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Officials Wrestle With Whether to Allow New Monkeypox Vaccination Strategy

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WASHINGTON — It sounded like a simple solution to the shortage of monkeypox vaccine: Merely by changing the way doses are injected, the federal government could vaccinate five times as many people with the supply it has in hand.

But the approach — injecting one-fifth of the current dose into the skin instead of a full dose into underlying fat — is not actually all that simple, experts say. And some federal officials are concerned about changing the method without more research, even though Dr. Robert M. Califf, the head of the Food and Drug Administration, described the proposal on Thursday as promising.

Some outside experts, too, are urging caution. “From a basic science perspective, this should work,” said Dr. Jay K. Varma, the director of the Cornell Center for Pandemic Prevention and Response. “But, of course, there are lots of things in life, in science, that we think should work, and then when we actually do them, they don’t.”

Stretching out doses of the vaccine, Jynneos, could help the federal government resolve a predicament partly of its own making. Even though it invested more than $1 billion developing the two-dose vaccine to use against both monkeypox and smallpox, the government only has 1.1 million shots on hand, partly because it was slow to order bulk vaccine stocks to be processed into vials.

That supply is enough to cover 550,000 people, but about three times as many doses are needed to cover the 1.6 million to 1.7 million Americans who, according to the Centers for Disease Control and Prevention, are at high risk of monkeypox. For now, the virus has been spreading primarily through skin-to-skin contact during sex among gay and bisexual men, the C.D.C. has said.

Some federal officials are hoping that by injecting a smaller dose of the vaccine between skin layers, called an intradermal shot, the Biden administration could tamp down the outbreak before it spreads more widely.

But some experts argue that this approach has not been sufficiently studied. They also warn that some vaccinators will need training to properly deliver the shots, which could slow vaccination efforts. Otherwise, the government could end up wasting doses, not saving them.

Intradermal injection involves carefully guiding a needle into skin layers, a thin space with immune cells. If a vaccinator goes too deep and inserts the dose into fat, the patient might not receive enough vaccine, experts say. But if the needle is not inserted far enough, some of the vaccine could leak back out.

“If you’re giving a lower dose and you don’t inject it properly into the skin — you might inject it into the wrong place — you may not be giving a protective vaccine,” said Dr. Phil Krause, who retired as a senior F.D.A. vaccine regulator last year and worked on the agency’s licensing of Jynneos. “If you ask this to be done nationwide in millions of doses, it’s a lot easier for there to be mistakes made in the administration of the vaccine.”

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On the other hand, the method has a track record. It has been used in polio vaccination campaigns when doses have been limited, as well as for rabies and for tuberculosis skin tests.

“It’s not a brand-new concept,” said Dr. Anthony S. Fauci, President Biden’s chief medical adviser. “We were thinking about this as a strategy in the event of a paucity of vaccines years ago.”

Vaccinators have used special bifurcated needles in smallpox inoculation campaigns that have allowed them to perform intradermal injections more uniformly and cheaply.

Dr. John Beigel, an associate director of clinical research at the National Institutes of Health, said a government-sponsored study of Jynneos published in 2015 compared the intradermal approach with the standard injection method and found that it triggered a comparable level of neutralizing antibodies, a measure of the strength of the immune response. The intradermal method caused more redness, swelling and itching, but the standard injection was more painful.

Dr. Beigel said that switching to the intradermal method was a better option for preserving vaccine than administering just a single shot, as some jurisdictions are now doing, because research has shown that one shot does not prompt nearly as strong of an immune response.

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“One dose is not likely to be effective,” he said, adding that the intradermal method “is an acceptable way to go.”

Although the 2015 trial involved hundreds of participants, some experts note that it was a single study that was limited in what it measured. Researchers at the N.I.H. had been planning to test the intradermal strategy for Jynneos in a trial that was set to begin in a few weeks. But results were not expected until the late fall or early winter, and that plan is up in the air for now.

Dr. H. Clifford Lane, the clinical director of Dr. Fauci’s National Institute of Allergy and Infectious Diseases at the N.I.H., said that while researchers could glean insight by following people who get vaccinated, a traditional clinical trial would provide a clearer picture.

“I can understand doing it as long as it’s very clear why it’s being done,” he said of the intradermal strategy. “The question is: How can we stretch the current supplies without significantly compromising efficacy?”

Another question is how well the vaccine will actually work: It was licensed in 2019 for use against both monkeypox and smallpox after studies showed it provoked a stronger immune response than an earlier vaccine. That drug itself was approved because it compared favorably to an even earlier vaccine, federal officials said.

Monkeypox is rarely fatal and no deaths have been reported in the United States. Symptoms typically resolve within two to four weeks. But with the outbreak spiraling from eight reported cases in late May to 7,510 now, the administration is scrambling to try to improve the vaccination rate and the availability of tests and treatments.

As of now, the outbreak is almost entirely limited to men who have sex with men, with those who have multiple partners considered at particular risk. But five cases involving children have been reported so far On Friday, the Illinois Department of Public Health announced that an adult working at a day care center had tested positive for monkeypox and that children and other staff members there were being screened.

Thursday’s declaration of a public health emergency allowed the federal government to speed up investigations of monkeypox and approve grants, but did not invoke the F.D.A.’s emergency powers. Changing the injection mode would require a second kind of emergency declaration, giving the Food and Drug Administration more leeway to issue emergency use authorizations.

Federal regulators can issue emergency authorizations of products when they believe the potential benefits outweigh potential risks. Early in the coronavirus pandemic, the Trump administration issued the same type of emergency declaration, allowing the F.D.A. to make Covid-19 vaccines available to Americans many months before regulators issued full approvals.

Dr. Califf, the F.D.A. commissioner, said on Thursday that regulators would continue to ensure the vaccine was delivered in a safe and effective manner. He said regulators would probably decide in the next few days whether to go with the intradermal strategy, but that it was “looking good right now” — a comment that some outside experts said seemed to get ahead of deliberations by career regulators.

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Emily Cochrane and Tracey Tully contributed reporting.

Read the full article here

A journalist since 1994, he also founded DMGlobal Marketing & Public Relations. Glover has an extensive list of clients including corporations, non-profits, government agencies, politics, business owners, PR firms, and attorneys.

News

Voices of West Tampa: District 5 Special Election Forum, Aug. 27th

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(TAMPA, FL – August 12, 2025) – The Black Agenda is coming! Join us this August for a powerful virtual town hall where residents, neighborhood associations, nonprofit leaders, faith communities, and other key stakeholders will come together to share their concerns and discuss solutions.

🎥
 This event will be streamed live and will feature candidates offering their vision for the future of West Tampa.
This will be a street-level, bottom-up dialogue—focused on real voices, real stories, and real strategies to protect and uplift our community.
https://us02web.zoom.us/…/register/n2MwP53TQ-2e9xfih1rrAg

Join us this August for a powerful virtual town hall.

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Africa/Caribbean

Secretary-General Gravely Alarmed by Israel’s Decision to Take Control of Gaza City

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(NEW YORK – August 11, 2025) – The following statement was issued Friday by the Spokesperson for UN Secretary-General António Guterres:

The Secretary-General is gravely alarmed by the decision of the Israeli Government to “take control of Gaza City”.  This decision marks a dangerous escalation and risks deepening the already catastrophic consequences for millions of Palestinians, and could further endanger more lives, including of the remaining hostages.

Palestinians in Gaza continue to endure a humanitarian catastrophe of horrific proportions.  The Secretary-General warns that this further escalation will result in additional forced displacement, killings and massive destruction, compounding the unimaginable suffering of the Palestinian population in Gaza.

The Secretary-General reiterates his urgent appeal for a permanent ceasefire, unimpeded humanitarian access across Gaza, and for the immediate and unconditional release of all hostages.

The Secretary-General once again strongly urges the Government of Israel to abide by its obligations under international law.  He recalls that the International Court of Justice, in its Advisory Opinion of 19 July 2024, declared, inter alia, that the State of Israel is under an obligation to cease immediately all new settlement activities, and to evacuate all settlers from the Occupied Palestinian Territory, and to bring to an end its unlawful presence in the Occupied Palestinian Territory — which encompasses Gaza and the West Bank, including East Jerusalem — as rapidly as possible.

There will be no sustainable solution to this conflict without an end to this unlawful occupation and the achievement of a viable two-State solution.  Gaza is and must remain an integral part of a Palestinian State.

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BEOs

MEET THE BEO: Congresswoman Jasmine Crockett

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(WASHINGTON, D.C. – August 2, 2025) – Fierce. Fearless. Unapologetically Black. Congresswoman Jasmine Crockett is one of the rising stars in American politics—bringing bold energy, sharp legal acumen, and a deep commitment to justice to Washington, D.C. Representing Texas’s 30th Congressional District since 2023, the St. Louis-born attorney has become known nationwide for her powerful voice, passionate advocacy, and unfiltered style.

A member of the Congressional Black Caucus, Progressive Caucus, and Black Maternal Health Caucus, Crockett serves as Vice Ranking Member of the House Oversight Committee and Ranking Member of the Judiciary Oversight Subcommittee—pivotal roles that have allowed her to champion transparency, equity, and accountability in government.

From St. Louis to the Halls of Power

Born to Joseph and Gwen Crockett in Missouri, Jasmine attended Rhodes College in Memphis, where a racially motivated hate crime—and the legal support she received from a lawyer with The Cochran Firm—sparked her passion for law and justice. She earned her J.D. from the University of Houston Law Center in 2006 and began her career as a public defender in East Texas, later launching a private firm that fought for justice in both courtrooms and communities—including pro bono defense for Black Lives Matter activists.

Legislative Firebrand

Before Congress, Crockett served in the Texas House of Representatives, flipping a seat in Dallas and gaining a reputation for her boldness and brilliance. In Washington, she quickly emerged as a trusted voice for the Democratic Party’s new generation, serving as Freshman Class Representative in the 118th Congress and co-chairing the 2024 Harris–Walz presidential campaign.

She’s unafraid to speak truth to power—whether defending democracy during House hearings or calling out double standards in televised debates. Her now-viral remarks on the weaponization of government and accountability for former President Donald Trump, delivered with searing wit and clarity, reflect her unique ability to cut through noise and speak directly to the people.

Rooted in Service. Powered by Purpose.

Crockett is a proud member of Delta Sigma Theta Sorority, Inc., and her Baptist faith grounds her work. She’s known for speaking not just with policy expertise—but with moral clarity, emotional intelligence, and cultural relevance. Her rhetorical style, marked by sharp humor and strategic alliteration (“vindictive vile villain violate voters’ vision”), has made her a force in both committee chambers and convention stages.

Whether advocating for Black maternal health, pushing for police accountability, or defending the rights of migrants and marginalized communities, Congresswoman Jasmine Crockett continues to fight for a more just America—unbossed and unbought.

“I’m here because I’ve lived it. I’ve defended it. And now I’m determined to legislate it.”
— Congresswoman Jasmine Crockett

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