Mpox Info

More bad news, sorry. You’ve probably heard by now that there has been an mpox, formerly known as monkeypox, outbreak in the US. The current outbreak was first detected among men who have sex with men, which has led institutions and people to frame mpox as an STI that primarily concerns the LGBTQ+ community. Mpox is not an STI, and anyone can get it.

Mpox is transmitted nonsexually. Mpox can be transmitted through the air. Scapegoating marginalized people when fascists are already advancing their attacks on the queer community will lead to violence. 

This is the best, most helpful, information we can provide, but personal responsibility is a failing public health model. We need a real government response. The vaccine already exists. Treatment to reduce symptoms and shorten necessary isolation periods exists. This is a solvable problem if we demand the government actually make use of the solutions it has on hand.

But for now, protect yourselves in the ways you can.

Anyone who requests the vaccine can get it without disclosing personal risk info. You should get both doses for the best protection. Make appointments here.

Testing and other info from the LA Public Health Department here.

Monkeypox: What To Know Info from SWOPLA What is it? Monkeypox is a viral infection primarily transmitted through skin-to-skin physical contact. Key symptom: (often painful) rash, bumps, or blisters Other symptoms: fever, headaches, muscle aches, and swollen lymph nodes If you get a rash or bumps on your skin, Minimize Contact. Get tested. Testing is largely by appointment and only for those with symptoms. More info on the following slides. Monkeypox is not an STI. Symptoms Symptoms from this outbreak have been much more subtle than the typical monkeypox profile. Can appear anywhere on the body, but pay particular attention to your face, genitals, the palms of your hands, and the soles of your feet. Lesions can look subtle but frequently have a dot on top. Info from SWOPLA Four images, three show pustules on various skin tones, one looks more like red indents on pale skin.

More images of lesions from the CDC here.

Mpox lesions don’t have a consistent look. They can appear like pimples, blisters, or ingrown hairs, but you know what kinds of pimples and ingrowns you tend to get and where so you’re going to be the best judge of if a spot is unusual for you.

Symptoms Symptom onset ranges from 5 to 21 days after exposure. For some, the infection doesn't hurt at all, but for others the rash is so painful they need pain medication to manage it. Some people only get one lesion, but they’re still contagious. The lesions can scar. If you want to minimize scarring, don't touch them, keep them moisturized and covered, and wear SPF. Info from SWOPLA Where to Get Tested If you have a primary care provider, contact them first. They can submit specimens at the following commercial laboratories: Quest, Labcorp, Aegis Sciences, and Sonic Healthcare USA. Go to bit.ly/LAmonkeypox for public clinic phone numbers and locations or call 211. Testing is free, but not all clinics listed test and most places require an appointment for testing so call ahead. They are also limiting testing to symptomatic individuals, but symptoms can be subtle. Info from SWOPLA

Last we called, Central Health Center and Ruth Temple Health Center were the two on the DPH Sexual Health Clinic list that were not testing for mpox. If you find out this or any other info has changed, let us know.

Some clinics are also not testing people who have insurance. They will tell you that insured people have to go to an Urgent Care center, but many Urgent Care centers are not testing for mpox. You can call around to find one that is or you can go to the ER, but expect to wait.

If you test positive, the recommended isolation period is 21 days.

Transmission Can be passed through any skin-to-skin contact, but also through respiratory droplets, or sharing things like clothes and bedding. If you have symptoms, isolate, wear a mask, and cover lesions to protect others. Children, as well as immunocompromised and pregnant people, face greater risk of severe health impact. You are contagious until all scabs have fallen off. Info from SWOPLA Treatment Most people just need to rest and isolate and will recover through their own immune response, but for more severe cases and high-risk individuals, tecovirimat may be available. High risk people include: the immunocompromised, those with a history of skin conditions, pregnant or breastfeeding people, and children under 8. Symptoms generally last 2-4 weeks. Fatality in the current outbreak is estimated to be very low and hospitalizations are primarily for isolation. Info from SWOPLA

Symptom management guidelines from the Nigeria Center for Disease Control:

More on tecovirimat. If you have a severe case or are high risk, talk to your primary care doctor. All providers can prescribe tecovirimat, they just have to fill out the required EA-IND forms, but these can be submitted to the CDC after treatment has started. Tecovirimat treatment can begin as soon as the doctor obtains signed informed consent from the patient.

If you don’t have a primary care doctor, the Department of Public Health is following all positive cases and will reach out and get you treatment if you need it.

General Risk The more the virus is allowed to spread and mutate, the greater the public health risk becomes, and it's not yet clear if the virus could have long-term health consequences. The actual number of cases is definitely higher than the reported numbers. Case patterns suggest several chains of transmission are going undetected. For the safety of everyone, please get tested if you experience any symptoms and minimize risk where possible. Info from SWOPLA

 

Recommendations Keep as much clothing on you and your partners as possible. Wear gloves. Wear masks whenever possible. (Also to prevent the spread of COVID!) Don't share clothes, bedding, utensils, straws, or toys. Don't touch visible rashes or blisters. Check skin for lesions once a day. Info from SWOPLA Anyone can get monkeypox. It is not an STI. We shouldn't be shaming or neglecting the needs of people with STIs either, but the misconception that monkeypox is only transmitted through sex leads people to inaccurately assess their own risk and ignore potential modes of transmission.

Clothing can also become contaminated with the virus. Change clothes between clients if possible, avoid touching the outside of your garments.

And a short thread on messaging and risk.

*Post has been edited to reflect the World Health Organization’s transition to “mpox” instead of “monkeypox”.