Centers for Disease Control and Prevention

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So far, the government has deployed over 9,000 doses of vaccine. U.S. officials on Tuesday said said they are increasing the amount of Jynneos vaccine they are making available, allocating 56,000 doses immediately and about 240,000 more over the coming weeks. They promised more than 1 million more over the coming months.

Officials said limited Jynneos doses will be allocated "using a four-tier distribution strategy that prioritizes jurisdictions with the highest case rates of monkeypox," and that the number of doses distributed would be based on the number of people at risk for monkeypox and on how many of them can't get ACAM2000 because of HIV.

That suggests the largest number of doses might go to states like New York, California and Illinois, each of which has reported more than 40 cases. However, officials on Tuesday did not say exactly which telegram database jurisdictions would be at the top of the list.

David Harvey, executive director of the National Coalition of STD Directors, was critical of the government's announcement.

".We have more questions than ever about how this vaccine will make it to those most at-risk in an equitable way and how the U.S. will ramp up testing and provide access to the best therapeutics," Harvey said, in a statement.

Another change announced Tuesday: Until now, the has advised that vaccines be given after exposure to people whom health officials identify as close personal contacts of cases. But on Tuesday, CDC officials say they are expanding the recommendation to people who were never identified but may realize on their own that they may have been infected.