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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
Authors:Yanis Merad,Alexandre Gaymard,Laurent Cotte,Thomas Perpoint,Dulce Alfaiate,Matthieu Godinot,Agathe Becker,Olivier Cannesson,Anne-Sophie Batalla,Fatima Oria-Yassir,Sophie Landré  ,Florence Morfin,Maude Bouscambert,Florent Valour,Florence Ader,Anne Conrad
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.
Keywords:Modified Vaccinia Virus Ankara   Monkeypox   Mpox   Post-exposure   Vaccination
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