Monkeypox (MPX) Vaccine in Minnesota
While there are two vaccines available in the U.S. to prevent monkeypox (MPX), there is very little supply in Minnesota. To best reach people who are at highest risk of MPX, we are working with a few local public health departments and health care providers that already care for people at highest risk for MPX disease to vaccinate their patients.
Providers are using the following strategies to use this limited vaccine:
- Post-exposure prophylaxis (PEP)
Vaccinate people who know they had an exposure to MPX.
Provide vaccine to people who are at the highest risk for MPX, even if they don't know if they had an exposure to MPX.
The amount of vaccine being provided to our state is only enough to vaccinate a few thousand people in Minnesota. That means we need to prioritize people at highest risk for severe MPX disease and those most likely to have been recently in contact with someone with MPX.
Right now, the vaccine is for people ages 18 years and older, who do not have symptoms of MPX infection, and:
- Have been exposed in the past 14 days to either someone who has been diagnosed with MPX infection or someone who has not received test results back yet but has been told by their provider it is most likely a MPX infection.
- Who have had >1 partner in the past 14 days and engage in sex work, or exchange sex for food, money, substances, shelter, etc. (not limited to MSM).
- Identify as gay, bisexual, or other men who have sex with men (MSM) and have one of the following:
- Attended an event/venue in the past 14 days where intimate, sexual contact with more than one partner occurred.
- Has had more than one partner in the past 14 days and reports at least one of the following:
- Living with HIV.
- Immune-compromising condition.
- On HIV pre-exposure prophylaxis (PrEP).
- Deemed at a higher risk for MPX infection per clinical judgement of a health care provider or public health recommendation (e.g., treated for a sexually transmitted infection [STI] in the last month, people experiencing homelessness, incarcerated, or traveling to an area with community spread of MPX cases).
- Other person deemed at high risk per clinical judgement or public health recommendation.
Providers with access to vaccine are reaching out to their patients who meet these eligibility criteria and offering vaccine. Providers are also assessing if their patients are eligible while patients are in for routine STI/HIV/HIV PrEP care. Providers are continuing to stress practicing prevention measures, even after vaccination.
We expect more people will be able to get vaccinated as supply increases in the next few weeks.