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Outcomes of post-exposure vaccination by modified vaccinia Ankara to prevent mpox (formerly monkeypox): a retrospective observational study in Lyon, France, June to August 2022
- Yanis Merad1 , Alexandre Gaymard2,3 , Laurent Cotte1,4 , Thomas Perpoint1 , Dulce Alfaiate1,4 , Matthieu Godinot1,5 , Agathe Becker1 , Olivier Cannesson1,4 , Anne-Sophie Batalla1,5 , Fatima Oria-Yassir1,4 , Sophie Landré1 , Florence Morfin2,3 , Maude Bouscambert2,3 , Florent Valour1,3 , Florence Ader1,3 , Anne Conrad1,3
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View Affiliations Hide AffiliationsAffiliations: 1 Département des Maladies infectieuses et tropicales, Hôpital de la Croix-Rousse, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France 2 Laboratoire de Virologie, Institut des Agents Infectieux, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France 3 Centre International de Recherche en Infectiologie (CIRI), Inserm U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Univ Lyon, Lyon, France 4 Centre Gratuit D’Information, de Dépistage et de Diagnostic (CeGIDD), Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France 5 Centre Gratuit D’Information, de Dépistage et de Diagnostic (CeGIDD), Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, FranceAnne Conradanne.conrad chu-lyon.fr
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Citation style for this article: Merad Yanis, Gaymard Alexandre, Cotte Laurent, Perpoint Thomas, Alfaiate Dulce, Godinot Matthieu, Becker Agathe, Cannesson Olivier, Batalla Anne-Sophie, Oria-Yassir Fatima, Landré Sophie, Morfin Florence, Bouscambert Maude, Valour Florent, Ader Florence, Conrad Anne. Outcomes of post-exposure vaccination by modified vaccinia Ankara to prevent mpox (formerly monkeypox): a retrospective observational study in Lyon, France, June to August 2022. Euro Surveill. 2022;27(50):pii=2200882. https://doi.org/10.2807/1560-7917.ES.2022.27.50.2200882 Received: 14 Nov 2022; Accepted: 15 Dec 2022
Abstract
Modified vaccinia virus Ankara vaccine (MVA-BN; Bavarian Nordic) is recommended to contacts of mpox cases up to 14 days post-exposure but the effectiveness of this strategy is unknown. Among 108 adults (≥ 18 years old) who received one dose of MVA-BN after exposure to mpox, 11 (10%) cases of breakthrough mpox were observed. Sexual exposure was associated with the risk of breakthrough mpox (p = 0.0179). Samples taken from vaccinated breakthrough mpox cases had similar rates of infectious virus isolation than unvaccinated mpox cases.
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References
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World Health Organization (WHO). 2022 Monkeypox Outbreak: Global Trends. Geneva: WHO; 2022. [Accessed 11 Nov 2022]. Available from: https://worldhealthorg.shinyapps.io/mpx_global/#2_Global_situation_update
-
Thornhill JP, Barkati S, Walmsley S, Rockstroh J, Antinori A, Harrison LB, et al. , SHARE-net Clinical Group. Monkeypox Virus Infection in Humans across 16 Countries - April-June 2022. N Engl J Med. 2022;387(8):679-91. https://doi.org/10.1056/NEJMoa2207323 PMID: 35866746
-
Centers for Disease Control and Prevention (CDC). Mpox. Vaccination. Atlanta: CDC; 2022 [Accessed 17 Oct 2022]. Available from: https://www.cdc.gov/poxvirus/monkeypox/interim-considerations/overview.html
-
UK Health Security Agency (UKHSA). Recommendations for the use of pre- and post-exposure vaccination during a monkeypox incident. UKHSA; Updated 26 August 2022 v12. [Accessed 17 Oct 2022]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1100600/recommendations-for-pre-and-post-exposure-vaccination-during-a-monkeypox-incident-26-august-2022.pdf
-
Haute Autorité de Santé (HAS). Avis n°2022.0034/SESPEV du 20 mai 2022 du collège de la Haute Autorité de santé relatif à la vaccination contre Monkeypox. Saint Denis: HAS; 2022. [Accessed 19 Oct 2022]. Available from: https://www.has-sante.fr/upload/docs/application/pdf/2022-05/avis_n2022.0034_sespev_du_20_mai_2022_du_college_de_la_has_relatif_a_la_vaccination_contre_la_variole_du_singe_monkeypox_vir.pdf
-
Haute Autorité de Santé (HAS). Avis n°2022.0039/AC/SESPEV du 7 juillet 2022 du collège de la Haute Autorité de santé relatif à la vaccination contre le virus Monkeypox en préexposition des personnes à haut risque d’exposition. Saint Denis: HAS; 2022. [Accessed 19 Oct 2022]. Available from: https://www.has-sante.fr/upload/docs/application/pdf/2022-07/avis_2022.0039.ac.sespev_du_7_juillet_2022_du_college_de_la_has_relatif_a_la_vaccination_contre_le_virus_monkeypox_en_preexp.pdf
-
Santé Publique France (SPF). Cas de Monkeypox en Europe, définitions et conduite à tenir. 8 septembre 2022 [Mpox cases in Europe, definitions and practice to follow]. Saint-Maurice: SPF; 2022 [Accessed 17 Oct 2022]. Available from: https://www.santepubliquefrance.fr/media/files/maladies-a-declaration-obligatoire/definition-de-cas-cat-monkeypox
-
Hazra A, Rusie L, Hedberg T, Schneider JA. Human Monkeypox Virus Infection in the Immediate Period After Receiving Modified Vaccinia Ankara Vaccine. JAMA. 2022;328(20):2064-7. https://doi.org/10.1001/jama.2022.18320 PMID: 36178700
-
Thy M, Peiffer-Smadja N, Mailhe M, Kramer L, Ferré VM, Houhou N, et al. Breakthrough Infections after Postexposure Vaccination against Mpox. N Engl J Med. 2022;NEJMc2211944. https://doi.org/10.1056/NEJMc2211944 PMID: 36477495
-
Vaughan A, Aarons E, Astbury J, Brooks T, Chand M, Flegg P, et al. Human-to-Human Transmission of Monkeypox Virus, United Kingdom, October 2018. Emerg Infect Dis. 2020;26(4):782-5. https://doi.org/10.3201/eid2604.191164 PMID: 32023204
-
Rimoin AW, Mulembakani PM, Johnston SC, Lloyd Smith JO, Kisalu NK, Kinkela TL, et al. Major increase in human monkeypox incidence 30 years after smallpox vaccination campaigns cease in the Democratic Republic of Congo. Proc Natl Acad Sci USA. 2010;107(37):16262-7. https://doi.org/10.1073/pnas.1005769107 PMID: 20805472
-
Fine PE, Jezek Z, Grab B, Dixon H. The transmission potential of monkeypox virus in human populations. Int J Epidemiol. 1988;17(3):643-50. https://doi.org/10.1093/ije/17.3.643 PMID: 2850277
-
Hammarlund E, Lewis MW, Carter SV, Amanna I, Hansen SG, Strelow LI, et al. Multiple diagnostic techniques identify previously vaccinated individuals with protective immunity against monkeypox. Nat Med. 2005;11(9):1005-11. https://doi.org/10.1038/nm1273 PMID: 16086024
-
Poland GA, Kennedy RB, Tosh PK. Prevention of monkeypox with vaccines: a rapid review. Lancet Infect Dis. 2022;22(12):e349-58. https://doi.org/10.1016/S1473-3099(22)00574-6 PMID: 36116460
-
Pittman PR, Hahn M, Lee HS, Koca C, Samy N, Schmidt D, et al. Phase 3 Efficacy Trial of Modified Vaccinia Ankara as a Vaccine against Smallpox. N Engl J Med. 2019;381(20):1897-908. https://doi.org/10.1056/NEJMoa1817307 PMID: 31722150
-
Hatch GJ, Graham VA, Bewley KR, Tree JA, Dennis M, Taylor I, et al. Assessment of the protective effect of Imvamune and Acam2000 vaccines against aerosolized monkeypox virus in cynomolgus macaques. J Virol. 2013;87(14):7805-15. https://doi.org/10.1128/JVI.03481-12 PMID: 23658452
-
Stittelaar KJ, van Amerongen G, Kondova I, Kuiken T, van Lavieren RF, Pistoor FHM, et al. Modified vaccinia virus Ankara protects macaques against respiratory challenge with monkeypox virus. J Virol. 2005;79(12):7845-51. https://doi.org/10.1128/JVI.79.12.7845-7851.2005 PMID: 15919938
-
Earl PL, Americo JL, Wyatt LS, Eller LA, Whitbeck JC, Cohen GH, et al. Immunogenicity of a highly attenuated MVA smallpox vaccine and protection against monkeypox. Nature. 2004;428(6979):182-5. https://doi.org/10.1038/nature02331 PMID: 15014500
-
Bertran M, Andrews N, Davison C, Dugbazah B, Boateng J, Lunt R, et al. Effectiveness of one dose of MVA-BN smallpox vaccine against monkeypox in England using the case-coverage method. Preprint. [Accessed 5 Dec 2022]. Available from: https://khub.net/documents/135939561/673678774/Monkeypox+VE_vf_20221121_preprint+SR.docx/4ef85866-342f-475a-1d2e-0b2c5d3ae8b9?
-
Santé Publique France (SPF). Cas de variole du singe : point de situation au 29 novembre 2022. [Mpox cases: situation update of 29 November 2022]. Saint-Maurice: SPF; 2022. [Accessed 5 Dec 2022]. Available from: https://www.santepubliquefrance.fr/les-actualites/2022/cas-de-variole-du-singe-point-de-situation-au-29-novembre-2022
-
Ferré VM, Bachelard A, Zaidi M, Armand-Lefevre L, Descamps D, Charpentier C, et al. Detection of Monkeypox Virus in Anorectal Swabs From Asymptomatic Men Who Have Sex With Men in a Sexually Transmitted Infection Screening Program in Paris, France. Ann Intern Med. 2022;175(10):1491-2. https://doi.org/10.7326/M22-2183 PMID: 35969863
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