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D.C. health officials quiet meningitis fears

22 cases have been reported in New York City since 2010

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Saul Levin, gay news, Washington Blade

Dr. Saul Levin (Washington Blade photo by Michael Key)

D.C. health officials maintain they have not seen an increase in meningitis cases amid growing concerns over a potential epidemic in New York City.

“The District of Columbia Department of Health closely monitors meningitis cases in the District,” Dr. Saul Levin, interim director of the D.C. Department of Health, said in a statement. “While we have not seen an increase from meningitis, as a public health official and physician, I strongly recommend people living with HIV or those that travel to the New York area frequently, consult with their physician regarding a meningitis vaccination.”

Levin’s statement came after the New York City Department of Health and Mental Hygiene noted four new cases of meningitis among men who have sex with men have been reported since the beginning of the year. The DOHMH said 22 meningitis cases have been reported in the five boroughs since 2010 with seven of them fatal.

New York City officials recommended MSM who “regularly have intimate contact with other men” they met online, through an app or at a bar or party receive a meningitis vaccine. The New York State Department of Health on March 25 expanded the list of those whom they said should receive the vaccine to include MSM with HIV/AIDS and those who have engaged in the aforementioned activities since Sept. 1, 2012.

“The City Council is working with the Health Department to make sure that New Yorkers know how to protect themselves from invasive meningococcal disease,” New York City Council Speaker Christine Quinn said. “While the rise in cases of the disease commonly known as meningitis is concerning, particularly for men who are HIV-positive or who have sex with men, vaccines and treatments are available.”

GMHC last month offered two free meningitis vaccine clinics with the New York City Department of Health and Mental Hygiene. It also echoed city health officials’ recommendations that any MSM of any HIV status who is at least 18 years old and has had intimate contact with a man since last September (or plan to have such interactions in the future) should get vaccinated.

Ray Martins, chief medical officer of Whitman-Walker Health, told the Washington Blade his organization typically doesn’t stock the meningitis vaccine because it is not commonly used outside of those who need to have it before they attend college.

Whitman-Walker can order it and receive it the next day for anyone who requests it. Health insurance companies typically cover the vaccine, but it costs between $100-$150 for those who are uninsured.

“We haven’t encouraged a vaccine at all,” Martins said. “There have been a number of personal patients at Whitman-Walker who’ve requested it.”

Headaches, fever and a stiff neck are the most common symptoms associated with meningitis. It is spread through respiratory droplets or oral secretions, and the incubation period is typically between three and seven days.

“[If you’ve] shared a cup with someone, you’d be at high risk or if you coughed within three feet of someone for a long period of time you’d be at risk,” Martins said. “People in the same household, roommates or intimate sexual contact are those who are typically more at risk.”

Martins spoke with the Blade three days after Brett Shaad, an attorney from West Hollywood, Calif., died from meningitis at a Los Angeles hospital.

His best friend, Cory B. Savage, denied media reports that Shaad attended the annual White Party in Palm Springs before he developed meningitis symptoms. He also strongly criticized West Hollywood City Councilman John Duran’s comments during a Friday press conference that he said suggested the disease is “a gay disease.”

“Everyone is treated for meningitis when they go to college, so this is not a new bacteria,” Savage told the Blade. “This is something that’s very commonly known.”

Martins echoed this message.

“It’s not a gay disease,” he said. “It just happens to be spreading in the gay community.”

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Health

UNAIDS to commemorate Zero Discrimination Day’s 10th anniversary

UN agency urges global action to protect human rights

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A UNAIDS anti-discrimination exhibit at Tocumen International Airport in Panama in 2018. (Washington Blade photo by Michael K. Lavers)

As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.

Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.

UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health. 

“The attacks on rights are a threat to freedom and democracy and are harmful to health,” she said in a press release. “Stigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyone’s rights that we can protect everyone’s health.”

Despite challenges, there has been notable progress. 

At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.

To sustain and enhance these advancements; UNAIDS urges global support for women’s rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.

Zero Discrimination Day is observed on March 1.

Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyone’s health is synonymous with protecting everyone’s rights.

“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world — for everyone,” said Byanyima.

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Health

New CDC report finds transgender women at higher risk for HIV

More than 1,600 people in seven cities surveyed

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The Centers for Disease Control and Prevention in Atlanta (Photo courtesy of the CDC)

The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV. 

Researchers reviewed data from a 2019-2020 survey, the National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.

The Jan. 25 Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.

The study’s researchers noted: “Employment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.”

The study stated that trans women’s inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to “survival sex work” and violence, which increases the risk of contracting HIV. 

The study’s author’s pointed out: “When economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis …demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.”

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Health

A Whole New Perspective on Well-Being

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

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The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns.

It’s easy to spot the distinctive, elegant silhouette of The Mather, a Life Plan Community for those 62+ opening this spring in Tysons, Virginia. What is not apparent to the naked eye is The Mather’s unique wellness philosophy, which is literally built into the community. 

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

Nature is one of the important factors that contribute to well-being. So The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns. This can include interior spaces with sightlines to a garden, choosing natural wood and stone as interior materials, or incorporating fragrant flowers and plants indoors to spark memories and provide tactile opportunities such as gardening. 

Residents of The Mather will be able to select from plentiful amenities, programs, and other offerings to target their personal wellness goals and preferences.

“Providing biophilic design within interior settings connects residents to the natural world,” says Mary Leary, CEO and President of Mather, the organization behind The Mather. “Research shows that a connection to nature provides positive benefits to mental states and overall well-being. At The Mather, biophilic design is the intersection of buildings and programs with nature in an urban setting.”

“The Mather is attracting a diverse group of older adults,” says Mary. “As a result, we aim to incorporate wellness practices from around the world, including Wyda movement theory of the Celtic Druids, which helps people achieve harmony with nature and contentment through mindfulness.” This holistic regenerative approach is similar to Qi Gong and yoga, while born in a different part of the world. Mather Institute has a special focus on mindfulness to support older adults’ practice of present moment awareness, which can lead to increased overall well-being, compassion, and joy.

A very different example of a wellness offering at The Mather is the Gharieni Welnamis spa wave bed, which uses computer-controlled vibrational therapy and audio frequencies to train the brain to relax. “The bed increases mindfulness, concentration, and creativity—all of which support our mission of creating Ways to Age Well,SM” says Mary.

These and other personalized ways to wellness will ensure that residents of The Mather can choose from seemingly countless ways to focus on their well-being. In other words, the sky’s the limit!

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