eligible populations, waiting times, injection methods… Five questions about vaccination

The progression of the virus worries. France had 721 cases of monkeypox on Thursday July 7, according to the latest report from Public Health France. As in other Western countries affected by the epidemic, the majority of infections recorded concern men who have sex with other men. Preventive vaccination has therefore been extended to this population in particular, as demanded by LGBTQI+ associations. But since this announcement from the High Authority for Health (HAS) on Friday, attempts to make appointments have been numerous and often unsuccessful. Where can you get vaccinated? What is the status of vaccine stocks? What is the vaccination schedule? What vaccines are used? Who, precisely, can have access to it? Here are the answers from franceinfo.

Who is eligible for the vaccine?

Until last Friday, vaccination was only offered to adults, including caregivers, who had risky contact with a patient. Currently, about 700 contact cases have been vaccinated. But “faced with the spread of the virus” and “to the difficulties of tracing the contacts of infected people”the HAS recommended administering a preventive vaccination to the people most exposed by “their sexual practices or their profession”. Are concerned : “men who have sex with men and trans people reporting multiple sexual partners, people in prostitution, professionals in places of sexual consumption”lists the HAS.

>>The article to read to understand monkeypox

HAS does not recommend, at this stage, the preventive vaccination of healthcare professionals, deeming the wearing of protective equipment and the usual hygiene measures sufficient. But it can be considered on a case-by-case basis, as for children exposed to the virus and likely to develop a severe form of the disease.

What vaccines are used?

Two vaccines, Imvanex and Jynneos, are available in France. These are third-generation smallpox vaccines, produced by the Danish biotechnology company Bavarian Nordicet. They have a protocol for use established by the National Agency for the Safety of Medicines and Health Products (ANSM).

In a press release, the HAS claims to have taken into consideration the efficacy data of the available vaccines to decide to extend the vaccination. She says she also relied on the ANSM opinion on the favorable risk-benefit of third-party vaccines. generation pre-exposed to the virus. On the other hand, it considers it preferable to avoid the use of the third generation vaccine in pregnant or breastfeeding women, “unless it is judged that the potential benefit in terms of preventing smallpox outweighs the potential risk”.

What is the recommended vaccination schedule?

Vaccination is carried out with two doses of 0.5 ml, administered subcutaneously, and spaced 28 days apart. The HAS recommends administering the first dose ideally within four days after the risky contact and a maximum of fourteen days later.

For people already vaccinated against smallpox in the past, a single dose is sufficient. For immunocompromised people, a third dose is recommended.

The two available vaccines are interchangeable: the second dose can thus be given with a different vaccine from the first. Finally, a spacing of doses of several weeks can be envisaged in the event of a tension in the supply of vaccines.

What is the stock status?

“We are now in a position to meet the needs of the centers in the coming weeks” of vaccination, assured the Director General of Health, Jérôme Salomon, without specifying the quantity of vaccines available, the latter being part of the “strategic stock” from France. As Mediapart reminds us, thehe use of the smallpox virus, eradicated but kept in military laboratories, particularly in Russia, is indeed an identified risk of bioterrorism.

France will not receive doses from the first order made by the European Union, because it has “a stock and is in solidarity with countries that do not [ont] not”, said Jérôme Salomon. But according to him, he is “quite possible” what “associates” at “next orders”.

Where and when can you get vaccinated?

Vaccination, free, should be able to start at the beginning of the week, by making an appointment, as the Minister of Health, François Braun, had said. But it is clear that it is difficult to find a niche on Doctolib. The vaccination center at the Hôtel-Dieu hospital in Paris, for example, does not offer any. “As of next week, around ten sites in Ile-de-France”, the most affected region, will offer vaccination to the wider public, had promised the Regional Health Agency. The sites in question are listed here. A telephone line, “Monkeypox Health Listening”, which can be reached on 0 801 90 80 69, will also be open from Wednesday, 7 days a week, from 8 a.m. to 11 p.m.

On social networks, there are many testimonies of people who are desperately looking for an appointment. On Twitter, a user advises to call several times the sites mentioned by the ARS Ile-de-France.

The situation is similar in other regions, such as Lyon whereno center will be able to carry out vaccinations before July 18, reports Lyon Capital. The HAS proposes that preventive vaccination can be administered in sexual health establishments such as free information, screening and diagnosis centers (CeGIDD), as soon as the storage and conservation conditions of the vaccines allow it. Assailed with requests, the 190, a sexual health center in Paris, let it be known that it did not have doses.

In Mediapart, a person infected with monkeypox is surprised to “the absolute slowness of the health system. Other countries have already started to vaccinate the population at risk”. This is the case in the United Kingdom, the United States and Canada.

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