":" 2024;73:1052-1057. doi:","_key":"7b8f957b8f2e2","_type":"span"},{"_type":"span","marks":["0b631d436eed"],"text":"http://dx.doi.org/10.15585/mmwr.mm7346a2","_key":"7b8f957b8f2e3"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"20ab0a0618e5","markDefs":[{"_key":"025b5ce4476d","nofollow":true,"blank":true,"_type":"link","href":"https://www.cdc.gov/rsv/hcp/vaccine-clinical-guidance/older-adults.html"}],"children":[{"_type":"span","marks":[],"text":"2. RSV vaccine guidance for older adults. CDC. August 30, 2024. Accessed November 22, 2024. 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A recent study in this patient population found that RSV vaccination was 77% to 81% effective against associated critical illness, hospitalization, and emergency department encounters in the 2023-2024 season.","_key":"81dc5f0e7c830"},{"_type":"span","marks":["superscript"],"text":"2","_key":"ff51678ff454"},{"_type":"span","marks":[],"text":" This marked the first RSV season following the release of the approved vaccines, emphasizing their success.","_key":"739854e4ee09"}],"_type":"block","style":"normal","_key":"46fce5a9a7a7"},{"style":"normal","_key":"a1a99476305f","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"a3cc09bcf04b0"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"In the present study, the researchers aimed to evaluate patient knowledge about RSV and to provide patients with information about the virus and the vaccination.","_key":"99be1821783a0"},{"_type":"span","marks":["superscript"],"text":"1","_key":"303a43d706a1"}],"_type":"block","style":"normal","_key":"83e1d5c07d84","markDefs":[]},{"_key":"70071e696e24","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c8b2b5cee16c0"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"The study was conducted across 4 independent community pharmacy sites from September 12, 2023, to March 11, 2024. Participants 60 years or older were invited to complete a 14-question survey designed to assess their knowledge of RSV and their willingness to receive the RSV vaccine. Survey questions covered demographics, long-term health conditions, knowledge about RSV transmission and prevention, prior education from health care providers, and vaccine acceptance or refusal.","_key":"8fe2e45281670"}],"_type":"block","style":"normal","_key":"51b5ce20533a","markDefs":[]},{"style":"normal","_key":"56b5e5dad1fa","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"820091a2a9bb0"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"Participants received an educational handout developed by site pharmacists using CDC guidelines and were offered verbal counseling to support shared decision-making about vaccination. Vaccines were administered on site for participants who consented, regardless of whether they opted for counseling. 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The study's small geographic scope limited the generalizability of its results to broader community pharmacy settings, and inconsistencies in pharmacist presence and engagement due to the residents’ limited availability at each site further challenged the uniformity of survey delivery and participant interaction.","_key":"c4a42a3e7b300","_type":"span"}],"_type":"block","style":"normal"},{"_key":"347724a9cb11","markDefs":[],"children":[{"text":"","_key":"bbdd8ae1a77d0","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"text":"Despite these limitations, the researchers believe the study findings provide valuable insights on the knowledge and attitudes toward RSV and its vaccine in an older adult population.","_key":"e64624eea1b40","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"6984977866b1"},{"_type":"block","style":"normal","_key":"ffd3b1d2a6dc","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"80c9cea6363d0"}]},{"style":"normal","_key":"70267fc737b5","markDefs":[],"children":[{"_type":"span","marks":[],"text":"“The willingness to receive the RSV vaccine was relatively high among participants who received verbal counseling and education from a pharmacist along with the educational handout, although vaccine hesitancy remains a barrier,” wrote the researchers. “This study emphasizes the critical role of a community pharmacist in health care delivery and the need for enhanced educational efforts to support vaccination programs and shared clinical health care decision-making.”","_key":"eb0ebfab49f60"}],"_type":"block"},{"_type":"block","style":"normal","_key":"900efd58f031","markDefs":[],"children":[{"marks":[],"text":"","_key":"482e867c6e6a0","_type":"span"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"References","_key":"97d1035d24470"}],"_type":"block","style":"normal","_key":"6a0f54d7ecd0"},{"_type":"block","style":"normal","_key":"dc007556e5cb","markDefs":[],"children":[{"text":"1. 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Eligible participants included nonpregnant adults 18 years or older who had a positive RSV test result during hospitalization or within 14 days prior.","_key":"a82aa5106f10"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"5ca6fa7a4df80"}],"_type":"block","style":"normal","_key":"16380ac88e0e"},{"_type":"block","style":"normal","_key":"2e6b5e8f1f1d","markDefs":[],"children":[{"marks":[],"text":"The primary outcome of the study was the burden of RSV in US adults, measured by the rates of RSV-associated hospitalizations, ICU admissions, and in-hospital deaths.","_key":"fe03abd05d190","_type":"span"}]},{"children":[{"marks":[],"text":"","_key":"b7577e6bf7380","_type":"span"}],"_type":"block","style":"normal","_key":"bc7454e06822","markDefs":[]},{"markDefs":[],"children":[{"marks":[],"text":"Between the 2016-2017 and 2022-2023 RSV seasons, the study identified a total of 16,575 laboratory-confirmed RSV-associated hospitalizations, with reverse transcription polymerase chain reaction (RT-PCR) being the primary diagnostic test (98.7%). Additionally, a significant majority of patients (62.6%) were 65 or older.","_key":"a385dd90245c0","_type":"span"}],"_type":"block","style":"normal","_key":"a2c3e613dede"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"4ae69ff4602d0"}],"_type":"block","style":"normal","_key":"399d55732546"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Hospitalization rates peaked in January each year, with notable disruptions during the COVID-19 pandemic. ICU admissions occurred in 19.1% of cases, and 4.3% of patients died in the hospital, with the highest mortality rate (5.8%) observed in adults 75 years or older.","_key":"2c16c00695a00"}],"_type":"block","style":"normal","_key":"31aee9c247d7"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"3da1496107180"}],"_type":"block","style":"normal","_key":"45bcf66ece5f"},{"children":[{"marks":[],"text":"Testing practices improved over time, increasing from 30.4% of hospitalized adults in 2016-2017 to over 60% in 2022-2023. The unadjusted hospitalization rate ranged from 8.8 to 21.2 per 100,000 adults, while adjusted rates varied significantly by age, peaking among adults 75 years or older. The estimated number of annual RSV-associated hospitalizations ranged from 123,000 in 2016-2017 to 193,000 in 2017-2018, with ICU admissions and in-hospital deaths also showing substantial burden.","_key":"a3a08d3e0da40","_type":"span"}],"_type":"block","style":"normal","_key":"76d38df24b31","markDefs":[]},{"_key":"0d4034241072","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"aa99ac5644d60"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"Older adults, especially those 75 years and older, accounted for most severe outcomes, representing 45.6% of hospitalizations, 38.6% of ICU admissions, and 58.7% of in-hospital deaths.","_key":"ff0b65ca1f8b0"}],"_type":"block","style":"normal","_key":"6e41393bf688","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"ce48f644c16d0"}],"_type":"block","style":"normal","_key":"7c2a6062c0c6","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"However, the researchers acknowledged several limitations. 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We must make the most of this moment—let's further this momentum with creative innovation and further investment in STI prevention.\"","_key":"b1acdc5bfeb10","_type":"span"}],"_type":"block","style":"normal","_key":"cb3d3cbb5229","markDefs":[]},{"style":"normal","_key":"9518713d5526","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"b9fa15886e410"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"In 2023, over 209,000 cases of syphilis, over 600,000 cases of gonorrhea, and over 1.6 million cases of chlamydia were reported.","_key":"7d18f8595d6b0"},{"_type":"span","marks":["superscript"],"text":"2 ","_key":"b3fe03dc8fc7"},{"_key":"50896433e924","_type":"span","marks":[],"text":"Moreover, the combined count of over 2.4 million STIs includes 3882 cases of congenital syphilis, including 279 congenital syphilis stillbirths and neonatal/infant deaths."}],"_type":"block","style":"normal","_key":"cca9eed43fd5"},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"77ab43beb0f20","_type":"span"}],"_type":"block","style":"normal","_key":"bb3ee2e1b94e"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Although the total number of STIs remains high, there was an overall decrease of 1.8% from 2022 to 2023. Gonorrhea cases fell by 7.2%, while chlamydia rates remained stable (change of less than 1%), and total syphilis cases increased by 1%.","_key":"4b51ca6452de0"}],"_type":"block","style":"normal","_key":"fc921d04fd5b"},{"style":"normal","_key":"59e81d751aa6","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"3e6f93764d810"}],"_type":"block"},{"_type":"block","style":"normal","_key":"87c24e855015","markDefs":[],"children":[{"marks":[],"text":"With 601,319 cases reported, gonorrhea was the second most common nationally notifiable STI in the US. in 2023. Following a historic low in 2009, gonorrhea rates rose through 2021 but showed consecutive declines of 9.2% from 2021 to 2022 and 7.7% from 2022 to 2023. 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The rate of P\u0026S syphilis fell by 10.7%, the first significant decline since 2001, with decreases across genders, age groups, and racial/ethnic populations in 41 states plus Washington D.C. However, the rate of unknown duration or late syphilis rose by 12.2%, possibly reflecting delayed diagnoses due to disruptions in STI services during the COVID-19 pandemic.","_key":"a4126ea7744c0"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"ee35156f1aaa","markDefs":[],"children":[{"_key":"a3040e6e4dfd0","_type":"span","marks":[],"text":""}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"MSM accounted for 32.7% of all P\u0026S syphilis cases and 57.5% of cases among men with known sex partners in 2023. 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Additionally, 32.4% of all reported cases of chlamydia, gonorrhea, and P\u0026S syphilis were among non-Hispanic Black or African American individuals, who make up only 12.6% of the US population. 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