How Smallpox Vaccines Fight Mpox and Future Outbreaks

Learn how smallpox vaccines provide immunity against mpox, compare JYNNEOS to COVID-19 vaccines, and explore the global mpox outbreak, its impact on the DRC, and concerns about new strains.
Mpox, formerly known as monkeypox, has gained global attention due to outbreaks in multiple countries, especially the 2022 crisis. As the virus continues to evolve, questions arise about vaccine effectiveness, new strains, and its impact on public health. In this article, we explore how smallpox vaccines help against mpox, compare the JYNNEOS vaccine to COVID-19 vaccines, and examine recent outbreaks and health concerns.
The 2022 Global Mpox Outbreak: What Happened?
How Do Smallpox Vaccines Provide Immunity Against Mpox?
Concerns About a New Mpox Strain in New York State
Impact of the Clade 1b Strain on the DRC’s Health Crisis
Violence in Eastern DRC & Mpox Patients Fleeing Treatment Centers
How Do Smallpox Vaccines Provide Immunity Against Mpox?
The 2022 Global Mpox Outbreak: Additional Insights
Concerns About a New Mpox Strain in New York State
Positive Aspects of Mpox Research & Response
Negative Aspects & Challenges
FAQs
CONCLUSION
The 2022 Global Mpox Outbreak: What Happened?
- The 2022 mpox outbreak was unprecedented, spreading across multiple continents. Key points include: • First Large-Scale Outbreak: Cases were reported in over 110 countries, with thousands of infections in non-endemic regions like the U.S., UK, and Europe. • Human-to-Human Transmission: Unlike past outbreaks linked to animal exposure, this outbreak showed sustained transmission through close contact. • WHO Emergency Declaration: The World Health Organization declared mpox a public health emergency in July 2022. • Vaccine Shortages: High demand for JYNNEOS led to supply constraints, prompting alternative dosing strategies.

How Do Smallpox Vaccines Provide Immunity Against Mpox?
- The smallpox vaccine, originally developed to combat variola virus, provides cross-protection against mpox due to the similarities between orthopoxviruses. Here’s why: • Shared Viral Family: Both smallpox and mpox belong to the Orthopoxvirus genus, meaning immunity developed against one can offer protection against the other. • Historical Effectiveness: Studies show that older smallpox vaccines, such as ACAM2000, provide up to 85% protection against mpox. • JYNNEOS & Modern Protection: Unlike traditional smallpox vaccines, JYNNEOS (Imvamune or Imvanex) is a non-replicating vaccine specifically designed for safer use against mpox.
Concerns About a New Mpox Strain in New York State
- Recently, health officials have identified a potential new strain of mpox in New York. Key concerns include: • Mutation Risks: New strains could reduce vaccine effectiveness or increase transmissibility. • Urban Transmission: High-density populations increase the risk of spread. • Public Health Response: Enhanced surveillance and vaccination campaigns are being deployed to prevent another large outbreak. While the situation is being closely monitored, early intervention is critical to containing any potential resurgence.
Impact of the Clade 1b Strain on the DRC’s Health Crisis
- The Democratic Republic of Congo (DRC) has faced recurring mpox outbreaks, particularly involving the Clade 1b strain. This strain poses significant challenges: • Higher Severity: Clade 1b has been linked to more severe symptoms and higher fatality rates. • Weakened Healthcare System: The DRC’s ongoing conflicts and lack of healthcare infrastructure make response efforts difficult. • Increased Transmission: Rural areas with limited medical access contribute to uncontrolled spread. To combat these issues, international organizations are providing vaccine aid and medical support to the region.
Violence in Eastern DRC & Mpox Patients Fleeing Treatment Centers
- The conflict in eastern DRC has directly impacted mpox treatment efforts: • Displacement of Patients: Many patients have been forced to flee, disrupting quarantine and treatment efforts. • Attacks on Healthcare Centers: Armed groups targeting hospitals have led to vaccine storage losses. • Spread to Neighboring Countries: Refugees fleeing the violence risk carrying mpox across borders. Addressing these challenges requires a combination of humanitarian aid, security interventions, and global health support.
How Do Smallpox Vaccines Provide Immunity Against Mpox?
- • Long-Lasting Immunity: Studies suggest that individuals vaccinated against smallpox decades ago still retain partial immunity against mpox. • Booster Considerations: For high-risk populations, a booster dose of JYNNEOS may enhance protection against emerging strains. • T-Cell Response: Smallpox vaccines generate a strong T-cell immune response, which plays a critical role in preventing severe mpox infections.
The 2022 Global Mpox Outbreak: Additional Insights
- • Disproportionate Impact on LGBTQ+ Communities: A significant number of cases were reported among men who have sex with men (MSM), leading to targeted vaccination campaigns. • Delayed Public Health Response: Initial hesitancy in declaring a public health emergency contributed to the rapid spread. • Genomic Surveillance: Researchers identified multiple genetic mutations in the 2022 outbreak strain, indicating possible adaptations for human transmission.
Concerns About a New Mpox Strain in New York State
- • Breakthrough Infections: A few cases of mpox have been reported in fully vaccinated individuals, raising concerns about vaccine durability. • Potential for Asymptomatic Spread: Some studies suggest that mild or asymptomatic infections could contribute to undetected transmission. • Diagnostic Challenges: The new strain may present with atypical symptoms, leading to delays in detection and treatment.
Positive Aspects of Mpox Research & Response
- Despite challenges, there are notable positives in the global response to mpox: • Advanced Vaccines: JYNNEOS offers safer and more effective prevention. • Increased Awareness: Global health organizations now prioritize mpox, leading to better research and funding. • Cross-Border Cooperation: Countries are working together to track and contain outbreaks more efficiently. • New Treatment Strategies: Antiviral drugs and improved treatment protocols are being tested.
Negative Aspects & Challenges
- There are still hurdles in controlling mpox outbreaks: • Limited Vaccine Access: Developing nations struggle to obtain enough doses. • Mutations & Resistance: New strains could challenge existing immunity. • Misinformation: Fear and stigma can lead to hesitancy in reporting and seeking treatment. • Political Instability: In regions like the DRC, violence undermines containment efforts.
FAQs
- 1. How do smallpox vaccines protect against mpox? Smallpox vaccines like JYNNEOS provide immunity because both viruses belong to the Orthopoxvirus family, allowing cross-protection. 2. How does JYNNEOS compare to COVID-19 vaccines? JYNNEOS is a live, non-replicating vaccine, while COVID-19 vaccines use mRNA technology. JYNNEOS requires two doses and is stored at moderate cold temperatures. 3. What caused the 2022 global mpox outbreak? Sustained human-to-human transmission in non-endemic countries led to a rapid spread, prompting a WHO emergency declaration. 4. Should we be concerned about a new mpox strain in New York? Health officials are monitoring the strain, and early interventions like vaccinations are in place to prevent another outbreak. 5. Why has violence in the DRC affected mpox treatment? Ongoing conflict has displaced patients, attacked healthcare centers, and increased cross-border transmission risks.
Conclusion

Mpox remains a significant global health concern, but advancements in vaccines like JYNNEOS, improved surveillance, and international cooperation provide hope. While outbreaks like the 2022 crisis and the emergence of new strains raise alarms, proactive measures can mitigate risks. Public health initiatives must continue focusing on equitable vaccine distribution, rapid response to new cases, and education to prevent future outbreaks.
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