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NISH (NITAG Support Hub) 7: Mpox : Home

This Library Guide is a collection of useful documents & evidence on the efficacy, effectiveness and impact of MPox vaccines to support NITAG members and other policy makers throughout Africa with making evidence-based recommendations.

Introduction

This Library Guide is a collection of useful documents & evidence on the efficacy, effectiveness and impact of MPox vaccines to support NITAG members and other policy makers throughout Africa with making evidence-based recommendations. 

2022-24 Mpox (Monkeypox) Outbreak: Global Trends

Total Mpox cases

 

 

 

WHO Weekly Epidemiological Report

References to WHO Position Paper 1

Fenner, F., Henderson, D. A., Arita, I., Ježek, Z., & Ladnyi, I. D. (1987). Smallpox and its eradication. Geneva: WHO210.bullwho00076-0026.pdf (nih.gov)

3, Monkeypox: experts give virus variants new names (News release, 12 August 2022). Geneva: World Health Organization (https://www.who.int/news/item/12-08-2022- monkeypox--experts-give-virus-variants-new-names)

Breman, J. G., Steniowski, M. V., Zanotto, E., Gromyko, A. I., & Arita, I. (1980). Human monkeypox, 1970-79. Bulletin of the World Health Organization58(2), 165. Human monkeypox, 1970-79 - PMC (nih.gov)

Guarner, J., Johnson, B. J., Paddock, C. D., Shieh, W. J., Goldsmith, C. S., Reynolds, M. G., ... & Veterinary Monkeypox Virus Working Group. (2004). Monkeypox transmission and pathogenesis in prairie dogs. Emerging infectious diseases10(3), 426. doi: 10.3201/eid1003.030878

Laurenson-Schafer H et al. Description of the first global outbreak of mpox: an analysis of global surveillance data. Lancet Glob Health. 2023;11:e1012–23. DOI: 10.1016/S2214-109X(23)00198-5

Americo, J. L., Earl, P. L., & Moss, B. (2023). Virulence differences of mpox (monkeypox) virus clades I, IIa, and IIb. 1 in a small animal model. Proceedings of the National Academy of Sciences120(8), e2220415120. https://doi.org/10.1073/pnas.2220415120

World Health Organization. (2023). Multi-Country Outbreak of Mpox, External Situation Report 31.Multi-country outbreak of mpox, External situation report#31 – 22 December 2023 (who.int)

Operational framework for the deployment of the WHO smallpox vaccine emergency stockpile in response to a smallpox event. Geneva: World Health Organization; 2017 (https://www.who.int/publications/i/item/WHO-WHE-IHM-2017-14)

Leggiadro, R. J. (2011). Major Increase in Human Monkeypox Incidence 30 Years After Smallpox Vaccination Campaigns Cease in the Democratic Republic of Congo: AW Rimoin et al.: PNAS.: Published online before print August 30, 2010. The Pediatric Infectious Disease Journal30(1), 2. (NOt OA)

Clay, P. A., Asher, J. M., Carnes, N., Copen, C. E., Delaney, K. P., Payne, D. C., ... & Spicknall, I. H. (2024). Modelling the impact of vaccination and sexual behaviour adaptations on mpox cases in the USA during the 2022 outbreak. Sexually Transmitted Infections100(2), 70-76.doi: 10.1136/sextrans-2023-055922

Clinical management and infection prevention and control for monkeypox: Interim rapid response guidance. Geneva: World Health Organization; 2022 (https://www. who.int/publications/i/item/WHO-MPX-Clinical-and-IPC-2022.1)

Petersen, E., Kantele, A., Koopmans, M., Asogun, D., Yinka-Ogunleye, A., Ihekweazu, C., & Zumla, A. (2019). Human monkeypox: epidemiologic and clinical characteristics, diagnosis, and prevention. Infectious Disease Clinics33(4), 1027-1043. https://www.id.theclinics.com/article/S0891-5520(19)30017-0/pdf

Ogoina D et al. The 2017 human monkeypox outbreak in Nigeria – Report of outbreak experience and response in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. PLoS One.

Yinka-Ogunleye, A., Dalhat, M., Akinpelu, A., Aruna, O., Garba, F., Ahmad, A., ... & Abubakar, I. (2023). Mpox (monkeypox) risk and mortality associated with HIV infection: a national case–control study in Nigeria. BMJ Global Health8(11), e013126.https://gh.bmj.com/content/bmjgh/8/11/e013126.full.pdf

Mitjà, O., Alemany, A., Marks, M., Mora, J. I. L., Rodríguez-Aldama, J. C., Silva, M. S. T., ... & Paredes, M. T. (2023). Mpox in people with advanced HIV infection: a global case series. The Lancet401(10380), 939-949.

Berry, M. T., Khan, S. R., Schlub, T. E., Notaras, A., Kunasekaran, M., Grulich, A. E., ... & Khoury, D. S. (2024). Predicting vaccine effectiveness for mpox. Nature Communications15(1), 3856.https://www.nature.com/articles/s41467-024-48180-w.pdf

Hazra, A., Zucker, J., Bell, E., Flores, J., Gordon, L., Mitjà, O., ... & Marchetta, L. (2024). Mpox in people with past infection or a complete vaccination course: a global case series. The Lancet Infectious Diseases24(1), 57-64.https://www.thelancet.com/pdfs/journals/laninf/PIIS1473-3099(23)00492-9.pdf

Heiner, G. G., Fatima, N., & McCrumb Jr, F. R. (1971). A study of intrafamilial transmission of smallpox. American Journal of Epidemiology94(4), 316-326.https://iris.who.int/bitstream/handle/10665/67491/WHO_SE_71.33.pdf?sequence=1

Henderson, D. A., Inglesby Jr, T. V., O'Toole, T., & Mortimer, P. P. (2003). Can postexposure vaccination against smallpox succeed?. Clinical infectious diseases36(5), 622-629.https://watermark.silverchair.com/36-5-622.pdf

Hatch, G. J., Graham, V. A., Bewley, K. R., Tree, J. A., Dennis, M., Taylor, I., ... & Vipond, J. (2013). Assessment of the protective effect of Imvamune and Acam2000 vaccines against aerosolized monkeypox virus in cynomolgus macaques. Journal of virology87(14), 7805-7815.https://journals.asm.org/doi/pdf/10.1128/jvi.03481-12

Pischel, L., Martini, B. A., Yu, N., Cacesse, D., Tracy, M., Kharbanda, K., ... & Omer, S. B. (2024). Vaccine effectiveness of 3rd generation mpox vaccines against mpox and disease severity: A systematic review and meta-analysis. Vaccine.https://doi.org/10.1016/j.vaccine.2024.06.021

Bertran, M., Andrews, N., Davison, C., Dugbazah, B., Boateng, J., Lunt, R., ... & Bernal, J. L. (2023). Effectiveness of one dose of MVA–BN smallpox vaccine against mpox in England using the case-coverage method: an observational study. The Lancet Infectious Diseases23(7), 828-835.https://doi.org/10.1016/S1473-3099(23)00057-9

Fontán-Vela, M., Hernando, V., Olmedo, C., Coma, E., Martínez, M., Moreno-Perez, D., ... & Monge, S. (2024). Effectiveness of Modified Vaccinia Ankara-Bavaria Nordic Vaccination in a population at high risk of mpox: a Spanish cohort study. Clinical Infectious Diseases78(2), 476-483.https://doi.org/10.1093/cid/ciad645

Hens, M., Brosius, I., Berens-Riha, N., Coppens, J., Van Gestel, L., Rutgers, J., ... & Ariën, K. (2023). Characteristics of confirmed mpox cases among clinical suspects: A prospective single-centre study in Belgium during the 2022 outbreak. New microbes and new infections52, 101093.https://doi.org/10.1016/j.nmni.2023.101093

Dalton, A. F. (2023). Estimated effectiveness of JYNNEOS vaccine in preventing mpox: a multijurisdictional case-control study—United States, August 19, 2022–March 31, 2023. MMWR. Morbidity and mortality weekly report72.https://www.cdc.gov/mmwr/volumes/72/wr/mm7220a3.htm?trk=public_post_comment-text

Rosenberg, E. S. (2023). Effectiveness of JYNNEOS vaccine against diagnosed mpox infection—New York, 2022. MMWR. Morbidity and Mortality Weekly Report72.https://www.cdc.gov/mmwr/volumes/72/wr/mm7220a4.htm

Payne, A. B. (2022). Reduced risk for mpox after receipt of 1 or 2 doses of JYNNEOS vaccine compared with risk among unvaccinated persons—43 US jurisdictions, July 31–October 1, 2022. MMWR. Morbidity and Mortality Weekly Report71.https://www.cdc.gov/mmwr/volumes/71/wr/mm7149a5.htm?ftag=YHF4eb9d17

Payne, A.B., (2022). Incidence of monkeypox among unvaccinated persons compared with persons receiving≥ 1 JYNNEOS vaccine dose—32 US jurisdictions, July 31–September 3, 2022. MMWR. Morbidity and Mortality Weekly Report71.https://www.cdc.gov/mmwr/volumes/71/wr/mm7140e3.htm

Wolff Sagy Y et al. Real-world effectiveness of a single dose of mpox vaccine in males. Nat Med. 2023;29:748–52. d (NOT OA)

References to WHO Position Paper 2

Ramchandani, M. S., Berzkalns, A., Cannon, C. A., Dombrowski, J. C., Brown, E., Chow, E. J., ... & Golden, M. R. (2023, November). Effectiveness of the modified vaccinia Ankara vaccine against mpox in men who have sex with men: a retrospective cohort analysis, Seattle, Washington. In Open Forum Infectious Diseases (Vol. 10, No. 11, p. ofad528). US: Oxford University Press.https://doi.org/10.1093/ofid/ofad528

Brousseau, N., Carazo, S., Febriani, Y., Padet, L., Hegg-Deloye, S., Cadieux, G., ... & Skowronski, D. M. (2024). Single-dose effectiveness of mpox vaccine in Quebec, Canada: test-negative design with and without adjustment for self-reported exposure risk. Clinical Infectious Diseases78(2), 461-469.https://doi.org/10.1093/cid/ciad584

Impact of vaccination on mpox incidence in MSM on prep in the ANRS 174 doxyvac trial.2023. (www.croiconference.org/abstract/impact-of-vaccination-on-mpox-incidence-in-msm-on-prep-in-the-anrs-174-doxyvac-trial

Deputy, N. P., Deckert, J., Chard, A. N., Sandberg, N., Moulia, D. L., Barkley, E., ... & Feldstein, L. R. (2023). Vaccine effectiveness of JYNNEOS against mpox disease in the United States. New England Journal of Medicine388(26), 2434-2443. (NOT OA)

Agustí C et al. Self-sampling monkeypox virus testing in high-risk populations, asymptomatic or with unrecognized Mpox, in Spain. Nat Commun. 2023;

Dalton, A. F. (2023). Estimated effectiveness of JYNNEOS vaccine in preventing mpox: a multijurisdictional case-control study—United States, August 19, 2022–March 31, 2023. MMWR. Morbidity and mortality weekly report72https://www.cdc.gov/mmwr/volumes/72/wr/mm7220a3.htm?trk=public_post_comment-text

Nishiyama, Y., Fujii, T., Kanatani, Y., Shinmura, Y., Yokote, H., & Hashizume, S. (2015). Freeze-dried live attenuated smallpox vaccine prepared in cell culture “LC16-KAKETSUKEN”: post-marketing surveillance study on safety and efficacy compliant with good clinical practice. Vaccine33(45), 6120-6127. https://doi.org/10.1016/j.vaccine.2015.09.067

Saito, T., Fujii, T., Kanatani, Y., Saijo, M., Morikawa, S., Yokote, H., ... & Kuwabara, N. (2009). Clinical and immunological response to attenuated tissue-cultured smallpox vaccine LC16m8. Jama301(10), 1025-1033. (NOT OA)

Kennedy, J. S., Gurwith, M., Dekker, C. L., Frey, S. E., Edwards, K. M., Kenner, J., ... & Greenberg, R. N. (2011). Safety and immunogenicity of LC16m8, an attenuated smallpox vaccine in vaccinia-naive adults. Journal of Infectious Diseases204(9), 1395-1402. https://doi.org/10.1093/infdis/jir527

Morino, E., Mine, S., Tomita, N., Uemura, Y., Shimizu, Y., Saito, S., ... & Ujiie, M. (2024). Mpox neutralizing antibody response to LC16m8 vaccine in healthy adults. NEJM evidence3(3), EVIDoa2300290. (NOT OA)

Artenstein, A. W., Johnson, C., Marbury, T. C., Morrison, D., Blum, P. S., Kemp, T., ... & Monath, T. P. (2005). A novel, cell culture-derived smallpox vaccine in vaccinia-naive adults. Vaccine23(25), 3301-3309. (NOT OA)

Frey, S. E., Newman, F. K., Kennedy, J. S., Ennis, F., Abate, G., Hoft, D. F., & Monath, T. P. (2009). Comparison of the safety and immunogenicity of ACAM1000, ACAM2000 and Dryvax® in healthy vaccinia-naive adults. Vaccine27(10), 1637-1644. (NOT OA)

Monath, T. P., & Frey, S. E. (2009). Possible autoimmune reactions following smallpox vaccination: the biologic false positive test for syphilis. Vaccine27(10), 1645-1650.(NOT OA)

Pittman, P. R., Hahn, M., Lee, H. S., Koca, C., Samy, N., Schmidt, D., ... & Chaplin, P. (2019). Phase 3 efficacy trial of modified vaccinia Ankara as a vaccine against smallpox. New England Journal of Medicine381(20), 1897-1908. (NOT OA)

Ilchmann, H., Samy, N., Reichhardt, D., Schmidt, D., Powell, J. D., Meyer, T. P., ... & Chaplin, P. (2023). One-and two-dose vaccinations with modified vaccinia Ankara-Bavarian nordic induce durable B-cell memory responses comparable to replicating smallpox vaccines. The Journal of Infectious Diseases227(10), 1203-1213.https://doi.org/10.1093/infdis/jiac455

Priyamvada, L., Carson, W. C., Ortega, E., Navarra, T., Tran, S., Smith, T. G., ... & Townsend, M. B. (2022). Serological responses to the MVA-based JYNNEOS monkeypox vaccine in a cohort of participants from the Democratic Republic of Congo. Vaccine40(50), 7321-7327. (NOT OA)

Eckart, R. E., Love, S. S., Atwood, J. E., Arness, M. K., Cassimatis, D. C., Campbell, C. L., ... & Department of Defense Smallpox Vaccination Clinical Evaluation Team. (2004). Incidence and follow-up of inflammatory cardiac complications after smallpox vaccination. Journal of the American College of Cardiology44(1), 201-205. DOI: 10.1016/j.jacc.2004.05.004

Duffy, J. (2022). Safety monitoring of JYNNEOS vaccine during the 2022 mpox outbreak—United States, May 22–October 21, 2022. MMWR. Morbidity and Mortality Weekly Report71.https://www.cdc.gov/mmwr/volumes/71/wr/mm7149a4.htm

Kenner, J., Cameron, F., Empig, C., Jobes, D. V., & Gurwith, M. (2006). LC16m8: an attenuated smallpox vaccine. Vaccine24(47-48), 7009-7022.https://doi.org/10.1016/j.vaccine.2006.03.087

Karita, E., Nyombayire, J., Ingabire, R., Mazzei, A., Sharkey, T., Mukamuyango, J., ... & Wall, K. M. (2022). Safety, reactogenicity, and immunogenicity of a 2-dose Ebola vaccine regimen of Ad26. ZEBOV followed by MVA-BN-Filo in healthy adult pregnant women: study protocol for a phase 3 open-label randomized controlled trial. Trials23(1), 513. https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-022-06360-3

Overton, E. T., Stapleton, J., Frank, I., Hassler, S., Goepfert, P. A., Barker, D., ... & Chaplin, P. (2015). Safety and immunogenicity of modified vaccinia Ankara-Bavarian Nordic smallpox vaccine in vaccinia-naive and experienced human immunodeficiency virus-infected individuals: an open-label, controlled clinical phase II trial. In Open forum infectious diseases (Vol. 2, No. 2, p. ofv040). US: Oxford University Press.https://doi.org/10.1093/ofid/ofv040

Overton, E. T., Lawrence, S. J., Stapleton, J. T., Weidenthaler, H., Schmidt, D., Koenen, B., ... & Chaplin, P. (2020). A randomized phase II trial to compare safety and immunogenicity of the MVA-BN smallpox vaccine at various doses in adults with a history of AIDS. Vaccine38(11), 2600-2607. (NOT OA)

Okumura, N., Morino, E., Nomoto, H., Yanagi, M., Takahashi, K., Iwasaki, H., ... & Ujiie, M. (2024). Safety and Effectiveness of LC16m8 for Pre-Exposure Prophylaxis against mpox in a High-Risk Population: An Open-Label Randomized Trial. medRxiv, 2024-06.https://www.medrxiv.org/content/10.1101/2024.06.06.24308551v1.full.pdf

Walsh, S. R., Wilck, M. B., Dominguez, D. J., Zablowsky, E., Bajimaya, S., Gagne, L. S., ... & Baden, L. R. (2013). Safety and immunogenicity of modified vaccinia Ankara in hematopoietic stem cell transplant recipients: a randomized, controlled trial. The Journal of infectious diseases207(12), 1888-1897.https://doi.org/10.1093/infdis/jit105

MacIntyre, C. R., Heslop, D. J., Nguyen, P., Adam, D., Trent, M., & Gerber, B. J. (2022). Pacific Eclipse–A tabletop exercise on smallpox pandemic response. Vaccine40(17), 2478-2483. https://doi.org/10.1016/j.vaccine.2021.10.081

Costantino, V., Kunasekaran, M., & MacIntyre, C. R. (2021). Modelling of optimal vaccination strategies in response to a bioterrorism associated smallpox outbreak. Human Vaccines & Immunotherapeutics17(3), 738-746. https://doi.org/10.1080/21645515.2020.1800324

Mohanty, B., Costantino, V., Narain, J., Chughtai, A. A., Das, A., & MacIntyre, C. R. (2020). Modelling the impact of a smallpox attack in India and influence of disease control measures. BMJ open10(12), e038480. https://bmjopen.bmj.com/content/bmjopen/10/12/e038480.full.pdf

MacIntyre, C. R., Costantino, V., & Kunasekaran, M. P. (2019). Health system capacity in Sydney, Australia in the event of a biological attack with smallpox. PLoS One14(6), e0217704. https://doi.org/10.1371/journal.pone.0217704

 

 

References used in SAGE document

Yinka-Ogunleye, A., Aruna, O., Dalhat, M., Ogoina, D., McCollum, A., Disu, Y., ... & Satheshkumar, P. S. (2019). Outbreak of human monkeypox in Nigeria in 2017–18: a clinical and epidemiological report. The Lancet Infectious Diseases19(8), 872-879. https://www.thelancet.com/action/showPdf?pii=S1473-3099%2819%2930294-4

Rimoin, A. W., Mulembakani, P. M., Johnston, S. C., Lloyd Smith, J. O., Kisalu, N. K., Kinkela, T. L., ... & Muyembe, J. J. (2010). Major increase in human monkeypox incidence 30 years after smallpox vaccination campaigns cease in the Democratic Republic of Congo. Proceedings of the National Academy of Sciences107(37), 16262-16267. https://doi.org/10.1073/pnas.1005769107

World Health Organization. (2022). Clinical management and infection prevention and control for monkeypox: interim rapid response guidance, 10 June 2022 (No. WHO/MPX/Clinical_and_IPC/2022.1). World Health Organization. https://iris.who.int/bitstream/handle/10665/355798/WHO-MPX-Clinical_and_IPC-2022.1-eng.pdf?sequence=1

Yinka-Ogunleye, A., Dalhat, M., Akinpelu, A., Aruna, O., Garba, F., Ahmad, A., ... & Abubakar, I. (2023). Mpox (monkeypox) risk and mortality associated with HIV infection: a national case–control study in Nigeria. BMJ Global Health8(11), e013126.  https://gh.bmj.com/content/bmjgh/8/11/e013126.full.pdf

Petersen, E., Kantele, A., Koopmans, M., Asogun, D., Yinka-Ogunleye, A., Ihekweazu, C., & Zumla, A. (2019). Human monkeypox: epidemiologic and clinical characteristics, diagnosis, and prevention. Infectious Disease Clinics33(4), 1027-1043.. https://www.id.theclinics.com/action/showPdf?pii=S0891-5520%2819%2930017-0

Ogoina D, Izibewule JH, Ogunleye A, Ederiane E, Anebonam U, Neni A et al. The 2017 human monkeypox outbreak in Nigeria-Report of outbreak experience and response in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214229

Ježek, Z., Grab, B., Szczeniowski, M. V., Paluku, K. M., & Mutombo, M. (1988). Human monkeypox: secondary attack rates. Bulletin of the World Health Organization66(4), 465. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491159/pdf/bullwho00069-0046.pdf

Meyer, H. (2013). Summary report on first, second and third generation smallpox vaccines. World Health Organization: Geneva, Switzerland.Artenstein, A. W., Johnson, C., Marbury, T. C., Morrison, D., Blum, P. S., Kemp, T.,  & Monath, T. P. (2005). A novel, cell culture-derived smallpox vaccine in vaccinia-naive adults. Vaccine23(25), 3301-3309.

Frey, S. E., Newman, F. K., Kennedy, J. S., Ennis, F., Abate, G., Hoft, D. F., & Monath, T. P. (2009). Comparison of the safety and immunogenicity of ACAM1000, ACAM2000 and Dryvax® in healthy vaccinia-naive adults. Vaccine27(10), 1637-1644.

Monath, T. P., & Frey, S. E. (2009). Possible autoimmune reactions following smallpox vaccination: the biologic false positive test for syphilis. Vaccine27(10), 1645-1650.

Pittman, P. R., Hahn, M., Lee, H. S., Koca, C., Samy, N., Schmidt, D., ... & Chaplin, P. (2019). Phase 3 efficacy trial of modified vaccinia Ankara as a vaccine against smallpox. New England Journal of Medicine381(20), 1897-1908.

Hatch, G. J., Graham, V. A., Bewley, K. R., Tree, J. A., Dennis, M., Taylor, I., ... & Vipond, J. (2013). Assessment of the protective effect of Imvamune and Acam2000 vaccines against aerosolized monkeypox virus in cynomolgus macaques. Journal of virology87(14), 7805-7815.

Faix, D. J., Gordon, D. M., Perry, L. N., Raymond-Loher, I., Tati, N., Lin, G., ... & Decker, M. D. (2020). Prospective safety surveillance study of ACAM2000 smallpox vaccine in deploying military personnel. Vaccine38(46), 7323-7330.

McNeil, M. M., Cano, M., Miller, E. R., Petersen, B. W., Engler, R. J., & Bryant-Genevier, M. G. (2014). Ischemic cardiac events and other adverse events following ACAM2000® smallpox vaccine in the Vaccine Adverse Event Reporting System. Vaccine32(37), 4758-4765.

Decker, M. D., Garman, P. M., Hughes, H., Yacovone, M. A., Collins, L. C., Fegley, C. D., ... & Gordon, D. M. (2021). Enhanced safety surveillance study of ACAM2000 smallpox vaccine among US military service members. Vaccine39(39), 5541-5547.

Nishiyama, Y., Fujii, T., Kanatani, Y., Shinmura, Y., Yokote, H., & Hashizume, S. (2015). Freeze-dried live attenuated smallpox vaccine prepared in cell culture “LC16-KAKETSUKEN”: post-marketing surveillance study on safety and efficacy compliant with good clinical practice. Vaccine33(45), 6120-6127.

Saito, T., Fujii, T., Kanatani, Y., Saijo, M., Morikawa, S., Yokote, H., ... & Kuwabara, N. (2009). Clinical and immunological response to attenuated tissue-cultured smallpox vaccine LC16m8. Jama301(10), 1025-1033.

References used in SAGE document

Kennedy, J. S., Gurwith, M., Dekker, C. L., Frey, S. E., Edwards, K. M., Kenner, J., ... & Greenberg, R. N. (2011). Safety and immunogenicity of LC16m8, an attenuated smallpox vaccine in vaccinia-naive adults. Journal of Infectious Diseases204(9), 1395-1402.

M.K. H. Research summary of an attenuated lc16m8 smallpox vaccine by the smallpox vaccine research committee (SVRC). 2005

Zaeck, L. M., Lamers, M. M., Verstrepen, B. E., Bestebroer, T. M., Van Royen, M. E., Götz, H., ... & De Vries, R. D. (2023). Low levels of monkeypox virus-neutralizing antibodies after MVA-BN vaccination in healthy individuals. Nature medicine29(1), 270-278. https://www.nature.com/articles/s41591-022-02090-w

Arbel, R., Sagy, Y. W., Zucker, R., Arieh, N. G., Markovits, H., Abu-Ahmad, W., ... & Netzer, D. (2022). Effectiveness of a single-dose modified vaccinia Ankara in human monkeypox: an observational study.https://www.researchsquare.com/article/rs-1976861/v2

Tameris, M. D., Hatherill, M., Landry, B. S., Scriba, T. J., Snowden, M. A., Lockhart, S., ... & McShane, H. (2013). Safety and efficacy of MVA85A, a new tuberculosis vaccine, in infants previously vaccinated with BCG: a randomised, placebo-controlled phase 2b trial. The Lancet381(9871), 1021-1028.

Afolabi, M. O., Tiono, A. B., Adetifa, U. J., Yaro, J. B., Drammeh, A., Nébié, I., ... & Sirima, S. B. (2016). Safety and immunogenicity of ChAd63 and MVA ME-TRAP in West African children and infants. Molecular Therapy24(8), 1470-1477. DOI:https://doi.org/10.1038/mt.2016.83

Ota, M. O., Odutola, A. A., Owiafe, P. K., Donkor, S., Owolabi, O. A., Brittain, N. J., ... & McShane, H. (2011). Immunogenicity of the tuberculosis vaccine MVA85A is reduced by coadministration with EPI vaccines in a randomized controlled trial in Gambian infants. Science translational medicine3(88), 88ra56-88ra56.

Rao, A. K. (2022). Use of JYNNEOS (smallpox and monkeypox vaccine, live, nonreplicating) for preexposure vaccination of persons at risk for occupational exposure to orthopoxviruses: recommendations of the Advisory Committee on Immunization Practices—United States, 2022. MMWR. Morbidity and mortality weekly report71.https://www.cdc.gov/mmwr/volumes/71/wr/mm7122e1.

Overton, E. T., Lawrence, S. J., Stapleton, J. T., Weidenthaler, H., Schmidt, D., Koenen, B., ... & Chaplin, P. (2020). A randomized phase II trial to compare safety and immunogenicity of the MVA-BN smallpox vaccine at various doses in adults with a history of AIDS. Vaccine38(11), 2600-2607.

Walsh, S. R., Wilck, M. B., Dominguez, D. J., Zablowsky, E., Bajimaya, S., Gagne, L. S., ... & Baden, L. R. (2013). Safety and immunogenicity of modified vaccinia Ankara in hematopoietic stem cell transplant recipients: a randomized, controlled trial. The Journal of infectious diseases207(12), 1888-1897.https://doi.org/10.1093/infdis/jit105

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Monkeypox multi-country outbreak - first update. 2022 

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