Jump to content

Mpox Re-emerging in Toronto


Luv2play

Recommended Posts

Today’s Globe & Mail reports that 21 new cases of mpox have been reported in Toronto since the start of 2024 compared to only 27 in all of last year. Only 2 of these involved international travel. Again men who have sex with men are the ones contracting the disease. 
Health officials said only 16 percent of those who got vaccinated in 2022 received a second dose. Two vaccinations 28 days apart was the recommended dosage. 

There have been smaller outbreaks in Ottawa and New York but less so in Montreal. In 2022 Montreal was the Canadian epicentre of the disease. I got my 2 shots but will now start asking providers about their vax status once again, having stopped a year or so ago. 

Link to comment
Share on other sites

30 minutes ago, Luv2play said:

I got my 2 shots but will now start asking providers about their vax status once again, having stopped a year or so ago. 

If you received your two smallpox vaccinations, won't the vaccines protect you? If so, then why ask others about their vaccinations?  It's like asking the bottom to wear a condom when the top is already wearing one.  It might make you feel safer, but it's irrelevant.

And if you're not confident the smallpox vaccines will protect you from monkeypox, then why should those same vaccines taken by another person protect you any better?  It's a wonder gay men ever hooked up 20 years ago prior to the chickenpox vaccine... It was so risky!

Link to comment
Share on other sites

Like-with-like vaccination mixing affects infection breakthrough attack rates. Obviously, if vaccinated person A has 80% reduction in infection risk then the risk to vaccinated person B similarly possessing the benefit of 80% efficacy is less than if A is unvaccinated and had had zero risk reduction at point of A-B contact. Same with HIV PrEP, etc.

Edited by SirBillybob
Link to comment
Share on other sites

4 hours ago, Vegas_Millennial said:

If you received your two smallpox vaccinations, won't the vaccines protect you? If so, then why ask others about their vaccinations?  It's like asking the bottom to wear a condom when the top is already wearing one.  It might make you feel safer, but it's irrelevant.

And if you're not confident the smallpox vaccines will protect you from monkeypox, then why should those same vaccines taken by another person protect you any better?  It's a wonder gay men ever hooked up 20 years ago prior to the chickenpox vaccine... It was so risky!

Extra precaution! Vaccines are a good thing but they're not 100% effective!

 

Edited by marylander1940
Link to comment
Share on other sites

19 minutes ago, Vegas_Millennial said:

I guess I'm just a bigger risk taker than most men here.  I'll let someone blow me without asking for a certified copy of their vaccination records and same-day lab results.

I've never asked for lab results. 

All human actions involve some form of risk including sex. It's up to us to make choices. 

I BB before the HIV epidemy and after PrEP was proven to be effective. I never took the risk of HIV's Russian roulette that's why I'm alive. 

 

 

 

 

Edited by marylander1940
Link to comment
Share on other sites

On 3/21/2024 at 12:54 PM, marylander1940 said:

xtra precaution! Vaccines are a good thing but they're not 100% effective!

And social pressure can be a great motivator for knowledge AND vaccination. So, asking partners, even if it isn't a limiting factor, is a good thing!

Link to comment
Share on other sites

  • 4 weeks later...

On the local radio news last evening it was reported there are now 4 active cases of Mpox in Ottawa, which has a relatively small gay community. They do get quite a few visiting providers from larger centres though such as Montreal and Toronto.
Something to keep an eye on as many gay men failed to get the full vaccinations when they were offered two years ago. I think many just thought the epidemic went away and wasn’t something to be concerned about. 

Link to comment
Share on other sites

On 3/21/2024 at 6:12 AM, Luv2play said:

Today’s Globe & Mail reports that 21 new cases of mpox have been reported in Toronto since the start of 2024 compared to only 27 in all of last year. Only 2 of these involved international travel. Again men who have sex with men are the ones contracting the disease. 
Health officials said only 16 percent of those who got vaccinated in 2022 received a second dose. Two vaccinations 28 days apart was the recommended dosage. 

There have been smaller outbreaks in Ottawa and New York but less so in Montreal. In 2022 Montreal was the Canadian epicentre of the disease. I got my 2 shots but will now start asking providers about their vax status once again, having stopped a year or so ago. 

16% globally only got the first vax or are we talking one or several specific locations~? 
 Interestingly, enough, I was in London when monkeypox was breaking out in 2022. They had clinics set up and I was going to get my shot there but, I also was due to arrive back into the states before being able to get the second dosage. I was concerned that the vaccination would not be available in the states. Once back in the states, it was sadly true that the vaccination go high and demand, was in low supply, and it’s administration of what was available was relatively disorganized. Living close to the border, I quickly organize the trip to Canada, but, having been in London, and  Playful there and also being a provider, I actually was able to qualify for vaccination in the states after fulfilling the lengthy requirement of being tested for both Covid and monkeypox. After testing negative for both of those, I was eligible and went ahead to receive my vaccinations but, the process, and the management of those vaccinations was rather disorganized and confusing. I can see where individuals would be bewildered as to where, how and when to get their second shot~ 

Link to comment
Share on other sites

Quebec was very organized and took the lead amongst provinces in Canada. I went to Montreal to get my first shot and they sent an email reminder for the second shot. 
They also didn’t raise any issues about qualifying and basically gave it to any gay man wanting it. And from anywhere. There were lots of Americans at the clinic in the Gay Village who came up to Montreal expressly to get it. 

Link to comment
Share on other sites

Locally for me, the first vaccination involved jumping through some hoops. For the second dose, it was seamless. An email saying "time to schedule your 2nd dose. Click here for appt times."

If my memory is correct, I recall cities or states in the US where, because of the shortage, the controlling health dept opted to ONLY give one dose to most people.

Link to comment
Share on other sites

On 4/24/2024 at 9:38 PM, Luv2play said:

Quebec was very organized and took the lead amongst provinces in Canada. I went to Montreal to get my first shot and they sent an email reminder for the second shot. 
They also didn’t raise any issues about qualifying and basically gave it to any gay man wanting it. And from anywhere. There were lots of Americans at the clinic in the Gay Village who came up to Montreal expressly to get it. 

450px-ThanksCanada.JPG

Link to comment
Share on other sites

  • 3 months later...
9 minutes ago, Nutella said:

smallpox vaccine from the past won't do anything against mpox, if you are MSM you should get your 2 mpox vaxxs

On the contrary, the smallpox vaccine is the BEST method to protect against monkeypox.

WWW.NBCNEWS.COM

Two FDA-approved vaccines for smallpox are in the Strategic National Stockpile, one of many reasons this...

If someone received two doses of smallpox vaccine in 2022/2023, there is no evidence they need yet another vaccine just because the virus changed names from monkeypox to mpox.  There is no "mpox" vaccine.  It's a smallpox vaccine.

 

Link to comment
Share on other sites

On 8/26/2024 at 3:00 PM, Nutella said:

smallpox vaccine from the past won't do anything against mpox, if you are MSM you should get your 2 mpox vaxxs

I didn’t use +1 agree because the first part is not accurate in its finality and the second 2-dose part is also not accurate in the context of historical vaccinia inoculation. However, the simplest guidance is two Mpox vaccinations using MVA-BN, 3rd generation orthopox vaccine, because the association between humoral immunity (antibody titres from MVA-BN, whether historically primed or not by vaccinia that had eradicated Smallpox) and Mpox protection is not established.

However, yes, you received Mpox vaccination if you took Jynneos, Imvamune, or Imnavex from 2022 on. Smallpox protection is moot short of a reverse time travel pod. 

MVA-BN theoretically provides real life protection against a disease that no longer exists, but is authorized for a possible eventual emergence of it. It is essentially a back-up contingency for Smallpox and its effectiveness would only be assessable if Smallpox incidence swung back. It has been used for uptake among lab workers potentially exposed to the broader orthopox virus class. In fact, the parent product, MVA, was briefly considered as a Smallpox pre-vaccine aimed at attenuating the toxicity of earlier generation vaccination but didn’t get off the ground. All we really know is that if Smallpox (variola virus) re-emerged then MVA-BN would probably be protective along with fewer adverse events. 

Current research differentiates between Smallpox vaccination and Mpox vaccination because antibody titres against Mpox are the important thing. For decades, the interest has been developing vaccination for outbreaks of Mpox, formerly Monkeypox but name-changed due to lack of specificity of primates as the sole disease-vector mammals to which zoonotic transmission is attributable.  

Edited by SirBillybob
Link to comment
Share on other sites

On 8/26/2024 at 3:12 PM, Vegas_Millennial said:

If someone received two doses of smallpox vaccine in 2022/2023, there is no evidence they need yet another vaccine just because the virus changed names from monkeypox to mpox.  There is no "mpox" vaccine.  It's a smallpox vaccine.

 

Actually, there is lacking evidence of the prophylactic value of a follow-up 3rd Mpox vaccination because there is insufficient current incidence of Clade IIb to determine whether greater protection would be conferred by an additional dose.

A two-year follow-up booster dose is offered in Canada to lab workers at high risk of orthopox occupational exposure. This is based on evidence of waning humoral immunity and the idea that boosting may be restorative for antibody levels. The number of vaccinated GBMSM at risk for current MPox exposure some years on may actually exceed the occupational exposure protected class. It is hoped that cell-mediated immunity compensates for humoral immunity decay.

Edited by SirBillybob
Link to comment
Share on other sites

53 minutes ago, Vegas_Millennial said:

This sounds like someone losing resistance to laughter 😂 

I think my own extreme resistance to laughing with is set up externally, while any and all resistance to laughing at is long lost. 

Edited by SirBillybob
Link to comment
Share on other sites

 

 The outbreak of a more severe M-pox strain spreading in Democratic Republic of Congo, is cause for international concern according to Doctors Without Borders and the WHO Websites.

Here is a CBS news report from Chicago.  The doctor recommended  the vaccine if in the risk group criteria defined by the CDC.  The doctor also defined the current risk as low.  I expect she meant the risk to viewers in the Chicago area.

WWW.CBSNEWS.COM

The World Health Organization has declared mpox a global public health emergency for the second time in two years. Dr. Shivanjali...

 

Link to comment
Share on other sites

4 hours ago, Vegas_Millennial said:

Is Mpox more severe than Monkeypox?

It's the same disease, the name was changed. 'Monkeypox' implied incorrectly that monkeys were the principal wild reservoir of the virus. In that respect it differs from avian influenza and 'swine flu'.

Link to comment
Share on other sites

Does anyone remember when international travel required specific vaccinations? 
 

When I was a kid, I was part of an exchange program, and spent about a month in Kenya. I could have sworn I had to get a series of vaccinations, but I can’t remember. This was around 1992.

Then I remember working for a company around 2002, and my boss had to take a business was trip to India, and she discussed all the shots she had to get. 
 

It seems like in current times, people can travel the globe, without any precautionary  vaccinations, which seems to easily spread multiple  diseases? 
 

Why did this requirement change? 
 

 

Link to comment
Share on other sites

Back in March when I started this thread there had been 21 cases of Mpox in Toronto from the start of the year. Now the figure is 133 cases as of Aug. 24.
Montreal on the other hand has only seen 9 cases. In 2022 Montreal was the epicentre in Canada for Mpox. But more Montreal gay men got vaccinated than in Toronto, especially taking the second shot. 
These numbers may seem low but in the gay community in Toronto, I imagine people are starting to hear about friends or acquaintances getting sick. 
Sex workers are at high risk of catching the disease. Good thing to ask about Mpox vax status these days. I do see a minority of RM providers mention it in their ads. More should do so if they had had the shots. 

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Recently Browsing   0 members

    • No registered users viewing this page.
×
×
  • Create New...