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100+ confirmed cases of monkeypox in 12 countries & spreading

A notable proportion of cases in the UK and across Europe have been found in gay & bisexual men health officials say

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President Joe Biden talks to reporters on Monkeypox as he leaves South Korea (Screen capture via CNN)

Dr. Hans Henri P. Kluge, the Regional Director of Europe for the World Health Organization (WHO) is warning that confirmed cases of monkeypox, which is most often seen in West and Central Africa, has escalated in Europe and elsewhere globally.

The United Kingdom, Spain, Portugal, Germany, Belgium, France, the Netherlands, Italy and Sweden – as well as the U.S., Canada and Australia are all reporting cases.

“The situation is evolving and WHO expects there will be more cases of monkeypox identified as surveillance expands in non-endemic countries,”  Kluge said.

In Britain, the UK Health Security Agency’s Chief Medical Adviser Dr. Susan Hopkins noted in a statement released this past weekend:

“We anticipated that further cases would be detected through our active case finding with NHS services and heightened vigilance among healthcare professionals. We expect this increase to continue in the coming days and for more cases to be identified in the wider community. Alongside this we are receiving reports of further cases being identified in other countries globally. 

Because the virus spreads through close contact, we are urging everyone to be aware of any unusual rashes or lesions and to contact National Health Service or a sexual health service if they have any concerns.  Please contact clinics ahead of your visit and avoid close contact with others until you have been seen by a clinician.

A notable proportion of recent cases in the UK and Europe have been found in gay and bisexual men so we are particularly encouraging them to be alert to the symptoms and seek help if concerned.

Clinicians should be alert to any individual presenting with unusual rashes without a clear alternative diagnosis and should contact specialist services for advice,” she added.

Monkeypox, which can be transmitted by droplets and by close contact with infected skin lesions or contaminated materials, usually incubates in people for 6 to 13 days before symptoms appear.

UKHSA notes that this rare virus, in the same family as smallpox, has not previously been described as a sexually transmitted infection, but it it can be passed on through very close human contact, such as touching blood or body fluids or prolonged exposure to the respiratory droplets of an infected person. It can also been transmitted with clothing or linens used by an infected person.

In Washington D.C., Dr. Ashish Jha, the White House Covid-19 response coordinator, told ABC he wouldn’t be surprised if the US saw “a few more” cases of monkeypox in the coming days.

“But I feel like this is a virus we understand, we have vaccines against it, we have treatments against it, and it’s spread very differently than SARS-CoV-2” — the virus that causes Covid-19, Jha told ABC’s Martha Raddatz on Sunday.

Traveling in Asia, President Joe Biden told CNN’s Kaitlan Collins as he was preparing board Air Force One to depart South Korea on Sunday; “They haven’t told me the level of exposure yet, but it is something that everybody should be concerned about,” he said.

“We’re working on it hard to figure out what we do and what vaccine, if any, might be available for it. It is a concern in that if it were to spread it would be consequential. That’s all they told me,” the president added.

CNN reported that the US Centers for Disease Control and Prevention is evaluating whether a smallpox vaccine should be offered to health care workers treating monkeypox patients and other people who may be at “high risk” for exposure to monkeypox.

UK Health Security Agency’s Hopkins cautions that people should be aware of monkeypox — but that the risk to the general population “remains extremely low at the moment.”

“I think people need to be alert to it,” said Hopkins. “We really want clinicians to be alert to it and send the test if they’re concerned.”

Hopkins also said based on reports from Africa, the UKHSA knows certain people are “much more at risk of severe disease, particularly immunosuppressed individuals or young children.

“While there is “no direct vaccine for monkeypox,” she said, “we are using a form of smallpox vaccine or third-generation smallpox vaccine that’s safe on individuals who are contacts of cases.”

Symptoms

Initial symptoms of monkeypox include fever, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion. A rash can develop, often beginning on the face, then spreading to other parts of the body including the genitals.

The rash changes and goes through different stages, and can look like chickenpox or syphilis, before finally forming a scab, which later falls off.

“A feature that distinguishes infection with monkeypox from that of smallpox is the development of swollen lymph nodes,” the CDC said.

Biden Comments On Monkeypox As He Leaves South Korea:

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European Union

The 2024 European elections: A turning point for LGBTQ rights in the EU?

Right-wing parties made electoral gains

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European Union President von der Leyen addresses the European Parliament in October 2023. (Screenshot courtesy of the European Council Press Office)

As the dust settles after the 2024 European Parliament elections, right-wing parties are gaining substantial ground and concerns about the potential impact on LGBTQ rights are growing. The projected surge in support for far-right parties, however, was not as pronounced as some had expected.

Monday morning’s estimates indicate the far-right’s presence has, however, undeniably increased. 

The European Conservatives and Reformists (ECR) gained four seats, bringing their total to 73. The Identity and Democracy group saw a significant rise, gaining nine seats to reach 58. Together, these nationalist, anti-immigrant parties now hold around 130 seats, reflecting their growing influence. Marine Le Pen’s National Rally in France, which clinched over 32 percent of the vote, and the Alternative for Germany securing approximately 16 percent of the vote and becoming the country’s second-largest party, ahead of Chancellor Olaf Scholz’s Social Democrats, in particular could affect the broader political dynamics in Europe.

Despite the gains for the far-right, the mainstream conservative European People’s Party (EPP) emerged as the largest group, securing 189 seats, an increase of 13 seats. The two other centrist parties, the Progressive Alliance of Socialists and Democrats and Renew Europe, however, experienced losses that eroded the political center. S&D finished with 135 seats, losing four, while Renew Europe saw a significant reduction, finishing with 83 seats.

European Commission President Ursula von der Leyen celebrated her party’s victory and called for cooperation among centrists to ensure a “strong and effective Europe.” She emphasized the responsibility that comes with the election results, noting the need for stability amid growing support for extremist parties.

The election’s biggest losers were the Greens, who saw their support decrease by 25 percent, ending with 53 seats. The Greens, despite this setback, could still play a crucial role in supporting centrist majorities as an alternative to further-right parties.

All eyes are now on the election winners, the EPP. 

Von der Leyen has indicated her readiness to work with certain parties sitting with the hard-right ECR. Initial signals from the EPP camp, however, suggest it will stay true to its traditional allies at the center. Von der Leyen has offered to work with socialists and liberals to build a “majority in the center for a strong Europe,” underscoring the importance of maintaining a united front against extremism.

The narrow margins in the new parliament could lead to issue-by-issue coalitions, especially for sensitive issues such as those related to the European Green Deal. This limited room for maneuver could see the EPP relying on partners to its right on an ad hoc basis, including for critical decisions that include ushering in a new commission president. Von der Leyen’s future hangs in the balance as she seeks re-election. National delegations within her EPP grouping and support from lawmakers of Giorgia Meloni’s Brothers of Italy party, which clinched 24 seats, will play a crucial role in her bid to secure an absolute majority of 361 MEPs.

The implications for LGBTQ rights in Europe are significant. 

Far-right parties, known for their conservative social values, might push for policies that restrict LGBTQ rights, opposing marriage and adoption by same-sex couples, and challenging the legal recognition of gender identity and access to healthcare for transgender people. Such potential policy reversals represent a significant setback for the LGBTQ community.

The rising popularity of far-right ideologies also poses a risk of heightened discrimination and hate speech against LGBTQ people. 

Hate-motivated violence and exclusion are likely to become more prevalent, along with more frequent and aggressive hate speech targeting the LGBTQ community. Additionally, far-right parties often promote traditional gender roles and family structures, potentially undermining the visibility and acceptance of LGBTQ identities. Nonbinary, transgender, and intersex people could face increased stigmatization.

The 16th annual Rainbow Map that ILGA-Europe publishes underscores the importance of legal protections for LGBTQ people. 

Authoritarian leaders across Europe continue to use the scapegoating of LGBTQ people to divide and mobilize their electorates. Several countries, however, have demonstrated robust political will to advance and protect LGBTQ rights. Some countries — Germany, Iceland, Estonia, and Greece — have made significant strides in protecting LGBTQ rights through improvements in legislation and anti-discrimination measures. Belgium, Cyprus, Norway, and Portugal have introduced bans on conversion therapy practices.

Countries such as Italy, on the other hand, show the consequences of stalling legislative protection for LGBTQ people. Moreover, EU accession countries, including Turkey and Georgia, are actively eroding human rights and fundamental freedoms.

The Rainbow Map illustrates the stark differences in how European countries handle LGBTQ rights. 

While some nations are making significant progress, others are regressing, influenced by the far-right’s growing power. Germany, Iceland, Estonia, and Greece, for example, have made noteworthy improvements in their legal frameworks to protect LGBTQ people. Germany prohibited hate crimes based on sexual orientation, gender identity, and sex characteristics, while Estonia and Greece amended their laws to allow same-sex couples to marry and adopt children.

In contrast, Italy, which has dropped in the rankings due to stalling legislative protections, exemplifies the risk of complacency that many activists in Europe fear. The far-right’s influence can quickly lead to the erosion of rights if proactive measures are not taken. The situation is even more dire in EU accession countries such as Turkey and Georgia, where LGBTQ rights are actively being rolled back.

The stakes are high as Europe moves forward from these elections. 

The EU must address the rise in political hate speech and new tools of oppression that include Russia’s criminalization of the LGBTQ movement. Without strong laws and policies to protect LGBTQ people, the foundation of safety, rule of law, and democracy in Europe is at risk.

The balance of power remains delicate as the European Parliament prepares for its new term.

The first major test will be the approval of the new European Commission president, which is set for July. Von der Leyen, who narrowly won her position five years ago, will need to secure broad support among centrists while navigating the complex dynamics of the new parliament. The secret ballot process adds an additional layer of uncertainty, making her re-election far from guaranteed.

The 2024 European elections have set the stage for potentially significant changes in the legislative and social landscape of the EU. As right-wing parties gain power, the fight for LGBTQ rights becomes more crucial than ever. The next few years will be pivotal in determining whether Europe can uphold its commitment to human rights and equality or if it will see a regression influenced by nationalist, conservative ideologies.

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European Union

Gay Ukrainian man struggles to rebuild life in Berlin

Dmytro Shapoval arrived in Germany in March 2022

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Dmytro Shapoval in Berlin on April 15, 2024. (Washington Blade photo by Michael K. Lavers)

Editor’s note: International News Editor Michael K. Lavers was on assignment in Berlin from April 12-15.

BERLIN — A gay Ukrainian man with HIV who fled his war-torn country more than two years ago remains in Berlin.

Dmytro Shapoval first spoke with the Washington Blade in July 2022.

He was working at an IT company’s call center and studying web and UX design in Kyiv, the Ukrainian capital, when Russia launched its war against his country on Feb. 24, 2022. Shapoval less than a month later swam across a river with his cat Peach and entered Poland.

He arrived in the German capital on March 19, 2022.

“I feel very secure here,” said Shapoval when he first spoke with the Blade on July 22, 2022, during a reception that took place at the end of a two-day meeting with European activists the Organization for Refuge, Asylum and Migration organized.

Shapoval again spoke with the Blade on April 15 while he was at ORAM’s offices near Berlin’s Potsdamer Platz.

He said he was sleeping on a mattress on the kitchen floor of a Ukrainian friend’s apartment in Berlin’s Wedding neighborhood, while looking for a more permanent place to live. 

Shapoval had just finished an IT course at a private university, but told the Blade he “was not in that headspace to study” because of the depression from which he said he suffers. Shapoval also told the Blade the German government has postponed his residency permit for a year.

“It’s challenging,” he said.

Germany has granted temporary protection to nearly 1 million Ukrainians

The German government has granted temporary protection to more than 900,000 Ukrainians since the war began. (The U.N. Refugee Agency says there are 2.2 million refugees in Germany.)

Ukrainians are able to enter Germany without a visa.

The German government offers those who have registered for residency a “basic income” that helps them pay for housing, food and other basic needs. Ukrainian refugees can also access health care, language classes, job training programs and childcare. 

Shapoval and other single Ukrainian refugees receive €563 ($609.30) a month through the program.

Shapoval told the Blade it is difficult for him to find a job because his legal status remains uncertain. He also complained about German bureaucracy, which he described as “such a hell here.”

A memorial to Ukrainians who have died during Russia’s war against their country in Berlin on April 13, 2024. The memorial was across the street from the Russian Embassy. (Washington Blade photo by Michael K. Lavers)

Shapoval’s mother remains in Dnipro, a city on the Dnipro River that is roughly 300 miles southeast of Kyiv.

He said the first year of the war was “pretty quiet” in Dnipro because it is not as big as Kyiv, Kharkiv, Odesa and other Ukrainian cities. Shapoval said the situation in Dnipro changed last fall.

Shapoval told the Blade a Russian missile hit a nine-story civilian building in the city.

“I had the worst day of my life because I knew that my mom was going to Dnipro,” he said.

Shapoval said the building the missile hit struck was close to his grandmother’s home.

“I was so horrified,” he told the Blade. “I was trying to call her to get in touch. She was not answering at all.”

Shapoval said his grandmother called him several hours after the attack. She told him the missile strike damaged the city’s communications infrastructure.

“It’s pretty horrible,” said Shapoval.

Shapoval spoke with the Blade hours before Ukrainian President Volodymyr Zelensky signed a controversial conscription law that seeks to replenish the country’s military. Zelensky last month also enacted a statute that lowers the minimum draft age from 27 to 25.

Shapoval said he does not want to go into the military, and has thoughts that he would die in the war. Shapoval also told the Blade he does not watch news reports about Ukraine because they exacerbate his depression.

“Just seeing these buildings destroyed and sometimes (at night when) people are sleeping there, or also (seeing) news about kids being stolen into Russia and then brainwashed there in these camps … is really bad,” he said.

Dmytro Shapoval in Berlin on July 22, 2022. (Washington Blade photo by Michael K. Lavers)

‘You’re a white refugee, so everything’s fine’

Shapoval noted support for Ukrainian refugees in Germany has begun to wane.

He recalled a conversation he had at a queer bookstore in Berlin’s Kreuzberg neighborhood during which someone who he described as German asked him what its like to be a refugee.

“Without even letting me answer without any space, he’s like, ‘Oh, but you’re a white refugee, so everything’s fine,'” recalled Shapoval.

Hamas on Oct. 7, 2023, launched a surprise attack against Israel. 

Shapoval said the Israel-Hamas war in the Gaza Strip has pushed the conflict between Ukraine and Russia and the plight of Ukrainian refugees out of the headlines. He also recalled an exchange he had with a Syrian woman with whom he had become friends in Berlin after Oct. 7.

Shapoval said she wrote in an Instagram post that “one or two years of war in Ukraine, this amount of kids died and two months of war in Palestine, this amount of kids died.”

“I’m like, what the fuck is that?” he recalled. “It’s not a competition of dead babies.”

“The fact you put two in comparison already makes one side less valuable and one side more valuable, but it’s also different pain,” added Shapoval. “I know that it is also horrible there … it seems like people are not understanding that.”

Shapoval said he reached out to her and tried to explain his perspective.

“It’s a bit hard right now,” he told the Blade.  

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Activists demand EU sanction Uganda over Anti-Homosexuality Act

Yoweri Museveni signed law on May 29, 2023

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Hillary Innocent Taylor Seguya, an LGBTQ rights activist, speaks at a protest in front of the European Union Delegation to the United States’s offices in D.C. on April 18, 2024. (Washington Blade photo by Michael K. Lavers)

More than a dozen activists who protested in front of the European Union Delegation to the United States in D.C. on Thursday demanded the EU to sanction Uganda over the country’s Anti-Homosexuality Act.

Hillary Innocent Taylor Seguya, a Ugandan LGBTQ activist, and Global Black Gay Men Connect Executive Director Micheal Ighodaro are among those who spoke at the protest. Health GAP Executive Director Asia Russell also participated in the event that her organization organized along with GBGMC and Convening for Equality Uganda, a Ugandan LGBTQ rights group.

(Washington blade video by michael k. lavers)

Ugandan President Yoweri Museveni last May signed the Anti-Homosexuality Act that, among other things, contains a death penalty provision for “aggravated homosexuality.”

The country’s Constitutional Court on April 3 refused to “nullify the Anti-Homosexuality Act in its totality.” A group of Ugandan LGBTQ activists have appealed the ruling.

A press release that Health GAP issued ahead of Thursday’s protest notes EU Commissioner for International Partnerships Jutta Urpilainen on March 6 announced more than €200 million ($212.87 million) for Uganda in support of “small business owners, young female entrepreneurs, agribusinesses as well as vital digital infrastructure projects in full Team Europe format with the European Investment Bank (EIB) and several member states.”

“These concrete initiatives will make a difference to aspiring entrepreneurs, Ugandan businesses and create jobs in multiple sectors,” said Urpilainen in a press release that announced the funds. “This is a perfect example of how Global Gateway can make a tangible difference for citizens and businesses and unlock the full potential of a partner country by working together.”

Convening for Equality Uganda on Tuesday in a letter they sent to Urpilainen asked the EU to review all funding to Uganda and “pause or reprogram any funds that go via government entities.” The protesters on Thursday also demanded European Commission President Ursula von der Leyen “to hold Ugandan President Museveni’s government accountable for this attack on human rights.”

Josep Borrell, the EU’s top diplomat, in a statement he released after Museveni signed the Anti-Homosexuality Act said the law “is contrary to international human rights law and to Uganda’s obligations under the African Charter on Human and People’s Rights, including commitments on dignity and nondiscrimination, and the prohibition of cruel, inhuman or degrading punishment.”

“The Ugandan government has an obligation to protect all of its citizens and uphold their basic rights,” said Borrell. “Failure to do so will undermine relationships with international partners.”

“The European Union will continue to engage with the Ugandan authorities and civil society to ensure that all individuals, regardless of their sexual orientation and gender identity, are treated equally, with dignity and respect,” he added.

Urpilainen last September in a letter to the European Parliament said the EU would not suspend aid to Uganda over the law.

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