Ottawa Public Health to expand monkeypox vaccination program


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Ottawa Public Health administered 100 doses of smallpox vaccine over the weekend to people at high risk for the monkeypox virus. Photo by Julie Oliver / Postmedia

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Just over a week after confirming the first case of smallpox in the city, Ottawa Public Health administered 100 doses of smallpox vaccine over the weekend to people at high risk of contracting the virus.

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Smallpox vaccines, which many countries have as strategic storage, are effective against smallpox, which belongs to the same family of viruses.

At Monday’s health board meeting, Dr. Vera Etches said the OPH plans to expand access to the vaccine for people at high risk, including offering clinics.

The OPH confirmed the first case of smallpox in the city on June 10. The infected individual has since recovered and his close contacts have been vaccinated. There are three additional suspicious cases in Ottawa. As of June 16, Health Canada reported 168 confirmed cases of smallpox nationwide, most of them in Quebec. There are 33 confirmed cases in Ontario and dozens of suspected or probable cases, most in Toronto.

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Smallpox is endemic to parts of West Africa, but is rarely seen outside these countries. The current outbreak, which includes at least 2,100 cases in 42 non-endemic countries, is unprecedented and is spreading rapidly.

Smallpox is lighter than smallpox, which was eradicated by global health efforts in 1980.

Etches said OPH is working with groups to raise awareness about monkeypox and will continue to look at the need for vaccination.

Most cases of smallpox have been in men who have sex with men and their contacts. World health authorities have warned that the infection, which causes rashes, blisters and some flu-like symptoms, can be transmitted by anyone through close contact and is not strictly a sexually transmitted disease.

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But sexual contact has been a focus of the province’s efforts to prevent the spread of monkeypox. The province has identified people with a recent history of sexually transmitted infection, with two or more sexual partners in recent weeks, and those who have attended sexual intercourse sites during the same period as a higher risk of monkeypox.

In Toronto, public health has conducted two weekend vaccination clinics for people over the age of 18 who belong to “the community of gay, bisexual and other men who have sex with men.”

Etches said OPH works with the Ontario Ministry of Health, Public Health and local infectious disease experts to respond to any additional suspicious cases and to make sure local doctors know what to look for.

Symptoms of monkeypox include fever, chills, swollen lymph nodes, headache, exhaustion, and rash with lesions. The rash often appears on the face and limbs a few days after the other symptoms, and can spread to other parts of the body.

The Ottawa AIDS Committee will hold an information session on monkeypox on Thursday from 6:00 pm to 8:00 pm with Dr. Paul McPherson, an infectious disease expert. Contact cory@aco-cso.ca for more information.

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