“I do not think it will be necessary to carry out an extensive vaccination against monkeypox in Italy, since the disease tends to limit itself and we do not expect an epidemic spread. However, if different conditions arise and vaccination is required, find the Smallpox vaccine on the market would not be difficult and would not pose a problem, “he said Massimo Andreonidirector of the complex operating unit of infectious diseases of Rome Tor Vergata and scientific director of the Italian Society of Infectious and Tropical Diseases (Simit).
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“Keeping any stocks of smallpox vaccine, which is no longer in use in our country since 1981, after the eradication of smallpox – explains the infectious disease specialist – is not necessary and would be uneconomical, since vaccines have an expiry date and to stock them up for eradicated diseases it would not be useful but would represent an expense. The vaccine is still produced and is on the market, and is still used in various countries in specific circumstances or for specific categories in some cases. So, if necessary, it is available “.
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In any case, Andreoni underlines, “it should be made clear that in Italy we are not faced with a situation in which extensive vaccination is required”. At this moment, the possible indication for smallpox vaccination, which also provides coverage with respect to monkeypox, he specifies, “is only for the close contacts of patients with clinical manifestations of this pathology, as stated by the European Center for the prevention and control of monkeys. Ecdc diseases “. The UK, for example, has decided to proceed in this direction and is offering smallpox vaccination to close contacts most at risk. At the moment, however, he added, “we do not expect a major epidemic in the country, even if the cases should increase, and there is no indication to stock up on the vaccine“.
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Furthermore, this disease “has generally always been ‘self-limited’ and even in Africa there have been no more than a few hundred cases”. In any case, “the vaccine doses are in fact easily available on the market, just as the Spallanzani Institute for Infectious Diseases – concludes Andreoni – has already made sure to have available the antiviral drug which in vitro has proven effective against the monkeypox “.
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