In 2019, the Ministry of Defence purchased two million vaccines against smallpox, which was eradicated in 1980.

The Ministry of Defence and the Spanish Medicines Agency (AEMPS) signed an agreement whereby the Army would hold a stockpile of two million doses of ACAM 2000 vaccine against smallpox virus, a disease eradicated in 1980, according to provision 12545, published in the BOE.

According to the resolution, the AEMPS acquired in June of that year two million doses of ACAM 2000 vaccine against smallpox virus, which is presented as a lyophilised vaccine, and was to be stored at a temperature of -20 ºC ± 5 ºC; the batch included 20,800 vials of solvent for the reconstitution of the lyophilised vaccine and 2,100,000 bifurcated needles to carry out the administration of the vaccine in the vaccination process.

Monkeypox is endemic in animal reservoirs in sub-Saharan Africa, while its human epidemiology appears to be changing. Monkeypox in small animals imported from Ghana as exotic pets was the source of a suspected outbreak of human monkeypox in the United States in 2003. Cases emerged in the UK in 2018 and 2019, Israel in 2018 and Singapore in 2019.

An ad hoc, unofficial group of interested experts met to consider these issues at Chatham House, London, in June 2019, to review available data and identify gaps in apepox-related research.

The conclave brought together a select group of experts to review the status of human monkeypox disease. The group included epidemiologists based in the UK and the US, field epidemiologists based in Nigeria and the Democratic Republic of Congo, where the outbreaks were occurring, experts in genomics and DNA virus evolution, and observers from a pharmaceutical company already developing and marketing a non-replicating vaccine for smallpox and monkeypox indications: Emergent Biosolutions, once the producer of the controversial anthrax ‘vaccine’, which in Spain supplies the army with “vaccines for peace operations”.

The manufacturer, which is considered an SME in the Spanish government’s procurement documents, holds the patent for this vaccine, which anticipated the “outbreak” two years earlier.

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