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People recovering from monkeypox should wait at least 48 hours after symptoms subside before resuming activities outside the home and wear condoms during sex for 12 weeks after infection, California health officials said in their first recommendations for monkeypox isolation. (Ho, 8/19)

The number of cumulative monkeypox cases has more than doubled in Los Angeles County in the last two weeks as officials race to better track the virus and more widely vaccinate more vulnerable communities. (Money, Lin II and Toohey, 8/19)

The U.S. had reported 14,115 confirmed monkeypox/orthopoxvirus cases as of Friday, per the CDC. Highly-populated states are leading the numbers – with 2,744 confirmed cases in New York, followed by 2,668 confirmed cases in California. (Grantham-Philips, 8/20)

A study today in Morbidity and Mortality Weekly Report shows multiple surface sites testing positive for monkeypox virus genetic material in a household of two people infected with monkeypox in Utah. ... The swabbed areas included those from all three porous items (cloth furniture and blankets), 17 of 25 (68%) nonporous surfaces (handles and switches), and one of two mixed-surface types (chairs). (8/19)

King County, which includes Seattle, on Friday officially declared the local monkeypox outbreak a public health emergency as infections continue to increase in the city and other parts of the state. “We are fortunate to have one of the best public health organizations in the nation right here in King County, and today’s action ensures they will have all the tools needed to take on the challenge of monkeypox,” King County Executive Dow Constantine said in a written statement. (8/19)

Monkeypox vaccinations will be more widely accessible starting next week in Oklahoma, as federal health authorities have made dosing changes that allow states to stretch their vaccine supplies further. Up until this point, the Oklahoma State Department of Health has reserved vaccinations for people who have been exposed to monkeypox or people who may encounter the virus in their work, like lab technicians and certain health care workers. (Branham, 8/20)

Health departments for Salt Lake County, Davis County and Weber-Morgan Counties have monkeypox vaccine doses available for designated populations, officials say, as the number of cases statewide reached 85 Friday. (Hufham, 8/20)

Vaccine providers in Massachusetts are starting to employ a new method of administering the monkeypox vaccine, in an effort to stretch the scarce supplies by using smaller doses for each injection. The method, authorized by the federal government on Aug. 9, involves injecting the vaccine at a shallow angle, sliding the needle near the skin’s surface rather than into the fat underneath. (Freyer, 8/21)

The European Medicines Agency said on Friday that European Union countries may temporarily use smaller doses of the monkeypox vaccine in order to boost supply. (Shapero, 8/19)