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0:22

the latest omagh crime variant be

0:24

a five is the dominant covert

0:26

strain in the us right now as

0:28

much of the country with massless the summer

0:30

the highly twins miscible very it has caused

0:33

another covert search california

0:35

has been experiencing one of the biggest spikes

0:38

in july cases in los angeles went

0:40

up by fifty percent while daily

0:42

kobe deaths doubled new york

0:44

city is also seen a rise in hospitalizations

0:47

and i see you patients as

0:49

cities and states cope with colbert nineteen

0:51

the biden administration is also responding

0:54

to the monkey pox outbreak which is now

0:56

a global health emergency according to the wh

0:58

show will get into that later in the

1:00

shell after the break we start

1:02

with an update on be a size and

1:04

what you should know about this latest covert variant

1:07

i'm jen might we're listening to the one a podcast

1:10

where we get to the search of the story remember

1:12

to have your questions answered questions future shows

1:15

download the when the talks pop up and leave and summer

1:22

sometimes it is to keep up with everything

1:25

going on in american politics the op's

1:27

the downs the ins and outs the decisions

1:29

and policies we get it

1:32

at the npr politics podcast will

1:34

break things down that you can make meaning

1:36

out of all the noise get clarity on

1:38

what decisions are being made and how they matter

1:40

to you every weekday on the npr

1:43

politics podcast

1:45

we're discussing the latest on be a five

1:48

that's the current dominant covert v or it

1:50

string us now is doc they're abercrombie

1:53

and infectious diseases and at stanford

1:55

university welcome back to the program

1:57

thanks to my for me

1:58

the do that a cron you

1:59

on our show back in april when the sub variant

2:02

be a to was the dominant strain of our covert

2:04

cases and now we're dealing with a much

2:06

more trance miscible very at how

2:09

does a number of cases you're seeing now compared

2:11

to the caseload four months ago yeah

2:13

, so you know the caseload now

2:16

has increased again and and kind of leveled

2:18

off at one hundred and twenty two hundred thirty thousand

2:21

around the country i'm for us you

2:23

know in the hospital at least at while there is

2:25

a trickle of cases i would say it's

2:27

not a huge surge the way that it has been

2:30

been earlier on in january although again that

2:32

differs by the city that you ran by the hospital

2:34

the terrain and are just because that's not

2:36

the case at this moment where i'm working doesn't mean

2:38

that it won't be at some point some what

2:41

i will say that as you mention because this

2:43

very and is so transmittable has been

2:45

able to read fact people who

2:47

had prior and saxons i'm

2:49

and because we have no mitigation measures really

2:52

in measures anywhere you know really

2:54

no big upgrades to ventilation or air filtration

2:56

no big upgrades or or any sort

2:59

of policy measures for i'm using high

3:01

full face masks indoors and then

3:03

also are testing infrastructures very different

3:05

now where by a lot of people are doing at home tasks

3:07

or if they're tasks at all it's

3:09

been a little bit tougher it it's the i'd want to say

3:11

the snuck up on us because many many

3:13

health experts have been warning that you know we're

3:15

in an ongoing wave that sort of not

3:18

getting better and could be getting worse ah

3:20

but these sort of strategy i these

3:22

you can say from the federal government's

3:25

side has been a little bit different and as not

3:27

focused on bringing cases down so

3:29

much as fine reduce third the death

3:31

rate on and so that's kind

3:33

of were right now where you know we're

3:35

still seeing a trickle of someplace

3:38

where sing a increases in our hospitalizations

3:41

big increases in i see you compared to just

3:43

seen a weeks to months ago deaths

3:46

are still relatively lower than they abandoned

3:48

earlier parts but you know low as

3:50

they abandoned term and we're having you know several

3:52

hundred deaths per day if you

3:54

thousand per week that's a lot but perhaps

3:57

our perspective on this i has has

3:59

sort of shift

3:59

it over time suited have shifted

4:02

when i hear you say the federal government isn't isn't

4:05

really trying to mitigate spread so much

4:07

as the number

4:08

that's and i should mention the you've pushed

4:10

to keep protocols like mask mandate and accessible

4:12

testing and in place to prevent more surges

4:14

and variant so what do you think about this approach

4:17

wealth i think the reality is that you know few

4:19

thousand deaths today from this is unacceptable

4:22

ah it's it's you know we we know

4:25

every day there's people who are immunocompromised

4:27

people who have high risk family

4:29

, were near them and i

4:31

know that for a lot of people lot of patience

4:34

patience those especially who have to use certain

4:36

areas of was you know like public like

4:39

have to go to crowded settings to

4:41

get to work to get to to groceries

4:44

to do other sort of necessary tasks

4:47

are a lot of people feel like they're just on their own

4:49

where they have to upgrade their masks

4:51

as as much as possible but our we know people

4:53

are getting infected at despite wearing

4:56

high filtration masks if they're in a if crowded

4:58

area where they have to be there

5:00

for long periods of time so having any

5:02

mitigation measure eye is gonna work

5:04

better when but many people are doing it as opposed

5:06

to just a few arm and what is essentially

5:09

putting the bird and back on people that

5:11

that really still are trying to avoid still

5:14

or avoid reinspection because

5:16

they have had their everyone has different circumstances

5:18

in the risk of having circumstances really bad outcome

5:20

happen is very different amongst

5:23

different family map families different communities

5:25

so i don't think that did the strategies

5:28

working right now to say that you know we have

5:30

clinical tools so that if and

5:32

when you tools really when you get sick

5:35

the chance that you die as much much lower than

5:37

before i think people deserve the live

5:39

in a country where we utilize republic

5:41

health infrastructure you we utilize

5:43

the scientific knowledge that we have to

5:46

reduce spread so that people don't have to keep getting infected

5:48

missing work getting long covered

5:51

are potentially having some family members

5:53

are you know even die of this covert

5:56

hospitalization read ruse seventy

5:58

percent in new york city between two the and

6:00

july what does it tell you about

6:02

the severity of the be a siberian it's

6:04

ability to cause severe disease well

6:06

it's has a few things i mean we have to remember were

6:09

also in the background of a very low booster rate

6:11

in this country right lot of people got their primary

6:13

first and second doses did not get

6:15

boosted thereafter arm and we

6:17

know they're you know even if you've gotten boosted

6:20

as some people have required additional boosters

6:22

until we get upgraded vaccines are

6:24

updated vaccines later this year and

6:27

at what that tells me is when you have something

6:29

like kobe which is so trends miscible

6:32

when you have a lot of people infected even

6:34

if a small percentage of those are people

6:36

and up in hospital that still very very large

6:38

number and we've tried to make this point

6:40

over and over again and you know what gets tricky with

6:43

cove it is that there's two factors that

6:45

you think about one is virulence of how severe

6:47

as a virus how severe illness as a cause

6:49

on an individual level and then how

6:51

transmittable as it and cove

6:53

it is somewhere now where a lot of people

6:55

have been in fact in reinfected anything that

6:58

the virulence is not a big deal that the got

7:00

sick but they got better so people

7:02

aren't is worried about it but the trends

7:04

miscibility is such that so many people

7:06

get infected that on a population level you

7:09

see big problems you see high hospitalizations

7:11

you see deaths occurring even

7:13

now so that that's the sort of

7:15

trickiest part know if if people

7:17

that were younger we're getting much much thicker i think

7:19

that that would change people's perceptions of

7:21

best but , you know of course

7:24

that's the case right now now

7:26

administration announced still start offering

7:28

second booster shots to all adults and

7:30

september are right now second chance

7:32

are only available for people fifty and older and those

7:34

who are immuno compromised but president

7:36

biden who's fully vaccinated

7:38

and double boosted still tested

7:41

positive for covert nineteen twice

7:43

so what's the purpose of that second booster second

7:46

well you know the the purposes that

7:48

over time that you're you're

7:50

sort of antibody response wayne's

7:52

are your neutralizing antibodies that you gain

7:54

from getting vaccinated and getting boosted

7:57

the administration's essentially saying okay

8:00

if we get more boosters in than

8:02

, can sort of toward off whatever may be coming

8:04

later this year as people had indoors

8:06

where we seem bigger surges in the winters i'm

8:09

in some parts of the country and we know

8:11

that type more time and has passed since people

8:13

have gotten their first booster so i

8:15

think that's what they have in mind that with that

8:17

being said said know some of the companies

8:20

vaccine companies have updated vaccines

8:22

coming out by villain vaccines which are based

8:25

on older screen of cove it plus and i'm

8:27

a crime a you

8:29

know there's a lot of clinical testing real world

8:31

data that starts to come out on the efficacy

8:34

of these arms and armor this is

8:36

still based on earlier screen of on a crime

8:38

not p five so it remains

8:40

to be seen i'm i'm hoping that these are still quite

8:42

effective relative to not getting

8:44

the booster but you

8:46

know this is the tough part where continuously

8:49

playing catch up on variants why

8:51

, we address this from the source the sources

8:54

that you know that way that this spreads

8:56

is the same and spreads through aerosols that linger

8:58

in the air arm and concentrate close

9:00

to people that are infected we if

9:03

we can get better ways to reduce reduce

9:05

until we get better updated vaccines then

9:08

we get bored off lot of infections we can

9:10

toward off hospice asians and das i

9:12

don't think that there's political will to do it

9:15

i think people are fatigued you know

9:17

as you mentioned know know monkey pox is on the minds

9:19

of lot the public health officials were trying to make sure that doesn't

9:21

gain sure that stronghold here so

9:24

i think our public health infrastructure capacities

9:26

is totally been tested pushed

9:29

to the limits i'm not sure what else they're gonna

9:31

be doing when of the newer treatments

9:33

for kovac nineteen is the anti viral

9:35

till pack slow that's how effective

9:38

is that treatment in what concerns or the around

9:40

rebounding after having to treat yeah

9:43

no i'm really glad that you brought this up so we know

9:45

that paxil there are you know clinical

9:47

data shows that packs of it as a very good job

9:49

of preventing you from getting much more

9:51

sec if you have an infection that we know

9:54

what is unclear right now is that what

9:56

is the true incidence of passive

9:58

in rebound were by someone funny there's or

10:00

their initial course they seemingly get

10:03

better and then there is an increase in

10:05

virus again i'm could it be that

10:07

people who are older have more weakened immune systems

10:09

have a higher incidence of this that's probably likely

10:11

in my mind i'm in so we're seeing this would present

10:14

biden happened now and so he's getting his second

10:16

course but year we need

10:18

to understand is better

10:19

that infectious disease physician

10:22

doctor every crime talking about

10:24

be a five and the latest covert

10:26

surge doctor crime thanks are speaking with us

10:28

thanks so much up next we answer

10:31

your questions about monkey pox

10:33

and the similarities between the public health response

10:35

to the prove it pandemic and this latest

10:37

viral outbreak will be back with more the

10:39

moon

10:46

let's get back to the conversation we have

10:48

an outbreak that has spread around

10:50

the woods rapidly through new

10:52

mode of transmission

10:54

about week we understand to little

10:57

which meets the criteria in

10:59

the international health regulations what

11:02

all of these reasons

11:03

have decided that the global monkey

11:05

pox outbreak represents

11:07

a public health emergency of

11:10

international concern that

11:12

was the head of the world health organization

11:14

announcing the agency is deploying it's highest

11:17

level warning for a new global outbreaks

11:19

monkey pox the cdc has

11:21

identified more than five thousand known

11:23

cases of monkey pox and the us

11:26

the highest number of cases globally public

11:28

health experts are criticizing america's slow

11:30

response to this read the first

11:33

us case was identified in may and the case

11:35

load is now outpacing the rollout of that

11:37

it seems to give us the latest

11:39

on the public health response to monkey pox is

11:41

dan diamond he's dan health policy reporter

11:43

at the washington post and it's always great to have you

11:46

then thank you for having me back still so

11:49

with us is doctor saline counter she's a senior

11:51

fellow an editor at large for public health

11:53

for kaiser health news at the kaiser

11:55

family foundation doctor counter welcome back

11:58

thank you great to be her

11:59

the which start with the basic

12:02

sector counter how does the monkey

12:04

pox virus operate

12:06

the monkey pox as a virus is a distant

12:08

cousin of smallpox it is not

12:11

nearly as deadly as smallpox

12:13

but it can cause extremely

12:15

painful lesions are currently

12:18

the virus is spreading at most actively among

12:21

gay , bisexual men as well

12:23

as trans women many of these lesions

12:26

are insensitive parts of the body such

12:28

as inside the mouse the genitalia and

12:30

the enos and those can be extremely painful

12:33

monkey pox can also be deadly and certain populations

12:36

and particular pregnant women newborns

12:38

various a young kids as well as the immunocompromised

12:42

outside

12:42

the lesions when other symptoms are associated

12:45

with the virus

12:46

the people was an experience fevers

12:48

their sievers may start before or

12:50

after the skin lesions swollen

12:53

lymph nodes are so for example in the next

12:55

the armpit in the groin are also

12:57

a typical of this by think five

13:00

far as a symptom that people

13:02

are complaining about the most is extreme

13:04

pain with these lesions to

13:06

the point where some people need to be hospitalized

13:09

just for pain control with i the pain

13:11

medication and how long does

13:13

the virus and qb before

13:14

symptoms appear

13:16

i on average just

13:18

, two weeks ah but it can

13:20

take up to three weeks for the virus

13:23

to incubate and then once

13:25

somebody has lesions it can take between

13:27

two and four weeks for them to recover

13:30

which does complicate things like isolation

13:32

if somebody is trying to isolate themselves

13:34

was to prevent spread to other two

13:37

to four weeks as a really long time for somebody

13:39

to be away from worker away from school

13:42

and unfortunately we don't have safety net

13:44

to help those people are some people asymptomatic

13:47

curious of the virus program to this

13:49

is a very important question and we don't

13:51

have and good answer to that answer also don't have also

13:53

good answer as to whether or other

13:55

bodily fluids are for example

13:57

see men or urine

14:00

or feces your blood can transmit

14:02

to other people there's a lot that we're still

14:04

trying to figure out and as quickly as we

14:06

can now this disease already

14:08

existed

14:09

the in an infected people in west

14:11

and central africa what's

14:13

different about the way it's spreading

14:16

other countries compared to the us

14:18

doctor counter

14:19

the originally we saw this largely

14:21

and children children who might

14:23

have come into contact with wild animals

14:26

a monkey pox is called monkey pox that rodents

14:28

are probably the primary host and

14:30

then you might as had a

14:33

little bit of household transmission but

14:36

these things kind of petered out they didn't

14:38

continue spreading and then sometime around

14:41

twenty seventeen twenty started to

14:43

see a big increase in cases increase nigeria

14:46

among men between their twenties and forties

14:49

and what we're realizing now realizing retrospect

14:51

is likely this was spillover of the

14:53

virus into a communities

14:56

the in nigeria gay sex

14:58

is illegal and so you can imagine

15:01

if you have reasons that you suspect might

15:03

be related to i your sexual

15:05

activities you may not go see a

15:07

doctor for care because

15:09

you're afraid of criminal action being taken

15:11

against

15:11

then what steps as the by did administration

15:14

taken so far to control the outbreak one

15:16

arguments and would be that about administration hasn't

15:19

done enough though i think things have picked

15:21

up in recent weeks the move

15:23

that has gotten a lot of attention by

15:26

the administration has ordered

15:28

and and acquired more than a million doses of

15:30

with called genius it is the only

15:32

vaccine that is approved by

15:34

the federal of the food and drug administration

15:37

ft a to inoculate

15:39

against monkey pox there

15:41

also are hundreds of millions

15:43

or more than more than million doses of an order vaccine

15:46

a camp two thousand in the federal

15:48

stockpile that could be used though

15:50

that vaccine is approved for smallpox

15:52

or we do have that on hand as well

15:55

the by an administration has made testing more available

15:58

in recent weeks at the beginning of the out break

16:00

it was far more limited which made it

16:02

harder to pick up cases the biden

16:04

administration is also tried to ease access

16:07

to treatment called tea pots though

16:09

i will say i'm still hearing from

16:11

the shins and patients who are running into

16:13

iraq or seen paperwork around prescribing

16:16

metroid we got this

16:18

question from michael and friend who

16:20

ask who ask contract monkey pox and toilet

16:22

seats are gym equipment doctor

16:25

down

16:26

i think that's highly unlikely

16:29

we have seen murcia

16:31

and more which is as fast

16:33

as resistance a certain antibiotics be

16:36

transmitted in gyms are

16:38

on wrestling teams for example but

16:40

we really haven't seen evidence that this can

16:42

happen with monkey pox at least so far

16:45

i think the just in general there's a

16:47

reason they have those wipes for you at the gym

16:49

which is to wipe down your equipment before and

16:51

after use and and if you do that i think

16:53

you you really can have peace of mind

16:55

founder let's go back to her voice mail

16:57

box here's a question we got from jackson

16:59

in north carolina as carolina lgbt

17:02

person how do you think the

17:04

monkey pox

17:05

outbreak is similar to the aids

17:07

epidemic in the way it's being treated

17:10

in the men having sex with men community

17:13

especially around new york and

17:15

how might that be used against

17:18

the men who have sex with men community

17:20

in the future or a two hander first remind

17:23

us what was the us public health response

17:25

to the nineteen eighties aids epidemic

17:27

it was one of fear of cigarettes

17:30

is a sin you had president

17:32

reagan at the time who wouldn't even

17:34

talk about it it was made fun

17:36

of in presidential press briefings

17:40

you know this will be very stigmatizing situation

17:42

and there is good reason for people to be afraid

17:45

of the same ah i certainly

17:47

could understand a piece of my not wanting to disclose

17:50

their diagnosis to

17:52

an employer for example so

17:55

unfortunately it's some of that has not changed

17:58

as i think one

17:59

the goal difference between hiv

18:02

and monkey pox that leads from a medical perspective

18:05

hiv is not curable and

18:07

so it's a lifelong and section monkey pox

18:10

is an acute infection you do recover

18:13

you will get to the point where you're no longer

18:15

infectious and that does have

18:17

very important implications for how

18:19

it spread with hiv you could be

18:21

monogamous with monogamous single partner

18:23

and then change partners over time but

18:25

have only one partner any one time when

18:28

monkey pox you really need to have multiple partners

18:30

around the same time to see

18:33

in what have you observed in and

18:35

around the messaging that the public health

18:37

messaging around the monkey pox outbreak

18:40

and how perhaps it mirrors some of what

18:42

we saw in the eighth response

18:44

the and my colleague at the post phenom europe

18:46

all had a great story recently on a monkey

18:48

pox has as try

18:51

to navigate a public health experts have tried

18:53

to navigate but the need to warn

18:55

but the need not to stigmatize the

18:57

gay community and also all

18:59

the cracks in the u s health systems even

19:01

in the gay community were well off gay men

19:04

may be able to get quick access

19:06

to treatment might be able to snap

19:08

up the vaccine appointments and then the

19:10

uninsured gay , were

19:13

men who are more a me margins unable

19:15

to get access to care and i think

19:17

that is away the we are seeing a replace

19:20

them with happened with earlier diseases really hiv

19:22

aids and others more recently

19:24

do that again under we're

19:27

over two years into

19:30

the coded pandemic we're now

19:32

looking at the monkey pox outbreak and

19:34

i just wonder from from a public health perspective

19:37

how your reflecting on we're

19:40

we are as a nation and

19:43

and our public school systems are messaging

19:46

how we're supporting americans and moving through these kinds

19:48

of crises

19:49

i think the country has not learned

19:52

the lessons of covered and it's not public

19:54

health officials you know doctors like

19:56

me it's not dan diamond at the washington

19:58

post who is not learn these we know

20:00

what the problems are but it requires

20:03

congress recognizing this is a priority

20:05

allocating sunday it requires

20:08

local officials doing the same allocating

20:10

funding and resources and scaling

20:12

up staffing and a sustained way

20:14

not just this boom and bust

20:17

cycle of public health funding and

20:19

it requires just the general public

20:21

to say look public health as a priority

20:23

and to let their elected officials know

20:25

and i just don't see that kind of advocacy

20:29

happening at this

20:30

here's a voicemail we got from caleb

20:32

in cincinnati i'm just confused

20:35

as to why vaccines aren't widely available

20:37

yet the vaccine seems to me

20:39

to be similar to the smallpox vaccine

20:42

immorality to monkey pox vaccine

20:44

that we have international stock pile so

20:46

why how the vaccines

20:49

become widely available you ,

20:51

like we roll out with cove it it

20:53

like monkey pox vaccines are only available

20:56

in larger cities like chicago los

20:58

angeles for york and

21:00

monkey pox is affecting almost all fifty

21:02

states with his point

21:04

do you know how widely available

21:06

are these vaccines the ,

21:08

has unlimited supply of juniors

21:11

this is again the only vaccine approved

21:13

by the f t a to specifically protect

21:15

against monkey pox that one

21:17

point one million doses total

21:20

and that supposed to be given out in

21:22

a two shot regimen so that covers

21:24

if you just do the math about five hundred and fifty thousand

21:26

people but the cdc

21:28

has figured that has figured one

21:31

point six million people should

21:33

be vaccinated to that would include people who might

21:35

have been exposed to monkey pox gay and bisexual

21:37

men who have had multiple sexual partners and

21:40

they're they're allocating those doses around

21:42

the country but if you think about that mass

21:44

it just doesn't work five hundred fifty thousand

21:46

people are totally protected one

21:50

point six million people in the population

21:53

so that has led to significant

21:55

shortage and places like philadelphia

21:58

only having in the south

21:59

the doses for a population that is

22:02

much larger as a result

22:04

of our cities like washington new york

22:06

city saying that they'll give our windows

22:09

for now not now not on the second dose

22:11

just to try and stress supply as much as

22:13

possible as the color alluded to there

22:16

is the second vaccine hm

22:18

two thousand the been approved for

22:20

smallpox which is related virus would

22:23

offer good protection against monkey pox to

22:25

but dad vaccine is hard to

22:28

administer really strongly harder than genius

22:30

requires a number of quick jabs i can draw

22:32

blood at an of doctor founders had

22:34

to administer before the my understanding is you need

22:36

a bit of extra training to risk for competitions

22:39

as fire with a ten two thousand relies

22:42

on a weekend live virus

22:44

that could actually lead to infection not

22:46

properly managed and given all the fears

22:48

over vaccine hesitancy the past few years jan

22:51

i knew health officials who don't

22:53

want to give out a chem two thousand and if they can help

22:55

it over worries that i could somehow backfire

22:57

in the public eye

22:59

washington d c has the most cases

23:02

of monkey pox per capita in the us and

23:04

their health departments recently changed it's

23:06

vaccine policy to prioritize giving out the first

23:08

dose to those most at risk of infection

23:10

steers dc epidemiologist doctor

23:13

anil meng law on that strategy

23:15

it is possible to restrain and stop

23:17

monkey pox time and the availability

23:20

of vaccines is of essence

23:22

the model we have implemented to control

23:24

the outbreak in d c is to be

23:26

aggressive in administrating these

23:28

vaccines in the arms of individuals

23:31

that i had high risk rather than

23:33

having these doses stored in the refrigerator

23:37

or , monkey pox virus rarely mutate

23:40

and the vaccines are eighty five percent

23:42

effective these qualities

23:44

of qualities advantage in public health

23:47

and let's utilize them to our advantage

23:50

the doctor mainland noted monkey pox

23:52

really need a seductive founders what

23:54

does that mean for those who get that first

23:57

shot but are gonna have

23:59

to put up the second those two to try to make the

24:01

vaccine go farther

24:02

will be so what we've seen in there haven't been

24:04

a ton of studies on us that i'm

24:06

probably the best was i'm a

24:09

study looking at the effectiveness of monkey pox

24:11

ah in nonhuman primates

24:14

as well as some lab markers and

24:16

this is published in the new england journal a couple years

24:18

ago based on those studies your

24:20

antibody levels are quite

24:23

, even after the sex the sexy

24:25

the first dose ah it's release

24:28

have more durable

24:30

durable slightly stronger i'm in a by

24:33

your responses that you give the second dose it

24:35

is very reasonable to spread out

24:38

the first and second doses by two

24:40

to three month but it is a situation

24:42

in which it hasn't been assessed

24:44

formally on the f the it has not

24:46

approved that formally and the city's

24:48

is not going to override the sta but

24:51

you do have some local jurisdictions

24:53

like new york and dc that are doing

24:55

something very reasonable in order to get more

24:57

people vaccinated it with at least one dose

24:59

did have you heard of any plans

25:01

the ramp up production and distribution

25:03

of the generals vaccine there

25:06

are plans under wage and to try and find

25:08

a us manufacturing partner to

25:10

produce more of these doses the

25:12

right now we're relying on degeneres

25:15

manufacturer bavarian nordic it's located

25:18

in denmark this reared it's head recently

25:20

you may have seemed the stories about the doses

25:23

there were stuck over and denmark waiting for

25:25

federal inspection for some weeks and

25:28

dad that manufacturer is facing

25:30

heavy demand from around the world the us is

25:32

not the only countries trying to buy up

25:34

these doses so as of right now

25:36

we're not expecting any more genius

25:39

doses to com until october

25:41

that means we're heading into the next

25:43

three months with the vaccine supply

25:46

we likely as

25:48

let's go back to our voice mailbox

25:50

my husband and i are getting our monkey pox

25:52

vaccine next week or

25:55

question is

25:56

their side effects or reactions

25:58

that are more or less

25:59

com and net we should expect to look out

26:02

for started

26:03

wonder what can you tell him the other side effects

26:05

you pretty typical of i'm any vaccination

26:07

really arm you can get a fever

26:09

after any vaccination that's really find

26:11

that your immune system is rubbing up and

26:14

responding , the vaccination are

26:17

you might have some pain at the injection

26:19

site but beyond that you know

26:21

people than tolerating the monkey

26:23

pox tennis or best nations quite

26:25

well

26:26

jose asks after someone

26:28

gets monkey pox are the immune doctor

26:30

down to are they

26:31

yeah i'm and we saw the same thing

26:33

with smallpox of an infection

26:35

with monkey pox for smallpox does confer

26:38

immunity whether it's lifelong

26:40

immunity that was the

26:43

teaching with smallpox once you had it you

26:45

wouldn't get it again but this hasn't

26:47

been formally studied with monkey pox and

26:50

is i think he will see studies on that

26:52

we also got this tweet from ileana

26:55

d you who mentions that there have been cases

26:57

of women and children contracting

27:00

monkey pox dan is that something you've been tracking

27:03

there have been some spillover cases janitor

27:06

almost certainly cases that were not picking up

27:08

because they're either now being tested

27:11

for where people are been misdiagnosed

27:13

but we do know that always two children

27:16

have been confirmed for monkey pox in the us

27:19

and us and woman that was confirmed as well last

27:21

week and actor gander what do we know about how

27:23

those infections are spreading

27:25

well this has been seen

27:27

in prior outbreaks we have

27:29

not seen further

27:31

, so that pregnant woman

27:33

had a healthy baby we know

27:36

however that in not

27:38

for example the congo worth of there have been

27:40

a series of pregnant women who

27:42

had monkey pox studied some

27:45

of those when and miss carried some of them had

27:47

stillbirth the that is a very

27:49

high risk situation pregnancy

27:52

the two kids are to my knowledge

27:54

doing fine ah and did not transmit

27:56

on where to others

27:57

the biden administration is not

27:59

a the federal public health emergency

28:02

but san francisco and new york have declared them

28:04

locally if president

28:06

biden does announce a public health

28:08

emergency how would that change the public health response

28:10

to monkey pox starts to counter

28:13

well it would potentially

28:15

free up additional funds arm

28:18

but those sources

28:20

of fun i'm pretty happy held whole

28:22

ready on and we haven't

28:25

seen any interest from congress to replenish

28:28

covered , fun public health

28:30

plans so that's gonna be of limited

28:32

help i think we're at the biggest implications

28:34

might be are for the fcs

28:37

in terms of how they authorize tests

28:40

in terms of how they authorize the

28:42

serve sage in sage vaccine

28:45

perhaps and broader populations or

28:47

the use of tea pots the treatment on

28:50

it so there it so be some impact

28:52

there we , this tweet from

28:54

jamie who says is a retired public health

28:56

worker i was involved and hiv aids

28:58

we have to have boots on the ground with

29:01

prevention and treatment messages in

29:03

the high risk communities they

29:05

and you reported on the similarities between

29:07

the public health response to monkey pox and

29:09

the early stages of the cove it pandemic

29:12

what similarities are you seen

29:14

the edge and i was a story did with my colleagues when

29:16

a son and fan europe all and i think what we saw

29:18

this was this was more than a month ago now and it's

29:20

only persisted the speed

29:23

of the response at the federal level was

29:26

lacking the ability to

29:28

make testing and more rapidly available

29:31

didn't happen with cove it didn't happen

29:33

initially with monkey pox be concerns

29:36

that the federal bureaucracy wasn't cutting

29:38

through red tape enough on these treatments like

29:40

he box again that continues

29:42

for some patients and physicians i

29:44

think it is significantly different monkey

29:47

pox is unknown virus

29:49

we do have as they say in the by

29:51

the administration we have the tools to fight it

29:53

but the question has been a we may lose

29:55

tools as accessible as quickly

29:58

as we can and just

29:59

liquid ovid monkey pox spread

30:02

more rapidly than federal officials were expecting

30:05

so now we're playing catch up just like

30:07

with cove it and twenty twenty that ,

30:09

time and he's how policy reporter for the washington

30:11

post also with us doctor so encountered

30:14

a senior fellow an editor at large for public

30:16

health for kaiser health news at the kaiser family

30:18

foundation actor counter dance

30:20

thinks you're speaking with us the also

30:22

heard from doctor abroad for on an

30:24

infectious disease physicians it's stanford university

30:28

university producer for sophia alvarez kuwait

30:30

this prevent you from w a give

30:32

you prove american university in washington

30:35

distributed by and few times

30:37

and might be for listening and you see if

30:40

is he

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