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Symic smallpox: From warning to practice

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Smallpox vaccines used as Mpox vaccines [9].
Mpox vaccineLicensedReplicationPre-exposure indicationsPost-exposure indications
ACAM2000USACompetent replicationHigh-risk occupational groups; not recommended for the general population.Close contact with someone or something that has Mpox.
JYNNEOSUSAModified poor replicationHigh-risk occupational groups; preferred for those with contraindication. Same as above: high-risk occupational groups preferred for those with contraindications; pregnant womenSame as above: high-risk occupational groups preferred for those with contraindications; pregnant women
LC16m8JapanAttenuated, minimally replication-competentHigh-risk occupational groups: preferred for those with contraindications; not recommended for the general populationSame as above: high-risk occupational groups preferred for those with contraindications; pregnant women not inoculated with JYNNEOS; licensed in Japan for use in children

Source: Yukian et al. 2022 [4].