With the spread of monkeypox, the United States declares a health emergency

Gay rights activists, who have harshly criticized the administration, have been calling for the emergency declaration for weeks. “It’s too late,” said James Krelinstein, founder of PrEP4All, an advocacy group working to expand treatment for people living with HIV.

The FDA’s plan to consider fractional doses of Jynneos surprised some federal scientists.

There is some data to suggest that injecting one fifth of a regular dose of Jynneos between the layers of the skin would be just as effective as the method used now, given the full dose subcutaneously. The skin is rich in immune cells that mediate the response to vaccines, so this approach is sometimes used, especially with vaccine shortages, although it requires more skill.

Researchers at the National Institutes of Health had planned to test the Genos strategy in a clinical trial that was due to begin in a few weeks, with results expected later in the fall.

“This was our plan, so we have to see how it fits into the new landscape, which has changed,” said Dr. Emily Erbilding, who directs the division of microbiology and infectious diseases at the National Institutes of Health. “We thought there was a desire to have a more robust data set, but if it’s a race against time, that’s a different situation.”

“Things are moving quickly,” she added.

Declaring an emergency gives the CDC more access to information from health care providers and from states.

During the outbreak, federal health officials regularly shared information about testing capacity or the number of vaccines shipped to states. But the CDC’s data on the number of cases lags behind that of local public health departments, and the number of people vaccinated, or their demographic information, is often unavailable.

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