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Monkeypox now spreading in Mecklenburg, county health leaders confirm

Mecklenburg County health leaders said Monday that transmission of monkeypox is accelerating locally for the first time.

Total infections for the virus is trending upward, said Mecklenburg County Health Director Dr. Raynard Washington. As of Aug. 1, the county confirmed 33 cases of monkeypox in Mecklenburg — up from 12 cases on July 20.

That’s an increase of 175%.

“The trend we’re seeing right now is for new cases to double every three to four days roughly,” Washington said.

The county Health Department has identified several incidents of community spread within Mecklenburg, according to Washington. Previously, contact tracing revealed all known infections originated from outside the county.

“We expect case counts to continue to increase, at least in the short term,” Washington said.

Increased monkeypox transmission coincided with the county announcing Friday that it was upgraded to high COVID community spread level by the Centers for Disease Control and Prevention.

Despite the heightened risk factor, Washington said he doesn’t expect the county to implement any mask mandates or other safety requirements.

Mecklenburg getting more monkeypox vaccines

Mecklenburg will receive an additional 2,000 doses of monkeypox vaccine this week.

Washington said there are 1,800 patients on the vaccination wait list. Since the monkeypox vaccination is a two-shot treatment, county officials should be able to vaccinate around 1,000 people with the new shipment.

Most confirmed infections have been with gay or bisexual men, Washington said, but reiterated that anyone in close contact with an infected person can be infected themselves.

Monkeypox is now spreading within Mecklenburg County. Previously, all of the county’s cases were contact traced to origins outside of Mecklenburg.
Monkeypox is now spreading within Mecklenburg County. Previously, all of the county’s cases were contact traced to origins outside of Mecklenburg. Bill Oxford Getty Images/iStockphoto

“The most common myth we’ve been hearing is that monkeypox is exclusive to gay or bisexual men, and that’s frankly not true,” he said. “While local infections have been mostly impacting those networks, that’s not the only group that’s possible to be impacted.”

To help proactively prevent infections, Washington said the department met with organizers of the upcoming Charlotte Pride festival several weeks ago to promote safety precautions. The county has also started campaigns on dating apps to raise awareness.

Lessons learned during the COVID pandemic have helped the agency more quickly create a vaccination hotline and fine-tune contact tracing, Washington said.

There are two vaccines available to prevent illness from monkeypox and smallpox, according to the CDC. Vaccines in North Carolina are only offered to people who have been exposed or are suspected of having been exposed due to limited supply.

Residents eligible for vaccination can call the Mecklenburg Health Department at 980-314-9400 to make an appointment or join the wait list.

Mecklenburg has become a high-transmission area relative to the rest of the state.

On July 20, county health officials reported 12 cases of monkeypox in the county, which accounted for over half of the state’s 21 total cases. As of July 29, the CDC reported 53 total cases in North Carolina, with Mecklenburg accounting for 33 of those.

Mecklenburg County announced its first case on June 27, four days after the state Health Department reported North Carolina’s first monkeypox infection in Haywood County. Rowan County identified its first case on July 15.

The CDC has reported 5,189 active monkeypox cases in the U.S. as of July 29.

No COVID mask enforcement expected

Although omicron subvariant BA.5 has surged to become the most common COVID variant in North Carolina, Washington said he doesn’t expect any mask “enforcement measures” to be implemented by the county.

He encouraged people to continually reassess their risk factor and mask, wash their hands and stay distanced when appropriate.

Mecklenburg joined Rowan, Cabarrus and Gaston counties last week after being upgraded to high community spread by the CDC.

Iredell and Lincoln counties also are on the list for high community spread, while Union County remains at medium, as are York, Chester and Lancaster counties in South Carolina.

Last week, the North Carolina Department of Health and Human Services reported the seven-day average of patients hospitalized with COVID was 1,111. Five deaths were reported. Variant BA.5 makes up 58% of all cases reported in the state, according to the state health department.

This story was originally published August 1, 2022 at 11:50 AM.

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Blake Douglas
The Charlotte Observer
Blake Douglas is an intern reporter covering health care, transportation and local government. He graduated from the University of Oklahoma in May 2022, and has covered local politics in Oklahoma as an intern reporter for NonDoc Media and the Tulsa World. Connect with Blake on Twitter @Blake_Doug918
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