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  • Vaccines Europe is already studying a change in dosage for the monkeypox vaccine due to the shortage of doses

In Spain, cases of monkeypox continue to rise.

According to data from the National Epidemiological Surveillance Network (Renave), as of August 12, a total of

5,719 confirmed cases

have been reported .

This represents

a growth of 25% throughout this month

, since at the end of July there were 4,290.

In addition, it should be noted that two people have already died in our country from complications of the infection.

Of the cases reported in SiViES,

a total of 5,413 are men and 97 are women.

Age ranges from 10 months to 88 years, with a median age of 37 years.

The cases come from 17 autonomous communities, with Madrid being the CCAA with the largest patient registry: 2,094 confirmed cases, according to the weekly epidemiological report of the Community of Madrid, and 1,885 cases are included in the SiViES notification platform.

By highest number of cases, it follows: Catalonia 1,782, Andalusia 674, Valencian Community 353, Basque Country 162, Canary Islands 136, Balearic Islands 134, Galicia 83, Castilla y León 54, Asturias 53, Aragón 53, Castilla-La Mancha 42, Murcia 33, Cantabria 27, Extremadura 22, Navarra 13, and La Rioja 4.

In general, among the patients with clinical information, the main symptoms presented were:

anogenital rash (59.2%), fever (54.3%),

rash in other locations (not anogenital or oral-buccal) (51.3% ) and lymphadenopathy (51.3%).

To know more

Health.

Monkeypox: symptoms, how it is spread and keys to differentiate it from another disease

  • Writing: CRISTINA G. LUCIO |

    PILAR PEREZMadrid

Monkeypox: symptoms, how it is spread and keys to differentiate it from another disease

Regarding the transmission mechanism, 4,231 of 5,510 patients with available information were men who have sex with men.

Health has information on the most likely transmission mechanism in 3,253 cases,

79.8% being through close contact in the context of a sexual relationship

and

8.9% through close non-sexual contact.

VACCINE AVAILABILITY

At the moment,

Spain has more than 12,000 doses against the infection

.

Madrid exceeds 1,900 vaccines administered and Catalonia, 1,345 doses.

Both are the ones that are injecting the bulk, since the rest of the regions do it in drops.

The shortage of vaccines has led the European Medicines Agency (EMA) to study the option of multiplying the doses in each vial by five, as they already do in the US.

Currently, the agency is analyzing the available data on the Imvanex monkeypox vaccine from the Danish Bavarian Nordic in order to make a recommendation on the intradermal use of the vaccine during the current public health emergency and thus modify the current one on July 22.

It should be remembered that

the current administration is carried out only subcutaneously (under the skin)

.

The change he is studying, and which the US has already adopted, is intradermal use (as an injection into the skin), which would require smaller doses and help more people to receive the vaccine.

The change means that the amounts injected decrease from 0.5 ml to 0.1 ml. "Once

the EMA Emergency Working Group has completed the review of the available data, it will issue a recommendation

accordingly," they state from the agency.

From Spain, Health confirmed this week that the Spanish Agency for Medicines and Health Products (Aemps) has urged its European counterpart to give the go-ahead, since it would be a relief to be able to increase the number of people at risk to immunize with current amounts of injectables.

EUROPE AND REST OF THE WORLD

In the rest of Europe, as of August 12, a total of 12,977 infections have been reported, with Germany (3,063), the United Kingdom (2,914), France (2,601), the Netherlands (1,025) and Portugal (770) the most affected in addition to Spain.

Most are young men with a history of relationships in a risky sexual context.

In the rest of the world, as of August 12, a total of 15,668 confirmed cases have been reported in non-endemic countries, including the United States (10,768), Brazil (2,458), Canada (1,008), Peru (653), and Israel (174). ) the most affected countries.

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