(Portland, OR) -- Oregon health officials are concerned about an increase in mpox, or monkeypox, cases. They initially peaked in August and then declined into the fall, but the past two weeks the number of cases has increased to 19. Oregon now has 259 mpox cases, including two pediatric cases. The Oregon Health Authority says people who are at higher risk should get the vaccine. So far, 11-thousand first doses of the vaccine and six-thousand second doses have been given in Oregon. Health officials are working with the Oregon Pharmacy Board to get the vaccine into pharmacies.