What went wrong with the rollout of the monkeypox vaccine?
Limited testing, a delayed FDA inspection and technical issues with online appointments have likely helped the virus take hold in the U.S.
A series of crucial mistakes in the rollout of the monkeypox vaccine has significantly inhibited America’s ability to distribute doses and prevent the troubling and in some cases extremely painful disease from becoming endemic.
In the meantime, the virus has deepened its hold on the country, with confirmed cases rising tenfold in the last month, to a total of more than 1,000 as of Thursday, though that’s almost certainly an undercount. Vaccine seekers have become fearful and frustrated as they watch friends and loved ones get sick or they themselves develop uncomfortable lesions.
“I actually struggled with sleep the past couple of nights,” said Philip Cheng, a urologist from New Jersey who spent three weeks looking for a dose in New York City before finally booking an appointment. “The number of cases in New York has reached a level where a lot of people now know someone who has it.”
In a pattern familiar from the Covid pandemic, the missteps started with limited testing capacity. The U.S. also didn’t order more monkeypox vaccine doses to add to its stockpile until June, even though the virus started spreading in May. In addition, regulators did not finish inspecting a key Denmark facility manufacturing monkeypox vaccines until Saturday, leaving 1.1 million ready-to-distribute doses still waiting to be shipped to the U.S.
Even when tens of thousands of doses were finally sent to states this month, the allocations quickly fell out of step with the geographic distribution of cases. A confusing patchwork of vaccine appointment systems was then marred by technical issues.
“We’re dealing with extremely limited supply of vaccine, certainly in comparison to demand or risk,” New York City Health Commissioner Ashwin Vasan told NBC News.
Vasan offered a public apology on Wednesday for the city’s glitchy rollout.
“We own it. You know, those mistakes shouldn’t happen and so we’re working to correct those and do better,” he said at a news conference.
How do vaccine appointments and eligibility differ state to state?
In most cities and states, monkeypox vaccines are being offered to people with known or presumed exposure to the virus, including men who have sex with men and transgender, gender nonconforming or nonbinary residents with multiple sexual partners.
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