New York City is set to open another 23,000 monkeypox vaccine appointments later Thursday, and while all-too-familiar technical glitches that impaired the rollout early on appear resolved, the outbreak continues to expand.
By federal regulation, public health emergencies may be warranted when a) a disease or disorder presents a critical public health threat or b) that a public health emergency, including significant outbreaks of infectious diseases or bioterrorist attacks, otherwise exists. They can be issued at local, state and federal levels. States of emergency can, too.
State-issued emergency orders supersede local ones, and federal ones supersede state, but in the event of viable legal challenges or no superseding protections, local emergency orders empower municipalities like New York City to adapt to the threat more aggressively and in a more all-encompassing manner.
States of emergency essentially drastically expand access to aid for a crisis -- in this case, allowing New York to get more monkeypox vaccine doses faster and seek additional state and federal assistance via funding, personnel or other means. They also allow governments to suspend local laws and enact rules as needed to curb the threat, monkeypox in this case.
Public health emergency orders are issued by departments of health and allow governments to amend health code provisions to implement measures like the still-in-effect COVID mandates to curb viral spread. The source of the order, the health department versus the governor's office, is critically important from a legal perspective.when federal ones did not.
Only two U.S. states -- Wyoming and Montana -- have yet to report a monkeypox case to the CDC, with Vermont reporting its first case this week. That doesn't mean the disease isn't spreading, though.said the White House was considering creating a monkeypox coordinator role similar to its COVID one to streamline response, distribution and other outreach efforts.
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