Monkeypox isn’t going to be the next COVID-19. However, the U.S. declared monkeypox a national public health emergency on August 4, 2022, after the outbreak bloomed to thousands of infections, with cases in nearly every state. One reason health experts didn’t expect monkeypox to become so widespread is that the U.S. had previously approved two vaccines for the virus. Maureen Ferran, a virologist at Rochester Institute of Technology, has been keeping tabs on the two vaccines that can protect against monkeypox.
Two vaccines are currently approved in the U.S. that can provide protection against monkeypox. One is the Jynneos vaccine – known as Imvamune/Imvanex in Europe – and the other is ACAM2000, an older smallpox vaccine.
The Jynneos vaccine is produced by a small company in Denmark called Bavarian Nordic. The vaccine is for the prevention of smallpox and monkeypox disease in adults ages 18 and older who are at high risk for infection with either virus. It was approved in Europe in 2013 and by the U.S. Food and Drug Administration in 2019.
Given in two doses four weeks apart, the Jynneos vaccine contains a live vaccinia virus. Vaccinia normally infects cattle and is a type of poxvirus, a family of viruses that includes smallpox and monkeypox. The virus in this vaccine has been attenuated – or crippled – so that it is no longer able to replicate in cells.
This vaccine is good at protecting those who are at high risk for monkeypox from getting infected before exposure. It can also lessen the severity of disease post-infection. It is known to be effective against smallpox as well as monkeypox. Until the recent monkeypox outbreak, this vaccine was primarily given to health care workers or people who have had confirmed or suspected monkeypox exposure.
The ACAM2000 vaccine was approved by the FDA in 2007 for protection against smallpox disease. This vaccine is also based on vaccinia virus, but the version of the vaccinia virus in the ACAM2000 vaccine is able to replicate in a person’s cells. Because of this, the ACAM2000 vaccine can be associated with serious side effects. These can include severe skin infections as well as potentially life-threatening heart problems in vulnerable people. Another potential issue with the ACAM2000 vaccine is that it is more complicated to administer compared to a normal shot.
The U.S. government has over 200 million doses of ACAM2000 stockpiled in case of a biological weapon attack of smallpox. However, despite the adequate supply of the vaccine, ACAM2000 is not being used to vaccinate against monkeypox because of the risk of serious adverse side effects. At this time, only designated U.S. military personnel and laboratory researchers who work with certain poxviruses may receive this vaccine.
According to the U.S. Centers for Disease Control (CDC), there is not yet any data available on the effectiveness of either vaccine in the current outbreak of monkeypox. However, there is older data available from animal studies, clinical trials, and studies in Africa.
A number of clinical trials done during the approval process for the Jynneos vaccine show that when given to a person, it triggers a strong antibody response on par with the ACAM2000 vaccine. An additional study done in nonhuman primates showed that vaccinated animals that were infected with monkeypox survived 80% to 100% of the time, compared with zero to 40% survival in unvaccinated animals.
Another use of the Jynneos vaccine is as a post-exposure prophylaxis, or PEP. This means the vaccine can be effective even when given after exposure to the virus. Because the monkeypox virus incubates in a person’s body for six to 14 days, the body of someone who gets the Jynneos vaccine shortly after being exposed will produce antibodies that can help fight off infection and protect against a serious monkeypox case.
The ACAM2000 data is older and less precise but shows strong protection. Researchers tested the vaccine during an outbreak of monkeypox in central Africa in the 1980s. Although the study was small and didn’t directly test vaccine efficacy, the authors concluded that unvaccinated people faced an 85% higher risk of being infected than vaccinated people.
According to the CDC, a previous smallpox vaccination provides some protection against monkeypox, although that protection wanes over time. Experts advise that anyone who had the smallpox vaccine more than three years ago and is at increased risk for monkeypox should get the monkeypox vaccine.
At the national level, anyone who has had close contact with an infected person, who has a weakened immune system, or who had dermatitis or eczema is eligible for a Jynneos vaccine.
Some state and local governments are also making vaccines available to people in communities at higher risk for monkeypox. For example, New York City is allowing men who have sex with men and who have had multiple sexual partners in the past 14 days to get vaccinated.
As of July 29, 2022, a little over 300,000 doses have been shipped to points of care or administered. Another 700,000 have already been allocated to states across the U.S. However, demand is far outpacing supply. Public health officials acknowledge that vaccine supply shortages have resulted in long lines and clinics having to close when they run out of vaccines. The issues have been magnified by technical problems with online booking systems, particularly in New York City.
To help boost supply, the U.S. has ordered nearly 7 million doses of the Jynneos vaccine, which are expected to arrive over the coming months.
Although federal health officials advise against withholding the second dose, some places – including Washington, D.C., and New York City – are withholding the second dose until more become available. This strategy is being used in Britain and Canada as well to vaccinate as many people as possible at least one time.
A previous study reported that a single shot of the Jynneos vaccine protected monkeys infected with monkeypox and that this protection lasted for at least two years. If this holds up in the real world, it would support withholding second doses in favor of immunizing more Americans. This would be key as many health experts expect the virus to continue spreading, further increasing demand for the vaccine.
Written by Maureen Ferran, Associate Professor of Biology, Rochester Institute of Technology.
This article was first published in The Conversation.
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