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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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District of Columbia

Bowser budget proposal calls for $5.25 million for 2025 World Pride

AIDS office among agencies facing cuts due to revenue shortfall

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D.C. Mayor Muriel Bowser’s proposed 2025 budget includes a request for $5.25 million in funding to support the 2025 World Pride celebration. (Washington Blade file photo by Michael Key)

D.C. Mayor Muriel Bowser’s proposed fiscal year 2025 budget includes a request for $5.25 million in funding to support the June 2025 World Pride celebration, which D.C. will host, and which is expected to bring three million or more visitors to the city.

The mayor’s proposed budget, which she presented to the D.C. Council for approval earlier this month, also calls for a 7.6 percent increase in funding for the Mayor’s Office of LGBTQ Affairs, which amounts to an increase of $132,000 and would bring the office’s total funding to $1.7 million. The office, among other things, provides grants to local organizations that provide  services to the LGBTQ community.

Among the other LGBTQ-related funding requests in the mayor’s proposed budget is a call to continue the annual funding of $600,000 to provide workforce development services for transgender and gender non-conforming city residents “experiencing homelessness and housing instability.” The budget proposal also calls for a separate allocation of $600,000 in new funding to support a new Advanced Technical Center at the Whitman-Walker Health’s Max Robinson Center in Ward 8.

Among the city agencies facing funding cuts under the mayor’s proposed budget is the HIV/AIDS, Hepatitis, Sexually Transmitted Disease, and Tuberculosis Administration, known as HAHSTA, which is an arm of the D.C. Department of Health. LGBTQ and AIDS activists have said HAHSTA plays an important role in the city’s HIV prevention and support services. Observers familiar with the agency have said it recently lost federal funding, which the city would have to decide whether to replace.

“We weren’t able to cover the loss of federal funds for HAHSTA with local funds,” Japer  Bowles, director of the Mayor’s Office of LGBTQ Affairs, told the Washington Blade. “But we are working with partners to identify resources to fill those funding  gaps,” Bowles said.

The total proposed budget of $21 billion that Bowser submitted to the D.C. Council includes about $500 million in proposed cuts in various city programs that the mayor said was needed to offset a projected $700 million loss in revenue due, among other things, to an end in pandemic era federal funding and commercial office vacancies also brought about by the post pandemic commercial property and office changes.

Bowser’s budget proposal also includes some tax increases limited to sales and business-related taxes, including an additional fee on hotel bookings to offset the expected revenue losses. The mayor said she chose not to propose an increase in income tax or property taxes.

Earlier this year, the D.C. LGBTQ+ Budget Coalition, which consists of several local LGBTQ advocacy organizations, submitted its own fiscal year 2025 budget proposal to both Bowser and the D.C. Council. In a 14-page letter the coalition outlined in detail a wide range of funding proposals, including housing support for LGBTQ youth and LGBTQ seniors; support for LGBTQ youth homeless services; workforce and employment services for transgender and gender non-conforming residents; and harm reduction centers to address the rise in drug overdose deaths.

Another one of the coalition’s proposals is $1.5 million in city funding for the completion of the D.C. Center for the LGBTQ Community’s new building, a former warehouse building in the city’s Shaw neighborhood that is undergoing a build out and renovation to accommodate the LGBTQ Center’s plans to move in later this year. The coalition’s budget proposal also calls for an additional $300,000 in “recurring” city funding for the LGBTQ Center in subsequent years “to support ongoing operational costs and programmatic initiatives.”

Bowles noted that Bowser authorized and approved a $1 million grant for the LGBTQ Center’s new building last year but was unable to provide additional funding requested by the budget coalition for the LGBTQ Center for fiscal year 2025.

“We’re still in this with them,” Bowles said. “We’re still looking and working with them to identify funding.”

The total amount of funding that the LGBTQ+ Budget Coalition listed in its letter to the mayor and Council associated with its requests for specific LGBTQ programs comes to $43.1 million.

Heidi Ellis, who serves as coordinator of the coalition, said the coalition succeeded in getting some of its proposals included in the mayor’s budget but couldn’t immediately provide specific amounts.  

“There are a couple of areas I would argue we had wins,” Ellis told the Blade. “We were able to maintain funding across different housing services, specifically around youth services that affect folks like SMYAL and Wanda Alston.” She was referring to the LGBTQ youth services group SMYAL and the LGBTQ organization Wanda Alston Foundation, which provides housing for homeless LGBTQ youth.

“We were also able to secure funding for the transgender, gender non-conforming workforce program,” she said. “We also had funding for migrant services that we’ve been advocating for and some wins on language access,” said Ellis, referring to programs assisting LGBTQ people and others who are immigrants and aren’t fluent in speaking English.

Ellis said that although the coalition’s letter sent to the mayor and Council had funding proposals that totaled $43.1 million, she said the coalition used those numbers as examples for programs and policies that it believes would be highly beneficial to those in the LGBTQ community in need.

 “I would say to distill it down to just we ask for $43 million or whatever, that’s not an accurate picture of what we’re asking for,” she said. “We’re asking for major investments around a few areas – housing, healthcare, language access. And for capital investments to make sure the D.C. Center can open,” she said. “It’s not like a narrative about the dollar amounts. It’s more like where we’re trying to go.”

The Blade couldn’t’ immediately determine how much of the coalition’s funding proposals are included in the Bowser budget. The mayor’s press secretary, Daniel Gleick, told the Blade in an email that those funding levels may not have been determined by city agencies.

“As for specific funding levels for programs that may impact the LGBTQ community, such as individual health programs through the Department of Health, it is too soon in the budget process to determine potential adjustments on individual programs run though city agencies,” Gleick said.

But Bowles said several of the programs funded in the mayor’s budget proposal that are not LGBTQ specific will be supportive of LGBTQ programs. Among them, he said, is the budget’s proposal for an increase of $350,000 in funding for senior villages operated by local nonprofit organizations that help support seniors. Asked if that type of program could help LGBTQ seniors, Bowles said, “Absolutely – that’s definitely a vehicle for LGBTQ senior services.”

He said among the programs the increased funding for the mayor’s LGBTQ Affairs office will support is its ongoing cultural competency training for D.C. government employees. He said he and other office staff members conduct the trainings about LGBTQ-related issues at city departments and agencies.

Bowser herself suggested during an April 19 press conference that local businesses, including LGBTQ businesses and organizations, could benefit from a newly launched city “Pop-Up Permit Program” that greatly shortens the time it takes to open a business in vacant storefront buildings in the downtown area.

Bowser and Nina Albert, D.C. Deputy Mayor for Planning and Economic Development, suggested the new expedited city program for approving permits to open shops and small businesses in vacant storefront spaces could come into play next year when D.C. hosts World Pride, one of the word’s largest LGBTQ events.

“While we know that all special events are important, there is an especially big one coming to Washington, D.C. next year,” Bowser said at the press conference. “And to that point, we proposed a $5.25 million investment to support World Pride 2025,” she said, adding, “It’s going to be pretty great. And so, we’re already thinking about how we can include D.C. entrepreneurs, how we’re going to include artists, how we’re going to celebrate across all eight wards of our city as well,” she said.

Among those attending the press conference were officials of D.C.’s Capital Pride Alliance, which will play a lead role in organizing World Pride 2025 events.

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The White House

White House debuts action plan targeting pollutants in drinking water

Same-sex couples face higher risk from environmental hazards

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President Joe Biden speaks with reporters following an Earth Day event on April 22, 2024 (Screen capture: Forbes/YouTube)

Headlining an Earth Day event in Northern Virginia’s Prince William Forrest on Monday, President Joe Biden announced the disbursement of $7 billion in new grants for solar projects and warned of his Republican opponent’s plans to roll back the progress his administration has made toward addressing the harms of climate change.

The administration has led more than 500 programs geared toward communities most impacted by health and safety hazards like pollution and extreme weather events.

In a statement to the Washington Blade on Wednesday, Brenda Mallory, chair of the White House Council on Environmental Quality, said, “President Biden is leading the most ambitious climate, conservation, and environmental justice agenda in history – and that means working toward a future where all people can breathe clean air, drink clean water, and live in a healthy community.”

“This Earth Week, the Biden-Harris Administration announced $7 billion in solar energy projects for over 900,000 households in disadvantaged communities while creating hundreds of thousands of clean energy jobs, which are being made more accessible by the American Climate Corps,” she said. “President Biden is delivering on his promise to help protect all communities from the impacts of climate change – including the LGBTQI+ community – and that we leave no community behind as we build an equitable and inclusive clean energy economy for all.”

Recent milestones in the administration’s climate policies include the U.S. Environmental Protection Agency’s issuance on April 10 of legally enforceable standard for detecting and treating drinking water contaminated with polyfluoroalkyl substances.

“This rule sets health safeguards and will require public water systems to monitor and reduce the levels of PFAS in our nation’s drinking water, and notify the public of any exceedances of those levels,” according to a White House fact sheet. “The rule sets drinking water limits for five individual PFAS, including the most frequently found PFOA and PFOS.”

The move is expected to protect 100 million Americans from exposure to the “forever chemicals,” which have been linked to severe health problems including cancers, liver and heart damage, and developmental impacts in children.

An interactive dashboard from the United States Geological Survey shows the concentrations of polyfluoroalkyl substances in tapwater are highest in urban areas with dense populations, including cities like New York and Los Angeles.

During Biden’s tenure, the federal government has launched more than 500 programs that are geared toward investing in the communities most impacted by climate change, whether the harms may arise from chemical pollutants, extreme weather events, or other causes.

New research by the Williams Institute at the UCLA School of Law found that because LGBTQ Americans are likelier to live in coastal areas and densely populated cities, households with same-sex couples are likelier to experience the adverse effects of climate change.

The report notes that previous research, including a study that used “national Census data on same-sex households by census tract combined with data on hazardous air pollutants (HAPs) from the National Air Toxics Assessment” to model “the relationship between same-sex households and risk of cancer and respiratory illness” found “that higher prevalence of same-sex households is associated with higher risks for these diseases.”

“Climate change action plans at federal, state, and local levels, including disaster preparedness, response, and recovery plans, must be inclusive and address the specific needs and vulnerabilities facing LGBT people,” the Williams Institute wrote.

With respect to polyfluoroalkyl substances, the EPA’s adoption of new standards follows other federal actions undertaken during the Biden-Harris administration to protect firefighters and healthcare workers, test for and clean up pollution, and phase out or reduce use of the chemicals in fire suppressants, food packaging, and federal procurement.

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Maryland

Health care for Marylanders with HIV is facing huge cuts this summer

Providers poised to lose three-quarters of funding

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(Photo courtesy of NIH)

BY MEREDITH COHN | By the end of June, health care providers in Maryland will lose nearly three-quarters of the funding they use to find and treat thousands of people with HIV.

Advocates and providers say they had been warned there would be less money by the Maryland Department of Health, but were stunned at the size of the drop — from about $17.9 million this fiscal year to $5.3 million the next. The deep cuts are less than three months away.

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

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