Since its appearance at the beginning of the year, on the health alert for the monkey pox has flown over the shadow of the stigmatization, with comparisons that have even compared it to what AIDS meant for the homosexual population and that could dissuade people who are infected with this virus from going to the health system to be treated or vaccinated. In this context, the Interterritorial Health Council has agreed that all communities will vaccinate against monkeypox and once a week they will share data of vaccination of affected people or population at risk under protection criteria considered to be of a special category.
The Document of Coordinated Actions (DAC) against monkeypox indicates that “Spain is one of the most affected countries at a global level”. Until September 16 they had reported 7,037 monkeypox cases. In all communities, although with notable differences between them.
The document notes that, as is the case in other countries, “the cases have been identified mainly in the MSM population (men who have sex with men)” and that the main mechanism of transmission is “very close physical contact, particularly from sexual intercourse in a high-risk context.
The Interterritorial Council affirms that there “sustained transmission” that “must be controlled” and prevented, to avoid more and more serious cases, for which he recalls that there is a vaccine -a modification of a serum against smallpox- that has already begun to be inoculated in Spain and that, as is the case with the treatment of people diagnosed , offers a source of valuable information to monitor cases, by each community and also by the Ministry, to which they have to provide the data according to the law.
To this end, the Government and communities have agreed on a common strategy that includesand all the autonomies will vaccinate against monkeypox according to the criteria established by the Public Health Commission. To do this, they must have the necessary material, resources and equipment and will provide information on the records of this vaccination and provide information on the vaccination records to the state that was created to record vaccination data against Covid (REGVACU).
They will receive the few doses that still arrive people who engage in high-risk sexual practicesPrimarily, but not exclusively, gays, bisexuals, and men who have sex with men, people with HIV infection and people with occupational risk such as health personnel in specialized consultations that attend people with high-risk practices and personnel of laboratory who handle samples potentially contaminated with Monkeypox virus, as well as personnel who are in charge of disinfecting surfaces in specific places where risky sexual relations are held.
this commitment “forces” all communities to carry vaccination which, for example, the Community of Madrid has suspended on several occasions. A few weeks ago, faced with the possibility of running out of doses. This Wednesday, due to the lack of vials.
Anonymous and special data
These data will be sent weekly and will serve to have data to respond “adequately” to the public health alarm posed by monkeypox, to strengthen the surveillance system and for “better protection of the population’s health.”
This is where the issue of data confidentiality comes in, which in the case of people who are treated and vaccinated for monkeypox will have special category consideration.
“The type of data subject to treatment includes identifying data of age, residence and population group of the personas well as personal health data related to vaccination,” says the text of the agreement. “The data they will be pseudonymized for its conservation in the information system”, adds an agreement that those responsible for the treatment of these data “will guarantee the application of the mandatory security measures that result from the corresponding risk analysis, taking into account that the treatments affect special categories of data and that said treatments will be carried out by public administrations obliged to compliance with the National Security Scheme”.