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"content": "\u003cp>After a summer of very low case rates, public health officials are warning that \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">cases of mpox \u003c/a>— \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — are rising around California, including in the Bay Area.\u003c/p>\n\u003cp>The initial outbreak of the virus hit the United States in the summer and fall of 2022, particularly affecting gay and bisexual men as well as trans and nonbinary people who have sex with men. After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California — but now, the average number of cases reported every week around the state has more than doubled from the summer months.\u003c/p>\n\u003cp>Keep reading for what we know about the recent rise in mpox cases in the Bay Area and across the state, recommendations from local public health officials, and where you can find an mpox vaccine in the Bay Area.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxvaccinenearme\">Where can I find an mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxsymptoms\">How does mpox spread, and what are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>What are mpox cases like around the state and in the Bay Area right now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Bay Area health officials had originally been concerned about the potential for a resurgence of mpox\u003c/a>, a viral disease which spreads mainly from close physical contact, much earlier this year ahead of Pride festivities in June. Fears of a 2022-style outbreak did not materialize, and case counts stayed very low: From February to August 2023, the average weekly case number across California was approximately 1 to 7 cases, according to data from the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>But on Oct. 31, CDPH Director Dr. Tomás J. Aragón announced that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-031.aspx\">the agency was now “beginning to see an uptick in mpox cases across the state.”\u003c/a>\u003c/p>\n\u003cp>According to CDPH data, the number of mpox cases in California has “significantly increased,” up from this summer’s low to “approximately 17 cases per week in the most recent three-week period” (with available data being from Sept. 20 to Oct. 10).\u003c/p>\n\u003cp>CDPH also noted a rise in the number of California counties reporting mpox cases: 15 counties in that most recent three-week period, compared to 11 counties in the three weeks before that. Similar increases, said the agency, are also being seen nationwide in states “including \u003ca href=\"https://kingcounty.gov/en/legacy/depts/health/communicable-diseases/health-care-providers/advisories/2023/11-oct\">Washington\u003c/a>, \u003ca href=\"https://www.ncdhhs.gov/news/press-releases/2023/10/17/ncdhhs-encourages-mpox-vaccination-those-higher-risk-after-recent-cases-reported\">North Carolina\u003c/a> and \u003ca href=\"https://health.hawaii.gov/news/newsroom/doh-reports-two-additional-mpox-cases/\">Hawaii\u003c/a>.”\u003c/p>\n\u003cp>What about the Bay Area? In a statement, the San Francisco Department of Public Health (SFDPH) said that \u003ca href=\"https://sf.gov/data/mpox-case-counts\">mpox cases in the city have risen too\u003c/a>, from only 7 cases in August to 20 cases in September and at least 20 cases in October. SFDPH noted that “some Bay Area counties have seen increased incidence rates in the last several months,” too, as had other large cities around the United States, albeit at slightly different times compared to San Francisco’s rise. Los Angeles said SFDPH saw its mpox increase in June, and \u003ca href=\"https://www.chicagohan.org/alert-detail/-/alert-details/46678186\">mpox cases increased in Chicago in May\u003c/a>. The latter was \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">the outbreak that initially prompted Bay Area health officials to urge renewed vigilance against mpox\u003c/a> ahead of Pride.\u003c/p>\n\u003ch2>How much should I worry about this rise in mpox cases?\u003c/h2>\n\u003cp>“While the average number of weekly cases remains low compared with last year at this time, mpox continues to circulate in California, and recent data indicate that transmission levels are increasing,” CDPH said. SFDPH also stresses that their count of October cases is still being completed, and this number may rise further.\u003c/p>\n\u003cp>CDPH noted two important things about this latest rise in mpox case numbers. The first: This latest increase appears to be fueled more by “ongoing transmission within sexual networks” than by people traveling to or from specific areas.\u003c/p>\n\u003cp>“Importantly, most cases did not report travel or attending any specific event,” CDPH said.\u003c/p>\n\u003cp>SFDPH has been more open to the notion that travel and event attendance could have played at least some role in this latest mpox rise, noting that during this outbreak, transmission “is primarily related to intimate contact during oral or anal sex” and that “when people are connecting more frequently or with new sexual partners, there are more opportunities for mpox to spread.”\u003c/p>\n\u003cp>“Things like late summer travel, gatherings, and events may be associated with changes in sexual practices that can lead to increases in cases,” SFDPH said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Joe Hawkins, CEO and co-founder of the Oakland LGBTQ Community Center\"]‘People are still contracting mpox, and this will continue. Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.’[/pullquote]The second highlight from CDPH was the role of the two-dose mpox vaccine and what it does (and doesn’t) do.\u003c/p>\n\u003cp>CPDPH said that since early September, over 40% of people with a documented case of mpox had at least one dose of the vaccine. A lower proportion of people, 31%, had two doses. This, said CDPH, highlights that “while mpox vaccine is effective at reducing infections and disease severity, infections after vaccination are possible and testing is warranted among vaccinated persons.”\u003c/p>\n\u003cp>“With this, we are reminding and encouraging all Californians to be aware of the signs and symptoms of mpox and to take preventive measures, including vaccination, to protect against severe illness,” Aragón said.\u003c/p>\n\u003cp>SFDPH said that more than 50,000 doses of the mpox vaccine had been administered to date, but “more than 40% of those who received their first dose” are due for their second dose. If case rates are lower in people with two shots of the mpox vaccine than those with one shot, is there a reason people are not seeking out that second shot?\u003c/p>\n\u003cp>Joe Hawkins, CEO and co-founder of the\u003ca href=\"https://www.oaklandlgbtqcenter.org/clinic\"> Oakland LGBTQ Community Center, which offers mpox shots at its clinic\u003c/a>, said that the “huge number of people out there who received their first dose and who never came back for the second dose” might have something to do with this summer’s low case rates — which stayed low at least in part \u003cem>because\u003c/em> of vaccinations.\u003c/p>\n\u003cp>“I think that when people see that the news reports show that the cases have dropped dramatically, I just think … and this is obviously me just assuming, that people don’t feel that the risk is still out there,” Hawkins said.\u003c/p>\n\u003cp>“But people are still contracting mpox, and this will continue,” he stressed. “Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.”\u003c/p>\n\u003cp>\u003cstrong>How mpox cases are tracked around the country:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need to know about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, but SFDPH said that the 2022 mpox outbreak predominantly affected communities of gay and bisexual men and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>This 2022 outbreak was “unique compared to what had been known about mpox previously,” \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH, told KQED earlier this year.\u003c/a> That’s because the virus “really seemed to spread through sexual transmission and [was] associated with sexual activities,” she said. \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data [from 2022], almost 97% of cases in the U.S. were in people who are cis men,” Cohen said. “There were very, very few cases in cisgender women and also very few cases — about 0.08% — in children under the age of 16.”\u003c/p>\n\u003ch2>Should I get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine is a two-dose series, with roughly a month between doses, and public health officials are urging people to seek vaccination in light of this most recent rise in cases. So …\u003c/p>\n\u003cp>\u003cstrong>If you got both doses of the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2023. There’s no recommendation at this time to get an mpox booster, SFDPH’s Cohen said.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>didn’t\u003c/em> get the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, and get your second dose around 28 days later.\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine in 2022, or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Get your second dose as soon as possible, Cohen said. “Getting both doses of the vaccine is very critical for protection,” she said.\u003c/p>\n\u003cp>\u003cstrong>Reminder: The mpox vaccine is available for everyone.\u003c/strong>\u003c/p>\n\u003cp>In 2022, public health officials were initially only offering vaccines to people exposed to mpox or were categorized as being in a specific group more at risk from mpox. \u003cstrong>Those eligibility criteria are no longer in effect, and \u003ca href=\"https://sf.gov/information/mpox-vaccine\">anyone who wants an mpox vaccine can get one in San Francisco\u003c/a> and in many other areas of California.\u003c/strong>\u003c/p>\n\u003cp>“There is no shortage of mpox vaccine now,” the SFDPH website said, and there is “no need to prove eligibility for the vaccine.”\u003c/p>\n\u003cp>Remember, getting your mpox vaccine won’t 100% prevent you from getting mpox, as the CDPH data show. But being vaccinated could also help reduce your symptoms — which can be painful — if you do get infected, SFDPH’s Cohen said.\u003c/p>\n\u003cp>“That’s, of course, really a good outcome of the vaccine — because we did see some pretty severe cases of mpox last summer in unvaccinated individuals,” Cohen said. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\n\u003cfigure id=\"attachment_11966643\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11966643\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the mpox vaccine displayed by a medical professional at a vaccination site in July 2022. \u003ccite>(James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpoxvaccinenearme\">\u003c/a>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. As with the COVID vaccine, receiving an mpox vaccine won’t make you a public charge or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.\u003c/p>\n\u003cp>You can schedule an appointment for an mpox vaccine, or choose a walk-in clinic.\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH’s Stephanie Cohen confirmed that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>.\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"mpoxsymptoms\">\u003c/a>What you need to know about mpox\u003c/h2>\n\u003cp>\u003cstrong>How does mpox spread?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> said SFDPH, which notes that transmission during this latest 2023 rise in cases “\u003cspan class=\"normaltextrun\">is primarily related to intimate contact during oral or anal sex”. It can also spread through kissing and sharing bedding or clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>What are the symptoms of mpox?\u003c/strong>\u003c/p>\n\u003cp>The symptoms of mpox often start as flu-like symptoms, said SFPDH, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spot often start as “red, flat spots, and then become bumps,” said SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>[aside label='More Guides from KQED' tag='kqed-guides']“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/p>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a>, in the light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this story.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After a summer of very low case rates, public health officials are warning that \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">cases of mpox \u003c/a>— \u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — are rising around California, including in the Bay Area.\u003c/p>\n\u003cp>The initial outbreak of the virus hit the United States in the summer and fall of 2022, particularly affecting gay and bisexual men as well as trans and nonbinary people who have sex with men. After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped to virtually zero in California — but now, the average number of cases reported every week around the state has more than doubled from the summer months.\u003c/p>\n\u003cp>Keep reading for what we know about the recent rise in mpox cases in the Bay Area and across the state, recommendations from local public health officials, and where you can find an mpox vaccine in the Bay Area.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxvaccinenearme\">Where can I find an mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mpoxsymptoms\">How does mpox spread, and what are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>What are mpox cases like around the state and in the Bay Area right now?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Bay Area health officials had originally been concerned about the potential for a resurgence of mpox\u003c/a>, a viral disease which spreads mainly from close physical contact, much earlier this year ahead of Pride festivities in June. Fears of a 2022-style outbreak did not materialize, and case counts stayed very low: From February to August 2023, the average weekly case number across California was approximately 1 to 7 cases, according to data from the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>But on Oct. 31, CDPH Director Dr. Tomás J. Aragón announced that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-031.aspx\">the agency was now “beginning to see an uptick in mpox cases across the state.”\u003c/a>\u003c/p>\n\u003cp>According to CDPH data, the number of mpox cases in California has “significantly increased,” up from this summer’s low to “approximately 17 cases per week in the most recent three-week period” (with available data being from Sept. 20 to Oct. 10).\u003c/p>\n\u003cp>CDPH also noted a rise in the number of California counties reporting mpox cases: 15 counties in that most recent three-week period, compared to 11 counties in the three weeks before that. Similar increases, said the agency, are also being seen nationwide in states “including \u003ca href=\"https://kingcounty.gov/en/legacy/depts/health/communicable-diseases/health-care-providers/advisories/2023/11-oct\">Washington\u003c/a>, \u003ca href=\"https://www.ncdhhs.gov/news/press-releases/2023/10/17/ncdhhs-encourages-mpox-vaccination-those-higher-risk-after-recent-cases-reported\">North Carolina\u003c/a> and \u003ca href=\"https://health.hawaii.gov/news/newsroom/doh-reports-two-additional-mpox-cases/\">Hawaii\u003c/a>.”\u003c/p>\n\u003cp>What about the Bay Area? In a statement, the San Francisco Department of Public Health (SFDPH) said that \u003ca href=\"https://sf.gov/data/mpox-case-counts\">mpox cases in the city have risen too\u003c/a>, from only 7 cases in August to 20 cases in September and at least 20 cases in October. SFDPH noted that “some Bay Area counties have seen increased incidence rates in the last several months,” too, as had other large cities around the United States, albeit at slightly different times compared to San Francisco’s rise. Los Angeles said SFDPH saw its mpox increase in June, and \u003ca href=\"https://www.chicagohan.org/alert-detail/-/alert-details/46678186\">mpox cases increased in Chicago in May\u003c/a>. The latter was \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">the outbreak that initially prompted Bay Area health officials to urge renewed vigilance against mpox\u003c/a> ahead of Pride.\u003c/p>\n\u003ch2>How much should I worry about this rise in mpox cases?\u003c/h2>\n\u003cp>“While the average number of weekly cases remains low compared with last year at this time, mpox continues to circulate in California, and recent data indicate that transmission levels are increasing,” CDPH said. SFDPH also stresses that their count of October cases is still being completed, and this number may rise further.\u003c/p>\n\u003cp>CDPH noted two important things about this latest rise in mpox case numbers. The first: This latest increase appears to be fueled more by “ongoing transmission within sexual networks” than by people traveling to or from specific areas.\u003c/p>\n\u003cp>“Importantly, most cases did not report travel or attending any specific event,” CDPH said.\u003c/p>\n\u003cp>SFDPH has been more open to the notion that travel and event attendance could have played at least some role in this latest mpox rise, noting that during this outbreak, transmission “is primarily related to intimate contact during oral or anal sex” and that “when people are connecting more frequently or with new sexual partners, there are more opportunities for mpox to spread.”\u003c/p>\n\u003cp>“Things like late summer travel, gatherings, and events may be associated with changes in sexual practices that can lead to increases in cases,” SFDPH said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘People are still contracting mpox, and this will continue. Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The second highlight from CDPH was the role of the two-dose mpox vaccine and what it does (and doesn’t) do.\u003c/p>\n\u003cp>CPDPH said that since early September, over 40% of people with a documented case of mpox had at least one dose of the vaccine. A lower proportion of people, 31%, had two doses. This, said CDPH, highlights that “while mpox vaccine is effective at reducing infections and disease severity, infections after vaccination are possible and testing is warranted among vaccinated persons.”\u003c/p>\n\u003cp>“With this, we are reminding and encouraging all Californians to be aware of the signs and symptoms of mpox and to take preventive measures, including vaccination, to protect against severe illness,” Aragón said.\u003c/p>\n\u003cp>SFDPH said that more than 50,000 doses of the mpox vaccine had been administered to date, but “more than 40% of those who received their first dose” are due for their second dose. If case rates are lower in people with two shots of the mpox vaccine than those with one shot, is there a reason people are not seeking out that second shot?\u003c/p>\n\u003cp>Joe Hawkins, CEO and co-founder of the\u003ca href=\"https://www.oaklandlgbtqcenter.org/clinic\"> Oakland LGBTQ Community Center, which offers mpox shots at its clinic\u003c/a>, said that the “huge number of people out there who received their first dose and who never came back for the second dose” might have something to do with this summer’s low case rates — which stayed low at least in part \u003cem>because\u003c/em> of vaccinations.\u003c/p>\n\u003cp>“I think that when people see that the news reports show that the cases have dropped dramatically, I just think … and this is obviously me just assuming, that people don’t feel that the risk is still out there,” Hawkins said.\u003c/p>\n\u003cp>“But people are still contracting mpox, and this will continue,” he stressed. “Because where there’s smoke, there’s fire, and the opportunity to spread mpox is still very high.”\u003c/p>\n\u003cp>\u003cstrong>How mpox cases are tracked around the country:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need to know about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>Anyone can get mpox, but SFDPH said that the 2022 mpox outbreak predominantly affected communities of gay and bisexual men and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>This 2022 outbreak was “unique compared to what had been known about mpox previously,” \u003ca href=\"https://www.kqed.org/news/11949180/mpox-and-the-bay-area-why-health-officials-are-again-urging-vigilance-and-vaccines\">Dr. Stephanie Cohen, director of HIV prevention for the Population Health Division at SFDPH, told KQED earlier this year.\u003c/a> That’s because the virus “really seemed to spread through sexual transmission and [was] associated with sexual activities,” she said. \u003ca href=\"#mpoxsymptoms\">Read more about how mpox spreads. \u003c/a>\u003c/p>\n\u003cp>“When you look at our national data [from 2022], almost 97% of cases in the U.S. were in people who are cis men,” Cohen said. “There were very, very few cases in cisgender women and also very few cases — about 0.08% — in children under the age of 16.”\u003c/p>\n\u003ch2>Should I get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine is a two-dose series, with roughly a month between doses, and public health officials are urging people to seek vaccination in light of this most recent rise in cases. So …\u003c/p>\n\u003cp>\u003cstrong>If you got both doses of the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2023. There’s no recommendation at this time to get an mpox booster, SFDPH’s Cohen said.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>didn’t\u003c/em> get the mpox vaccine in 2022:\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, and get your second dose around 28 days later.\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine in 2022, or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Get your second dose as soon as possible, Cohen said. “Getting both doses of the vaccine is very critical for protection,” she said.\u003c/p>\n\u003cp>\u003cstrong>Reminder: The mpox vaccine is available for everyone.\u003c/strong>\u003c/p>\n\u003cp>In 2022, public health officials were initially only offering vaccines to people exposed to mpox or were categorized as being in a specific group more at risk from mpox. \u003cstrong>Those eligibility criteria are no longer in effect, and \u003ca href=\"https://sf.gov/information/mpox-vaccine\">anyone who wants an mpox vaccine can get one in San Francisco\u003c/a> and in many other areas of California.\u003c/strong>\u003c/p>\n\u003cp>“There is no shortage of mpox vaccine now,” the SFDPH website said, and there is “no need to prove eligibility for the vaccine.”\u003c/p>\n\u003cp>Remember, getting your mpox vaccine won’t 100% prevent you from getting mpox, as the CDPH data show. But being vaccinated could also help reduce your symptoms — which can be painful — if you do get infected, SFDPH’s Cohen said.\u003c/p>\n\u003cp>“That’s, of course, really a good outcome of the vaccine — because we did see some pretty severe cases of mpox last summer in unvaccinated individuals,” Cohen said. “And we really don’t want people to experience the distressing and painful symptoms that occurred at the same time.”\u003c/p>\n\u003cfigure id=\"attachment_11966643\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11966643\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg\" alt=\"close-up photo of fingers holding a tiny vial which reads 'monkeypox vaccine'\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1408879341-qut-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the mpox vaccine displayed by a medical professional at a vaccination site in July 2022. \u003ccite>(James Carbone/Newsday RM via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"mpoxvaccinenearme\">\u003c/a>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. As with the COVID vaccine, receiving an mpox vaccine won’t make you a public charge or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.\u003c/p>\n\u003cp>You can schedule an appointment for an mpox vaccine, or choose a walk-in clinic.\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH’s Stephanie Cohen confirmed that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>.\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"mpoxsymptoms\">\u003c/a>What you need to know about mpox\u003c/h2>\n\u003cp>\u003cstrong>How does mpox spread?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> said SFDPH, which notes that transmission during this latest 2023 rise in cases “\u003cspan class=\"normaltextrun\">is primarily related to intimate contact during oral or anal sex”. It can also spread through kissing and sharing bedding or clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>What are the symptoms of mpox?\u003c/strong>\u003c/p>\n\u003cp>The symptoms of mpox often start as flu-like symptoms, said SFPDH, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spot often start as “red, flat spots, and then become bumps,” said SFDPH, before the bumps become filled with pus, and turn into scabs when they break. \u003ca href=\"https://sf.gov/information/mpox\">See the full list of mpox symptoms from SFDPH.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really important that if someone develops a rash that they think might be related to pox, even if it’s subtle, to come in and see their doctor and get checked out and get tested,” urged Cohen. “And that can help us prevent the spread of transmission in the community.” \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/p>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a>, in the light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this story.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "donde-vacuna-contra-viruela-del-mono",
"title": "¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca href=\"https://twitter.com/justoescribe\">Kervy Robles\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ya existe una vacuna contra la viruela del mono (\"monkeypox\" o \"MPX\" en inglés), ¿pero quién se puede vacunar ahora en California?",
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"title": "¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Avanza a una sección específica:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#donde\">¿Dónde puedo vacunarme contra la viruela del mono en el Área de la Bahía?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#que\">¿Cómo funciona la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#quien\">¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#cuando\">¿Cuándo puedo recibir la vacuna contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#varicela\">Si me vacuné contra la viruela cuando era joven, ¿estoy protegido contra la viruela del mono?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003cstrong>\u003ca href=\"#tratamiento\">¿Qué otros tratamientos existen?\u003c/a>\u003c/strong>\u003c/em>\u003c/li>\n\u003c/ul>\n\u003cp>Cualquier persona puede contraer la viruela del mono. El brote de la viruela del mono en Estados Unidos \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">está afectando particularmente a las comunidades de hombres homosexuales y bisexuales y hombres que tienen relaciones sexuales con otros hombres\u003c/a>. La Organización Mundial de la Salud (OMS) señala que \u003ca href=\"https://www.who.int/es/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">las personas trans y género no conforme “también pueden ser más vulnerables en el contexto del brote actual”\u003c/a>.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Actualización más reciente:\u003c/strong>\u003c/em> Los funcionarios de salud de San Francisco anunciaron este miércoles que han expandido las pautas de eligibilidad para la vacuna contra la viruela del mono. A partir del 6 de septiembre, todos los hombres gay, bisexuales y que tienen sexo con otros hombres podrán recibir la vacuna — siempre y cuando vivan en San Francisco. Todas las personas trans en la ciudad también serán elegibles para recibir la vacuna a partir de esa fecha.\u003c/p>\n\u003cp>Previamente, personas que forman parte de estas comunidades sólo podrían recibir la vacuna en San Francisco si tuvieron varias parejas sexuales en los pasados 14 días. \u003ca href=\"#quien\">\u003cstrong>Lea más sobre quien puede recibir la vacuna en el Área de la Bahía en este momento.\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Otra actualización: El Departamento de Salud Pública de San Francisco informó que a partir del 6 de enero las clínicas de vacunación en esa ciudad ofrecerón la segunda dosis a personas que ya recibieron su primera dosis hace más de 28 días. Otros condados del Área de la Bahía se están preparando para ofrecer la segunda dosis. Anteriormente, no se ofrecía la segunda dosis ya que el suministro de dosis que había ofrecido el gobierno federal no era suficiente.\u003c/p>\n\u003cp>Entendemos que este proceso puede ser complicado y hasta puede provocar ansiedad, especialmente si crees que estuviste expuesto al virus. Estaremos actualizando esta guía a medida que recibamos nueva información sobre la vacuna contra la viruela del mono en el Área de la Bahía y el resto de California.\u003c/p>\n\u003cp>Varias entidades de salud, incluidos los departamentos de salud pública de San Francisco y California, han decidido referirse a la viruela de mono como “MPX” (pronunciado “em-pox” tanto en inglés como en español), en respuesta a la preocupación de que el nombre “la viruela del mono” pueda ser racista o crear un estigma homofóbico en torno a la enfermedad y a quienes se contagien.\u003c/p>\n\u003cp>En un discurso, MPX es usualmente pronunciado “em-pox” o según sus iniciales en inglés “em-pee-ecks”.\u003c/p>\n\u003cp>Puede que vea “la viruela del mono” para referirse a la enfermedad por primera vez, luego será identificado como “MPX” en un artículo o una investigación de una agencia pública. Tenga la seguridad que ambos términos se refieren a la misma condición.\u003c/p>\n\u003cp>¿No encuentra respuestas a sus preguntas aquí, o en nuestras guías sobre los síntomas relacionados a la viruela del mono o cómo se propaga el virus? \u003cstrong>\u003ca href=\"#preguntas\">Envíe sus preguntas y díganos qué debemos de investigar.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"que\">\u003c/a>¿Qué es la vacuna contra la viruela del mono y cómo se administra?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono que se ofrece en Estados Unidos se llama Jynneos y es producida en Dinamarca.\u003c/p>\n\u003cp>Esta vacuna se usa también para prevenir la viruela, puesto que el virus de la viruela del mono está relacionado al virus de la viruela (aunque generalmente esta es menos severa y mucho menos contagiosa que la propia viruela). Podría asumir que la viruela del mono está relacionada a la viruela pero no es así.\u003c/p>\n\u003cp>Jynneos estaba disponible originalmente para personas mayores de 18 años, pero el 9 de agosto, la Administración de Alimentos y Medicamentos (FDA por sus siglas en inglés) anunció la autorización de uso de emergencia (EUA por sus siglas en inglés) y permitió a los proveedores \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">administrar la vacuna contra la viruela del mono a jóvenes menores de 18 años\u003c/a> que “presentan un alto riesgo de contagio por la viruela del mono”.\u003c/p>\n\u003cp>Si es elegible para vacunarse contra la viruela del mono, hay dos escenarios en los que puede recibir la dosis:\u003c/p>\n\u003ch2>Si sospecha o está seguro que estuvo expuesto a la viruela del mono \u003cspan style=\"font-weight: 400\">…\u003c/span>\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la enfermedad, o al menos, reducir sus síntomas. Este método es llamado profilaxis posexposición (PEP por sus siglas en inglés). Lee sobre cuándo la vacuna contra la viruela del mono es más efectiva como PEP.\u003c/p>\n\u003ch2>Si no cree que estuvo expuesto a la viruela del mono, pero forma parte de uno de los grupos que corren mayor riesgo\u003c/h2>\n\u003cp>En este caso, la vacuna es administrada con la esperanza de no contraer la viruela del mono. Previamente, Jynneos sólo se ofrecía a personas que estaban seguras, o al menos sospechaban, de haber estado expuestos al virus. Pero los Centros para el Control y la Prevención de Enfermedades (CDC por sus siglas en inglés) han actualizado sus pautas en torno a la vacunación contra la viruela del mono. Este enfoque es conocido también como \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">profilaxis posexposición, o PEP++\u003c/a>.\u003c/p>\n\u003cp>A los laboratoristas quienes frecuentemente cuentan con muestras del virus de la viruela del mono también se les ofrece la vacuna. En este caso, \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fspanish%2Fmonkeypox%2Findex.html\">el enfoque es llamado profilaxis prexposición\u003c/a> (o PrEP por sus siglas en inglés).\u003c/p>\n\u003cp>Avanza a \u003ca href=\"#preguntas\">\u003cstrong>quién es actualmente elegible para recibir la vacuna contra la viruela del mono.\u003c/strong>\u003c/a>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>¿Cuántas inyecciones de la vacuna contra la viruela del mono recibiré?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono se administra generalmente en dos dosis con 28 días entre sí. Pero la doctora Susan Philip, funcionaria de salud de San Francisco, ha confirmado que “no existe algún daño” si recibe la segunda dosis de Jynneos después del marco de 28 días, y que ese retraso en la segunda dosis, mientras el suministro es bajo, “nos permitirá usar la vacuna eficientemente”.\u003c/p>\n\u003cp>¿Cuánto tiempo tendrá que esperar alguien para recibir la segunda dosis? En la clínica de vacunación del Hospital General Zuckerberg de San Francisco (ZSFG por sus siglas en inglés) los pacientes han sido informados por el personal del hospital que su segunda inyección puede tardar, de manera segura, hasta dos años.\u003c/p>\n\u003cp>El \u003ca href=\"https://profiles.ucsf.edu/peter.chin-hong\">doctor Peter Chin-Hong\u003c/a>, especialista en enfermedades infecciosas del Centro Médico en UCSF, confirma que “es seguro no recibir la segunda dosis de la vacuna en el marco de los 28 días” y “algunos datos sugieren que esperar hasta dos años estaría bien”.\u003c/p>\n\u003cp>“Claro, es probable, que no tengamos que esperar tanto”, dijo Chin-Hong, y agregó que la segunda inyección puede servir como una dosis de refuerzo. “La primera dosis es realmente buena (85% a 90% de protección después de cuatro días) y es equivalente a dos dosis de vacuna mRNA para COVID-19”, dijo Ching- Hong. Por lo tanto, si logra recibir la primera dosis de la vacuna contra la viruela del mono y en esa cita le dijeron que debe esperar un largo tiempo para su segunda inyección, no se preocupe.\u003c/p>\n\u003cp>Si es una persona con condiciones de inmunodepresión, puede ser elegible para recibir la segunda dosis, incluso si su condado prioriza la primera inyección. El Departamento de Salud Pública de San Francisco (SFDPH por sus siglas en inglés) por ejemplo, ofrece la segunda dosis a aquellos que tienen “un sistema con condiciones de inmunodepresión severo a moderado pues no desarrollarán inmunidad después de una dosis”.\u003c/p>\n\u003cp>SFDPH agrega que este grupo incluye “personas en tratamiento activo contra el cáncer, personas que toman medicamento para inhibir el sistema inmunológico y personas con una infección de VIH avanzada o que no está siendo asistido, entre otros”.\u003c/p>\n\u003ch2>\u003ca id=\"quien\">\u003c/a>¿Quién puede recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Originalmente, SFDPH seguía las pautas de salud de los CDC al ofrecer la vacuna contra la viruela del mono sólo a personas que estaban seguros, o sospechaban, que fueron expuestos al virus. Sin embargo, el 19 de julio, \u003ca href=\"https://sf.gov/es/node/5217\">la agencia anunció que amplió los criterios de elegibilidad para ofrecer la vacuna Jynneos\u003c/a> a los siguientes residentes de San Francisco:\u003c/p>\n\u003cul>\n\u003cli>Hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres y personas trans que tienen sexo con hombres y han tenido múltiples parejas sexuales (más de una) en los últimos 14 días.\u003c/li>\n\u003cli>Trabajadores sexuales de cualquier orientación sexual o género.\u003c/li>\n\u003cli>Personas que han sido identificadas como contactos cercanos a alguien que contrajo la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003cli>Personas que han recibido una notificación de un lugar o un evento en el que estuvo expuesto a alguien con la viruela del mono (bajo sospecha o confirmado).\u003c/li>\n\u003c/ul>\n\u003cp>La vacuna es ofrecida también a los laboratoristas de San Francisco que cuentan rutinariamente muestras del virus de la viruela del mono o a cualquier médico en alto riesgo de exposición laboral.\u003c/p>\n\u003cp>Actualmente, la elegibilidad de la vacuna contra la viruela del mono difiere según el condado donde viva. Por ejemplo, el 19 de julio,\u003ca href=\"https://publichealth.sccgov.org/news/news-release/condado-de-santa-clara-amplia-requisitos-para-vacuna-viruela-s%C3%ADmica\"> el condado de Santa Clara amplió sus pautas para la vacuna\u003c/a>.\u003c/p>\n\u003cp>Consulte las pautas actuales de vacunación contra la viruela del mono en su condado, pero tenga en cuenta que algunos condados poseen información y más recursos disponibles sobre la viruela del mono que otros:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/es/node/5217\">Vacunas contra la viruela del mono en San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">Vacunas contra la viruela del mono en el condado de Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox/viruela-del-mono\">Vacunas contra la viruela del mono en el condado de Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/node/6023\">Vacunas contra la viruela del mono en el condado de San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/mpx/\">Vacunas contra la viruela del mono en el condado de Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Vacunas contra la viruela del mono en el condado de Marín\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Vacunas contra la viruela del mono en el condado de Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox-MPX\">Vacunas contra la viruela del mono en el condado de Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox-(mpx)\">Vacunas contra la viruela del mono en el condado de Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>¿Necesito dar positivo en una prueba de la viruela del mono para recibir la vacuna?\u003c/strong>\u003c/h2>\n\u003cp>No necesita dar positivo a una prueba de la viruela del mono para recibir la vacuna.\u003c/p>\n\u003cp>Las pruebas para la viruela del mono son limitadas hoy y es posible que tenga que cumplir con ciertos requisitos: en San Francisco, por ejemplo, \u003ca href=\"https://sf.gov/es/node/5187\">los residentes deben presentar un sarpullido o manchas para realizarse una prueba\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"cuando\">\u003c/a>¿Cuándo debería recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>Los CDC recomiendan que \u003ca href=\"https://espanol.cdc.gov/poxvirus/monkeypox/vaccines/index.html\">la vacuna contra la viruela del mono se administre a una persona dentro de los cuatro días posteriores a la fecha que estuvo expuesta al virus\u003c/a>, siendo la mejor manera de prevenir la aparición de la enfermedad.\u003c/p>\n\u003cp>Si una persona recibe la vacuna entre los cuatro y 14 días después de haber sido expuesta, la vacuna puede que reduzca los síntomas de la viruela del mono, pero es probable que no prevenga la enfermedad por completo. Vacunarse a tiempo es otra razón por la que es importante permanecer alerta ante una posible exposición a la viruela del mono. Si tiene síntomas, lo más recomendable es actuar rápido.\u003c/p>\n\u003cp>Si ha estado recientemente en un evento o una fiesta en la que tuvo contacto cercano con otros asistentes, es crítico estar atento a los mensajes de los organizadores u otras personas presentes ante una posible exposición a la viruela del mono.\u003c/p>\n\u003cp>Si recibe la primera dosis de la vacuna contra la viruela del mono después de haber estado expuesto al virus, esto puede ayudar a prevenir el desarrollo de la enfermedad y reducir los síntomas, pero la eficacia de la vacuna dependería de la rapidez con que la reciba después de una exposición.\u003c/p>\n\u003ch2>\u003ca id=\"donde\">\u003c/a>Si soy elegible ¿dónde puedo recibir la vacuna contra la viruela del mono?\u003c/h2>\n\u003cp>El suministro de la vacuna contra la viruela del mono en el Área de la Bahía se distribuye directamente desde el Departamento de Salud Pública de California, cuyo suministro proviene del gobierno federal. Hoy, la disponibilidad sigue siendo limitada mientras que la demanda es alta.\u003c/p>\n\u003cp>Si experimenta los síntomas de la viruela del mono, o si le informaron que estuvo expuesto al virus, debe comunicarse con un proveedor de atención médica de inmediato. Un proveedor de atención médica puede ayudarle a navegar en este proceso, hablar sobre cualquier factor de riesgo adicional que pueda tener y también decirle si es elegible para \u003ca href=\"#tratamiento\">algunos de los tratamientos contra la viruela del mono disponibles hoy.\u003c/a>\u003c/p>\n\u003cp>Si tiene seguro médico, comuníquese con su proveedor tan pronto como pueda.\u003c/p>\n\u003cp>También \u003ca href=\"https://myturn.ca.gov/es_US.html\">puede programa una cita para recibir su vacuna\u003c/a>, ya sea su primera o su segunda dosis, a través del \u003ca href=\"https://myturn.ca.gov/es_US.html\">sitio My Turn del estado de California\u003c/a>. (Este es el mismo My Turn que se usa para hacer citas para las vacunas COVID-19) El Departamento de Salud Pública de California ha agregado la vacuna contra la viruela del mono a la lista de vacunas que puede obtener a través de este sitio.\u003c/p>\n\u003cp>Kaiser Permanente \u003ca href=\"https://healthy.kaiserpermanente.org/health-wellness/monkeypox\">ha recibido vacunas contra la viruela del mono y actualmente sólo las ofrece a sus miembros\u003c/a>. Puede realizar una cita llamando a la línea directa de vacunación contra la viruela del mono del proveedor de salud al (415) 833-9999. Un miembro del personal atenderá su llamada y preguntará si tiene síntomas o estuvo recientemente en contacto con un caso confirmado.\u003c/p>\n\u003cp>UCSF también ofrece vacunas a quienes actualmente son elegibles. No necesita ser un paciente de UCSF, ni tener seguro médico para programar una cita. Puede visitar \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf-es\">la página web de vacunas contra la viruela del mono de UCSF\u003c/a> para obtener instrucciones sobre cómo programar una cita usando el portal MyChart. Las vacunas se administran en: 333 California Street en San Francisco.\u003c/p>\n\u003cp>Si no tiene seguro médico, comuníquese con el departamento de salud pública de su condado para solicitar información:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> el departamento de salud pública de la ciudad dice que los residentes pueden realizar una cita para recibir la vacuna contra la viruela del mono según el suministro lo permita en \u003ca href=\"https://sf.gov/es/information/monkeypox\">sf.gov/monkeypox\u003c/a>. Los residentes sin seguro médico pueden también ir a la clínica de vacunación sin cita previa en ZSFG, \u003ca href=\"#donde\">más información al respecto aquí.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Condado de Santa Clara:\u003c/strong> ha establecido un formulario de vacunación electrónico para que los residentes soliciten una cita en las clínicas de vacunación del condado. \u003ca href=\"https://vax.sccgov.org/\">Accede al formulario aquí\u003c/a>. También puede comunicarse al centro de llamadas de la viruela del mono al (408) 970-2200 de lunes a viernes de 8 a.m. a 5 p.m. Los residentes sin seguro pueden solicitar tratamiento en \u003ca href=\"https://chpscc.org/member-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Alameda:\u003c/strong> los residentes elegibles que no tengan seguro médico pueden comunicarse directamente con el departamento de salud pública en \u003ca href=\"mailto:monkeypox@acgov.org\">monkeypox@acgov.org\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Contra Costa:\u003c/strong> el departamento de salud pública ha establecido un formulario electrónico para que los residentes soliciten una cita. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Haga una cita aquí\u003c/a>. También puede llamar a los funcionarios de salud al (925) 313-6740 o comunicarse con \u003ca href=\"https://cchealth.org/centers-clinics/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Sonoma:\u003c/strong> los residentes pueden llamar al (707) 565-4568 o comunicarse con una de \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de San Mateo:\u003c/strong> los residentes sin seguro pueden inscribirse para recibir la vacuna usando \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">la página web del condado\u003c/a> o también pueden comunicarse con una de \u003ca href=\"https://www.smchealth.org/smmc-find-location\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Solano:\u003c/strong> los residentes pueden llamar al (707) 784-8001 o comunicarse con uno de \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas comunitarias de vacunación en \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Marín:\u003c/strong> los residentes sin seguro pueden comunicarse con una de \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">los consultorios comunitarios del condado\u003c/a>. También puede ver una lista de las próximas clínicas gratuitas de vacunación en \u003ca href=\"https://www.marinhhs.org/monkeypox\">la página web del condado\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Condado de Napa:\u003c/strong> los residentes pueden llamar al (707) 253-4270 o comunicarse con una de \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">las clínicas comunitarias del condado\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>El Departamento de Salud Pública de San Francisco recomienda que si vive en la ciudad y no tiene un proveedor, o tiene dificultades para programar una cita, puede ser asistido en SF City Clinic en 356 7th Street (número telefónico: (628) 217-6600) o en la clínica Strut en 270 Castro Street (número telefónico: (415) 581-1600).\u003c/p>\n\u003cp>Actualmente, hay un sitio de vacunación en San Francisco donde no se requiere una cita: la clínica SZFG Learning Center en 1001 Potrero Avenue. El horario habitual de atención durante la semana es de 8 a.m. a 4 p.m. Si visita el sitio SZFG en un día que está abierto, busque el edificio 30. La clínica estará en el segundo piso.\u003c/p>\n\u003cp>Tenga en cuenta que esta clínica sin cita previa ha tenido que cerrar con breve aviso en el pasado debido a la falta de suministro, por lo que es importante verificar que el sitio esté abierto antes de visitarlo. Puede encontrar las actualizaciones sobre el estado de operación de la clínica ZSFG en \u003ca href=\"https://twitter.com/SF_DPH\">la cuenta de Twitter del Departamento de Salud Pública de San Francisco\u003c/a>.\u003c/p>\n\u003cp>La Fundación contra el Sida de San Francisco tiene una lista de espera para recibir la vacuna con Magnet, la clínica de salud sexual de la organización. Puede llamar al (415) 581-1600 o \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">acceder a la lista de espera aquí\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#preguntas\">\u003cstrong>Envíe sus preguntas sobre la viruela del mono y díganos qué debemos de investigar.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"varicela\">\u003c/a>Si me vacuné contra la viruela en el pasado ¿estoy protegido contra la viruela del mono?\u003c/h2>\n\u003cp>La vacunación rutinaria contra la viruela en Estados Unidos finalizó en 1972. Pero si recibió una vacuna contra la viruela antes de 1972, es probable que se pregunte si aún está protegido, puesto que el virus de la viruela del mono está relacionado con el virus de la viruela (aunque la viruela del mono es menos severa y menos contagiosa que la viruela).\u003c/p>\n\u003cp>La doctora Susan Philip, funcionaria de San Francisco, dice que vacunarse contra la viruela “tendría cierta protección cruzada contra la viruela del mono” y “parece que las personas que han sido vacunadas contra la viruela en el pasado poseen una protección parcial, por lo que puede que no tengan un caso tan grave de la viruela del mono”.\u003c/p>\n\u003cp>Pero si te vacunaste contra la viruela antes de 1972 ¿todavía tienes inmunidad contra la viruela del mono? Hoy, eso parece incierto. Andrea McCollum, líder del equipo de epidemiología del poxvirus en la división de patología y microorganismos patógenos de graves consecuencias de los CDC dice que “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">esto es algo que realmente no hemos descubierto en personas que se vacunaron [contra la viruela] 50 años antes, 60 años antes\u003c/a>”.\u003c/p>\n\u003cp>Philip enfatiza que dado que una vacuna histórica contra la viruela “puede que no sea una protección completa” contra la viruela del mono, el Departamento de Salud Pública de San Francisco y los CDC recomiendan que aunque recibió una vacuna contra la viruela cuando era niño, definitivamente debe buscar una vacuna contra la viruela del mono si estuvo expuesto a este virus para “obtener la mayor protección posible”.\u003c/p>\n\u003cfigure id=\"attachment_11924194\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11924194\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg\" alt=\"Una persona sostiene una botella de medicamentos en su mano.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/GettyImages-1242023301-1920x1281-2-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (también conocido como Tecovirimat o ST-246) se usa para tratar a las personas que experimentan los peores síntomas de la viruela del mono. La FDA aprobó Tecovirimat para tratar la viruela en 2018. \u003ccite>(uki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tratamiento\">\u003c/a>¿Qué otros tratamientos existen?\u003c/h2>\n\u003cp>La vacuna contra la viruela del mono puede actuar como una especie de tratamiento, pero sólo si se recibe al poco tiempo de haber estado expuesto, dice el doctor Peter Ching-Hong, especialista de enfermedades infecciosas de UCSF.\u003c/p>\n\u003cp>“Si recibió una vacuna poco después de estar expuesto, algunas personas piensan que dentro de los cuatros días, puede afectar y evitar que se enferme, aunque haya estado expuesto a una infección,” dice Ching-Hong. “Si recibe la vacuna dentro de los 14 días posteriores a la exposición, aunque pueda tener sarpullido o enfermedad, sus síntomas se reducirán”.\u003c/p>\n\u003cp>Pero la vacuna contra la viruela del mono no es el único tratamiento disponible en la actualidad. Algunos médicos administran el medicamento TPOXX (también conocido como Tecovirimat o ST-246) a pacientes que experimentan síntomas graves de viruela del mono. Tecovirimat suele ser un tratamiento de dos semanas y puede administrarse a través de una cápsula o una inyección intravenosa. El medicamento dificulta al virus que intenta infectar nuevas células, lo cual limita el crecimiento de la infección.\u003c/p>\n\u003cp>“La mayoría de las personas mejorarán por sí solas, pero algunas necesitarán tratamiento”, dice el doctor Ching-Hong de UCSF. Entre las personas elegibles para el tratamiento se incluyen aquellos con el sistema inmunológico vulnerable, personas embarazadas y niños menores de 8 años.\u003c/p>\n\u003cp>Las personas que no poseen esas características de riesgo pero contraen la viruela del mono pueden recibir tratamiento, dice Chin-Hong. Esto incluye a aquellos que desarrollan una enfermedad oral prolongada, pues les resulta muy difícil comer y beber. “Es como tener un montón de úlceras en la boca”, dice Ching-Hong. Aquellos que desarrollan la enfermedad de manera en el área rectal o cerca de los ojos también pueden recibir tratamiento.\u003c/p>\n\u003cp>TPOXX solo ha sido aprobado por la FDA para tratar infecciones de viruela. Los CDC, sin embargo, permiten que los médicos receten TPOXX para el tratamiento de la viruela del mono a través de un proceso conocido como “protocolo de nuevo fármaco en investigación para amplio acceso”. Un médico deberá presentar una solicitud a la FDA y el paciente debe estar dispuesto a firmar un formulario bajo su consentimiento.\u003c/p>\n\u003cp>La doctora Philip de San Francisco dice que los funcionarios de la ciudad se están asociando con los proveedores de salud para “ampliar el acceso de las personas en toda la ciudad, ya sea que estén afiliados o no al sistema de salud”. La doctora agrega que depende de los CDC agilizar el proceso para que los médicos puedan solicitar TPOXX.\u003c/p>\n\u003cp>Otro aspecto que los pacientes deben considerar es hablar con su médico sobre cualquier dolor que sientan y dónde. Algunos pacientes con la viruela del mono\u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\"> consideran el dolor de los sarpullidos como algo “insoportable”\u003c/a>.\u003c/p>\n\u003cp>Existen muchas opciones que pueden aliviar o al menos reducir el dolor si se tiene la viruela del mono. Los médicos pueden recetar un tratamiento que respondería al dolor asociado con las lesiones presentes en la cara, o los brazos, la boca, o el área genital o rectal del paciente, dice el doctor Chin-Hong.\u003c/p>\n\u003cp>“El tratamiento no solo se trata de vacunas y medicamentos. El tratamiento también se enfoca en los síntomas específicos que presenta el paciente”, dice. “Así que asegúrese de pedir ayuda a su profesional de la salud porque puede haber cosas que ayuden a sentir menos dolor”.\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"preguntas\">\u003c/a>¿Qué otras preguntas tiene sobre la viruela del mono?\u003c/strong>\u003c/h2>\n\u003cp>¿Tiene más preguntas sobre la viruela del mono y no encuentra una respuesta en esta publicación o en \u003ca href=\"https://www.kqed.org/monkeypox\">nuestras guías que explican los síntomas y cómo se propaga el virus\u003c/a>?\u003c/p>\n\u003cp>Puede usar el cuadro a continuación para enviar una pregunta. Lo que nos envíe ayudará nuestros informes sobre la viruela del mono y podremos decidir qué cubrir aquí, en nuestro sitio web y en la radio pública de KQED.\u003c/p>\n\u003cp>Tenga en cuenta que no podemos comunicarnos directamente con aquellos que envían preguntas y no podemos brindar asesoramiento médico personal. Si le preocupa la viruela del mono u otro problema de salud, le recomendamos que se comunique con su proveedor de atención médica o una clínica comunitaria local si no tiene seguro (\u003ca href=\"#donde\">consulte nuestra lista de consultorios comunitarios en su condado\u003c/a>).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca href=\"https://twitter.com/justoescribe\">Kervy Robles\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Men who have sex with men are still, overwhelmingly, the people most affected by monkeypox, according to \u003ca href=\"https://www.who.int/publications/m/item/multi-country-outbreak-of-monkeypox--external-situation-report--3---10-august-2022\">the World Health Organization\u003c/a>. And that's caused some hurdles when it comes to public health messaging about how people can protect themselves. Everything from what we call the virus to offering advice on preventing transmission runs the risk of further stigmatizing gay and bisexual men.[aside postID=news_11919070 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg']\u003c/p>\n\u003cp>But experts said that in spite of that risk, it's important to keep sex at the front and center of the monkeypox conversation.\u003c/p>\n\u003cp>\"You have to be specific about who's actually at risk, and what are the transmission routes,\" said epidemiologist Chris Beyrer, incoming director of Duke Global Health Institute.\u003c/p>\n\u003cp>While it is possible to get monkeypox through ways besides sex, such as touching fabrics that have been used by someone with monkeypox, those instances remain extremely rare. So far in the current outbreak, sexual contact between men remains the primary mode of transmission\u003cstrong>, \u003c/strong>which is important to keep in mind, especially \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/16/1117658734/the-who-wants-to-help-low-income-nations-combat-the-monkeypox-outbreak\">during a shortage of vaccines\u003c/a>. \"In a period of vaccine scarcity, you have to try and use vaccines, to interrupt chains of transmissions,\" said Beyrer. \"It's important to try and contain the outbreak by getting higher rates of population immunity in the networks where this is spreading.\"\u003c/p>\n\u003cp>One of the biggest public health challenges has been limiting risky behavior involving sex, said Beyrer. That is, advising queer and gay people to reduce the number of sexual partners and avoid close contact with strangers.\u003c/p>\n\u003cp>Messaging which harkens back to the messaging of the early HIV/AIDS.\u003c/p>\n\u003cp>\"And people found it to have some kind of elements of homophobia, and anti-sex when sexuality is a very big part of identity,\" said Beyrer.\u003c/p>\n\u003ch3>How To Have Sex In An Epidemic\u003c/h3>\n\u003cp>Jennifer Brier is a historian of HIV/AIDS at the University of Illinois Chicago. As the debates over how to talk about monkeypox went around – such as does monkeypox count as an STI? How should we think about bad-faith actors calling it a \"gay disease\" – she pointed back at one of the formative texts of public health, titled \u003ca href=\"https://richardberkowitz.com/category/4-how-to-have-sex-in-an-epidemic/\">\u003cem>How to Have Sex in an Epidemic\u003c/em>\u003c/a>. Written by two men Michael Callen and Richard Berkowitz, in response to a dearth of information coming from the government.\u003c/p>\n\u003cp>While the booklet contained direct and detailed information about the dangers of sex during the HIV/AIDS crisis, it first started as a screed titled \"We Know Who We Are: Two Gay Men Declare War on Promiscuity.\"\u003c/p>\n\u003cp>\"And people went banana pants at that article,\" said Brier. \"Like, 'you're attacking gay liberation, that's who we are.' And I understand that at some level. But they were also trying to figure out a model of harm reduction before it existed.\"\u003c/p>\n\u003cp>It's a playbook people are still learning lessons from today. Nick Diamond is a co-investigator with \u003ca href=\"https://www.mpxresponse.org/\">RESPND-MI\u003c/a>, a community-driven effort to anonymously collect data on sexual networks among queer and trans people in New York City. And in July, in response to a dearth of information about monkeypox from local, state and federal officials, Diamond co-wrote a document titled \"\u003ca href=\"https://docs.google.com/document/d/18-ImoLo5iRTuV6MmQyYt5XUHQEitBm8tPhM3J7gBt9A/edit\">Six Ways We Can Have Safer Sex in the Time of Monkeypox.\u003c/a>\"\u003c/p>\n\u003cp>\"I'll be the first to say that we have been leaning on activists from the AIDS response to develop these actions around our response to monkeypox,\" said Diamond.\u003c/p>\n\u003cp>But he adds that it's an imperfect line to draw. HIV/AIDS was a much deadlier disease and broke out during a politically different time. That said, Diamond says people still have a hard time talking about queer and trans sex.\u003c/p>\n\u003cp>\"We have to talk about sex when we're talking about monkeypox. I think that these are uncomfortable conversations but it is one of the determinants of our health and rights,\" said Diamond.\u003c/p>\n\u003cp>And it's important to talk about the totality of human sexuality when doing so. While men who have sex with men are currently at the center of the monkeypox outbreak, HIV/AIDS historian Jennifer Brier says that specific turn of phrase can be limiting. Men who have sex with men don't only have sex with men, and vice-versa.\u003c/p>\n\u003cp>\"Our sexual desires and our sexual practices are way more complicated than any phrase can give us,\" she said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">npr.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Talking+about+monkeypox%3F+Then+you+should+be+talking+about+sex&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>[ad fullwidth]\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But experts said that in spite of that risk, it's important to keep sex at the front and center of the monkeypox conversation.\u003c/p>\n\u003cp>\"You have to be specific about who's actually at risk, and what are the transmission routes,\" said epidemiologist Chris Beyrer, incoming director of Duke Global Health Institute.\u003c/p>\n\u003cp>While it is possible to get monkeypox through ways besides sex, such as touching fabrics that have been used by someone with monkeypox, those instances remain extremely rare. So far in the current outbreak, sexual contact between men remains the primary mode of transmission\u003cstrong>, \u003c/strong>which is important to keep in mind, especially \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/16/1117658734/the-who-wants-to-help-low-income-nations-combat-the-monkeypox-outbreak\">during a shortage of vaccines\u003c/a>. \"In a period of vaccine scarcity, you have to try and use vaccines, to interrupt chains of transmissions,\" said Beyrer. \"It's important to try and contain the outbreak by getting higher rates of population immunity in the networks where this is spreading.\"\u003c/p>\n\u003cp>One of the biggest public health challenges has been limiting risky behavior involving sex, said Beyrer. That is, advising queer and gay people to reduce the number of sexual partners and avoid close contact with strangers.\u003c/p>\n\u003cp>Messaging which harkens back to the messaging of the early HIV/AIDS.\u003c/p>\n\u003cp>\"And people found it to have some kind of elements of homophobia, and anti-sex when sexuality is a very big part of identity,\" said Beyrer.\u003c/p>\n\u003ch3>How To Have Sex In An Epidemic\u003c/h3>\n\u003cp>Jennifer Brier is a historian of HIV/AIDS at the University of Illinois Chicago. As the debates over how to talk about monkeypox went around – such as does monkeypox count as an STI? How should we think about bad-faith actors calling it a \"gay disease\" – she pointed back at one of the formative texts of public health, titled \u003ca href=\"https://richardberkowitz.com/category/4-how-to-have-sex-in-an-epidemic/\">\u003cem>How to Have Sex in an Epidemic\u003c/em>\u003c/a>. Written by two men Michael Callen and Richard Berkowitz, in response to a dearth of information coming from the government.\u003c/p>\n\u003cp>While the booklet contained direct and detailed information about the dangers of sex during the HIV/AIDS crisis, it first started as a screed titled \"We Know Who We Are: Two Gay Men Declare War on Promiscuity.\"\u003c/p>\n\u003cp>\"And people went banana pants at that article,\" said Brier. \"Like, 'you're attacking gay liberation, that's who we are.' And I understand that at some level. But they were also trying to figure out a model of harm reduction before it existed.\"\u003c/p>\n\u003cp>It's a playbook people are still learning lessons from today. Nick Diamond is a co-investigator with \u003ca href=\"https://www.mpxresponse.org/\">RESPND-MI\u003c/a>, a community-driven effort to anonymously collect data on sexual networks among queer and trans people in New York City. And in July, in response to a dearth of information about monkeypox from local, state and federal officials, Diamond co-wrote a document titled \"\u003ca href=\"https://docs.google.com/document/d/18-ImoLo5iRTuV6MmQyYt5XUHQEitBm8tPhM3J7gBt9A/edit\">Six Ways We Can Have Safer Sex in the Time of Monkeypox.\u003c/a>\"\u003c/p>\n\u003cp>\"I'll be the first to say that we have been leaning on activists from the AIDS response to develop these actions around our response to monkeypox,\" said Diamond.\u003c/p>\n\u003cp>But he adds that it's an imperfect line to draw. HIV/AIDS was a much deadlier disease and broke out during a politically different time. That said, Diamond says people still have a hard time talking about queer and trans sex.\u003c/p>\n\u003cp>\"We have to talk about sex when we're talking about monkeypox. I think that these are uncomfortable conversations but it is one of the determinants of our health and rights,\" said Diamond.\u003c/p>\n\u003cp>And it's important to talk about the totality of human sexuality when doing so. While men who have sex with men are currently at the center of the monkeypox outbreak, HIV/AIDS historian Jennifer Brier says that specific turn of phrase can be limiting. Men who have sex with men don't only have sex with men, and vice-versa.\u003c/p>\n\u003cp>\"Our sexual desires and our sexual practices are way more complicated than any phrase can give us,\" she said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">npr.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Talking+about+monkeypox%3F+Then+you+should+be+talking+about+sex&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/p>\u003c/div>",
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"content": "\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.[aside postID='news_11920455,news_11919070,news_11920913' label='More monkeypox resources']So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right']A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.[/pullquote]\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UCSF\"]‘It’s very, very low risk to get monkeypox in a swimming pool.’[/pullquote]\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Can monkeypox spread on surfaces? Does monkeypox spread through the air? KQED spoke to the experts to learn how monkeypox transmits and what you can do to protect yourself and your family.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "‘It’s very, very low risk to get monkeypox in a swimming pool.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "californias-monkeypox-response-is-still-bumpy-despite-covid-lessons-so-what-happened",
"title": "California's Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened?",
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"content": "\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. [pullquote size='medium' align='left' citation=\"Sen. Scott Wiener (D-San Francisco)\"]‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’[/pullquote]\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. [aside postID=\"news_11921709\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57502_007_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg']\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. [pullquote size='medium' align='left' citation=\"Karen Elliott, public health director with Tulare County\"]‘I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.’[/pullquote]\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.[aside label=\"Related Coverage\" tag=\"monkeypox\"] “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” [pullquote size='medium' align='left' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco\"]‘We don’t have enough money for robust contact tracing given the number of case. That leaves people to do their own contact tracing. They need to get tested.’[/pullquote] Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.[pullquote size='medium' align='right' citation=\"Kat DeBurgh, executive director of the Health Officers Association of California\"]‘I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have.’[/pullquote]\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“This is a self-limiting, non-fatal disease,” Solano County Public Health Director Dr. Bela Matyas said. “Here we are redeploying from COVID to monkeypox. COVID kills. Monkeypox doesn’t. And I think it’s fair to ask where the logic is in that kind of decision-making.”\u003c/p>\n\n",
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"excerpt": "Monkeypox tests and vaccines are in short supply as public health officials grapple with red tape and short supplies. Yet some of the processes put in place in response to COVID-19 have helped.",
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"title": "California's Monkeypox Response Is Still Lagging, Despite COVID Lessons. So What Happened? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds waiting hours for a monkeypox vaccine only to be turned away. Residents taking to social media to detail struggles getting diagnosed and treated. State and local leaders demanding federal action. Emergency orders declared.\u003c/p>\n\u003cp>At face value, these details paint the picture of a country and state in crisis, struggling to apply lessons learned from the past two and a half years of COVID-19 response. However, scientists, public health leaders, and physicians who spoke with CalMatters said infrastructure and resources augmented during the COVID-19 pandemic have, in fact, aided the monkeypox response.\u003c/p>\n\u003cp>Still, it has its faults.\u003c/p>\n\u003cp>“What we learned from COVID is that speed is everything. When we look at the response of monkeypox later on, we’ll see speed is the main thing we take issue with,” said Dr. Peter Chin-Hong, infectious disease specialist at UC San Francisco and member of the state’s scientific advisory committee for monkeypox.\u003c/p>\n\u003cp>California has the second-highest number of monkeypox cases in the country, with more than 1,300 infected residents, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\">according to the latest state data\u003c/a>. Gay and bisexual men have been disproportionately impacted, making up 96% of cases. Some experts say we’re already past the point of controlling monkeypox, \u003ca href=\"https://calmatters.org/health/2022/05/monkeypox-california/\">which was first reported in California in late May\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The culprit? Too little testing and treatment and too few vaccinations — all of it layered with too much red tape at both the federal and state level. It’s a familiar refrain and one that has frustrated state and local leaders.\u003c/p>\n\u003cp>\u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">A cadre of California lawmakers\u003c/a> asked the U.S. Department of Health and Human Services to allow the state to reallocate some of the $1.5 billion in COVID-19 response funds to monkeypox. Others submitted \u003ca href=\"https://twitter.com/Scott_Wiener/status/1554240386947637249\">a $38.5 million emergency state budget request for monkeypox resources\u003c/a>, and the California Department of Public Health sent a letter to the Centers for Disease Control and Prevention requesting 600,000 to 800,000 vaccines — that’s more than half of the total available doses for the entire country.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is expected to receive 72,000 doses of \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the JYNNEOS vaccine used for monkeypox\u003c/a>, with an additional 43,000 sent straight to Los Angeles County. Those doses represent “a drop in the bucket” of what’s needed, state epidemiologist Dr. Erica Pan told county health officers in a meeting last week.\u003c/p>\n\u003cp>During a Senate oversight hearing held Tuesday, Sen. Scott Wiener, a San Francisco Democrat, said “severe public health failures” at the federal level led to the current outbreak.\u003c/p>\n\u003cp>“We need to turn this around,” Wiener said. “We need to continue to push hard to make sure that our state, federal, state and local public health authorities are directing the resources where they’re needed most and rapidly expanding support for vaccination, testing and treatment to slow and hopefully stop this spread.”\u003c/p>\n\u003ch2>Lessons learned\u003c/h2>\n\u003cp>Despite continued resource challenges, public health systems are better prepared to respond to monkeypox than they were to COVID-19. In the early days of the pandemic, \u003ca href=\"https://calmatters.org/health/2022/06/patient-data-california/\">hospitals didn’t even have a way to quickly report how many COVID-19 patients were hospitalized or in intensive care\u003c/a>.\u003c/p>\n\u003cp>“(Monkeypox) is a serious concern, but public health is far more prepared now than we have ever been,” said Sarah Bosse, Madera County public health director.\u003c/p>\n\u003cp>Madera County has not reported any monkeypox cases, but neighboring Fresno County has seven cases. Bosse said her department is already in talks with the state on how to redirect COVID-19 contact tracers to monkeypox response and how to scale up vaccination clinics.\u003c/p>\n\u003cp>“The state has been very proactive in identifying counties that need additional support,” Bosse said. \u003c/p>\u003c/div>",
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"content": "‘What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years. We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In comparison, in 2020, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">11 counties declared local emergencies for COVID-19 before Gov. Gavin Newsom\u003c/a> declared a statewide emergency, freeing up staff and fiscal resources. This time, only San Francisco beat the state to the punch, a signal that state officials are closely in tune with local needs.\u003c/p>\n\u003cp>“To someone like me who has been doing this for 30 years, this actually moved very fast,” said Dr. Timothy Brewer, an infectious disease specialist at UC Los Angeles, who recalled it was three years between when the first case of AIDS was described in Los Angeles and identification of the HIV virus. It took an additional three years before the first treatment was developed.\u003c/p>\n\u003cp>Comparing monkeypox to the HIV/AIDS epidemic and COVID-19 pandemic — both of which activists and state leaders have done — isn’t exactly apples-to-apples. What researchers knew about each disease at the onset of their respective outbreaks and available treatments varied widely.\u003c/p>\n\u003cp>“What’s frustrating is that unlike COVID, which was a brand new virus that we had never seen before…with monkeypox we do know about it. It’s been around almost 70 years,” Wiener said. “We actually have a vaccine and an effective treatment. You would think that would be a recipe for very quickly controlling an outbreak.”\u003c/p>\n\u003cp>However, the influx of attention and money on the state’s chronically underfunded public health resources during the past two years has helped agencies ramp up for monkeypox much more quickly than they did with COVID-19.\u003c/p>\n\u003cp>For example, six months after the first confirmed COVID-19 case in California, the state was still \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/timeline-california-pandemic-year-key-points/\">rationing test kits\u003c/a> and struggling to process a backlog of results. In comparison, one month after the first monkeypox case in the U.S., the CDC onboarded five commercial laboratories, making monkeypox testing widely available at hospitals and doctors’ offices. In the same time period, the California Department of Public Health doubled its weekly testing capacity from 1,000 to 2,000 tests with an average turnaround time of three days, far shorter than the \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-test-backlog-delays-newsom-announces-ramp-up/\">12 days reported for early COVID-19 tests\u003c/a>. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state also had to build data-reporting systems for contact tracing, testing and vaccinations from scratch in 2020. County health officials say they’re now using those same systems for monkeypox. By Aug. 15, the state plans to launch a monkeypox vaccine appointment portal through the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/04/myturn-vaccine-appointments-problems/\">MyTurn website developed for COVID-19\u003c/a>.\u003c/p>\n\u003cp>“We have weekly calls with (the state health department) and everyone is saying we need funding resources for this,” said Tulare County Public Health Director Karen Elliott. “I think that’s one of the reasons (the state health department) wanted the state of emergency. It cuts a lot of red tape.”\u003c/p>\n\u003cp>Some of that red tape stems from reallocating money earmarked for COVID-19 to monkeypox, which requires both federal and state approval. Public health funding is notoriously categorical, representing a history of crisis allocation rather than continuous investment in safety-net systems and disease prevention. This severely limits the flexibility needed to respond to an outbreak.\u003c/p>\n\u003cp>“We have a specific budget for tobacco prevention, a specific budget for obesity prevention,” Madera’s public health director Bosse said. “We have 78 (funding streams) for one department that all have to be tracked separately.”\u003c/p>\n\u003cp>The state allocated \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/cost-covid-california/\">$12.3 billion to pandemic response\u003c/a> in the past two years. Some counties have money left over or have staff hired to run COVID-19 clinics and conduct contact tracing, but haven’t been able to use them for monkeypox, which Elliott says they’ll need as cases increase in Tulare County. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Legislature also approved $300 million in ongoing public health funding for local health departments in June, \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\">the first significant state investment since 2008\u003c/a>. Typically that money would take several months to make its way to county health agencies, but the state of emergency has helped them get the money now, county officials said.\u003c/p>\n\u003cp>Still, county officials emphasize that spending flexibility is needed in public health. Riverside County Public Health Director Kimberly Saruwatari said the employees responding to monkeypox are working “outside of their grant requirements” and local departments won’t be able to sustain that spending. San Diego County Public Health Director Elizabeth Hernandez testified during Tuesday’s hearing that her department is spending $90,000 per week on monkeypox response and has incurred more than $400,000 in expenses.\u003c/p>\n\u003ch2>Shortfalls remain\u003c/h2>\n\u003cp>Even with a more coordinated statewide response, bureaucratic delays and shortages at the federal level threaten to upend local efforts to control the spread. The CDC recommends doctors only test a small subset of the population that suspects they are a close contact of someone with monkeypox or are symptomatic. Also, the antiviral treatment for severe cases is considered experimental and requires hours of paperwork for each patient along with an ethics review, rendering most clinics unable to give it to patients. Meanwhile, vaccines remain far too scarce.\u003c/p>\n\u003cp>UCSF’s Dr. Chin-Hong said limitations on who can get tested mean cases are diagnosed far too late.\u003c/p>\n\u003cp>As of Aug. 2, the state health department had received 6,682 monkeypox test results, with the positivity rate around 19%. Generally, a positivity rate higher than 5% means not enough testing is being conducted.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “In an outbreak setting you want to test as many people as possible. You know you’re successful if you have a lot of negative tests,” Chin-Hong said.\u003c/p>\n\u003cp>The earlier a case is diagnosed, the easier it is to conduct contact tracing, which becomes critical in the face of vaccine shortages. That, however, continues to be an obstacle.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mercurynews.com/2022/08/08/san-francisco-retreated-on-contact-tracing-for-monkeypox-weeks-ago/?utm_source=CalMatters+Newsletters&utm_campaign=07db42b441-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-07db42b441-151722021&mc_cid=07db42b441&mc_eid=3d4d91014b\">The Mercury News reported that San Francisco’s health department has largely abandoned contact tracing\u003c/a> as a primary containment strategy — citing difficulties in getting patients to divulge sexual partners — and is instead telling people to “self-refer partners.” Monkeypox is not a sexually transmitted disease but has been spreading through sexual networks due to the close skin-to-skin contact needed for transmission. In comparison, contact tracing for COVID-19 quickly became infeasible in part because the ease of airborne transmission made it impossible for many people to pinpoint where they became infected.\u003c/p>\n\u003cp>Epidemiologists say monkeypox could feasibly be contained given its long incubation period of two to three weeks, but it requires public health departments to have ample employees to do the work of getting a detailed history from patients and calling every known contact.\u003c/p>\n\u003cp>“We don’t have enough money for robust contact tracing given the number of cases,” Chin-Hong said. “That leaves people to do their own contact tracing. They need to get tested.” \u003c/p>\u003c/div>",
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"content": "‘We don’t have enough money for robust contact tracing given the number of case. That leaves people to do their own contact tracing. They need to get tested.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Elliot, Tulare County’s public health director, said most counties will have trouble scaling up contact tracing without state support. Her staff has three communicable disease investigators who work to find close contacts of each case and two public health nurses that are in daily contact with positive patients to monitor their symptoms.\u003c/p>\n\u003cp>“We have two cases but we’d be ignorant to think we won’t have more,” she said. “Eventually, we won’t have the bandwidth for this anymore.”\u003c/p>\n\u003cp>Los Angeles County Health Officer Dr. Muntu Davis said his department has “insufficient resources for contact tracing” and has requested help from the state. Confirmed monkeypox cases in Los Angeles County doubled in the past 10 days to 647 infections, Davis told legislators at Tuesday’s hearing.\u003c/p>\n\u003cp>With lackluster testing and contact tracing resources, Chin-Hong said the primary strategy for monkeypox containment becomes “vaccinate like crazy” for the most at-risk population: gay, bisexual and transgender men.\u003c/p>\n\u003cp>Yet again, that strategy comes with severe limitations.\u003c/p>\n\u003cp>“I want to be clear, the state of emergency and emergency budget request? Neither will solve our most basic need, which is for more vaccine. We can’t distribute a vaccine that we don’t have,” said Kat DeBurgh, executive director of the Health Officers Association of California.\u003c/p>\n\u003cp>Officials continue to stress that risk remains low for the general public, and some say the political discourse has caused unwarranted panic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Monkeypox won’t infect as many people as COVID-19 due to its mode of transmission and has not caused any deaths in the United States, although it can cause painful lesions on the skin. Twenty-seven patients, representing 3% of all cases, are hospitalized in California primarily for pain management, according to State Health Officer Dr. Tomás Aragón.\u003c/p>\n\u003cp>In comparison, \u003ca href=\"https://calmatters.org/health/coronavirus/2020/04/california-coronavirus-covid-patient-hospitalization-data-icu/\">more than 4,300 COVID-19 patients\u003c/a> are currently hospitalized and 93,056 Californians have died since the beginning of the pandemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is a self-limiting, non-fatal disease,” Solano County Public Health Director Dr. Bela Matyas said. “Here we are redeploying from COVID to monkeypox. COVID kills. Monkeypox doesn’t. And I think it’s fair to ask where the logic is in that kind of decision-making.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as \"MPX\" (pronounced \"em-pox\") with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use \"MPX\" for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">MPX cases are rising quickly throughout the country. Both the state of California and San Francisco have declared \u003c/span>\u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">\u003cspan style=\"font-weight: 400;\">a state of emergency\u003c/span>\u003c/a> around the virus\u003cspan style=\"font-weight: 400;\">, and state and local health officials are working with the federal government to\u003c/span>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cspan style=\"font-weight: 400;\"> make more MPX vaccines available\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Anybody can get MPX, but at the moment \u003c/span>\u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">\u003cspan style=\"font-weight: 400;\">it’s particularly affecting communities of gay and bisexual men, and men and trans people who have sex with men\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">. \u003c/span>\u003c/p>\n\u003cp>So tell us: do you have a question about MPX and can't find an answer in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide to where to find a MPX vaccine near you\u003c/a>, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our explainer on MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>\u003cstrong>You can use the box below to submit your question\u003c/strong>, whether it's about treatment and recovery or something else you're wondering. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>Please know that we can't reach back out directly to everyone who asks a question, and we can't give out individual medical advice. If you're concerned about MPX or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don't have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">We’re also always open to feedback about how we can make our coverage better, so feel free to use this box to send a message about that as well.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as \"MPX\" (pronounced \"em-pox\") with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use \"MPX\" for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">MPX cases are rising quickly throughout the country. Both the state of California and San Francisco have declared \u003c/span>\u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">\u003cspan style=\"font-weight: 400;\">a state of emergency\u003c/span>\u003c/a> around the virus\u003cspan style=\"font-weight: 400;\">, and state and local health officials are working with the federal government to\u003c/span>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">\u003cspan style=\"font-weight: 400;\"> make more MPX vaccines available\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Anybody can get MPX, but at the moment \u003c/span>\u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">\u003cspan style=\"font-weight: 400;\">it’s particularly affecting communities of gay and bisexual men, and men and trans people who have sex with men\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\">. \u003c/span>\u003c/p>\n\u003cp>So tell us: do you have a question about MPX and can't find an answer in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide to where to find a MPX vaccine near you\u003c/a>, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our explainer on MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>\u003cstrong>You can use the box below to submit your question\u003c/strong>, whether it's about treatment and recovery or something else you're wondering. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Hundreds of people have lined up for multiple blocks every day this week to receive the monkeypox vaccine at a walk-in clinic at the Zuckerberg San Francisco General Hospital and Trauma Center, the city’s main public hospital.\u003c/p>\n\u003cp>With California and the city of San Francisco declaring a public health emergency over the growing number of monkeypox cases, officials say more vaccine doses should be arriving soon. But demand is high and supply remains low.\u003c/p>\n\u003cp>Officials said the city received about 4,000 doses at the end of last week. The ZSFG was \u003ca href=\"https://ww2.kqed.org/news/lp-post-preview?preview_id=11921478&_thumbnail_id=&pformat=&post_id=11921165\">able to administer 650 doses Tuesday, according to the San Francisco Public Health Department\u003c/a>. More people lined up Wednesday, some getting there as early as 6:30 a.m., \u003ca href=\"https://twitter.com/SF_DPH/status/1554850228209037312?s=20&t=caDOn29lc8jaeWZW_RbZfg\">and all available doses there were assigned by about 9 a.m.\u003c/a> Officials said another allotment of more than 10,000 vaccines is expected, but it’s unclear when those will arrive.\u003c/p>\n\u003cp>https://twitter.com/SF_DPH/status/1554544183192326144?s=20&t=9_7vYeGdy53o7Lj5uSyiEw\u003c/p>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.[aside postID=\"news_11920455\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\n\u003cp>https://twitter.com/LomeliCabrera/status/1554834168076349443\u003c/p>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.[aside postID=\"news_11919070\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg']Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"title": "'Stay on the Safer Side': A Look at the Long Wait to Get the Monkeypox Vaccine | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of people have lined up for multiple blocks every day this week to receive the monkeypox vaccine at a walk-in clinic at the Zuckerberg San Francisco General Hospital and Trauma Center, the city’s main public hospital.\u003c/p>\n\u003cp>With California and the city of San Francisco declaring a public health emergency over the growing number of monkeypox cases, officials say more vaccine doses should be arriving soon. But demand is high and supply remains low.\u003c/p>\n\u003cp>Officials said the city received about 4,000 doses at the end of last week. The ZSFG was \u003ca href=\"https://ww2.kqed.org/news/lp-post-preview?preview_id=11921478&_thumbnail_id=&pformat=&post_id=11921165\">able to administer 650 doses Tuesday, according to the San Francisco Public Health Department\u003c/a>. More people lined up Wednesday, some getting there as early as 6:30 a.m., \u003ca href=\"https://twitter.com/SF_DPH/status/1554850228209037312?s=20&t=caDOn29lc8jaeWZW_RbZfg\">and all available doses there were assigned by about 9 a.m.\u003c/a> Officials said another allotment of more than 10,000 vaccines is expected, but it’s unclear when those will arrive.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>There have been \u003ca href=\"https://sf.gov/information/monkeypox-cases\">nearly 400 cases reported in San Francisco and more than 1,000 statewide\u003c/a>.\u003c/p>\n\u003cp>Those waiting in line had a variety of reasons for getting the shot. Andrew Hashoush, who lives in San Francisco, said he decided to go to the clinic after researching the virus and seeing social media posts about the disease’s characteristic rash.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I really do not want that to happen to me,” said Hashoush.\u003c/p>\n\u003cp>Brandy Fabian, who lives in Richmond and works in San Francisco, was among those who were waiting for the shot on Tuesday morning. He started his commute early and was in line by 7 a.m. He said he wasn’t expecting the wait to stretch multiple blocks but that he was determined to get the shot.\u003c/p>\n\u003cp>“I think it’s mostly seeing the outcomes or the aftermath of people who have been infected just because, seeing those warts appear like on your skin, on your face, it doesn’t seem like something that I want to deal with,” he said. “I kind of want to just like also stay on the safer side.”\u003c/p>\n\u003cp>KQED’s Carlos Cabrera-Lomelí was also among those who attempted to get the shot multiple times. He waited in line Tuesday but had to leave for work. He decided to try again Wednesday, spending two hours in line before finally getting the dose.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“The crowd was probably men …. some doing work on their computer, some with books, some pulled up the lawn chairs, everything,” said Cabrera-Lomelí. “Some people I spoke to had been there since seven, even six. Everyone I spoke to was really serious about about why they wanted to be there.”\u003c/p>\n\u003cp>Juan Cruz, who came to the city from Petaluma, said it was better to get the disease in control now before it gets out of hand.\u003c/p>\n\u003cp>“I actually think it’s important just because we saw what happened with COVID,” said Cruz. “We have the vaccine now. Why not get it? I think it’d be better to prevent it.”\u003c/p>\n\u003cp>Dr. Lukejohn Day, Chief Medical Officer at ZSFG, said the majority of cases have spread in networks of men who have sex with men but that anyone can get monkeypox since the virus spreads primarily through close physical contact.\u003c/p>\n\u003cp>“Our goal right now is to efficiently, expeditiously and fairly and equitably administer those vaccines to the community who is at risk,” said Day.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Those eligible for the vaccines include gay, bisexual and other men who have sex with men and trans people who have sex with men and have multiple partners, as well as sex workers of any sexual orientation/gender. Those who have been exposed to the virus are also eligible for the vaccine regardless of sexual orientation, as well as people who are at high-risk because of their jobs, such as healthcare workers.\u003c/p>\n\u003cp>Hunter Speight, a 24-year-old San Francisco resident, said that as a hairstylist who is in contact with many people throughout the day, it was important for him to get the vaccine.\u003c/p>\n\u003cp>“I came by yesterday, and the line was about this long, and I thought if I came back today, it wouldn’t be as long, but I was wrong,” said Speight, adding that the long wait won’t deter him. “I brought a book, and I expected to wait this long, it’s not a surprise.”\u003c/p>\n\u003cp>\u003cem>KQED’s Carlos Cabrera-Lomelí contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread",
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"content": "\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.[aside postID=news_11920455 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.",
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"title": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread | KQED",
"description": "What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.",
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"headline": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread",
"datePublished": "2022-07-28T16:35:09-07:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post (\u003ca href=\"https://www.kqed.org/news/11923658/donde-vacuna-contra-viruela-del-mono\">leer en español\u003c/a>):\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Looking for facts about MPX, information on MPX symptoms or MPX case numbers?\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\"> Read our full guide to MPX in the Bay Area.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#wheremonkeypoxvaccinenearme\">Where can I find an MPX vaccine near me in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismonkeypoxvaccine\">What is the MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whomonkeypoxvaccine\">Who can get the MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whenmonkeypoxvaccine\">When should I get an MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#smallpoxvaccinechild\">If I got a smallpox vaccine, am I protected against MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#treatment\">What other treatment options are currently available?\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Anyone can get MPX. Right now, the MPX outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men. The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The most recent update: San Francisco health officials announced last week that they were expanding \u003ca href=\"#whomonkeypoxvaccine\">eligibility for the MPX vaccine\u003c/a>. As of September 6, \u003ci data-stringify-type=\"italic\">all\u003c/i> gay and bisexual men, and all trans people, in San Francisco can get an MPX vaccine. Additionally, all men who have sex with men or with trans people can get a vaccine.\u003c/p>\n\u003cp>Previously, these communities had only been eligible for the vaccine in SF if they’d had multiple sexual partners in the past 14 days. Read more about \u003ca href=\"#whomonkeypoxvaccine\">who’s currently eligible to get the MPX vaccine in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>Another update in San Francisco: The SF Department of Public Health’s vaccine sites are now moving forward with offering second doses of the MPX vaccine to people who are 28 days out from their first dose. Other Bay Area counties will also start offering second doses this week. Previously, second doses were strategically delayed to extend supplies of first doses, amid low vaccine supply from the federal government.\u003c/p>\n\u003cp>Regardless, we know this process can be a daunting or worrying one, especially if you’re trying to find a vaccine because you’ve been potentially exposed to the virus. We’ll update this guide to finding an MPX vaccine near you whenever we get new information.\u003c/p>\n\u003cp>Please be aware that because supply and availability change fast, \u003ca href=\"#wheremonkeypoxvaccinenearme\">the locations or organizations we’ve listed below as offering MPX vaccines\u003c/a> may not have vaccines at a given time.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide to MPX symptoms and how the virus spreads\u003c/a>? \u003cstrong>\u003ca href=\"#monkeypoxquestions\">Send us your question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"whatismonkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how is it given?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the U.S. right now is called Jynneos, and it’s produced in Denmark.\u003c/p>\n\u003cp>This vaccine is also used to prevent smallpox, because the MPX virus is related to the smallpox virus (although it’s generally less severe and far less contagious than smallpox). You might also assume MPX is related to chickenpox — it isn’t.\u003c/p>\n\u003cp>Jynneos was originally only available for people age 18 and older, but on August 9, the Food and Drug Administration (FDA) issued an emergency use authorization (EUA) that allows providers to also \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">give the MPX vaccine to young people aged under 18\u003c/a> who are “determined to be at high risk” of MPX infection.\u003c/p>\n\u003cp>If you’re \u003ca href=\"#whomonkeypoxvaccine\">eligible for the MPX vaccine\u003c/a>, there are two scenarios in which you can get the vaccine:\u003c/p>\n\u003cp>\u003cstrong>If you have a confirmed or suspected exposure to MPX \u003c/strong>\u003c/p>\n\u003cp>In this case, the vaccine is given in the hope of preventing onset of the disease, or at least reducing the symptoms. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">This approach is called post-exposure prophylaxis, or PEP.\u003c/a> Read more about \u003ca href=\"#whenmonkeypoxvaccine\">when the MPX vaccine is most effective as PEP\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>If you haven’t necessarily had a confirmed or suspected exposure to MPX, but you’re still considered high-risk for contracting it\u003c/strong>\u003c/p>\n\u003cp>In this case, the vaccine is given in the hope of preventing onset of MPX. Initially, Jynneos was \u003cem>only\u003c/em> offered to people with a confirmed or suspected exposure, so this approach is a recent update to the Centers for Disease Control and Prevention (CDC)’s strategy for MPX vaccination. This approach is being called \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">outbreak response MPX vaccine post-exposure prophylaxis, or PEP++\u003c/a>.\u003c/p>\n\u003cp>Lab workers who frequently handle virus samples are also being offered the MPX vaccine. In this case, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the approach is called pre-exposure prophylaxis, or PrEP\u003c/a>.\u003c/p>\n\u003cp>Jump to \u003cstrong>\u003ca href=\"#whomonkeypoxvaccine\">who is currently eligible to get the MPX vaccine. \u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>How many shots of MPX vaccine will I get?\u003c/h2>\n\u003cp>The MPX vaccine is usually administered in two doses, 28 days apart.\u003c/p>\n\u003cp>Starting September 6, San Francisco will begin offering appointments for second doses to people who are at least 28 days out from their first dose. Other Bay Area counties may already be offering second doses. \u003ca href=\"#whomonkeypoxvaccine\">Check your county’s information in our list. \u003c/a>\u003c/p>\n\u003cp>Previously, second doses of the MPX vaccine were held back and delayed by some health jurisdictions, due to the low supply of vaccine doses from the federal government. At \u003ca href=\"#wheremonkeypoxvaccinenearme\">San Francisco’s walk-in MPX vaccine clinic at Zuckerberg San Francisco General (ZSFG)\u003c/a>, some patients were originally told by hospital staff that their second shot could safely be delayed as long as two years.\u003c/p>\n\u003cp>SF Health Officer Dr. Susan Philip has said that there’s “no harm” in getting your second dose of Jynneos beyond that 28-day mark, and that delaying second doses for some people while supply is low “will allow us to use our vaccine most efficiently.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease specialist at UCSF Medical Center confirms that “it is indeed safe not to get a second dose of the vaccine at 28 days on time, and that “some data suggests that waiting as long as two years may be OK.”\u003c/p>\n\u003cp>“Of course we will likely not have to wait that long,” said Chin-Hong, but he encourages you to think of that second MPX vaccine more as a booster. “The first dose is really good (85%-90% protection after four days) and equivalent to two doses of an mRNA vaccine for COVID.”\u003c/p>\n\u003cp>If you’re immunocompromised, you still might be eligible to receive a second dose even if your county is still prioritizing first doses. The San Francisco Department of Public Health (SFDPH), for example, continued to offer this second dose to people “who have moderate to severe immune compromise as they may not develop immunity after just one dose.” SFDPH says this group includes “people on active cancer treatment, people who are taking medicine to suppress the immune system, and people with advanced or untreated HIV infection, among other conditions.”\u003c/p>\n\u003ch2>\u003ca id=\"whomonkeypoxvaccine\">\u003c/a>Who can get an MPX vaccine?\u003c/h2>\n\u003cp>As of September 6, the San Francisco Department of Public Health has expanded access to the Jynneos vaccine to \u003ci data-stringify-type=\"italic\">all\u003c/i> gay and bisexual men, and all trans people. Additionally, all men who have sex with men or with trans people can get a vaccine. Previously, folks in these communities had to attest to having had multiple sexual partners in the previous 14 days.\u003c/p>\n\u003cp>The Jynneos vaccine is also being offered in SF to San Franciscans who:\u003c/p>\n\u003cul>\n\u003cli>Are sex workers of any sexual orientation/gender.\u003c/li>\n\u003cli>Have been identified as a close contact of someone who has MPX (suspected or confirmed).\u003c/li>\n\u003cli>Have received a notification from a venue or event of a potential exposure to someone who has MPX (suspected or confirmed).\u003c/li>\n\u003c/ul>\n\u003cp>The vaccine is also being offered to SF lab workers who routinely handle MPX virus samples or any clinician who has a high risk of occupational exposure.\u003c/p>\n\u003cp>Eligibility for the MPX vaccine may differ from county to county. Check your county’s current MPX vaccine guidelines, but bear in mind that some counties have more robust information and resources available around MPX than others:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-vaccine\">San Francisco city and county MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/\">Alameda County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox\">Santa Clara County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/post/monkeypox-information-guidance\">San Mateo County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/monkeypox/\">Contra Costa County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Marin County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Solano County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox\">Napa County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox\">Sonoma County MPX vaccines\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Do I need a positive MPX test to get an MPX vaccine?\u003c/h3>\n\u003cp>No, you do not need to test positive for MPX to get an MPX vaccine.\u003c/p>\n\u003cp>Testing for MPX is limited right now, and you may need to meet certain criteria to get an MPX test — San Francisco, for example, still says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get an MPX test\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whenmonkeypoxvaccine\">\u003c/a>When should I get an MPX vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the MPX vaccine be given to a person within four days\u003c/a> of the date they were exposed to MPX , for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX , but may not prevent the disease altogether. Timeliness is thus another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>If you’ve been to an event or a party recently where you had close contact with other attendees, it’s important to look out for any messages from organizers or other people present about potential MPX exposure.\u003c/p>\n\u003cp>Getting a first shot of the MPX vaccine after you’ve been exposed to the virus can both help prevent the disease from developing and reduce symptoms if it does develop — but how effective the vaccine is can depend on how quickly you get it after exposure.\u003c/p>\n\u003cp>[aside postID=news_11919070 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1038x576.jpg']\u003c/p>\n\u003ch2>\u003ca id=\"wheremonkeypoxvaccinenearme\">\u003c/a>If I’m eligible, where can I find an MPX vaccine?\u003c/h2>\n\u003cp>Supplies of the MPX vaccine in the Bay Area are distributed directly from the California Dept. of Public Health, who get their supply from the federal government.\u003c/p>\n\u003cp>If you’re experiencing the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, you should contact a health care provider right away. A health care provider can (hopefully) help you navigate this process, talk about any additional risk factors you might have and also tell you whether you’re eligible for \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know#monkeypoxtreatment\">some of the MPX treatments currently available\u003c/a>.\u003c/p>\n\u003cp>If you have health insurance, reach out to your provider as soon as you can.\u003c/p>\n\u003cp>You can now \u003ca href=\"https://myturn.ca.gov/\">make an appointment for an MPX vaccine\u003c/a>, whether it’s your first or your second dose, through \u003ca href=\"https://myturn.ca.gov/\">the state of California’s My Turn site\u003c/a>. (You may be more familiar with My Turn as the place to make appointments for COVID-19 vaccines — and now the California Department of Public Heath has added the MPX vaccine to the list of vaccines you can use the site to obtain, which also includes the flu vaccine.)\u003c/p>\n\u003cp>In the Bay Area, Kaiser Permanente has received MPX vaccines and is currently offering them to both Kaiser members and nonmembers. You can make an appointment by calling the health provider’s direct monkeypox vaccination line at (415) 833-9999. A staff member will take your call and ask whether you are experiencing symptoms or were recently in contact with someone with a confirmed case.\u003c/p>\n\u003cp>UCSF is also offering vaccines to those who are currently eligible — and you do not need to be a UCSF patient or have insurance to schedule an appointment. You can visit the \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf\">UCSF MPX vaccines webpage\u003c/a> for instructions on how to make an appointment using UCSF’s MyChart portal. Vaccines are administered at the 3333 California Street site in San Francisco.\u003c/p>\n\u003cp>If you don’t have health insurance, contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> The city’s public health department says residents can make an appointment for an MPX vaccine, as supplies allow, at \u003ca href=\"https://sf.gov/information/mpx\">sf.gov/mpx\u003c/a>. Uninsured residents can also go to the walk-in vaccination clinic at ZSFG, \u003ca href=\"#ZSFG\">more information on that below.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Alameda County:\u003c/strong> Eligible residents who don’t have health insurance can contact the county health department directly at monkeypox@acgov.org. You can also see \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">upcoming vaccination clinics using the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara County:\u003c/strong> Santa Clara has set up an electronic vaccination form for residents to request an appointment at county vaccine clinics. \u003ca href=\"https://vax.sccgov.org/\">Access the form here.\u003c/a> You can also contact the county’s MPX call center at (408) 970-2200, from Monday to Friday, 8 a.m. to 5 p.m. Uninsured residents can request treatment with the \u003ca href=\"https://chpscc.org/member-clinics/\">county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County:\u003c/strong> Contra Costa Public Health has set up an electronic form for residents to request an appointment. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Make an appointment here.\u003c/a> You can also call health officials at (925) 313-6740 or \u003ca href=\"https://cchealth.org/centers-clinics/\">reach out to the county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Sonoma County:\u003c/strong> Residents can call (707) 565-4568 or reach out to one of the \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County:\u003c/strong> Uninsured residents can make an appointment using \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">the county’s electronic registration form\u003c/a>. You can also \u003ca href=\"https://www.smchealth.org/smmc-find-location\">reach out to one of the county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Solano County:\u003c/strong> Residents can call (707) 784-8001 or reach out to one of the \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">county’s community clinics\u003c/a>. You can also see a \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">list of upcoming community vaccination sites on the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Marin County:\u003c/strong> Uninsured residents can reach out to one of the \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">county’s community clinics\u003c/a>. You can also see a \u003ca href=\"https://www.marinhhs.org/monkeypox\">list of upcoming community vaccination sites on the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Napa County:\u003c/strong> Residents can call (707) 253-4270 or reach out to one of the \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">county’s community clinics\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003ca id=\"ZSFG\">\u003c/a>Currently, there is only one walk-in vaccination site that doesn’t require an appointment in San Francisco, located at ZSFG Learning Center at 1001 Potrero Avenue. Its usual hours of operation during the week are 8 a.m. to 4 p.m. If you’re visiting the ZSFG site on a day it’s open, look for Building 30; the clinic will be on the second floor.\u003c/p>\n\u003cp>Please note that this walk-in clinic has frequently been closed at short notice due to lack of supply, so it’s important to check that the site is still open before you visit. You can usually find the latest updates about the ZSFG clinic’s status on the \u003ca href=\"https://twitter.com/SF_DPH\">San Francisco Department of Public Health’s Twitter feed\u003c/a>.\u003c/p>\n\u003cp>The San Francisco AIDS Foundation has a waitlist to receive the vaccine with Magnet, the organization’s sexual health clinic. You can call (415) 581-1600 or \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">access the waitlist here\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxquestions\">Send us your questions about MPX and tell us what to cover.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"smallpoxvaccinechild\">\u003c/a>If I got a smallpox vaccine years ago, am I protected from MPX?\u003c/h2>\n\u003cp>Routine vaccination against smallpox in the U.S. ended in 1972. But if you received a smallpox vaccine before that time, you may be wondering whether it now affords you any protection against MPX, given that the MPX virus is related to the smallpox virus (although it’s generally less severe and far less contagious than smallpox).\u003c/p>\n\u003cp>Dr. Susan Philip, San Francisco’s health officer, says that being vaccinated against smallpox “would have some cross-protection” against MPX, and that “it does seem that people who have been vaccinated against smallpox in the past have partial protection, so they may not have as severe a case” of MPX.\u003c/p>\n\u003cp>But if you got your smallpox vaccine pre-1972, would you still have some immunity against MPX? Right now, that still seems uncertain. Andrea McCollum, the poxvirus epidemiology team lead in the CDC’s division of high-consequence pathogens and pathology, said “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">this is something we really haven’t teased out in individuals who had [smallpox] vaccination 50 years prior, 60 years prior\u003c/a>.”\u003c/p>\n\u003cp>Philip stresses that since a historic smallpox vaccine “may not be full protection” against MPX, the San Francisco Department of Public Health and the CDC recommend that even if you got a smallpox vaccine as a kid, you should definitely seek out an MPX vaccine if you’re exposed to MPX, to get “the fullest protection possible.”\u003c/p>\n\u003cfigure id=\"attachment_11920570\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11920570\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1242023301-scaled.jpg\" alt=\"A person's hand holds up a prescription pill cartridge labeled "Tecovirimat."\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (also known as Tecovirimat or ST-246) is being used to treat those experiencing severe MPX. The FDA approved Tecovirimat to treat smallpox in 2018. \u003ccite>(Yuki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"treatment\">\u003c/a>What other forms of treatment are available?\u003c/h2>\n\u003cp>The MPX vaccine can act as a sort of treatment, but only when someone receives it shortly after exposure, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“If you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection,” he said. “If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cp>But the MPX vaccine is not the only treatment currently available. Some physicians are administering the drug TPOXX (also known as Tecovirimat or ST-246) to patients experiencing severe monkeypox symptoms. Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own, but some people will require treatment,” said Dr. Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children younger than 8 years old.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he said. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cfigure id=\"attachment_11920569\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11920569\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1242023602-scaled.jpg\" alt=\"A person empties out the pills from a prescription pill cartridge on to their other hand.\" width=\"2560\" height=\"1708\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX works by making it harder for the virus to infect new cells, therefore limiting the infection growth. Physicians point out that immunocompromised people, pregnant people and children under 8 who test positive for MPX would be considered for treatment. \u003ccite>(Yuki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>TPOXX has only been approved by the Food and Drug Administration to treat smallpox infections. The CDC, however, does allow for physicians to prescribe TPOXX for MPX treatment through a process called “expanded access investigational new drug protocol.” A physician will need to submit an application to the FDA and the patient must be willing to sign an informed consent form.\u003c/p>\n\u003cp>San Francisco’s Dr. Philip says city health officials are partnering with health providers to “expand access for people throughout the city, whether they’re affiliated with the health system or not” but adds that it is up to the CDC to streamline the process for physicians to request TPOXX.\u003c/p>\n\u003cp>Something else patients should consider is talking to their physician about any pain they may be feeling, and where. Some MPX patients \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have described the pain from the rashes as “inescapable.”\u003c/a>\u003c/p>\n\u003cp>There are many options available that can alleviate, or at least reduce, the pain you may be feeling if you have MPX. Physicians can prescribe treatment that can respond to the pain associated with lesions, which may show up on a patient’s face, arms, mouth, or genital or rectal area, says UCSF’s Dr. Chin-Hong.\u003c/p>\n\u003cp>“Treatment is not only about vaccines and drugs. Treatment is also about what specific symptoms the patient’s having,” he said. “So make sure that you ask your health care professional to help you because there may be things that can help make you feel less pain.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about MPX?\u003c/h2>\n\u003cp>Do you have more questions about monkeypox and can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide to MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>You can use the box below to submit your question. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about MPX or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Looking for a monkeypox vaccine in the San Francisco Bay Area? Learn about who's eligible, where to find the Jynneos vaccine and current availability.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post (\u003ca href=\"https://www.kqed.org/news/11923658/donde-vacuna-contra-viruela-del-mono\">leer en español\u003c/a>):\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Looking for facts about MPX, information on MPX symptoms or MPX case numbers?\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\"> Read our full guide to MPX in the Bay Area.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#wheremonkeypoxvaccinenearme\">Where can I find an MPX vaccine near me in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismonkeypoxvaccine\">What is the MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whomonkeypoxvaccine\">Who can get the MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whenmonkeypoxvaccine\">When should I get an MPX vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#smallpoxvaccinechild\">If I got a smallpox vaccine, am I protected against MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#treatment\">What other treatment options are currently available?\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Anyone can get MPX. Right now, the MPX outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men. The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The most recent update: San Francisco health officials announced last week that they were expanding \u003ca href=\"#whomonkeypoxvaccine\">eligibility for the MPX vaccine\u003c/a>. As of September 6, \u003ci data-stringify-type=\"italic\">all\u003c/i> gay and bisexual men, and all trans people, in San Francisco can get an MPX vaccine. Additionally, all men who have sex with men or with trans people can get a vaccine.\u003c/p>\n\u003cp>Previously, these communities had only been eligible for the vaccine in SF if they’d had multiple sexual partners in the past 14 days. Read more about \u003ca href=\"#whomonkeypoxvaccine\">who’s currently eligible to get the MPX vaccine in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>Another update in San Francisco: The SF Department of Public Health’s vaccine sites are now moving forward with offering second doses of the MPX vaccine to people who are 28 days out from their first dose. Other Bay Area counties will also start offering second doses this week. Previously, second doses were strategically delayed to extend supplies of first doses, amid low vaccine supply from the federal government.\u003c/p>\n\u003cp>Regardless, we know this process can be a daunting or worrying one, especially if you’re trying to find a vaccine because you’ve been potentially exposed to the virus. We’ll update this guide to finding an MPX vaccine near you whenever we get new information.\u003c/p>\n\u003cp>Please be aware that because supply and availability change fast, \u003ca href=\"#wheremonkeypoxvaccinenearme\">the locations or organizations we’ve listed below as offering MPX vaccines\u003c/a> may not have vaccines at a given time.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide to MPX symptoms and how the virus spreads\u003c/a>? \u003cstrong>\u003ca href=\"#monkeypoxquestions\">Send us your question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"whatismonkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how is it given?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the U.S. right now is called Jynneos, and it’s produced in Denmark.\u003c/p>\n\u003cp>This vaccine is also used to prevent smallpox, because the MPX virus is related to the smallpox virus (although it’s generally less severe and far less contagious than smallpox). You might also assume MPX is related to chickenpox — it isn’t.\u003c/p>\n\u003cp>Jynneos was originally only available for people age 18 and older, but on August 9, the Food and Drug Administration (FDA) issued an emergency use authorization (EUA) that allows providers to also \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\">give the MPX vaccine to young people aged under 18\u003c/a> who are “determined to be at high risk” of MPX infection.\u003c/p>\n\u003cp>If you’re \u003ca href=\"#whomonkeypoxvaccine\">eligible for the MPX vaccine\u003c/a>, there are two scenarios in which you can get the vaccine:\u003c/p>\n\u003cp>\u003cstrong>If you have a confirmed or suspected exposure to MPX \u003c/strong>\u003c/p>\n\u003cp>In this case, the vaccine is given in the hope of preventing onset of the disease, or at least reducing the symptoms. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">This approach is called post-exposure prophylaxis, or PEP.\u003c/a> Read more about \u003ca href=\"#whenmonkeypoxvaccine\">when the MPX vaccine is most effective as PEP\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>If you haven’t necessarily had a confirmed or suspected exposure to MPX, but you’re still considered high-risk for contracting it\u003c/strong>\u003c/p>\n\u003cp>In this case, the vaccine is given in the hope of preventing onset of MPX. Initially, Jynneos was \u003cem>only\u003c/em> offered to people with a confirmed or suspected exposure, so this approach is a recent update to the Centers for Disease Control and Prevention (CDC)’s strategy for MPX vaccination. This approach is being called \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">outbreak response MPX vaccine post-exposure prophylaxis, or PEP++\u003c/a>.\u003c/p>\n\u003cp>Lab workers who frequently handle virus samples are also being offered the MPX vaccine. In this case, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">the approach is called pre-exposure prophylaxis, or PrEP\u003c/a>.\u003c/p>\n\u003cp>Jump to \u003cstrong>\u003ca href=\"#whomonkeypoxvaccine\">who is currently eligible to get the MPX vaccine. \u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>How many shots of MPX vaccine will I get?\u003c/h2>\n\u003cp>The MPX vaccine is usually administered in two doses, 28 days apart.\u003c/p>\n\u003cp>Starting September 6, San Francisco will begin offering appointments for second doses to people who are at least 28 days out from their first dose. Other Bay Area counties may already be offering second doses. \u003ca href=\"#whomonkeypoxvaccine\">Check your county’s information in our list. \u003c/a>\u003c/p>\n\u003cp>Previously, second doses of the MPX vaccine were held back and delayed by some health jurisdictions, due to the low supply of vaccine doses from the federal government. At \u003ca href=\"#wheremonkeypoxvaccinenearme\">San Francisco’s walk-in MPX vaccine clinic at Zuckerberg San Francisco General (ZSFG)\u003c/a>, some patients were originally told by hospital staff that their second shot could safely be delayed as long as two years.\u003c/p>\n\u003cp>SF Health Officer Dr. Susan Philip has said that there’s “no harm” in getting your second dose of Jynneos beyond that 28-day mark, and that delaying second doses for some people while supply is low “will allow us to use our vaccine most efficiently.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, infectious disease specialist at UCSF Medical Center confirms that “it is indeed safe not to get a second dose of the vaccine at 28 days on time, and that “some data suggests that waiting as long as two years may be OK.”\u003c/p>\n\u003cp>“Of course we will likely not have to wait that long,” said Chin-Hong, but he encourages you to think of that second MPX vaccine more as a booster. “The first dose is really good (85%-90% protection after four days) and equivalent to two doses of an mRNA vaccine for COVID.”\u003c/p>\n\u003cp>If you’re immunocompromised, you still might be eligible to receive a second dose even if your county is still prioritizing first doses. The San Francisco Department of Public Health (SFDPH), for example, continued to offer this second dose to people “who have moderate to severe immune compromise as they may not develop immunity after just one dose.” SFDPH says this group includes “people on active cancer treatment, people who are taking medicine to suppress the immune system, and people with advanced or untreated HIV infection, among other conditions.”\u003c/p>\n\u003ch2>\u003ca id=\"whomonkeypoxvaccine\">\u003c/a>Who can get an MPX vaccine?\u003c/h2>\n\u003cp>As of September 6, the San Francisco Department of Public Health has expanded access to the Jynneos vaccine to \u003ci data-stringify-type=\"italic\">all\u003c/i> gay and bisexual men, and all trans people. Additionally, all men who have sex with men or with trans people can get a vaccine. Previously, folks in these communities had to attest to having had multiple sexual partners in the previous 14 days.\u003c/p>\n\u003cp>The Jynneos vaccine is also being offered in SF to San Franciscans who:\u003c/p>\n\u003cul>\n\u003cli>Are sex workers of any sexual orientation/gender.\u003c/li>\n\u003cli>Have been identified as a close contact of someone who has MPX (suspected or confirmed).\u003c/li>\n\u003cli>Have received a notification from a venue or event of a potential exposure to someone who has MPX (suspected or confirmed).\u003c/li>\n\u003c/ul>\n\u003cp>The vaccine is also being offered to SF lab workers who routinely handle MPX virus samples or any clinician who has a high risk of occupational exposure.\u003c/p>\n\u003cp>Eligibility for the MPX vaccine may differ from county to county. Check your county’s current MPX vaccine guidelines, but bear in mind that some counties have more robust information and resources available around MPX than others:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-vaccine\">San Francisco city and county MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://monkeypox.wpengine.com/\">Alameda County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.sccgov.org/disease-information/monkeypox\">Santa Clara County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/post/monkeypox-information-guidance\">San Mateo County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/monkeypox/\">Contra Costa County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/monkeypox\">Marin County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">Solano County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3340/Monkeypox\">Napa County MPX vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/diseases-and-conditions/monkeypox\">Sonoma County MPX vaccines\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Do I need a positive MPX test to get an MPX vaccine?\u003c/h3>\n\u003cp>No, you do not need to test positive for MPX to get an MPX vaccine.\u003c/p>\n\u003cp>Testing for MPX is limited right now, and you may need to meet certain criteria to get an MPX test — San Francisco, for example, still says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get an MPX test\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whenmonkeypoxvaccine\">\u003c/a>When should I get an MPX vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the MPX vaccine be given to a person within four days\u003c/a> of the date they were exposed to MPX , for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX , but may not prevent the disease altogether. Timeliness is thus another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>If you’ve been to an event or a party recently where you had close contact with other attendees, it’s important to look out for any messages from organizers or other people present about potential MPX exposure.\u003c/p>\n\u003cp>Getting a first shot of the MPX vaccine after you’ve been exposed to the virus can both help prevent the disease from developing and reduce symptoms if it does develop — but how effective the vaccine is can depend on how quickly you get it after exposure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"wheremonkeypoxvaccinenearme\">\u003c/a>If I’m eligible, where can I find an MPX vaccine?\u003c/h2>\n\u003cp>Supplies of the MPX vaccine in the Bay Area are distributed directly from the California Dept. of Public Health, who get their supply from the federal government.\u003c/p>\n\u003cp>If you’re experiencing the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, you should contact a health care provider right away. A health care provider can (hopefully) help you navigate this process, talk about any additional risk factors you might have and also tell you whether you’re eligible for \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know#monkeypoxtreatment\">some of the MPX treatments currently available\u003c/a>.\u003c/p>\n\u003cp>If you have health insurance, reach out to your provider as soon as you can.\u003c/p>\n\u003cp>You can now \u003ca href=\"https://myturn.ca.gov/\">make an appointment for an MPX vaccine\u003c/a>, whether it’s your first or your second dose, through \u003ca href=\"https://myturn.ca.gov/\">the state of California’s My Turn site\u003c/a>. (You may be more familiar with My Turn as the place to make appointments for COVID-19 vaccines — and now the California Department of Public Heath has added the MPX vaccine to the list of vaccines you can use the site to obtain, which also includes the flu vaccine.)\u003c/p>\n\u003cp>In the Bay Area, Kaiser Permanente has received MPX vaccines and is currently offering them to both Kaiser members and nonmembers. You can make an appointment by calling the health provider’s direct monkeypox vaccination line at (415) 833-9999. A staff member will take your call and ask whether you are experiencing symptoms or were recently in contact with someone with a confirmed case.\u003c/p>\n\u003cp>UCSF is also offering vaccines to those who are currently eligible — and you do not need to be a UCSF patient or have insurance to schedule an appointment. You can visit the \u003ca href=\"https://www.ucsfhealth.org/clinics/monkeypox-vaccines-at-ucsf\">UCSF MPX vaccines webpage\u003c/a> for instructions on how to make an appointment using UCSF’s MyChart portal. Vaccines are administered at the 3333 California Street site in San Francisco.\u003c/p>\n\u003cp>If you don’t have health insurance, contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco:\u003c/strong> The city’s public health department says residents can make an appointment for an MPX vaccine, as supplies allow, at \u003ca href=\"https://sf.gov/information/mpx\">sf.gov/mpx\u003c/a>. Uninsured residents can also go to the walk-in vaccination clinic at ZSFG, \u003ca href=\"#ZSFG\">more information on that below.\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>Alameda County:\u003c/strong> Eligible residents who don’t have health insurance can contact the county health department directly at monkeypox@acgov.org. You can also see \u003ca href=\"https://monkeypox.wpengine.com/vaccine/\">upcoming vaccination clinics using the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara County:\u003c/strong> Santa Clara has set up an electronic vaccination form for residents to request an appointment at county vaccine clinics. \u003ca href=\"https://vax.sccgov.org/\">Access the form here.\u003c/a> You can also contact the county’s MPX call center at (408) 970-2200, from Monday to Friday, 8 a.m. to 5 p.m. Uninsured residents can request treatment with the \u003ca href=\"https://chpscc.org/member-clinics/\">county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County:\u003c/strong> Contra Costa Public Health has set up an electronic form for residents to request an appointment. \u003ca href=\"http://mpxvaccine.cchealth.org/\">Make an appointment here.\u003c/a> You can also call health officials at (925) 313-6740 or \u003ca href=\"https://cchealth.org/centers-clinics/\">reach out to the county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Sonoma County:\u003c/strong> Residents can call (707) 565-4568 or reach out to one of the \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County:\u003c/strong> Uninsured residents can make an appointment using \u003ca href=\"https://www.smchealth.org/monkeypoxvax\">the county’s electronic registration form\u003c/a>. You can also \u003ca href=\"https://www.smchealth.org/smmc-find-location\">reach out to one of the county’s community clinics\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Solano County:\u003c/strong> Residents can call (707) 784-8001 or reach out to one of the \u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">county’s community clinics\u003c/a>. You can also see a \u003ca href=\"https://www.solanocounty.com/depts/ph/bureaus/communicable_disease/monkeypox.asp\">list of upcoming community vaccination sites on the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Marin County:\u003c/strong> Uninsured residents can reach out to one of the \u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">county’s community clinics\u003c/a>. You can also see a \u003ca href=\"https://www.marinhhs.org/monkeypox\">list of upcoming community vaccination sites on the county’s website\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Napa County:\u003c/strong> Residents can call (707) 253-4270 or reach out to one of the \u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">county’s community clinics\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003ca id=\"ZSFG\">\u003c/a>Currently, there is only one walk-in vaccination site that doesn’t require an appointment in San Francisco, located at ZSFG Learning Center at 1001 Potrero Avenue. Its usual hours of operation during the week are 8 a.m. to 4 p.m. If you’re visiting the ZSFG site on a day it’s open, look for Building 30; the clinic will be on the second floor.\u003c/p>\n\u003cp>Please note that this walk-in clinic has frequently been closed at short notice due to lack of supply, so it’s important to check that the site is still open before you visit. You can usually find the latest updates about the ZSFG clinic’s status on the \u003ca href=\"https://twitter.com/SF_DPH\">San Francisco Department of Public Health’s Twitter feed\u003c/a>.\u003c/p>\n\u003cp>The San Francisco AIDS Foundation has a waitlist to receive the vaccine with Magnet, the organization’s sexual health clinic. You can call (415) 581-1600 or \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfBxNb__0J6JSfa02xK_fz7_56OLt9PgXuavpOVRdiP9AK0Rg/viewform\">access the waitlist here\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxquestions\">Send us your questions about MPX and tell us what to cover.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"smallpoxvaccinechild\">\u003c/a>If I got a smallpox vaccine years ago, am I protected from MPX?\u003c/h2>\n\u003cp>Routine vaccination against smallpox in the U.S. ended in 1972. But if you received a smallpox vaccine before that time, you may be wondering whether it now affords you any protection against MPX, given that the MPX virus is related to the smallpox virus (although it’s generally less severe and far less contagious than smallpox).\u003c/p>\n\u003cp>Dr. Susan Philip, San Francisco’s health officer, says that being vaccinated against smallpox “would have some cross-protection” against MPX, and that “it does seem that people who have been vaccinated against smallpox in the past have partial protection, so they may not have as severe a case” of MPX.\u003c/p>\n\u003cp>But if you got your smallpox vaccine pre-1972, would you still have some immunity against MPX? Right now, that still seems uncertain. Andrea McCollum, the poxvirus epidemiology team lead in the CDC’s division of high-consequence pathogens and pathology, said “\u003ca href=\"https://www.statnews.com/2022/05/19/a-cdc-expert-answers-questions-on-monkeypox/\">this is something we really haven’t teased out in individuals who had [smallpox] vaccination 50 years prior, 60 years prior\u003c/a>.”\u003c/p>\n\u003cp>Philip stresses that since a historic smallpox vaccine “may not be full protection” against MPX, the San Francisco Department of Public Health and the CDC recommend that even if you got a smallpox vaccine as a kid, you should definitely seek out an MPX vaccine if you’re exposed to MPX, to get “the fullest protection possible.”\u003c/p>\n\u003cfigure id=\"attachment_11920570\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11920570\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1242023301-scaled.jpg\" alt=\"A person's hand holds up a prescription pill cartridge labeled "Tecovirimat."\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023301-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX (also known as Tecovirimat or ST-246) is being used to treat those experiencing severe MPX. The FDA approved Tecovirimat to treat smallpox in 2018. \u003ccite>(Yuki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"treatment\">\u003c/a>What other forms of treatment are available?\u003c/h2>\n\u003cp>The MPX vaccine can act as a sort of treatment, but only when someone receives it shortly after exposure, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“If you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection,” he said. “If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cp>But the MPX vaccine is not the only treatment currently available. Some physicians are administering the drug TPOXX (also known as Tecovirimat or ST-246) to patients experiencing severe monkeypox symptoms. Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own, but some people will require treatment,” said Dr. Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children younger than 8 years old.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he said. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cfigure id=\"attachment_11920569\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11920569\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1242023602-scaled.jpg\" alt=\"A person empties out the pills from a prescription pill cartridge on to their other hand.\" width=\"2560\" height=\"1708\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/GettyImages-1242023602-1920x1281.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">TPOXX works by making it harder for the virus to infect new cells, therefore limiting the infection growth. Physicians point out that immunocompromised people, pregnant people and children under 8 who test positive for MPX would be considered for treatment. \u003ccite>(Yuki Iwamura/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>TPOXX has only been approved by the Food and Drug Administration to treat smallpox infections. The CDC, however, does allow for physicians to prescribe TPOXX for MPX treatment through a process called “expanded access investigational new drug protocol.” A physician will need to submit an application to the FDA and the patient must be willing to sign an informed consent form.\u003c/p>\n\u003cp>San Francisco’s Dr. Philip says city health officials are partnering with health providers to “expand access for people throughout the city, whether they’re affiliated with the health system or not” but adds that it is up to the CDC to streamline the process for physicians to request TPOXX.\u003c/p>\n\u003cp>Something else patients should consider is talking to their physician about any pain they may be feeling, and where. Some MPX patients \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have described the pain from the rashes as “inescapable.”\u003c/a>\u003c/p>\n\u003cp>There are many options available that can alleviate, or at least reduce, the pain you may be feeling if you have MPX. Physicians can prescribe treatment that can respond to the pain associated with lesions, which may show up on a patient’s face, arms, mouth, or genital or rectal area, says UCSF’s Dr. Chin-Hong.\u003c/p>\n\u003cp>“Treatment is not only about vaccines and drugs. Treatment is also about what specific symptoms the patient’s having,” he said. “So make sure that you ask your health care professional to help you because there may be things that can help make you feel less pain.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about MPX?\u003c/h2>\n\u003cp>Do you have more questions about monkeypox and can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide to MPX symptoms and how the virus spreads\u003c/a>?\u003c/p>\n\u003cp>You can use the box below to submit your question. What you send us will make our reporting on MPX stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about MPX or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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"live-from-here-highlights": {
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"title": "Live from Here Highlights",
"info": "Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. Download Chris’s Song of the Week plus other highlights from the broadcast. Produced by American Public Media.",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 11
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"tagline": "Police secrets, unsealed",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"info": "Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.",
"airtime": "SAT 6pm-7pm, SUN 1am-2am",
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"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"politicalbreakdown": {
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"order": 6
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"link": "/radio/program/reveal",
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"id": "5932",
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"raceReadTheStory": ""
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"id": "5963",
"raceName": "State Assembly, District 2",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5972",
"raceName": "State Assembly, District 11",
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"raceReadTheStory": ""
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{
"id": "5973",
"raceName": "State Assembly, District 12",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5975",
"raceName": "State Assembly, District 14",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5976",
"raceName": "State Assembly, District 15",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": "https://www.kqed.org/elections/results/contracosta/state-assembly"
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{
"id": "5977",
"raceName": "State Assembly, District 16",
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{
"id": "5978",
"raceName": "State Assembly, District 17",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "5979",
"raceName": "State Assembly, District 18",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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"id": "5980",
"raceName": "State Assembly, District 19",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5981",
"raceName": "State Assembly, District 20",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5982",
"raceName": "State Assembly, District 21",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "5984",
"raceName": "State Assembly, District 23",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": "https://www.kqed.org/elections/results/california/state-assembly-23rd-district"
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"id": "5987",
"raceName": "State Assembly, District 26",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "5989",
"raceName": "State Assembly, District 28",
"raceDescription": "Top two candidates advance to general election.",
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"id": "6010",
"raceName": "State Assembly, District 4",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6018",
"raceName": "U.S. House of Representatives, District 2",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "6020",
"raceName": "U.S. House of Representatives, District 4",
"raceDescription": "Top two candidates advance to general election.",
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"id": "6025",
"raceName": "U.S. House of Representatives, District 9",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "6031",
"raceName": "U.S. House of Representatives, District 15",
"raceDescription": "Top two candidates advance to general election.",
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"id": "6035",
"raceName": "U.S. House of Representatives, District 19",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "6067",
"raceName": "State Assembly, District 4",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6087",
"raceName": "State Assembly, District 24",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6088",
"raceName": "State Assembly, District 25",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6092",
"raceName": "State Assembly, District 29",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6223",
"raceName": "U.S. House of Representatives, District 4",
"raceDescription": "Top two candidates advance to general election.",
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"raceName": "State Senate, District 3",
"raceDescription": "Top two candidates advance to general election.",
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"id": "6531",
"raceName": "State Senate, District 5",
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"id": "6532",
"raceName": "State Senate, District 7",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": "https://www.kqed.org/elections/results/california/state-senate-7th-district"
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{
"id": "6533",
"raceName": "State Senate, District 9",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "6534",
"raceName": "State Senate, District 11",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "6535",
"raceName": "State Senate, District 13",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6536",
"raceName": "State Senate, District 15",
"raceDescription": "Top two candidates advance to general election.",
"raceReadTheStory": ""
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{
"id": "6611",
"raceName": "U.S. House of Representatives, District 11",
"raceDescription": "Top two candidates advance to general election.",
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{
"id": "8589",
"raceName": "U.S. Senate (Full Term)",
"raceDescription": "Top two candidates advance to general election.",
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"id": "8686",
"raceName": "California Democratic Presidential Primary",
"raceDescription": "Candidates are competing for 496 delegates.",
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{
"id": "81993",
"raceName": "U.S. Senate (Partial/Unexpired Term)",
"raceDescription": "Top two candidates advance to general election."
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{
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"raceName": "Proposition 1",
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"location": "Alameda",
"raceName": "Superior Court Judge, Office 5",
"raceDescription": "Top candidate wins seat.",
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"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 200601,
"candidates": [
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"candidateName": "Terry Wiley",
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"AlamedaJudge12": {
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"type": "localRace",
"location": "Alameda",
"raceName": "Superior Court Judge, Office 12",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 240853,
"candidates": [
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"candidateName": "Mark Fickes",
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"candidateParty": "",
"voteCount": 133009
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{
"candidateName": "Michael P. Johnson",
"candidateIncumbent": false,
"candidateParty": "",
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"id": "AlamedaBoard2",
"type": "localRace",
"location": "Alameda",
"raceName": "Board of Education, Trustee Area 2",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 33580,
"candidates": [
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"candidateName": "John Lewis",
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"candidateParty": "",
"voteCount": 6943
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"candidateName": "Angela Normand",
"candidateIncumbent": true,
"candidateParty": "",
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"type": "localRace",
"location": "Alameda",
"raceName": "Board of Education, Trustee Area 5",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 26072,
"candidates": [
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"candidateName": "Guadalupe \"Lupe\" Angulo",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7521
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{
"candidateName": "Janevette Cole",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 13338
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{
"candidateName": "Joe Orlando Ramos",
"candidateIncumbent": false,
"candidateParty": "",
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"AlamedaBoard6": {
"id": "AlamedaBoard6",
"type": "localRace",
"location": "Alameda",
"raceName": "Board of Education, Trustee Area 6",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 30864,
"candidates": [
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"candidateName": "John Guerrero",
"candidateIncumbent": false,
"candidateParty": "",
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{
"candidateName": "Eileen McDonald",
"candidateIncumbent": true,
"candidateParty": "",
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"type": "localRace",
"location": "Alameda",
"raceName": "Board of Supervisors, District 1",
"raceDescription": "Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.",
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"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 41038,
"candidates": [
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"candidateName": "David Haubert",
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"type": "localRace",
"location": "Alameda",
"raceName": "Board of Supervisors, District 2",
"raceDescription": "Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.",
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"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 31034,
"candidates": [
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"candidateName": "Elisa Márquez",
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"type": "localRace",
"location": "Alameda",
"raceName": "Board of Supervisors, District 4",
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"raceReadTheStory": "https://www.kqed.org/elections/results/alameda/supervisor-4th-district",
"raceType": "top2",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 57007,
"candidates": [
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"candidateName": "Jennifer Esteen",
"candidateIncumbent": false,
"candidateParty": "",
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"candidateName": "Nate Miley",
"candidateIncumbent": true,
"candidateParty": "",
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"id": "AlamedaSup5",
"type": "localRace",
"location": "Alameda",
"raceName": "Board of Supervisors, District 5",
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"raceReadTheStory": "https://www.kqed.org/elections/results/alameda/supervisor-5th-district",
"raceType": "top2",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 81059,
"candidates": [
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"candidateName": "Ben Bartlett",
"candidateIncumbent": false,
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{
"candidateName": "Nikki Fortunato Bas",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 27597
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{
"candidateName": "John J. Bauters",
"candidateIncumbent": false,
"candidateParty": "",
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{
"candidateName": "Ken Berrick",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7520
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{
"candidateName": "Omar Farmer",
"candidateIncumbent": false,
"candidateParty": "",
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{
"candidateName": "Gregory Hodge",
"candidateIncumbent": false,
"candidateParty": "",
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{
"candidateName": "Chris Moore",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7428
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{
"candidateName": "Gerald Pechenuk",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 305
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{
"candidateName": "Lorrel Plimier",
"candidateIncumbent": false,
"candidateParty": "",
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"AlamedaBoard7": {
"id": "AlamedaBoard7",
"type": "localRace",
"location": "Alameda",
"raceName": "Flood Control & Water Conservation District Director, Zone 7, Full Term",
"raceDescription": "Top three candidates win seat.",
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"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 134340,
"candidates": [
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"candidateParty": "",
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{
"candidateName": "Sandy Figuers",
"candidateIncumbent": false,
"candidateParty": "",
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{
"candidateName": "Laurene K. Green",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 30343
},
{
"candidateName": "Kathy Narum",
"candidateIncumbent": true,
"candidateParty": "",
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},
{
"candidateName": "Seema Badar",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7468
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{
"candidateName": "Catherine Brown",
"candidateIncumbent": false,
"candidateParty": "",
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"id": "AlamedaAuditor",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland Auditor",
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"raceType": "top1",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 59227,
"candidates": [
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"candidateName": "Michael Houston",
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"candidateParty": "",
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"location": "Alameda",
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"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
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"candidates": [
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"candidateIncumbent": false,
"candidateParty": "",
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"location": "Alameda",
"raceName": "Measure B",
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"raceReadTheStory": "https://www.kqed.org/elections/results/alameda/measure-b",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 282683,
"candidates": [
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"candidateName": "Yes",
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"candidateParty": "",
"voteCount": 182200
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 100483
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"AlamedaMeasureD": {
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"type": "localRace",
"location": "Alameda",
"raceName": "Measure D",
"raceDescription": "Oakland. Appropriations limit. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 79797,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 59852
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 19945
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"AlamedaMeasureE": {
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"type": "localRace",
"location": "Alameda",
"raceName": "Measure E",
"raceDescription": "Alameda Unified School District. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 22692,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 17280
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 5412
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"AlamedaMeasureF": {
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"type": "localRace",
"location": "Alameda",
"raceName": "Measure F",
"raceDescription": "Piedmont. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 4855,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 3673
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{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 1182
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"AlamedaMeasureG": {
"id": "AlamedaMeasureG",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure G",
"raceDescription": "Albany Unified School District. Parcel tax. Passes with 2/3 vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 5898,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 4651
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 1247
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"AlamedaMeasureH": {
"id": "AlamedaMeasureH",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure H",
"raceDescription": "Berkeley Unified School District. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 33331,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 29418
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 3913
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"AlamedaMeasureI": {
"id": "AlamedaMeasureI",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure I",
"raceDescription": "Hayward Unified School District. School bond. Passes with 55% vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 21929,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 14151
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7778
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"AlamedaMeasureJ": {
"id": "AlamedaMeasureJ",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure J",
"raceDescription": "San Leandro Unified School District. School bond. Passes with 55% vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "7:02 PM",
"dateUpdated": "April 1, 2024",
"totalVotes": 12338,
"candidates": [
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"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 7784
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"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 4554
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"CCD2": {
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"type": "localRace",
"location": "Contra Costa",
"raceName": "Board of Supervisors, District 2",
"raceDescription": "Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "6:45 PM",
"dateUpdated": "March 28, 2024",
"totalVotes": 45776,
"candidates": [
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"candidateName": "Candace Andersen",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 45776
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},
"CCD3": {
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"type": "localRace",
"location": "Contra Costa",
"raceName": "Board of Supervisors, District 3",
"raceDescription": "Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "6:45 PM",
"dateUpdated": "March 28, 2024",
"totalVotes": 25120,
"candidates": [
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"candidateName": "Diane Burgis",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 25120
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"CCD5": {
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"type": "localRace",
"location": "Contra Costa",
"raceName": "Board of Supervisors, District 5",
"raceDescription": "Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.",
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{
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]
},
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{
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{
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},
{
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},
{
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},
{
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]
},
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{
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},
{
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]
},
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{
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},
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{
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{
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},
{
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"candidateIncumbent": false,
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},
{
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},
{
"candidateName": "Phuong Nguyen",
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]
},
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{
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]
},
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},
{
"candidateName": "Charlie Jones",
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]
},
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"location": "Alameda",
"raceName": "San Lorenzo Unified School District Governing Board, Area 5",
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"timeUpdated": "9:30 AM",
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},
{
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]
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"location": "Alameda",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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{
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},
{
"candidateName": "Eric Choin",
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"candidateParty": "",
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}
]
},
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"id": "AlamedaBoardofSupervisorsDistrict5",
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"location": "Alameda",
"raceName": "Board of Supervisors, District 5",
"raceDescription": "Top candidate wins seat. ",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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{
"candidateName": "Nikki Fortunato Bas",
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]
},
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"raceType": "top2",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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{
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},
{
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{
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"candidateParty": "",
"voteCount": 0
},
{
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"candidateParty": "",
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}
]
},
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"raceType": "top1",
"timeUpdated": "9:30 AM",
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{
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]
},
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"timeUpdated": "9:30 AM",
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"candidates": [
{
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]
},
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"location": "Alameda",
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"raceReadTheStory": "",
"raceType": "top4",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"candidates": [
{
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},
{
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},
{
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},
{
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},
{
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},
{
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]
},
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"raceType": "top2",
"timeUpdated": "9:30 AM",
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{
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{
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{
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{
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},
{
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]
},
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"timeUpdated": "9:30 AM",
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{
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{
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},
{
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}
]
},
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"timeUpdated": "9:30 AM",
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{
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]
},
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"timeUpdated": "9:30 AM",
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},
{
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]
},
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"timeUpdated": "9:30 AM",
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{
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{
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{
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},
{
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},
{
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},
{
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]
},
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"raceType": "top1",
"timeUpdated": "9:30 AM",
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{
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},
{
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},
{
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},
{
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}
]
},
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"timeUpdated": "9:30 AM",
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},
{
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},
{
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}
]
},
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"raceType": "top1",
"timeUpdated": "9:30 AM",
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},
{
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},
{
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}
]
},
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"id": "AlamedaFremontCityCouncilDistrict6",
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"location": "Alameda",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
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"candidates": [
{
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},
{
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]
},
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"raceType": "top4",
"timeUpdated": "9:30 AM",
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"candidates": [
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},
{
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},
{
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},
{
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},
{
"candidateName": "Ray Bonilla Jr.",
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},
{
"candidateName": "Tom Ferreira",
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},
{
"candidateName": "Francisco Zermeño",
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]
},
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"id": "AlamedaLivermoreMayor",
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"timeUpdated": "9:30 AM",
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"candidates": [
{
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]
},
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"id": "AlamedaLivermoreCityCouncilDistrict3",
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"location": "Alameda",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"candidates": [
{
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},
{
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},
{
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]
},
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"id": "AlamedaLivermoreCityCouncilDistrict4",
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"location": "Alameda",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"candidates": [
{
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},
{
"candidateName": "Thomas Soules",
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]
},
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"id": "AlamedaNewarkMayor",
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"location": "Alameda",
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"raceName": "Measure P",
"raceDescription": "Piedmont Unified School District. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
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},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureQ": {
"id": "AlamedaMeasureQ",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure Q",
"raceDescription": "San Lorenzo Unified School District. School bond. Passes with 55% + 1 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureC": {
"id": "AlamedaMeasureC",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure C",
"raceDescription": "Albany. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureR": {
"id": "AlamedaMeasureR",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure R",
"raceDescription": "Albany. Business license tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureS": {
"id": "AlamedaMeasureS",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure S",
"raceDescription": "Albany. Appoint city manager. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureT": {
"id": "AlamedaMeasureT",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure T",
"raceDescription": "Albany. Eliminate bond requirement. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureU": {
"id": "AlamedaMeasureU",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure U",
"raceDescription": "Albany. Bonding limit. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureV": {
"id": "AlamedaMeasureV",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure V",
"raceDescription": "Albany. Youth voting. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureW": {
"id": "AlamedaMeasureW",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure W",
"raceDescription": "Berkeley. Property transfer tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureX": {
"id": "AlamedaMeasureX",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure X",
"raceDescription": "Berkeley. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureY": {
"id": "AlamedaMeasureY",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure Y",
"raceDescription": "Berkeley. Parcel tax. Passes with 2/3 vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureZ": {
"id": "AlamedaMeasureZ",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure Z",
"raceDescription": "Berkeley. Sugary drinks and sweetenders tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureAA": {
"id": "AlamedaMeasureAA",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure AA",
"raceDescription": "Berkeley. Spending limit. Passes with majority vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureBB": {
"id": "AlamedaMeasureBB",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure BB",
"raceDescription": "Berkeley. Affordable housing programs. Passes with majority vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureCC": {
"id": "AlamedaMeasureCC",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure CC",
"raceDescription": "Berkeley. Affordable housing programs. Passes with majority vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureDD": {
"id": "AlamedaMeasureDD",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure DD",
"raceDescription": "Berkeley. CAFO prohibitation. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureEE": {
"id": "AlamedaMeasureEE",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure EE",
"raceDescription": "Berkeley. Parcel tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureFF": {
"id": "AlamedaMeasureFF",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure FF",
"raceDescription": "Berkeley. Parcel tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureGG": {
"id": "AlamedaMeasureGG",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure GG",
"raceDescription": "Berkeley. Fossil fuel tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureHH": {
"id": "AlamedaMeasureHH",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure HH",
"raceDescription": "Berkeley. Indoor air quality. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureII": {
"id": "AlamedaMeasureII",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure II",
"raceDescription": "Dublin. Open Space Initiative. Passes with 50% vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureJJ": {
"id": "AlamedaMeasureJJ",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure JJ",
"raceDescription": "Dublin. Government accountability. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureK1": {
"id": "AlamedaMeasureK1",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure K1",
"raceDescription": "Hayward. Sales tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureLL": {
"id": "AlamedaMeasureLL",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure LL",
"raceDescription": "Newark. Transient occupancy tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureMM": {
"id": "AlamedaMeasureMM",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure MM",
"raceDescription": "Oakland. Wildfire protection zone. Passes with 2/3 vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureNN": {
"id": "AlamedaMeasureNN",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure NN",
"raceDescription": "Oakland. Parking tax. Passes with 2/3 vote. ",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureOO": {
"id": "AlamedaMeasureOO",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure OO",
"raceDescription": "Oakland. Public ethics comission. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasurePP": {
"id": "AlamedaMeasurePP",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure PP",
"raceDescription": "Pleasanton. Sales tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaMeasureQQ": {
"id": "AlamedaMeasureQQ",
"type": "localRace",
"location": "Alameda",
"raceName": "Measure QQ",
"raceDescription": "Union City. Gross receipts tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaAlbanyCityCouncil": {
"id": "AlamedaAlbanyCityCouncil",
"type": "localRace",
"location": "Alameda",
"raceName": "Albany City Council Round One",
"raceDescription": "Top three candidates win seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top3",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Jennifer Hansen-Romero",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Peggy (Margaret) McQuaid",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jeremiah Garrett-Pinguelo",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Aaron Tiedemann",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Preston Jordan",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaAlbanyCityCouncilFinalRound": {
"id": "AlamedaAlbanyCityCouncilFinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Albany City Council Final Round",
"raceDescription": "Top three candidates win seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top3",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Jennifer Hansen-Romero",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Peggy (Margaret) McQuaid",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jeremiah Garrett-Pinguelo",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Aaron Tiedemann",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Preston Jordan",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaAlbanyBoardofEducation": {
"id": "AlamedaAlbanyBoardofEducation",
"type": "localRace",
"location": "Alameda",
"raceName": "Albany Board of Education Round One",
"raceDescription": "Top two candidates win seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top2",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Jolene Gazmen",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dayna Inkeles",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Brian L. Doss",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Veronica Davidson",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaAlbanyBoardofEducationFinalRound": {
"id": "AlamedaAlbanyBoardofEducationFinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Albany Board of Education Final Round",
"raceDescription": "Top two candidates win seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top2",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Jolene Gazmen",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dayna Inkeles",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Brian L. Doss",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Veronica Davidson",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyMayor": {
"id": "AlamedaBerkeleyMayor",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley Mayor Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Adena Ishii",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Sophie Hahn",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Katie Harrison",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Naomi D. Pete",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Logan Bowie",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyMayorFinalRound": {
"id": "AlamedaBerkeleyMayorFinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley Mayor Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Adena Ishii",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Sophie Hahn",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Katie Harrison",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Naomi D. Pete",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Logan Bowie",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict2": {
"id": "AlamedaBerkeleyCityCouncilDistrict2",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 2 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Terry Taplin",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jenny Guarino",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict3": {
"id": "AlamedaBerkeleyCityCouncilDistrict3",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 3 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Deborah Matthews",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "John “Chip” Moore",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ben Bartlett",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict3FinalRound": {
"id": "AlamedaBerkeleyCityCouncilDistrict3FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 3 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Deborah Matthews",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "John “Chip” Moore",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ben Bartlett",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict5": {
"id": "AlamedaBerkeleyCityCouncilDistrict5",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 5 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Nilang Gor",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Todd Andrew",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shoshana O’Keefe",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict5FinalRound": {
"id": "AlamedaBerkeleyCityCouncilDistrict5FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 5 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Nilang Gor",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Todd Andrew",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shoshana O’Keefe",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaBerkeleyCityCouncilDistrict6": {
"id": "AlamedaBerkeleyCityCouncilDistrict6",
"type": "localRace",
"location": "Alameda",
"raceName": "Berkeley City Council, District 6 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Brent Blackaby",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Andy Katz",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilAtLarge": {
"id": "AlamedaOaklandCityCouncilAtLarge",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, At Large Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Cristina “Tina” Tostado",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Charlene Wang",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Mindy Ruth Pechenuk",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Rowena Brown",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Nancy Sidebotham",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "LeRonne L. Armstrong",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Fabian Robinson",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shawn Danino",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Kanitha Matoury",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Selika Thomas",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilAtLargeFinalRound": {
"id": "AlamedaOaklandCityCouncilAtLargeFinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, At Large Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Cristina “Tina” Tostado",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Charlene Wang",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Mindy Ruth Pechenuk",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Rowena Brown",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Nancy Sidebotham",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "LeRonne L. Armstrong",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Fabian Robinson",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shawn Danino",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Kanitha Matoury",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Selika Thomas",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict1": {
"id": "AlamedaOaklandCityCouncilDistrict1",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 1 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Edward C. Frank",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Zac Unger",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Len Raphael",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict1FinalRound": {
"id": "AlamedaOaklandCityCouncilDistrict1FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 1 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Edward C. Frank",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Zac Unger",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Len Raphael",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict3": {
"id": "AlamedaOaklandCityCouncilDistrict3",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 3 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Baba Afolabi",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Carroll Fife",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Michelle D. Hailey",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Warren Mitchell Logan",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shan M. Hirsch",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Meron Semedar",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict3FinalRound": {
"id": "AlamedaOaklandCityCouncilDistrict3FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 3 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Baba Afolabi",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Carroll Fife",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Michelle D. Hailey",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Warren Mitchell Logan",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shan M. Hirsch",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Meron Semedar",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict5": {
"id": "AlamedaOaklandCityCouncilDistrict5",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 5 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Noel Gallo",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dominic Prado",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Erin Armstrong",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict5FinalRound": {
"id": "AlamedaOaklandCityCouncilDistrict5FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 5 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Noel Gallo",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dominic Prado",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Erin Armstrong",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict7": {
"id": "AlamedaOaklandCityCouncilDistrict7",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 7 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Merika Goolsby",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ken Houston",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Iris Merriouns",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Marcie Hodge",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityCouncilDistrict7FinalRound": {
"id": "AlamedaOaklandCityCouncilDistrict7FinalRound",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Council, District 7 Final Round",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Merika Goolsby",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ken Houston",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Iris Merriouns",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Marcie Hodge",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandCityAttorney": {
"id": "AlamedaOaklandCityAttorney",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland City Attorney Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Brenda Harbin-Forte",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ryan Richardson",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandSchoolDirectorDistrict1": {
"id": "AlamedaOaklandSchoolDirectorDistrict1",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland School Director, District 1 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Rachel Latta",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Benjamin Salop",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandSchoolDirectorDistrict3": {
"id": "AlamedaOaklandSchoolDirectorDistrict3",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland School Director, District 3 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Dwayne Aikens Jr.",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "VanCedric Williams",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandSchoolDirectorDistrict5": {
"id": "AlamedaOaklandSchoolDirectorDistrict5",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland School Director, District 5 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Sasha Ritzie-Hernandez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Patrice Berry",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaOaklandSchoolDirectorDistrict7": {
"id": "AlamedaOaklandSchoolDirectorDistrict7",
"type": "localRace",
"location": "Alameda",
"raceName": "Oakland School Director, District 7 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Clifford Thompson",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dominic Ware",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaSanLeandroCityCouncilDistrict1": {
"id": "AlamedaSanLeandroCityCouncilDistrict1",
"type": "localRace",
"location": "Alameda",
"raceName": "San Leandro City Council, District 1 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Sbeydeh Viveros Walton",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaSanLeandroCityCouncilDistrict2": {
"id": "AlamedaSanLeandroCityCouncilDistrict2",
"type": "localRace",
"location": "Alameda",
"raceName": "San Leandro City Council, District 2 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Ed Hernandez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Bryan Azevedo",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"AlamedaSanLeandroCityCouncilDistrict4": {
"id": "AlamedaSanLeandroCityCouncilDistrict4",
"type": "localRace",
"location": "Alameda",
"raceName": "San Leandro City Council, District 4 Round One",
"raceDescription": "Top candidate wins seat.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Fred Simon",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
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{
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"location": "Napa",
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{
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{
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{
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"candidateIncumbent": true,
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"location": "Napa",
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{
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{
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"timeUpdated": "9:30 AM",
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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"timeUpdated": "9:30 AM",
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"timeUpdated": "9:30 AM",
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{
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{
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{
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{
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{
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{
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{
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{
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{
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"candidateIncumbent": true,
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{
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{
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{
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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{
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
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{
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"location": "San Francisco",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"location": "San Francisco",
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"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"location": "San Francisco",
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"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
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{
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"location": "San Francisco",
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"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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{
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"location": "San Francisco",
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"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
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{
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"type": "localRace",
"location": "San Francisco",
"raceName": "Measure F",
"raceDescription": "San Francisco. Police pensions. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
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},
{
"candidateName": "No",
"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFMeasureG": {
"id": "SFMeasureG",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure G",
"raceDescription": "San Francisco. Affordable housing. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
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"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFMeasureH": {
"id": "SFMeasureH",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure H",
"raceDescription": "San Francisco. Firefighter pensions. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFMeasureI": {
"id": "SFMeasureI",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure I",
"raceDescription": "San Francisco. Nurse and 911 operator pensions. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFMeasureJ": {
"id": "SFMeasureJ",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure J",
"raceDescription": "San Francisco. City spending. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFMeasureK": {
"id": "SFMeasureK",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure K",
"raceDescription": "San Francisco. Permanently closing Upper Great Highway to private vehicles. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
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"voteCount": 0
},
{
"candidateName": "No",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFMeasureL": {
"id": "SFMeasureL",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure L",
"raceDescription": "San Francisco. Transportation network companies tax. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
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},
{
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"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFMeasureM": {
"id": "SFMeasureM",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure M",
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"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFMeasureN": {
"id": "SFMeasureN",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure N",
"raceDescription": "San Francisco. Student loan reimbursement. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Yes",
"candidateIncumbent": false,
"candidateParty": "",
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},
{
"candidateName": "No",
"candidateIncumbent": false,
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}
]
},
"SFMeasureO": {
"id": "SFMeasureO",
"type": "localRace",
"location": "San Francisco",
"raceName": "Measure O",
"raceDescription": "San Francisco. Reproductive rights. Passes with majority vote.",
"raceReadTheStory": "",
"raceType": "yesNo",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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},
{
"candidateName": "No",
"candidateIncumbent": false,
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}
]
},
"SFMayorRound1": {
"id": "SFMayorRound1",
"type": "localRace",
"location": "San Francisco",
"raceName": "San Francisco Mayor Round 1",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateIncumbent": false,
"candidateParty": "",
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},
{
"candidateName": "Mark Farrell",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Henry Flynn",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Keith Freedman",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dylan Hirsch-Shell",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Daniel Luri",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Nelson Mei",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Aaron Peskin",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Paul Robertson",
"candidateIncumbent": false,
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},
{
"candidateName": "Ahsha Safai",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Shahram Shariati",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jon Soderstrom",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ellen Zhou",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFMayorRound3": {
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"type": "localRace",
"location": "San Francisco",
"raceName": "San Francisco Mayor Final Round",
"raceDescription": "Top candidate wins seat. This is the latest ranked choice data provided by the Department of Elections office.",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
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{
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},
{
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},
{
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},
{
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},
{
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},
{
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"candidateIncumbent": false,
"candidateParty": "",
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},
{
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"candidateParty": "",
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},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"voteCount": 0
},
{
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"candidateIncumbent": false,
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},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ellen Zhou",
"candidateIncumbent": false,
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"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict1": {
"id": "SFBoardofSupervisorsDistrict1",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 1 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": true,
"candidateParty": "",
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},
{
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"candidateIncumbent": false,
"candidateParty": "",
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},
{
"candidateName": "Jen Nossokoff",
"candidateIncumbent": false,
"candidateParty": "",
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}
]
},
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"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 1 Final Round",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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},
{
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},
{
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"voteCount": 0
},
{
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"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jen Nossokoff",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
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"id": "SFBoardofSupervisorsDistrict3",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 3 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"voteCount": 0
},
{
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"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
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"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
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"id": "SFBoardofSupervisorsDistrict3FinalRound",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 3 Final Round",
"raceDescription": "Top candidate wins seat. This is the latest ranked choice data provided by the Department of Elections office.",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"candidates": [
{
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"voteCount": 0
},
{
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"candidateParty": "",
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},
{
"candidateName": "Wendy Ha Chau",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Danny Sauter",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Matthew Susk",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict5": {
"id": "SFBoardofSupervisorsDistrict5",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 5",
"raceDescription": "Top candidate wins seat. This result reflects redistributed votes. The results of the instant runoff will change as more first-choice votes are counted.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Bilal Mahmood",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Allen Jones",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dean Preston",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict5FinalRound": {
"id": "SFBoardofSupervisorsDistrict5FinalRound",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 5 Final Round",
"raceDescription": "Top candidate wins seat. This is the latest ranked choice data provided by the Department of Elections office.",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Bilal Mahmood",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Scotty Jacobs",
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"candidateParty": "",
"voteCount": 0
},
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Dean Preston",
"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict7": {
"id": "SFBoardofSupervisorsDistrict7",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 7 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateIncumbent": true,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Stephen Martin-Pinto",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Edward S. Yee",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Matt Boschetto",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict7FinalRound": {
"id": "SFBoardofSupervisorsDistrict7FinalRound",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 7 Final Round",
"raceDescription": "Top candidate wins seat. This is the latest ranked choice data provided by the Department of Elections office.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Stephen Martin-Pinto",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Edward S. Yee",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Matt Boschetto",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict9": {
"id": "SFBoardofSupervisorsDistrict9",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 9 Round One",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Stephen Jon Torres",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Roberto Hernandez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jaime Gutierrez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Trevor Chandler",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Julian Bermudez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "H. Brown",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict9FinalRound": {
"id": "SFBoardofSupervisorsDistrict9FinalRound",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 9 Final Round",
"raceDescription": "Top candidate wins seat. This is the latest ranked choice data provided by the Department of Elections office.",
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"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
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"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Stephen Jon Torres",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Roberto Hernandez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jaime Gutierrez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Trevor Chandler",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Julian Bermudez",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "H. Brown",
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"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict11": {
"id": "SFBoardofSupervisorsDistrict11",
"type": "localRace",
"location": "San Francisco",
"raceName": "Board of Supervisors, District 11 First Round",
"raceDescription": "Top candidate wins seat. This result only reflects voters’ first-choice candidate. If votes are redistributed in an instant runoff, they are not reflected in this result.",
"raceReadTheStory": "",
"raceType": "top1",
"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
"totalVotes": 0,
"candidates": [
{
"candidateName": "Oscar Flores",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Michael Lai",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Roger Marenco",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Jose Morales",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Ernest “EJ” Jones",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Adlah Chisti",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
},
{
"candidateName": "Chyanne Chen",
"candidateIncumbent": false,
"candidateParty": "",
"voteCount": 0
}
]
},
"SFBoardofSupervisorsDistrict11FinalRound": {
"id": "SFBoardofSupervisorsDistrict11FinalRound",
"type": "localRace",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"dateUpdated": "Nov 4, 2024",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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"timeUpdated": "9:30 AM",
"dateUpdated": "Nov 4, 2024",
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