Monkeypox a new worry for gay and bi men

[+ glutes]

50 minutes ago, Luv2play said:

That link doesn't deal with the two deaths. 

It is in the link I clicked on:

Two monkeypox patients who died in Spain after developing brain swelling did not have compromised immune systems or chronic illnesses according to a report by the country's Ministry of Health.

Two monkeypox-related deaths were reported from Spain on July 29 and 30, marking what were reported to be the first monkeypox deaths in Europe in the current outbreak.

The men who died were aged 44 and 31. The deaths occurred in Valencia and Andalusia, which are two of the of the five most-affected regions of Spain in terms of monkeypox cases. Newsweek has contact Spain's Ministry of Health for comment

In the report, Jado states that neither man had associated risk factors. They were not immunocompromised and had no other chronic diseases. The patients also did not have an epidemiological link to one another.

[Dartaskan]

On 8/5/2022 at 5:05 PM, JUWS said:

I got my 1st shot in NYC Saturday July 30th. The injection site has been swollen since then, 1 week. Has anyone else had any reactions with prolonged swelling, rash, pimples etc?  I have an appointment with my doc on Monday, but just wondering if anyone else experiencing anything?

I got my first shot in August 3rd and the nurse said the swelling at the site could last 2-3 weeks. I have a pimple at the injection site and noticeable swelling. If I keep my arm in the same position too long it can be slightly uncomfortable. Then again it's nothing too painful and I would rather deal with this than to get the disease. 

I had done a smallpox vaccine study in 2002. I also mentioned that to the nurse and had marked it on my form. She said they were not treating anyone different based on being vaccinated as a child (51ish and older) or those vaccinated as adults (healthcare, first responders, military or study participants). This was Maricopa County, AZ (Phoenix). 

[kingsley88]

Here's an interview of the first monkeypox patient in Riverside County, CA.  

 

[kingsley88]

Another patient interview. His advise is if you have been exposed, to try your best to get a vaccine.

 

[JUWS]

3 hours ago, Dartaskan said:

I got my first shot in August 3rd and the nurse said the swelling at the site could last 2-3 weeks. I have a pimple at the injection site and noticeable swelling. If I keep my arm in the same position too long it can be slightly uncomfortable. Then again it's nothing too painful and I would rather deal with this than to get the disease. 

I had done a smallpox vaccine study in 2002. I also mentioned that to the nurse and had marked it on my form. She said they were not treating anyone different based on being vaccinated as a child (51ish and older) or those vaccinated as adults (healthcare, first responders, military or study participants). This was Maricopa County, AZ (Phoenix). 

Thanks for your reply. When I posted on Friday 8/5 I too had 2 "pimples' near to injection site; 1 small big white head looking like it could pop, and the other about 1/2 inch from injection site 1/4 inch round "puffy clear looking boil" as opposed to white head pimple. This morning, 2 days later, they both are almost gone! I guess this must be new side effects that should be posted by CDC and the like, because  I could find nothing listed only the other possible side effects, and it was very frustrating not knowing. Seeing an ID doc tomorrow just in case and also so they can notate add to data and pass this on so other docs and patients can know.

[+ Lucky]

Horrifying story of SF man who had so much trouble with medical help:

From sfchronicle.com:Two days after Kevin Kwong flew home to California from New York, his hands itched so badly, the pain jolted him from sleep. He thought the problem was eczema.

“Everything started rapidly getting worse,” the Emeryville resident said. “I started to get more spots, on my face, more redness and they started leaking fluid. The rash expanded to my elbows and my hands and my ankles.”

It took Kwong, 33, six virtual appointments with doctors and nurses, one call to a nurse hotline, a trip to an urgent care clinic, two emergency room visits, and two incorrect diagnoses before an infectious disease specialist diagnosed him with monkeypox in early July.

Despite taking two tests, he never tested positive.

More: https://www.sfchronicle.com/bayarea/article/emeryville-man-monkeypox-diagnosis-17355303.php

[SirBillybob]

Preprint from France just dropped. MPXV PEP and breakthrough cases. Maddeningly, there were 2 SPXV-vaccinated cases (obviously historically, and they received the single MVA-BN dose in this study) but the researchers did not specify them within the individual list of the 12 cases in terms of timing of exposure/dose/infection. It appears that many of the breakthrough cases received PEP too late to offset infection following exposure. 

https://www.medrxiv.org/content/10.1101/2022.08.03.22278233v1.full.pdf

Edited August 7, 2022 by SirBillybob

[+ glutes]

Sex pods? Long sleeves? Californians try to cut monkeypox risk while waiting for shots.

https://www.latimes.com/california/story/2022-08-07/california-vaccine-wait-cut-monkeypox-risk

[Tactile Daddy]

[tsgarp]

Has there been any data on asymptomatic transmission?

[SirBillybob]

Montreal reports 39 breakthrough cases of MPXV within 15,300 mostly single-dose recent MVA-BN recipients. It does not tell us much as any or all cases may have simply been vaccinated too late following an exposure, and the proportion of those vaccinated that would have high behavioural exposure risk is not known. 

I cannot get a clearer slide for the histogram. Y-axis is number of persons (0-5) for each day following vaccination. X-axis is number of days up to symptom emergence following vaccination. Mostly confirmed cases (blue); a few probable (orange). 

[Bacon]

On 7/30/2022 at 12:12 AM, jeezopete said:

And then there's Florida....

Here's the plan for the vaccine:

Phase 1

• Laboratory and select health care personnel at high risk for exposure.
• Close contacts of monkeypox cases.
• HIV-diagnosed "MSM" who have a CD4 lymphocyte count under 200 and had a potential exposure to monkeypox.
• "MSM" who have a recent history of an sexually transmitted infection.

Phase 2

• All HIV-diagnosed MSM with potential exposure, regardless of CD4 count.

Phase 3

• All "MSM."
• Other high-risk groups.

The phases are additive, meaning the pool of eligible groups does not change, it only expands.

Full article:  https://wusfnews.wusf.usf.edu/health-news-florida/2022-07-29/monkeypox-how-florida-will-roll-out-vaccine

Interesting article, but either that phased approach is months old in Florida or localities aren’t following. By all accounts I fall into phase 3. A friend sent me a signup notice the week of July 18th, and I was vaccinated on the 22nd. No eligibility criteria were discussed. 
 

But I still have questions. The vaccine is being used for both pre- and post- exposures, some jurisdictions are forgoing the second dose in the short term and now I read media reports that the efficacy is based on limited date and the usefulness is unknown. Thankful I was vaccinated but the paranoia will remain for a while.

[+ jeezopete]

11 minutes ago, Bacon said:

Interesting article, but either that phased approach is months old in Florida or localities aren’t following. By all accounts I fall into phase 3. A friend sent me a signup notice the week of July 18th, and I was vaccinated on the 22nd.

I just went back & checked the original article. It was published on July 29, so I’m guessing you were fortunate to get vaccinated before the plan went into effect. Like you, I’m part of the phase 3 group so I may see if I can get an appointment, but I’m not hopeful at this time.

[+ Lucky]

I've been reading about what happens to guys who think that they are infected and seek help. The answer is nothing much!

For example: https://www.ebar.com/story.php?ch=news&sc=news&id=317808

[Luv2play]

13 hours ago, Lucky said:

I've been reading about what happens to guys who think that they are infected and seek help. The answer is nothing much!

For example: https://www.ebar.com/story.php?ch=news&sc=news&id=317808

Depressing reading. 

[JUWS]

On 8/7/2022 at 9:22 AM, JUWS said:

Thanks for your reply. When I posted on Friday 8/5 I too had 2 "pimples' near to injection site; 1 small big white head looking like it could pop, and the other about 1/2 inch from injection site 1/4 inch round "puffy clear looking boil" as opposed to white head pimple. This morning, 2 days later, they both are almost gone! I guess this must be new side effects that should be posted by CDC and the like, because  I could find nothing listed only the other possible side effects, and it was very frustrating not knowing. Seeing an ID doc tomorrow just in case and also so they can notate add to data and pass this on so other docs and patients can know.

UPDATE; Saw my ID doc who said this was definitely reaction to the vaccine and not to worry! Plus they have disappeared after 2 days! No more have shown up and no other symptoms.

[Tactile Daddy]

Fascinating article in the WSJ Re the current spread of Monkeypox 

 

https://www.wsj.com/articles/monkeypox-likely-circulated-for-years-before-outbreak-scientists-think-11660036465

[Jim_n_NYC]

Went to a dermatologist yesterday for a skin scan (had skin cancer recently and need to do that now) and I brought up Monkey Pox to the doctor.  She said she didn't really know that much about it and it wasn't on her radar.  I was pretty surprised since this disease manifests in the skin, you would think all 'derms' would versed on it.  But she has lots of botox ads in her office and I think she deals with a lot of women who aren't that tuned into the MP epidemic yet.

[+ Bryan Dube]

Has there been any word on second shots? i'm coming up on my 28 days soon, and was just wondering if others have had a chance to get it yet? not even sure if they are giving them yet.

[padel412]

1 hour ago, Bryan Dube said:

Has there been any word on second shots? i'm coming up on my 28 days soon, and was just wondering if others have had a chance to get it yet? not even sure if they are giving them yet.

Where are you located? It’s going to vary based on state/jurisdiction in US… in Canada as I understand it nobody is doing 2nd shots yet.

[+ Bryan Dube]

i'm in either LA or SF. go back and forth between the two. 

[+ FrankR]

2 hours ago, Bryan Dube said:

Has there been any word on second shots? i'm coming up on my 28 days soon, and was just wondering if others have had a chance to get it yet? not even sure if they are giving them yet.

I doubt you should expect a second dose any time soon, given that they are trying to stretch the existing supply to get more people a first dose…

From CNN:

“The Biden administration is set to announce a new emergency declaration as early as Tuesday afternoon that would enable providers to inject one-fifth of the currently authorized dose into the skin, rather than a full dose into underlying fat.”

Edited August 9, 2022 by FrankR

[KeepItReal]

47 minutes ago, FrankR said:

I doubt you should expect a second dose any time soon, given that they are trying to stretch the existing supply to get more people a first dose…

From CNN:

“The Biden administration is set to announce a new emergency declaration as early as Tuesday afternoon that would enable providers to inject one-fifth of the currently authorized dose into the skin, rather than a full dose into underlying fat.”

Wait... are they calling me FAT?? 🤭 

My "underlying fat" is none of their business!! 😆

[Tactile Daddy]

Dr Carlton, the Butt Doctor from Instagram & Dr Demetre, White House Monkeypox Response Coordinator will be holding a live panel at 530pm PST, 830PM. 

https://www.instagram.com/p/ChFQnMFrB1K/?igshid=YmMyMTA2M2Y=

[nate_sf]

Just got my first vaccine at SF General. The line was not too long, and the whole operation was very well run. I arrived at 11 am and was out of there in about 40 minutes total. I'd expected it to be a shit-show, but I gotta hand it to them they've got the process down.