A vaccine shot (via Arlington County/YouTube)

Chances are you know someone who’s sick right now — if you’re not sick yourself.

We’re in the thick of cold and flu season, and each is on the rise alongside Covid and RSV, though the latter might be peaking. In at least one local drug store, meanwhile, ARLnow noted that Kleenex and Pedialyte seemed to be in short supply.

This morning, in light of the rising levels of illness, we’re wondering about vaccinations. Are you up-to-date on the vaxes for this year’s cold, flu and Covid season? Or are you just letting things play out and hoping for the best?


As flu season ramps up, the director of Centers for Disease Control and Prevention (CDC) stopped by the Arlington Free Clinic today to rally the healthcare troops.

Dr. Mandy Cohen stopped in Arlington on Tuesday as part of a nationwide tour aimed at boosting vaccinations for Covid and other illnesses, including the flu and respiratory syncytial virus (RSV), while reminding healthcare workers why it is crucial to urge patients to get their vaccinations.

“We know that folks are tired of all things Covid and vaccines and the whole thing,” she told a room full of nurses and staff Tuesday. “So, you need to bring the extra energy this season to make sure that folks know how important it is to still get vaccines, to still get protected. We don’t want fatigue to be the reason that folks aren’t protected.”

The visit also coincided with a clinic vaccination event in which 75 of the clinic’s more than 1,300 patients — all of whom are uninsured — rolled up their sleeves for Covid, RSV and flu shots.

Many live in the 22204 zip code, which is where the clinic is located and which has “one of the largest populations of uninsured people in the county,” Arlington Free Clinic Director of Clinical Services Surekha Cohen told ARLnow.

During her remarks, the CDC director cautioned that the effectiveness of previous vaccines can wane as the virus evolves, though nearly 97% of the U.S. population currently has some level of immunity to Covid — either from past infections or vaccinations.

“I think everyone is wishing Covid would be gone but it is still here with us. Unfortunately, the virus has changed and your protection from past vaccines has decreased over time. So, it’s really important to get your updated Covid vaccine and your flu shot,” Dr. Mandy Cohen told ARLnow.

As of Tuesday, about 30% of Arlington’s resident population is up to date on its Covid vaccinations, according to the Virginia Dept. of Health (VDH).

Cohen says the U.S. is already starting to see a steady uptick in both cases and deaths.

“We went through a summer wave where we had 30,000 to 40,000 people in the hospital per week in the United States,” she said, adding that Virginia saw 295 Covid-related deaths in just the last three months.

Arlington experienced a brief spike in Covid cases last month, but the numbers have started to trend down from the summer high, per VDH data. As of today, the state health department is reporting a seven-day average of a little more than seven daily cases in the county.

This past week there were 71 Covid-related hospital admissions across Arlington, according to CDC data.

Covid cases in Arlington over the past three months, as of Oct. 24, 2023 (via Virginia Dept. of Health)

Although the numbers have dipped, Cohen noted the use of at-home rapid tests may mask Virginia’s actual number of cases.

That is because Covid cases are not being reported to health departments as consistently as earlier in the pandemic, in part due to the availability of at-home tests.

She argued it is essential for older adults and children to stay on their guard in case Covid and other types of respiratory diseases, including RSV, start to surge again this winter.

“There were a lot of babies who were in the hospital last year with RSV, so we definitely want to protect our babies with the tools that we have,” Cohen told the room full of Arlington Free Clinic staff.

“But it starts with you all protecting yourselves right and your families,” she continued. “So, make sure that you’re getting vaccinated so you can be your your best and healthiest selves as you work hard for the community.”


(Updated 08/25/23) This week will be the audience’s last chance to see former local pandemic response volunteer and Broadway actor Joey Collins star in “To Kill a Mockingbird” at the Kennedy Center.

After 18 months on the road and nearly 600 performances, Collins said he plans to leave the production following the tour’s last performance in D.C. at the Kennedy Center on Sunday.

While the rest of the cast continues on the tour, he will cross the river into Arlington to be reunited with his family and the community he formed doing voter and Covid vaccine outreach.

“I just have to pull the plug,” he told ARLnow. “And it’s not because of the people. I love my cast, crew, and team. I’m going to miss them tremendously. But, obviously, I miss my family too.”

Collins portrays the main villain, Bob Ewell, in Aaron Sorkin’s adaptation of “To Kill a Mockingbird.” The play animates the book, which follows Scout Finch as she grows up in Alabama, observing her father, Atticus, defend a Black man who Ewell falsely accused of raping his daughter.

Collins described performing in the play as an “amazing” experience and a “privilege.” Still, he found it difficult to be away from his wife, two high school children, and their Maltese-Shih Tzu mix, Shakespeare — all of whom moved to Arlington from New York in 2019.

“I feel like I’ve missed so much by being on the road,” he said. “And so I really would love to, at least for the next four years, really strive to find work here. So, it’s more about the time and my family than it is about any other aspects of my acting career.”

Collins says he does not have any work lined up. If he returns to live, local theater, partial credit would go toward the type of vaccine outreach he did — which helped regional theaters reopen their doors during the pandemic.

Shortly after moving to Arlington, Collins said he felt a loss of “purpose.” He joined a volunteer effort to register people to vote ahead of the 2020 elections, an experience he noted that “filled my cup.”

“I didn’t really have a community here, and I love helping people,” he said. “I’ve loved volunteering my whole life, but this particular [experience] gave me something that I really needed because we were all isolated.”

Then, a colleague from the voter registration effort told him the county was looking for volunteers to help distribute vaccines in Arlington. He jumped at the chance, seeing it as a way to get theaters up and running again.

“Then I thought, ‘Okay, this is going to be the beginning of getting performative arts back to the public because once enough people are vaccinated, maybe they’ll open up the theatres,’” Collins said.

And open up, they did. Collins got word that the show he initially auditioned for in November 2019 was finally ready to hit the road.

When the tour came to the Kennedy Center last summer, Collins said several fellow vaccine workers came to one of his performances. On another occasion, a vaccine worker approached him after a show during his tour in the Midwest.

“It was a surreal experience, but it was also like a reminder of the impact one might be able to have on the world simply by donating some time,” he said.

While Collins said he is sad to be leaving the tour, he added he believes he will be ending on a fitting note. The actor has now completed a “trifecta” by performing on the Kennedy Center’s three most prominent stages: the Concert Hall, Opera House and Eisenhower Theater.

“I feel very lucky to have checked those boxes, and I hope I can go back through all of them at some point in my career,” he said.


A vaccine shot (via Arlington County/YouTube)

Arlington County is lifting its vaccine mandate for anyone who works or volunteers for county government.

The change today (Thursday) coincides with the Centers for Disease Control and Prevention ending the national public health emergency.

“Effective May 11, 2023, consistent with the end of the National Public Health Emergency, employees (including contractors and volunteers) are no longer required to provide proof of vaccination status for employment,” Arlington County spokesman Ryan Hudson told ARLnow in a statement.

“Employees are still urged to engage in mitigation measures as appropriate and to stay up to date on vaccinations,” he continued.

Arlington County mandated vaccines for all government employees in August 2021, requiring those who were unvaccinated to submit to weekly testing. Unvaccinated employees were told to get the jab or an exemption before Feb. 1, 2022 or face job loss.

A group of people who decided not to get the vaccine, largely first responders, petitioned the county for “more reciprocal ideas,” such as continuing testing. The mandate seemed to work somewhat, with the number of unvaccinated workers dropping from 278 to 174 in about a month.

By March 1, 2022, some 125 people obtained exemptions. The county said everyone complied with county policy and no one was fired.

The CDC’s emergency declaration at the start of the pandemic empowered the federal government to track Covid cases and deaths with greater granularity, among other measures. Now, it says it is time to integrate its emergency response into programs it already has.

“As a nation, we now find ourselves at a different point in the pandemic — with more tools and resources than ever before to better protect ourselves and our communities,” it said in a statement, adding that these changes will make its Covid response more sustainable in the long term.

The CDC says vaccines, treatments and testing will remain available but the data it publishes and the sources it uses will be different.

“Case data has become increasingly unreliable as some states and jurisdictions may no longer collect case data, testing results are sometimes not reported, or some individuals skip testing all together,” the CDC notes.

Some of these factors, plus vaccines and three years of exposure, may explain lowering case rates in Arlington. The county is seeing about five cases per day, down from about 60 cases a day this past winter, per Virginia Dept. of Health data.

Covid cases in Arlington County reported to the Virginia Dept. of Health over the last 13 weeks (via VDH)

U.S. Sen. Mark Warner (D-Va.) said in a statement this morning that the ending of the public health emergency declaration should be followed by the implementation of laws and policies that will strengthen the health system, prepare us for the next such crisis, and address the end of the asylum policy known as Title 42.

When COVID-19 hit, Congress acted with force and urgency to save lives and livelihoods, taking actions that were made possible by the Public Health Emergency declaration, which opened the door to a wealth of additional tools and flexibilities. More than three years later, I’m proud to know that our nation has reached a point where we can move beyond the emergency stage of COVID-19 and the corresponding PHE declaration. Now, it’s up to Congress to adopt more permanent policies that reflect the valuable lessons we learned during this crisis, and that allow us to move forward rather than backwards. We must continue to strengthen our public health response capabilities, ensure that health care is affordable and easy to access through robust telehealth options, and improve the security of our southwest border while creating a better functioning asylum process and a reasonable path towards legal status for those who are undocumented. I look forward to working with my colleagues in Congress on these issues.


Covid cases in Arlington as of Dec. 15, 2022 – 13 week view (via Virginia Dept. of Health)

Don’t look now, but Covid cases are on the rise again in Arlington.

Daily case averages are still well below the levels seen earlier in the year, but the trajectory is upward, Virginia Dept. of Health data shows. As of Wednesday, the seven-day case average in Arlington was 57 cases per day, high highest point since September.

That follows national trends of rising Covid cases.

According to CDC data, Arlington County’s weekly case rate per 100,000 people is 154, while the weekly Covid hospital admission rate is 7.7 per 100,000 people. The threshold between the CDC’s “low” and “medium” Covid levels is 200 cases and 10 admissions.

Just in time for the rise in cases, the federal government today is restarting its free Covid tests by mail program. The tests can be ordered here.

VDH, meanwhile, announced yesterday that bivalent booster shots are now available to all children six months of age and older in Virginia.

From a press release:

Parents of young children in Virginia are now able to seek a free bivalent pediatric COVID-19 vaccine for their children aged six months and older, the Virginia Department of Health (VDH) announced today, following the recommendation of the vaccines by the Centers for Disease Control and Prevention (CDC) on December 9.

The Pfizer-BioNTech bivalent vaccine, previously available only to persons aged five years and older, is now available for children aged six months through four years as a third primary series dose. At this time, children aged 6 months through four years who received three doses of Pfizer-BioNTech vaccine to complete their primary series are not authorized to receive a booster dose of bivalent vaccine. The Moderna bivalent vaccine, previously available for persons aged six years and older, is now available for children aged six months through five years as a booster dose at least two months after completion of a Moderna primary series.

Both bivalent vaccines target the original strain of the SARS-CoV-2 virus that first emerged in Wuhan, China in late 2019 and the BA.4 and BA.5 subvariants of the Omicron variant that emerged in the United States in November 2021.

VDH advises parents to discuss this option with their child’s healthcare provider. Vaccination opportunities may be found at Vaccinate.Virginia.gov.

Virginia Hospital Center emergency department chair Dr. Mike Silverman, in his weekly public Facebook post, encouraged parents to consider the bivalent booster for their kids. He also noted that flu and RSV are are still prevalent in the community amid a particularly active fall for respiratory illnesses.

Within VHC, the number of patients we have hospitalized with COVID is similar to last week (and higher than last month). The emergency department remains quite busy. November was among our highest volume months ever, for the most part attributed to Flu and RSV cases. Among our COVID population, we saw another week over week increase in the number of patients testing positive in our “symptomatic” population with a higher percent positive rate than the previous week. That number is 3-4 fold higher than in early November. Among all our testing, we had about twice as many positives as just a few weeks ago.

The CDC reports that “there have been at least 8.7 million illnesses, 78,000 hospitalizations, and 4,500 deaths from flu so far this season,” making this the worst flu season in a decade. Although the number of patients we’re seeing with the flu has declined a bit over the past month, there’s still a lot of flu in the community and I highly recommend getting your flu shot. And fortunately, the flu vaccine this year appears to be a “good match” for the circulating strains, meaning the vaccine works better than average this year.

The FDA approved the bivalent booster for those 6 months to 5 years old. This booster can serve as the 3rd shot after the primary two shot series is complete. This will go to the CDC for review and should be available soon. Please talk to you pediatrician about vaccination. I continue to see a lot of young children that are not vaccinated.

Covid cases in Arlington as of Dec. 15, 2022 – 26 week view (via Virginia Dept. of Health)

A person receiving a vaccine from Arlington County’s clinic in early 2021 (Image via Arlington County/YouTube)

In another sign that we’ve reached the later stages of the pandemic, Arlington County is permanently closing its public vaccine clinic next month.

The announcement was made this morning.

“Demand has significantly decreased at the County’s clinic, with COVID-19 vaccines now widely available in the community through pharmacies, urgent care centers, and medical providers,” the county said in a press release. “As such, the final day of operations for the clinic at Sequoia Plaza (2100 Washington Blvd.) will be Saturday, Dec. 17, 2022.”

The clinic first opened nearly two years ago and saw long lines for the original vaccine after it was made available. In addition to its closing, the county announced that all but one of its Covid testing booths are closing.

“All County Curative COVID-19 testing kiosks will close on Nov. 30, 2022, except for the Arlington Mill Community Center location,” the press release said. “The closure of kiosks aligns with a significant decline in kiosk testing demand across the County (an 80% decline since Nov. 2021) and the widespread availability of at-home and pharmacy-based tests.”

Covid case rates in Arlington have held relatively steady over the past month and currently stand at a seven-day moving average of 30 cases per day, according to Virginia Dept. of Health data. That’s about the middle of the range for what the Centers for Disease Control and Prevention considers a “low” Covid level.

Meanwhile, some of the public health attention has shifted to rising levels of flu and the childhood illness RSV.

“The emergency department is pretty much as busy as we have ever seen it,” Virginia Hospital Center emergency department chair Mike Silverman wrote Friday in his weekly public Facebook post. “Our volume this week (and actually last week) is 20+% higher than our typical volume. We are definitely seeing this with the flu and RSV numbers. We’re also seeing this in the increased number of pediatric patients coming to the ER.”

The full Arlington County press release about the clinic and testing booth closures is below.

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Covid cases in Arlington as of 9/28/22 (via Virginia Dept. of Health)

(Updated at 9:50 a.m.) Covid cases have held relatively steady in Arlington for most of September, as the weather turns cooler and flu season looms.

Just under 50 cases per day are being reported on average over the past week, according to Virginia Dept. of Health data. The test positivity rate has been falling and now stands at 11.6%.

The last month with generally lower case totals was March, after which cases started gradually rising before peaking around Memorial Day and starting an even more gradual decline.

In his weekly public Facebook post last week, VHC Health emergency department chief Dr. Mike Silverman said the hospital is also seeing lower levels of Covid.

We saw a noticeable decrease in the number of new COVID diagnoses we made this week in the ER and the percent positive rate dropped. We’ve been seeing a general decline in the COVID cases since late August but among symptomatic patients, this past week was one third lower than the last several weeks and less than half the number we were seeing in mid-August. The percent positive rate for our “symptomatic” patients was about 30% in mid-August and was just below 17% this past week. Among all comers, despite testing more than in mid-August (our ER volume is higher), our percent positive rate has dropped from approximately 13% to 6.4% and we’ve seen about a 40% drop in the number of patients we diagnosed with COVID this week compared to mid-August. We are 30-40% less than we were seeing the last few weeks. We also have a few less people requiring hospitalization this week compared to recent weeks. One week doesn’t make a trend but the numbers are similar to previous declines we’ve seen so I’m optimistic we’re on the downward slide of the curve for now.

Silverman said he’s also optimistic about the positive effects of the new bivalent vaccine booster shot, which are designed to be more effective against the current Omicron strains of the virus. Arlington County has been offering the shots, which are also available in pharmacies and elsewhere, for just over two weeks.

Despite optimism, cooler weather and increased time indoors typically brings a rise in respiratory disease.

October often marks the start of flu season, and this year’s flu season may be especially bad. There are also anecdotal reports of an uptick in cold-like illnesses currently circulating in the area.

Arlington, meanwhile, has seen two consecutive years in which Covid cases spiked in the fall or winter. In 2020, the rise started in late October or early November. In 2021, it started in early December.


A vial of the COVID-19 vaccine (DoD Photo by Navy Petty Officer 1st Class Carlos M. Vazquez II)

Arlington has resumed its Covid vaccination effort after receiving the new bivalent booster shots from the state.

The county announced today that it has started taking appointments for the updated Covid vaccine, which is expected to be more protective against the Omicron variant. Appointments are available for those ages 12 and over at the Arlington Dept. of Human Services office at Sequoia Plaza (2100 Washington Blvd).

For now, walk-ins are not being offered. The older Covid vaccines remains available for children younger than 12.

As before, shots of the new vaccine are being offered for free, and are also available in local pharmacies.

Arlington has seen generally falling Covid infection numbers, but the virus is still circulating, including in schools and childcare centers. As of today, the Virginia Dept. of Health is reporting a seven-day moving average of about 55 daily cases in Arlington.

Covid infections in Arlington as of 9/13/22 (via Virginia Dept. of Health)

More on the vaccine availability, from an Arlington County press release, below.

Appointments are now available for a free COVID-19 bivalent (updated) booster through Arlington County Public Health. Boosters are available starting Tuesday, Sep. 13, 2022, by appointment only. No walk-ins will be allowed.

The Centers for Disease Control and Prevention (CDC) recommends that everyone ages 12 and older gets an updated booster if it has been at least two months since they completed their primary series or booster vaccination.

Make an appointment online with Arlington County Public Health though the Vaccine Administration Management System (VAMS). If you need ADA accommodations or require assistance scheduling your appointment with Arlington County Public Health, call 703-228-7999.

Additional opportunities to get COVID-19 vaccines and boosters are available in and around Arlington through pharmacies and other medical provider – visit vaccines.gov to find a location near you.

The new updated boosters from Pfizer-BioNTech and Moderna are targeted specifically at the BA.4 and BA.5 subvariants of the Omicron variant. The bivalent Moderna vaccine is authorized for people ages 18 years and older, and the bivalent Pfizer-BioNTech vaccine is authorized for people ages 12 years and older. The Pfizer-BioNTech monovalent (original) COVID-19 vaccines are now only authorized as booster doses for children ages 5-11 years.

Arlington County Public Health is also now offering the Novavax vaccine as a 2-dose primary series for those ages 12 and older. Novavax is another option for people who may be allergic to or prefer not to get an mRNA vaccine. For a complete list of vaccines offered, visit our website.

Please bring your vaccination card with you so your provider can add your booster dose. Children 17 years and younger must be accompanied by a parent or legal guardian.

More information about COVID-19 vaccines and boosters is available on the CDC’s website.

For those seeking protection against highly transmissible diseases over the cold weather months, it is also flu vaccine season.


Vaccine dose being given at an Arlington County vaccination clinic (via Arlington County/YouTube)

With updated Covid boosters now approved, the county has paused providing shots to adults as it waits for its supply from the state.

As of this past Friday, Sept. 3, Arlington County Public Health Division is “unable to offer booster dose appointments for Pfizer or Moderna vaccines” per the county’s website.

This is because “the currently available mRNA vaccines are no longer authorized for booster doses for people ages 12 years and older.”

Last week, the Food and Drug Administration (FDA) authorized the use of updated Covid booster shots that are specifically formulated to better protect against the omicron variant. Also in accordance with the Center for Disease Control’s recommendation to use these “bivalent vaccines,” the county has stopped administering the older vaccines.

However, Arlington has yet to receive the newer, updated vaccines from the state.

“We are waiting on the supply we pre-ordered through the Virginia Department of Health,” Arlington health department spokesperson Sondra Dietz wrote ARLnow via email.

She said residents will not be able to schedule vaccine appointments until that happens.

“We will update appointment scheduling in VAMS when we have received the two vaccine boosters,” Dietz said. “In the meantime, please check vaccines.gov to search for appointments in and around Arlington, which includes pharmacies and other medical providers.”

There’s no “definitive timeline” on when updated boosters will be received by the county from VDH. However, there are other locations in Arlington that are currently offering the updated boosters with more on the way in the coming days.

All 153 Giant Food pharmacies in Virginia, Maryland, D.C., and Delaware are now administrating the updated Pfizer vaccine as a single booster dose, a company spokesperson told ARLnow yesterday. That’s available for anyone 12 years or older and two months out from receiving their last booster dose or initial series of vaccines.

“Select” Giant Food pharmacies are also administrating the updated Moderna vaccine for those 18 years and older. Giant is no longer providing the previous mRNA vaccines to those 12 years or older.

Safeway pharmacies in Arlington are planning to have the updated boosters by the end of the week, per a spokesperson.

While adults can no longer receive the previous iteration of the vaccines as boosters, they are still available for children. Earlier this summer, the federal government approved the vaccine for children and recommended that kids as young as 6 months old could get it.

The county is continuing to administer the previous Pfizer and Moderna vaccines to that age range by appointment only at the Arlington Mill and Walter Reed community centers.

Last week, the state health department released a Covid modeling update that showed rates across the state are in a “slow decline.” While there could be surges in the fall and winter, the updated boosters could blunt the impact.

“Models suggest minor case surges in the Fall barring the introduction of a new variant,” reads the VDH’s report from Sept. 2. “An aggressive new variant, in combination with holiday travel and colder weather, could cause another surge in December. But bivalent vaccine boosters could cut this surge short.”

Arlington is currently seeing a seven-day moving average of 44 daily Covid cases, according to the latest VDH data. That’s down from more than 160 daily cases three months ago.

Covid cases in Arlington as of Sept. 8, 2022 (via Virginia Dept. of Health)

A vaccine shot (via Arlington County/YouTube)

Have you had sex with multiple partners — or someone whose name you don’t know — over the past two weeks?

If so, you’re now officially eligible for a monkeypox vaccine in Arlington.

Arlington County has widened its previous vaccine eligibility criteria to include people of all genders and orientations who are engaging in potentially risky sexual behavior. That includes those who “have had anonymous or multiple (more than one) sexual partners in the last two weeks.”

As before, sex workers or staff of “establishments where sexual activity occurs” are included regardless of gender.

Arlington’s health department, meanwhile, has launched a new online request system for the JYNNEOS monkeypox vaccine.

Arlington County has recorded a total of 54 monkeypoxes since the outbreak began, according to Virginia Dept. of Health data. That’s up from 39 cases on Aug. 15.

About 4,700 people in Northern Virginia have received the monkeypox vaccine so far, according to VDH.

More from an Arlington County press release, sent Thursday afternoon, below.

The Arlington County Public Health Division (ACPHD) has expanded eligibility for the monkeypox virus vaccine and launched a new appointment request process.

The expanded vaccine eligibility aligns with current Centers for Disease Control and Prevention (CDC) and Virginia Department of Health (VDH) criteria and now includes Virginia residents of all ages of any sexual orientation or gender who meet one of the following:

  • Have had anonymous or multiple (more than one) sexual partners in the last two weeks; OR
  • Are a sex worker; OR
  • Are a staff member at an establishment where sexual activity occurs (bathhouses, saunas, sex clubs, etc.)

The criteria for being vaccinated may be updated in the future.

Close contacts of known cases continue to be eligible and prioritized for the monkeypox vaccine.

ACPHD also launched a more streamlined process to request an appointment for a first dose of the monkeypox vaccine. People who meet the eligibility criteria can request an appointment by visiting acphdmpv.timetap.com. ACPHD will review all requests to verify eligibility before confirming the appointment.

Starting this week, ACPHD also began administering the monkeypox vaccine using the intradermal (in between the layers of the skin) method and dose in accordance with federal and VDH guidelines. People ages 18 years or older who received their first JYNNEOS dose by the subcutaneous (under the skin) method will receive their second dose by the intradermal method to complete their vaccination series.

Monkeypox is a contagious rash illness caused by the monkeypox virus. In most cases it resolves without treatment. It is spread by close contact with an infected person. Close contact includes touching skin lesions, bodily fluids, or clothing or linens that have been in contact with an infected person. Spread can also occur during prolonged, face-to-face contact.

While anyone can catch monkeypox if they have close contact with someone with the virus regardless of gender identity or sexual orientation, many of those affected in the current global outbreak are gay, bisexual, or men who have sex with men. People with monkeypox in the current outbreak generally report having close, sustained contact with other people who have monkeypox.

Currently, the highest risk activity is having sex with multiple or anonymous partners. Avoiding these activities greatly reduces one’s risk of catching or spreading monkeypox. Monkeypox does not spread from person to person from walking past someone who is infected or through casual conversation with someone who is infected.

If someone has a new or unexpected rash or sores, they should work with their health care provider to determine the cause. Health care providers in Arlington can visit ACPHD’s Monkeypox for Healthcare Providers website for more information and how to contact us should they have questions.


Colorized transmission electron micrograph of monkeypox virus particles (photo via NIAID)

Arlington is now setting up appointment-only clinics to vaccinate against monkeypox as cases continue to rise across the region.

The Virginia Department of Health has expanded access to the monkeypox vaccine to “those groups at increased risk for exposure,” per Arlington health department spokesperson Sondra Dietz, allowing the county to run the clinics.

The Arlington County Public Health Division is now running clinics 6 days a week, Monday through Saturday, by appointment only, Dietz told ARLnow. As of this morning, 511 total doses of monkeypox vaccine have been administered by the county health department, another spokesperson said.

The county is asking anyone is who interested and is eligible to receive the vaccine to fill out the vaccine interest form. The form is open to all Virginia residents and not just Arlingtonians; so far, there is no word on how many people have filled out the form.

Just over two weeks ago, ARLnow reported that the county was not yet planning any clinics due to VDH’s “limited” supply of monkeypox vaccine JYNNEOS. It appears that since that time VDH has started to provide more vaccine supply to individual localities. This has allowed Arlington to proceed with vaccinating those in high-risk groups, not solely those “contacts of known cases.”

“As ACPHD receives new vaccine shipments, we will issue new appointment invitations,” writes Dietz.

To be eligible to get the vaccine in Virginia, an individual must be a Virginia resident and 18 years or older. Per the county and VDH, the criteria to receive the vaccine also include:

Within the last 14 days are:

  • Gay, bisexual, and other men who have sex with men and have had multiple or anonymous sexual partners; OR
  • Transgender women and nonbinary persons assigned male at birth who have sex with men; OR
  • Sex workers (of any sex); OR
  • Staff (of any sex) at establishments where sexual activity occurs (e.g., bathhouses, saunas, sex clubs); OR
  • Persons (of any gender or sexual orientation) who attend sex-on-premises venues (e.g., bathhouses, sex clubs)

NOTE: If you had monkeypox, then you likely have some protection against another infection and are currently not eligible to be vaccinated.

The county also noted that eligibility “may change as the outbreak evolves and based on vaccine supply. ”

This comes as the federal government declared monkeypox a “public health emergency” late last week and cases continue to rise across the region.

As of today, VDH is reporting that there are 32 known and confirmed cases of monkeypox in Arlington. That encompasses just under a quarter of all the cases in Virginia. A majority of people who have monkeypox are between 20 and 39 years old and are white or Black, per VDH data.

Of the 145 people with monkeypox in Virginia, all but one are reported to be male.

Number of monkeypox cases in Arlington and Virginia as of Aug. 8 (image via VDH)

Monkeypox is spread primarily through close or intimate skin-to-skin contact. Anyone can get and spread the illness, though there are higher risk groups.

Symptoms usually start appearing a week or two after exposure and can include blister-like rash, fever, body aches, and exhaustion. The symptoms can last 5 to 21 days.

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