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Dr. Yong Poovorawan: Mpox Vaccines Essential Only for High-Risk Groups

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The need for mpox vaccines emerges primarily for individuals in high-risk groups rather than the general population, as declared by a leading virologist. Dr. Yong Poovorawan of Chulalongkorn University’s Faculty of Medicine shared on Facebook this Saturday that vaccination against mpox — recently declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO) due to rising cases in the Democratic Republic of the Congo and spread to neighboring nations — is unnecessary for those outside high-risk groups.

High-risk groups encompass homosexual men, individuals involved in casual sexual activities, and those who have recently traveled to regions where mpox is prevalent. Dr. Yong emphasized that mpox does not spread as easily as Covid-19. Transmission primarily occurs through physical or sexual contact and by sharing a bed, for instance.

Moreover, he pointed out that during its initial stages, mpox is less severe compared to Covid-19. Interestingly, adults and seniors vaccinated against smallpox (typically born before 1980) have a partial immunity against mpox, according to Dr. Yong.

The existing mpox vaccine, while costly, can become more economical by splitting a single dose among up to five individuals, each receiving an intramuscular injection.

Dr. Opass Putcharoen, serving as the acting deputy director of the Thai Red Cross Aids Research Centre (Anonymous Clinic), highlighted that the research center administered 400 doses of the mpox vaccine between March 1 and August 22. There has been a noticeable increase in people registering for vaccinations. Concurring with Dr. Yong, he noted that mpox vaccines are not essential for everyone. For those within the risk groups, two doses are recommended, with the second dose given 28 days after the first.

Those who received the smallpox vaccine don’t necessarily need the mpox vaccine unless they’ve had close contact with an infected individual. In such scenarios, a single dose is advised to boost immunity. Dr. Opass explained that one dose of the mpox vaccine can be administered via subcutaneous injection at 8,500 baht or an intramuscular injection at 2,200 baht.

41 Comments

  1. Karen P August 24, 2024

    Why should we prioritize high-risk groups? Everyone deserves access to vaccines!

    • Tommy Thompson August 24, 2024

      High-risk groups are prioritized because they are most likely to spread the virus. It makes sense to target those who are more vulnerable.

      • Karen P August 24, 2024

        But what if it mutates and spreads more easily? Then we’ll be scrambling to vaccinate everyone.

      • Elaine August 25, 2024

        It’s like focusing fire on the areas most affected first. We can always pivot if things get worse.

    • Eduardo P. August 24, 2024

      The cost issue is also a big factor. We don’t have endless resources.

  2. David L. August 24, 2024

    Shouldn’t everyone have an equal right to protection from diseases, regardless of their risk level?

    • Nina S. August 24, 2024

      The reality is that not everyone needs it right now. It’s about managing resources effectively.

      • David L. August 24, 2024

        But it’s not just about need; it’s about equality and fairness.

      • Max M August 25, 2024

        Public health measures often require difficult prioritization to maximize overall protection.

  3. Xander August 24, 2024

    So, older folks with smallpox vaccines are pretty much safe, right?

    • Jess W. August 24, 2024

      Yeah, but they aren’t completely immune. They should still be cautious, especially if they are at risk.

  4. Samantha A August 24, 2024

    This just shows how underprepared we are! More vaccines should have been available already.

    • Benny August 25, 2024

      How could we have predicted the need for mpox vaccines specifically? Resource allocation is always a challenge.

  5. Joe H. August 25, 2024

    Interesting that the vaccine can be split among five people. That could make it more accessible!

    • Carol D. August 25, 2024

      Isn’t that risky? What if splitting dilutes its effectiveness?

      • Joe H. August 25, 2024

        Dr. Yong mentioned it’s a viable method. If it’s backed by research, we should consider it.

    • Solomon August 25, 2024

      The fact that each dose can be split might be a game-changer for countries with limited resources.

  6. Greg T August 25, 2024

    Why aren’t more people talking about the cost differentiation between intramuscular and subcutaneous injections?

    • Leslie B. August 25, 2024

      Exactly! The intramuscular injection is way cheaper. This should be highlighted.

  7. Helen G August 25, 2024

    Vaccines should be universally accessible; why make it so complicated?

  8. Jaden14 August 25, 2024

    This whole situation is confusing. Why don’t they just make one standard method and distribute it equally?

  9. Michael August 25, 2024

    This smacks of elitism. Why should only ‘high-risk’ groups be prioritized?

    • Fatima K. August 25, 2024

      It’s not elitism. It’s practical. Those at greater risk should get priority.

  10. Olivia W August 25, 2024

    There’s just too much misinformation. We need clear guidelines.

    • Al August 25, 2024

      True, but public health messaging takes time and has to adapt as new data comes in.

  11. Rebecca S. August 25, 2024

    Is 8,500 baht really feasible for most people in high-risk areas?

    • Manny D. August 25, 2024

      That’s a hefty price tag. Governments should subsidize if they want widespread adoption.

  12. Christine M August 25, 2024

    It’s good to know that having the smallpox vaccine offers some protection.

    • Liam R. August 25, 2024

      Yeah, but it doesn’t mean we should be complacent.

  13. Tina August 25, 2024

    I can’t imagine anyone wants to get vaccinated multiple times. Once should be enough!

    • Drake August 25, 2024

      Different diseases require different dosages and schedules. It’s not a one-size-fits-all situation.

    • Tina August 25, 2024

      Still, it feels overwhelming. It’s hard to keep up with all the requirements.

  14. Sebastian August 25, 2024

    The focus on homosexual men seems discriminatory.

    • Jamie August 25, 2024

      It’s based on risk factors, not discrimination. The virus spreads more easily in certain demographics.

    • Sebastian August 25, 2024

      Still, the language needs to be sensitive. It can stigmatize these groups.

  15. Carla August 25, 2024

    So, if mpox isn’t as severe as Covid-19, why is there such a panic?

    • Banker Joe August 25, 2024

      It’s about preventing another public health crisis. Better to nip it in the bud.

  16. Liv August 25, 2024

    Are there any side effects to the vaccine?

    • Oscar G. August 25, 2024

      Every vaccine has potential side effects. It’s all about weighing the risks.

  17. Matt M August 25, 2024

    Why can’t we use mRNA technology to create a faster, cheaper mpox vaccine?

    • Dr. K August 25, 2024

      Research and development for new vaccines take time and funding. It’s not an overnight process.

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