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Biden gets lackluster reviews on response to monkeypox outbreak

Comparisons made to inaction during coronavirus, HIV/AIDS

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President Biden is facing criticism his administration is moving too slow on monkeypox. (White House photo)

For a population still suffering through the coronavirus pandemic and with lasting memories of HIV/AIDS, the monkeypox outbreak is triggering memories of a U.S. government unable to respond quickly to the emergence of a new disease — and many who see mistakes being repeated are giving lackluster and even negative reviews of the Biden administration’s handling of the issue.

Criticism has emerged from voices in the LGBTQ community, where monkeypox has primarily spread, especially among gay and bisexual men, as well as among public health experts amid the perception the Biden administration has fallen short in vaccine distribution as only two cities — New York and D.C. — are offering vaccines on a pre-emptive basis and immediate distribution is halted despite reports that 1 million vaccines are in reserve overseas.

Lindsey Dawson, associate director of HIV Policy and director of LGBTQ Health Policy for the Kaiser Family Foundation, acknowledged Monday in an interview with the Blade there’s “certainly been criticism the administration was slow to act” in the past six weeks, although she tempered her remarks in hopes the Biden administration would ramp up efforts in time to curb the virus.

“The amount of vaccinations available right now, it’s really quite limited,” Dawson said. “As of last week, about 40,000 vaccines have either been shipped out or are being processed for allocation to jurisdictions. That isn’t nationwide; that was for about 15 jurisdictions, and the supplies that we’re getting are fairly limited. And so, that means that only in certain places, will there be vaccinations available.”

Dawson added the Centers for Disease Control & Prevention has promoted vaccines as a kind of post-exposure prophylactic for those who think they may have been exposed to monkeypox, stopping short of guidance making vaccines more generally recommended for populations that may be at risk, such as gay and bisexual men. New York City and D.C. are two jurisdictions that are giving vaccines out on a more general basis.

The Biden administration late last month unveiled a multi-step plan to take on monkeypox, which included the distribution of 296,000 vaccine doses with plans to distribute at total of 1.6 million in the coming months, which is enough to vaccinate 800,000 people because they are a two-dose series. Although HHS announced the purchase of an additional 2.5 million vaccines, the timeline completing the distribution isn’t until 2023 — which critics say is far too late for a disease already beginning to spread.

One prominent point of contention is the failure to distribute 1 million doses of monkeypox vaccine owned by the United States and in freezer storage at a Bavarian Nordic facility in Denmark, according to a June 28 letter to the White House from PrEP4All and Partners in Health. The medication has yet to be deployed fully despite concerns about the spread of monkeypox, which is transferred by skin-to-skin contact. The reason for the delay is the Food & Drug Administration dropped the ball and failed to conduct a timely review of vaccines and refuses to distribute the agency’s counterpart the European Union has approved, the letter says.

Josh Barro, a gay political commentator and journalist, called the failure of the U.S. government to distribute the vaccines “absolute insanity” and more evidence of failure by the FDA to meet speedy deadlines in approvals.

“Literally we have bought these doses already and they’re sitting in a freezer in Denmark until some bureaucrats decide to allow them into the US,” Barro wrote.

The FDA, CDC and FDA didn’t respond Wednesday to the Blade’s request to comment on the slow rollout of vaccines and the 1 million doses reportedly in storage in Denmark.

Evidence of the Biden administration falling short on monkeypox is already leading observers to make comparisons to HIV/AIDS and the coronavirus, when the U.S. government was criticized for inaction. President Trump was accused of dropping the ball on coronavirus with delays in testing and erratic messaging — as well as even lying to the American public about its seriousness — as President Biden  faced early criticism for a vaccine-only approach and failing to make good on campaign promises to shut down the virus. During the HIV epidemic in 1980s, activists with the grassroots group ACT UP held die-in protests at government offices and the Food & Drug Administration because the U.S. government was too slow in approving and distributing potential treatments.

Dawson said COVID is different from monkeypox for many reasons, but lessons could be applied to the new outbreak in terms of messaging, testing, and vaccine distribution based on COVID demonstrating “how challenges with mounting a quick response and COVID likely impacted transmissions.”

“And certainly it took a while for vaccinations to be widely available at COVID,” Dawson said, “And so, I think the important lesson there with all infectious diseases be that COVID or monkeypox is that getting out in front of an outbreak and preventing future transmission is essential.”

To be sure, the monkeypox outbreak isn’t nearly on the scale of the HIV/AIDS or COVID-19 pandemic, which have spread far and wide and claimed millions of lives. According to the Centers for Disease Control, the total number of recorded monkeypox infections in the United States as of two days ago is 767. Anthony Fauci, director of the National Institute of Allergy & Infectious Diseases, told the Blade in a conference call with reporters last month the risk of gay and bisexual men contracting monkeypox is not high, but the numbers could increase. Monkeypox generally isn’t a fatal disease.

The LGBTQ watchdog group GLAAD, which has strong connections to both media and entertainment, has teamed up with the White House in its messaging on monkeypox, with a heavy emphasis on LGBTQ influencers and a closed press meeting on Wednesday. The White House didn’t respond to the Blade’s request to comment for additional information.

Sarah Kate Ellis, CEO of GLAAD, said in a statement to the Blade the initiative would supplement ongoing efforts to combat monkeypox taken by the.Biden administration and public health officials.

“Getting accurate information out about monkeypox virus (MPV) is critically important to the LGBTQ community and all communities, and we need to continue to hear from public health leaders about what’s being done to combat the virus and inform the public,” Ellis said. “GLAAD is helping convene those who can help get the word out about this threat to public health and to ensure accurate and respectful reporting to keep everyone safe. Media must continue to hold public health officials accountable to accurate data gathering, testing, treatment, and vaccine distribution to stop the spread of MPV.”

Elsewhere, localities are stepping up efforts to implore the Biden administration to do more on monkeypox as vaccines remain in limited supply for reserved for distribution in certain jurisdictions.

In San Francisco, District 8 Supervisor Rafael Mandelman announced Tuesday his introduction of a resolution urging the Department of Health & Human Services and the Centers for Disease Control & Prevention to accelerate efforts on monkeypox vaccines, calling for a vaccine prioritization plan and streamlined testing as well as enough vaccine doses for high-risk populations, including gay and bisexual men, transgender people, and sex workers.

“This should be a preventable public health crisis – unlike COVID-19, we did not have to wait for new vaccines to be developed,” Mandelman wrote on Twitter. “It begs the question: would monkeypox have received a better response if it wasn’t primarily affecting queer people?”

Equity concerns for a population sensitive to racial disparities are also at the top of list among observers and public health experts with experience in health outreach to LGBTQ patients, especially in the aftermath of the coronavirus pandemic having a disproportionate impact on Black people.

Dawson expressed concern about localities like New York and D.C. focusing its messaging on monkeypox through social media, which she said may not be visible to workers unable to access it during the day.

“To the extent that vaccination and testing are difficult and burdensome to people, they’re going to be less likely to take it up,” Dawson said. “And people who do take it up are probably people who have more privilege, right? They can take time off work, or they are aware of these slots opening up because they’ve seen that on social media and they’re on social media in the middle of their workday, and so it does raise potential equity challenges there.”

In New York City, despite being a locality deemed a priority spot for monkeypox vaccines, officials are also demanding a better response. Lynn Schulman, a city council member, spearheaded a letter to the CDC with the LGBTQIA+ caucus declaring efforts on monkeypox to have fallen short.

“The biggest concern is the lack of vaccines,” the letter says. “New York City has recently received additional doses of vaccine from the federal government, but vaccine supplies remain low. Currently, if an individual would like to get vaccinated, DOHMH has no appointments available. At a time when we are still dealing with COVID infections, this is unacceptable.”

Dawson said to make a more comprehensive assessment of the Biden’s administration’s approach to monkeypox she’ll observe the pace at which vaccines become more readily available to the public.

“We see those appointments open up and shut down again just minutes later because the demand is just outpacing the availability,” Dawson said. “So it’ll be really important to watch. How likely are vaccines to get get to jurisdictions … Right now, certainly demand is outpacing the vaccinations available, but we could get to a point where we are with COVID vaccines now, where work actually has to be done to encourage uptake of vaccinations.”

CORRECTION: An earlier version of this article misattributed a quote about local governments to the Biden administration. The Blade regrets the error.

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Canada

Monument to LGBTQ Canadians officially unveiled

Thunderhead honors those who suffered government-sanctioned discrimination

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Thunderhead, a monument that acknowledges LGBTQ Canadians and the historic discrimination they faced, was officially unveiled in Ottawa, Ontario, on Aug. 21, 2026. (Photo by LGBT Purge Fund/Mitchel Raphael)

A monument that pays tribute to LGBTQ Canadians who suffered government-sanctioned persecution and discrimination officially opened in Ottawa on Aug. 21.

Former Prime Minister Justin Trudeau, Governor General Louise Arbour, and Women and Gender Equality Minister Rechie Valdez are among those who attended the ceremony.

A Canadian government press release notes Thunderhead, which is located on Parliament Hill, “recognizes the historic discrimination faced by 2SLGBTQI+ (two-spirit, lesbian, gay, bisexual, trans, queer, intersex, plus) people in Canada, including during the LGBT (lesbiennes, gaies, bisexuelles, trans) Purge.”

(French and English are Canada’s official languages.)

Trudeau in 2017 formally apologized to Canadians who suffered persecution and discrimination under the country’s anti-LGBTQ laws — including those convicted of “gross indecency” before Canada decriminalized consensual same-sex sexual relations — and policies. Trudeau also formally apologized to those who were fired from the Royal Canadian Mounted Police and the country’s military and civil service from the 1950s to the mid-1990s because of their sexual orientation or gender identity.

The Canadian government later settled a class action lawsuit that LGBT Purge victims filed.

The settlement funded the monument.

The Canadian government’s press release notes an “all Canadian team” from Winnipeg, Manitoba, designed it. The monument is also located on the Anishinabe Algonquin Nation’s traditional territory.

“It celebrates the resilience and achievements of those who fought for equality, educates visitors, and inspires the change still needed so that everyone can openly love who they love and express and identify themselves as they choose,” reads the press release.

“Thunderhead stands as a tribute to the lives, stories, and contributions of 2SLGBTQI+ people across Canada,” said Prime Minister Mark Carney on Facebook. “It’s reminder of the discrimination too many endured — and honors those who fought to build a country where everyone can live freely, safely, and with dignity.”

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Baltimore

The fight to save one of Baltimore’s last gay bars

Leon’s closed in July after its owner’s death

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Leon’s opened in Mount Vernon in the 1950s and bore witness to many eras of the city’s evolving queer culture. From left, Leon’s staffers Stacey Antoine, Karen O’Donnell, Joseph Leloudis, Damon Wallace, Brandon Gruszczynski, Tina Wallace, Sanchez Sanders, Cade Granger, Adam David Bencomo, and Sam Smith. (Photo by Kaitlin Newman for the Baltimore Banner)

By JULIE SCHARPER and WESLEY CASE | Soon after Jim Becker came out as gay in 1967, he ducked into a Mount Vernon bar called Leon’s.

In the dark, smoky bar, men used pseudonyms for fear of being outed, as homosexual acts were illegal in Maryland. Bartenders, wary of vice squad raids, would blow a whistle if couples leaned in for a kiss.

But to Becker, arriving at Leon’s was a kind of homecoming. He could explore his identity, connect with other gay men and build community in the anxious years before the 1969 Stonewall uprising, a pivotal moment in the LGBTQ rights movement.

The rest of this article can be read on the Baltimore Banner’s website.

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Africa

When home becomes a journey: migration, memory, and the African diaspora

People carry pieces of previous lives wherever they go

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(Photo by NASA)

Sometimes I wonder whether home is a place or a feeling.

I have lived in places where I never imagined I would stay. I have crossed borders I never expected to cross and spent years in refugee communities where people wake up each morning wondering what the future will bring. I have known Kakuma Refugee Camp in Kenya, spent time in Zambia and South Africa, and now live in Gorom Refugee Settlement in South Sudan.

So, when I think about migration, I don’t think first about passports, borders, statistics, or immigration offices.

I think about people.

I think about the mother who leaves everything behind because she wants her children to survive. I think about the young person crossing a border with little more than a phone, a few clothes, and memories of a life that may no longer exist. I think about the refugee who has spent years waiting for a durable solution and still doesn’t know where they will eventually call home.

Migration is often described simply as movement from one place to another. But sometimes it is much more than that.

It can mean leaving behind a version of yourself.

Africa has always been moving

Africa’s migration story did not begin with modern refugee camps or today’s international borders.

People have moved across this continent for generations. They have followed trade routes, searched for pasture and water, moved for marriage, education and employment, escaped conflict, and built new communities elsewhere.

Migration has always been part of African life.

Today, people move for many different reasons. Some flee war and political instability. Others escape persecution or discrimination. Some leave because they cannot find work or see a future for themselves. Others migrate to study, find employment, start businesses, join family members or simply seek new opportunities. There is an important distinction here.

Not every African migrant is a refugee.

A refugee is someone forced to leave because returning home is unsafe. An asylum seeker is someone seeking protection and waiting for a decision on their claim. Exile can mean living away from one’s homeland, sometimes unwillingly. The diaspora is broader still: it includes people of African origin living outside their country or continent, whether they left by choice or were forced to leave.

These words matter because behind each one is a human story.

When leaving is not a choice

I know what it means when leaving is no longer a choice.

Forced displacement takes something from you that is difficult to explain. You may still have your memories, your language and perhaps a few possessions, but the ordinary things that once made life predictable can disappear.

You begin again.

Sometimes you begin again in another country. Sometimes you begin again in a refugee camp.

My experiences in Kakuma taught me that displacement does not necessarily end when you cross a border and reach somewhere safer. The uncertainty can continue for years.

Now, in Gorom Refugee Settlement, I see that uncertainty in the lives of people around me. Mothers worry about food and the health of their children. Young people wonder whether they will return to education. Others wait for resettlement or another safe pathway while trying to build a life with very limited resources. There is a strange feeling in waiting.

You are physically present somewhere, but mentally you may still be traveling towards a future you cannot see.

U.S. Ambassador to South Sudan Michael Adler visits the Gorom Refugee Settlement on Oct. 25, 2023. (Photo courtesy of the U.S. Embassy in South Sudan)

What happens to identity?

One of the hardest questions migration raises is: Who am I when I am no longer where I came from?

A person can cross a border in a few hours. Identity doesn’t move that quickly.

You carry your accent.

You carry your food.

You carry your mother’s stories.

You carry songs you heard as a child.

You carry the names of people who may never know where you ended up.

You carry memories.

And sometimes you carry pain.

I have met people who have lived in several countries and can no longer give a simple answer when asked where they are from. They may have been born in one country, grown up in another, lived in a refugee settlement somewhere else and now dream of resettling in a fourth.

Does that make them less African?

I don’t think so.

Perhaps it makes their identity larger.

Carrying Africa across borders

The African diaspora is sometimes discussed as though it were simply a population scattered around the world. I see it differently.

People carry pieces of home wherever they go.

An African family living in Australia, Canada, Britain, the United States, or elsewhere may still cook the food they grew up eating. They may speak their mother tongue at home, send money to relatives, listen to African music, support community projects and remain closely connected to events thousands of miles away. Migration doesn’t necessarily erase belonging.

Sometimes it creates several belongings at once.

The diaspora also contributes enormously to communities back home. Remittances help families pay school fees, buy food, build houses, access healthcare and start businesses. Migrants also carry knowledge, professional experience, ideas and connections that can benefit communities across borders.

A person may leave Africa physically and still spend much of their life contributing to Africa.

That matters.

The price of being a migrant

But migration has another side.

Not every new country means a new beginning.

For some migrants, the journey leads to racism, xenophobia, exploitation, or discrimination. People can be judged because of their nationality, accent, skin color, immigration status or refugee identity.

Others discover that qualifications earned at home are not recognized. A professional becomes a cleaner. A teacher struggles to find work. A skilled worker is told to start again.

There is nothing wrong with honest work. The problem begins when someone’s dignity is reduced because they are a migrant.

For refugees, bureaucracy can become another form of suffering. A person can become a case number, waiting months or years for interviews, decisions, relocation opportunities, or family reunification.

But life doesn’t stop while the paperwork continues.

Children grow older, parents become sick, people lose loved ones, birthdays come and go and still the waiting continues.

I sometimes wonder whether the people making decisions about migration fully understand how heavy that waiting can become for someone sitting on the other side of the process.

Women, children, and LGBTQ refugees

Migration does not affect everyone in the same way.

Women often carry enormous responsibilities after displacement. They may become the main providers for their children while dealing with their own trauma and uncertainty.

Children experience displacement differently. They may not fully understand why they had to leave home, but they understand the absence of familiar faces, schools and routines.

Young people face another difficult question: how do you plan a future when you don’t know which country you will be living in?

For LGBTQ refugees, the journey can be even more complicated. Some leave because the place where they were born no longer feels safe for them. They may have experienced rejection, threats, violence or discrimination before they ever reached a refugee settlement.

And yet, even in such circumstances, people create community.

In Gorom, LGBTQ refugees and asylum seekers come from different African countries and backgrounds. We don’t always agree on everything. But we understand something important: when the world has already made you feel unwanted, having people around you who understand your experience can mean everything.

Community can become another form of home.

Should borders decide our worth?

I understand why countries have borders. Countries have laws and responsibilities.

But I sometimes ask myself a simpler question: Should crossing a border change the value of a human life?

A child doesn’t become less deserving of food because they were born on the other side of a political boundary.

A mother doesn’t become less worthy of safety because she crossed without the right document.

A refugee doesn’t stop being a human being while waiting for an immigration decision.

From a Humanist perspective, this seems straightforward to me. Human dignity should not depend on nationality.

We can have immigration systems and still treat migrants with compassion.

We can protect borders without forgetting that the people standing behind those borders are human beings.

We can disagree about migration policy without dehumanizing migrants.

That balance isn’t easy. But perhaps that is exactly why we need more humanity in conversations about migration.

What does home mean now?

I have asked myself this question many times: Where is home?

Is it where I was born?

Where I first felt safe?

Where my memories live?

Or perhaps home isn’t always a geographical location.

Maybe home can be the people who stand beside you.

Maybe it is the language you speak when you are emotional.

Maybe it is the smell of food that takes you back to childhood.

Maybe, after so much has been taken away, home becomes something you slowly rebuild.

My birthday falls on Sept. 12. Birthdays usually invite us to think about another year of life. But for someone who has experienced displacement, another birthday can mean something deeper.

It means I made it through another year.

I am still here.

And I think about the many refugees who don’t know whether they will be safe long enough to celebrate their next birthday. I think about children growing up in camps who deserve to celebrate their birthdays in a home they can call their own.

That thought stays with me.

We are more than where we come from

Migration has taught me that people cannot be reduced to the countries printed on their passports.

We are our memories, our relationships, our struggles, our dreams, and our choices.

Africa’s diaspora is not simply a story of people leaving Africa. It is also a story of people carrying Africa with them.

And the refugee experience is not simply a story of loss. It is also a story of survival.

I don’t know where my own journey will eventually take me. Perhaps that is one of the things migration teaches us: we can make plans, but life sometimes writes a different story.

What I do know is that every person deserves the chance to live without fear, to love without persecution, to work with dignity, to raise children safely and to imagine a future.

Borders may separate countries.

They should never separate us from our humanity.

If migration has taught me anything, it is that home is not always the place we left behind. Sometimes home is the safe place we are still searching for.

And sometimes, while searching, we become one another’s home.

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