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D.C. urges gay, bi men, trans women to get Monkeypox vaccination

Majority of local cases are men who have sex with men

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D.C. Mayor Muriel Bowser on Monday urged gay and bi men and trans women to get vaccinated for Monkeypox. (Blade file photo by Michael Key)

D.C. Mayor Muriel Bowser and the city’s Department of Health announced that beginning on Monday, June 27, a limited number of appointments can be made for monkeypox vaccinations and that gay and bisexual men and transgender women who have sex with men are urged to get vaccinated.

In a statement released on Monday, the mayor and health department said Monkeypox vaccinations offered by the city are free and available Tuesdays, Thursdays, and Sundays between 1-8 p.m. at the city’s health department facility at 7500 Georgia Ave., N.W. It says the appointments are for eligible D.C. residents and can be made at PreventMonkeypox.dc.gov.

“Monkeypox is a rare, but potentially serious viral illness that can be transmitted from person to person through direct contact with bodily fluids or monkeypox lesions/rash,” the statement from the mayor and DOH says, “Monkeypox can spread during intimate contact between people, including respiratory secretions during prolonged face-to-face contact, during intimate physical contact like sex, kissing, or hugging, as well as touching fabrics and objects during sex that were used by a person with monkeypox, such as bedding and towels,” the statement says.

According to the statement, the initial symptoms of monkeypox often include flu-like symptoms such as fever, headache, muscle aches and swollen lymph nodes, followed by a rash and skin lesions.

“Although the majority of cases do not require hospitalization, monkeypox is dangerous, highly contagious, and uncomfortable,” the statement says. “While monkeypox can spread to anyone, the majority of current cases in the District are in men who have sex with men,” it says.

The DOH and mayoral statement says that to be considered eligible for the monkeypox vaccination provided by the city, persons must be a D.C. resident, 18 years of age or older and must fall within these categories:

• Gay, bisexual, and other men 18 and older who have sex with men and have had multiple (more than one) sexual partners or any anonymous sexual partners in the last 14 days

• Transgender women or nonbinary persons assigned male at birth who have sex with men

• Sex workers (of any sexual orientation/gender)

• Staff (of any sexual orientation/gender) at establishments where sexual activity occurs (e.g., bathhouses, saunas, sex clubs).

The statement says upon arrival at the vaccination site, proof of D.C. residency will be required and could include an identification card with a D.C. address, a utility bill or other mail with the person’s name on it and a D.C. address, or a current D.C. lease or mortgage with the person’s name on it.

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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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Health

Cases of multi-drug resistant gonorrhea ‘super strain’ multiply

CDC and WHO have once again sounded alarm about STI

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Gonorrhea bacterium (CDC/Los Angeles Blade graphic)

The Centers for Disease Control and Prevention along with the World Health Organization  are raising red flags for the second time this year as cases multiply of a “super strain” of drug-resistant gonorrhea globally, but particularly among men who have sex with men. 

This strain of gonorrhea has been previously seen in Asia-Pacific countries and in the U.K., but not in the U.S. A genetic marker common to two Massachusetts residents and previously seen in a case in Nevada, retained sensitivity to at least one class of antibiotics. Overall, these cases are an important reminder that strains of gonorrhea in the U.S. are becoming less responsive to a limited arsenal of antibiotics.

Gonorrhea is a STI with most people affected between ages 15-49 years. Antimicrobial resistance in gonorrhea has increased rapidly in recent years and has reduced the options for treatment.

Last February, cases of XDR, or “extensively drug resistant,” gonorrhea, are on the rise in the U.S., the CDC said.

Gonococcal infections have critical implications to reproductive, maternal and newborn health including:

  • a five-fold increase of HIV transmission
  • infertility, with its cultural and social implications
  • inflammation, leading to acute and chronic lower abdominal pain in women
  • ectopic pregnancy and maternal death
  • first trimester abortion
  • severe neonatal eye infections that may lead to blindness.

This past January, Fortune reported the U.S. is experiencing “a rising epidemic of sexually transmitted disease,” Dr. Georges Benjamin, executive director of the American Public Health Association, said with some experts referring to the issue as a “hidden epidemic.” 

Cases of gonorrhea — an STI that often shows no signs, but can lead to genital discharge, burning during urination, sores, and rashes, among other symptoms — rose by 131 percent nationally between 2009 and 2021, according to public health officials. While rates of STI transmission in the U.S. fell during the early months of the pandemic, they surged later in the year, with cases of gonorrhea and syphilis eventually surpassing 2019 levels, according to the CDC.

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