Mpox

Mpox continues to circulate at low levels in the UK, with most recent data showing cases linked to both clade Ib and clade IIb strains.

As of early this year, England has reported ongoing cases across both clades, with clade IIb remaining more common nationally, with a recent increase in cases in London.

Mpox spreads through close physical contact, including sexual contact, and symptoms typically include fever, swollen lymph nodes, and a rash or lesions that may appear on the face, genitals or other parts of the body.

People at higher risk include gay, bisexual, and other men who have sex with men (GBMSM), particularly those with new or multiple partners.

Public health guidance continues to recommend prompt testing, isolation when advised, and vaccination for eligible groups.

We will be offering routine vaccination at our services on an opportunistic basis, for those at higher risk. Please discuss with your clinician at your consultation.

Updated guidance on diagnosis, isolation, and vaccination remains available through the UK Health Security Agency.

If you develop symptoms or have had recent close contact with a confirmed case, please call us for advice on 0300 373 0709.

Gonorrhoea vaccine

You will be offered a vaccination to protect against gonorrhoea if you meet certain criteria. Please discuss this with your clinician at your consultation.

The vaccine is not 100% effective against gonorrhoea; it protects against infection by approximately 30-40%.

The vaccine is already used to protect against meningitis, caused by meningococcal B infection (a bacteria closely related to gonorrhoea) and is used to vaccinate babies and adolescents in the NHs and across the world.

It comprises two vaccine doses, a minimum of four weeks apart. Side-effects can include pain at the injection site, feeling unwell and headache.

Condoms are still the best way to protect against gonorrhoea.

Eligible people will also be offered mpox, hepatitis A and B and human papillomavirus (HPV) vaccinations when attending their appointment.