Monkeypox

Situation Update
Solano Public Health, along with the California Department of Public Health (CDPH) and other agencies, are monitoring a growing outbreak of monkeypox cases in the United States and California. The current outbreak has not caused any deaths in the United States and does not pose a risk to the general public.

 Current
Monkeypox Case
Count
*

 17

*case count is total of probable/confirmed cases
*Probable Cases are those with positive polymerase chain reaction (PCR) for Orthopoxvirus that are awaiting confirmatory Monkeypox-specific testing at the Centers for Disease Control and Prevention (CDC) and are extremely likely to be confirmed as Monkeypox; such cases are managed as confirmed cases until confirmed.

Monkeypox is a rare disease that is caused by infection with the monkeypox virus. Monkeypox virus is part of the same family of viruses as variola virus, the virus that causes smallpox. Monkeypox symptoms are similar to smallpox symptoms, but milder, and monkeypox is rarely fatal. Monkeypox is not related to chickenpox. Monkeypox spreads to through prolonged close, personal, often skin-to-skin contact, including sex and kissing. The virus can be spread from the time symptoms start until all sores, including scabs, have healed and a fresh layer of skin has formed. This can take several weeks.

Upcoming Vaccine Clinics

Let's get Vaccinated Solano! Upcoming Monkeypox vaccine clinics available in Fairfield! No appointment needed! Thursday August 11, 2022 from 12-6PM at 1451 Gateway Blvd, Fairfield (Enter through the inside entrance between Icing and Pandora (in the old Forever 21 storefront across from Ulta)).

The vaccine is being prioritized for: 
Post-Exposure Prophylaxis (PEP)++
for individuals with certain risk factors who are more likely to have been recently exposed to monkeypox even if they have not had documented exposure to someone with confirmed monkeypox, such as people who attended an event or venue where there was known monkeypox exposure. If you believe you are part of this group please stop by the vaccination event.

Solano Public Health hosting Monkeypox Vaccine Clinic on Thursday, August 11, 2022 from 12 to 6 PM at 1451 Gateway Blvd, Fairfield CA.

Symptoms:

Monkeypox symptoms usually start within two weeks of exposure to the virus. Initial symptoms are similar to flu (fever, headache, fatigue, swollen lymph nodes), followed by a rash and sores that look similar to herpes sores. The rash or sores may be located on or near the genitals or anus but could also be on other areas like the hands, feet, chest, or face.

  • The sores will go through several stages, including scabs, before healing.
  • The sores can look like pimples or blisters and may be painful or itchy.
  • Sores may be inside the body, including the mouth, vagina, or anus.



Prevention
There are number of ways to prevent the spread of monkeypox, including:

  • Always talking to your sexual partner/s about any recent illness and being aware of new or unexplained sores or rashes on your body or your partner’s body, including on the genitals and anus
  • Avoiding close contact, including sex, with people with symptoms like sores or rashes
  • Avoid sharing the same bed or bed linens as a person with symptoms consistent with monkeypox
  • Practicing good hand hygiene
  • People who become infected should isolate until their symptoms are improving or have gone away completely. Rash should always be well covered until completely healed.
  • Using appropriate personal protective equipment (PPE) (like a mask, gown, and gloves) when caring for others with symptoms
  • Avoiding contact with infected materials contaminated with the virus
  • Avoiding contact with infected animals

Testing
If you have rash or spots that may look like Monkeypox, reach out to your healthcare provider for further testing and evaluation. If you do not have a provider and are seeking to be tested, please call and schedule an appointment with a Federally Qualified Health Center (FQHC). See local FQHCs below:

 Community Medical Center

600 Nut Tree Rd Ste 310
Vacaville, CA

 707 359 1800
 Community Medical Center 
 Dixon Family Practice

131 W A Street Ste 1
Dixon, CA

 707 635 1600

 Family Health Services 
 Fairfield

2201 Courage Dr
Fairfield, CA

 707 784 2010

 Family Health Services
 Vacaville

1119 East Monte Vista Ave
Vacaville, CA

 707 469 4640
 
 Family Health Services
 Vallejo

365 Tuolumne St
Vallejo, CA

 707 553 5509
 
La Clinica de la Raza 
 Great Beginnings

210 Hospital Dr
Vallejo, CA

 707 645 7316
 
La Clinica de la Raza 
 North Vallejo

220 Hospital Dr
Vallejo, CA

 707 641 1900
 
La Clinica de la Raza
 Vallejo Medical

415 Georgia St
Vallejo, CA
 

 707 556 8100


    Until you receive guidance from your provider, you should:

  • Notify people you have been in close contact with or have had sex with and ask them to get evaluated for Post-Exposure Prophylaxis (PEP).
  • Stay home and avoid close contact including sexual or intimate contact.
  • Cover any blisters or skin lesions.
  • Isolate from others and wear a mask if you have to be around others.

    Vaccine Strategies to Prevent Monkeypox
    At this time, the federal government has allocated a limited number of JYNNEOS vaccine doses to Californians. CDPH is working with local health departments to make these doses available to protect against monkeypox. JYNNEOS is licensed for adults 18 years and over. It is administered as a two dose injection series in the upper arm at least four weeks apart. Most people who receive the JYNNEOS vaccine have only minor reactions such as pain, redness, swelling and itching at the injection site. Less commonly, people also may experience muscle pain, headache, fatigue (tiredness), nausea, chills, and fever.

    Due to limited supply, we are prioritizing vaccines to individuals who have been directly exposed to a monkeypox case. We will continue to provide updates on increasing vaccine distribution to include individual with the highest risk of exposure.

    The CDC advises that people who have been exposed to monkeypox be given the vaccine to prevent them from developing the disease. This is called post-exposure prophylaxis or PEP. PEP is most effective at preventing monkeypox if the vaccine is administered within 4 days of exposure. If given between 4–14 days after the date of exposure, vaccination may help reduce symptoms, but may not prevent the infection from developing.
    At this time, the JYNNEOS vaccine is being prioritized for the following groups: 

    • Post-Exposure Prophylaxis (PEP) for known close contacts of monkeypox cases who are identified by public health via case investigation, contact tracing, and risk exposure assessments. 
    • Post-Exposure Prophylaxis (PEP)++ for individuals with certain risk factors who are more likely to have been recently exposed to monkeypox even if they have not had documented exposure to someone with confirmed monkeypox, such as people who attended an event or venue where there was known monkeypox exposure. 
    • Pre-Exposure Prophylaxis (PrEP) for individuals at occupational risk of monkeypox according to Advisory Committee on Immunization Practices (ACIP) guidance, including laboratory workers who perform monkeypox testing

    Requesting Vaccine Allocations (Hospital and Clinic Systems Only)
    Requests for initial and additional doses of Jynneos vaccine should be made via the MHOAC by calling (707) 784-8155 during regular business hours or email [email protected]

    For Providers
    Monkeypox-Specific Health Alerts:

    07-25-2022: SHAN 22-03 Public Health Advisory
    06-27-2022: SHAN 22-02 Public Health Advisory

    Jynneos Vaccine Accountability Form - As of Monday, August 1st, the CDC no longer requires submission of this form and is discontinued

    Tecovirimat (TPOXX) IND Protocol  | For more information, see CDC Clinical Guidance

    Tecovirimat (TPOXX) IND Form

    Confidential Morbidity Report (CMR) specific to Monkeypox


    Resources
    Press Release: Solano Public Health confirms case of Monkeypox
    CDC Monkeypox Updates | Monkeypox: Get the Facts Sheet
    CDPH Monkeypox Q&A | Monkeypox case count in California | Communications Toolkit | Monkeypox Menu of Resources

    Governor Newsom Declares State of Emergency for Monkeypox

    *Please note that this page is being edited and we are adding more information as it becomes available.