The slow roll-out is a blow to chances of containing the outbreak, health experts warn.
US health officials say they do not have enough monkeypox vaccines to cope with surging demand.
The disease, characterised by lesions on the skin, usually clears up on its own but can be extremely painful. The federal government has distributed about 156,000 doses nationwide and expects to start shipping another 130,000 doses from Monday, according to the US Department of Health and Human Services.
The true scope of the US outbreak is unknown as diagnostic testing has lagged and it can take up to three weeks for symptoms to appear. A month ago the US had just 45 cases.Symptoms of monkeypox include a rash which starts on the face and spreads to the body
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