Accessing the monkeypox antiviral treatment, tecovirimat, is proving to be challenging with a cumbersome new process.
People with monkeypox face a wide range of symptoms, from mild skin lesions to severe, debilitating pain. And experts have no reliable way yet to predict who will have the worst symptoms., but it's only available from the Strategic National Stockpile at the moment. The FDA approved tecovirimat to treat smallpox in 2018 over concerns that it might be used as a bioterrorism weapon someday.
The slow response to growing monkeypox cases is even more puzzling, Adalja says, because we already had all the tools needed to contain the spread."This should have been a home run after COVID-19: a not very transmissible disease for which we have off-the-shelf vaccines, off-the-shelf antivirals, and diagnostic tests that already existed," he said.Health officials in New York are requesting treatment for the estimated 20% to 25% of patients with monkeypox who meet certain guidelines.
"We've seen many people with symptoms that are so severe that they are unable to go to the bathroom, urinate, or eat without excruciating pain," she said. "We need to take care of entire population, she said. Even if it starts with one group,"it will spread to the rest." "It's just not a response that is adequately urgent for the need to contain this virus," says Jennifer Nuzzo, DrPH, the director of the Pandemic Center at Brown University School of Public Health in Providence, RI.Vaccination also can help prevent monkeypox infection or, if given early enough, prevent severe disease among those who already have monkeypox. But there are challenges there too, experts said.
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