The D.C. Department of Health and Whitman-Walker Health are closely monitoring an outbreak of a new, more virulent strain of Mpox in several African nations that prompted the World Health Organization on Aug. 15 to declare the outbreak a global health emergency.

LGBTQ health advocates in Los Angles have been working with that city’s public health officials to ensure the LGBTQ community, especially gay and bisexual men, become vaccinated with the existing Mpox vaccine, which is deemed effective in preventing or lessening the severity of an Mpox infection.

In the 2022 Mpox outbreak in the U.S., men who have sex with men accounted for the largest number of Mpox cases, with more than 90 percent of the cases occurring in men who were gay, bi, or straight.

The U.S. Centers for Disease Control and Prevention, which closely monitored and took action to curtail the 2022 Mpox outbreak in the U.S., has said no cases so far of the more virulent strain in Africa, referred to as the clade 1 strain, have been documented in the U.S.

But CDC officials, along with officials with the D.C. Department of Health, referred to as D.C. Health, and Whitman-Walker Health, say they are taking steps to ensure they are prepared if the new strain surfaces in the U.S. and in the D.C. area.

International health officials expressed concern after at least one case of a person infected with the new more virulent strain was diagnosed in Sweden, marking the first case outside the African continent. Information surfacing from Africa in August showed that at least 500 people had died from Mpox in the current outbreak.

“D.C. Health is monitoring the situation very closely and taking the necessary steps to ensure preparedness,” according to a statement released by D.C. Health to the Washington Blade

“We have treated over 300 patients with Mpox, with most of the cases occurring in 2022,” a statement released on Sept. 9 by Whitman-Walker Health says. “We continue to see sporadic cases, with 11 cases in the last year,” the statement says. It says the most recent Mpox case it has treated occurred this July.

Dr. Kyle Benda, who serves as manager of Whitman-Walker’s Sexual Medicine and Acute Rapid Treatment Clinic, said all of the Mpox patients Whitman-Walker has seen have had the less virulent strain of Mpox that surfaced in the 2022 outbreak in the U.S. and worldwide —  referred to as clade 2 Mpox.

“We have not seen any cases recently or cases we believe to be due to the clade 1 outbreak occurring in Africa,” Benda told the Blade. “We have been able to treat patients with Mpox through use of tecovirimat obtained from the CDC through their expanded access program.”

He was referring to the medication approved in 2022 by the U.S. Food and Drug Administration as an effective treatment for Mpox.

Similar to nationwide U.S. data, statistics released by D.C. Health about the demographic breakdown of the 2022-2023 Mpox outbreak in D.C. shows that men, especially African-American men, along with gay and bisexual men, made up the largest number of Mpox cases.

The D.C. data show that men made up 96.3 percent of the D.C. cases, with women making up 1.8 percent of the cases. The data show that gay men accounted for 54.8 percent of the cases, bisexuals accounted for 6.7 percent of the cases, and those whose sexual orientation was unknown accounted for 31.4 percent of the cases.

The CDC and other health experts have pointed out that Mpox is transmitted from skin-to-skin contact, including contact with someone who may have body sores and through bodily fluids, as well as from shared bedding or clothing. Sexual contact is one of the leading modes of transmission, the experts have said.

The most common symptoms, health officials have said, include pimples or blisters on the face, body, and genitals. Other symptoms include fever, chills, headaches, muscle aches, or swelling of the lymph nodes.

Benda said Mpox transmission from sexual relations, especially for gay and bisexual men, often occurs when the typical outbreak of sores or blisters on the skin occurs internally such as in the anal canal and is not immediately detectable in the early stage of the infection.

Like other health officials, LGBTQ health advocates say the most important steps to take for those at risk for Mpox, especially gay and bi men, is to get vaccinated. The vaccination requires one injection followed by a second dose injection 28 days later.

Benda said Whitman-Walker has the vaccination shots to give to anyone who feels they may be at risk for Mpox, including people who are not currently enrolled as a Whitman-Walker patient. The statement released by D.C. Health says the vaccinations are widely available throughout the city at most pharmacies and health and medical offices.

It says for those who may not have insurance coverage for the cost of the vaccination and who may be economically challenged, they can get vaccinated at the D.C. Health and Wellness center at 77 P St., N.E. 

“We encourage all of our patients who may have an increased risk of Mpox to get vaccinated, particularly patients who may have had only one does of the two-dose series or who have not been vaccinated at all,” Whitman-Walker’s Benda told the Blade.

Health experts, including officials with D.C. Health, have said the mostly widespread access to the Mpox vaccine is what resulted in the dramatic decline in the number of cases in the U.S. and the D.C. area in later 2023 and 2024.

When asked if a booster shot may be needed for those who have been fully vaccinated in the past two years, D.C. Health said in its statement, “Currently, there is no recommendation for more than two doses in most people.” 

The statement adds, “Those with an occupational risk, like research laboratorians who handle cultures or animals contaminated with Mpox virus directly, are recommended to receive booster doses at 2 – 10 years depending on the nature of their work.”

Data released by D.C. Health shows that out of the total number of vaccinations given in D.C. as of earlier this year, 83.4 percent of those vaccinated were men and 74.5 percent of those vaccinated were gay men. The data show 12.2 percent were bisexual, and 0.9 percent were lesbian. Women consisted of 6.5 percent of D.C. residents receiving the Mpox vaccine. 

The Washington Commanders football team this week fired one of its executives, who made remarks that were recorded without his knowledge by an undercover news reporter claiming the team’s Black players were “homophobic” and that some National Football League players were “dumb as hell.”

Multiple news media outlets, including the Washington Post and the LGBTQ sports publication Out Sports, identified the executive as Rael Enteen, who held the title of Vice President of Content for the Commanders organization.

The publication The Athletic reports that Enteen was secretly recorded with a hidden video camera by a female reporter for the O’Keefe Media Group during two dates in which the reporter did not disclose she was with the media.

Among his recorded comments, The Athletic and other media outlets have reported, is he told the reporter  that some National Football League players, including Black players, were dumb and homophobic.

“A big chunk [of the Commanders roster] is very low-income African American that comes from a community that is inherently very homophobic,” the Daily Mail reports Enteen as saying in the recording. “I love hip-hop, hip-hop is very homophobic,” he reportedly stated in the video. “It’s a cultural thing that I hope gets better.”

Enteen also called NFL fans “high school-educated alcoholics” and “mouth breathers,” the Associated Press reports.

The AP also reports that Enteen states in the video recording that Jerry Jones, the owner of the Dallas Cowboys football team, “hates gay people and Black people.” The AP says the Cowboys team did not respond to a request for comment.

According to the AP, a Washington Commanders spokesperson said in response to being asked about the decision to fire Enteen, “The language used in the video runs counter to our values at the Commanders organization.”

D.C. Capital Pride Alliance board member Anthony Musa and transgender D.C. government official Vida Rangel have withdrawn as candidates in the city’s Nov. 5 election for Advisory Neighborhood Commission seats after separate challenges were filed questioning the validity of the signatures on their required nominating petitions.

Musa was one of at least four LGBTQ candidates running unopposed for seats on ANC 2B, which represents the Dupont Circle neighborhood.

Rangel, who described herself as the first Latina trans person of color to run for public office in D.C., was running for the ANC single member district seat 1A10 in the city’s Columbia Heights neighborhood. She was running against incumbent Billy Easley, who identifies as a gay man. Rangel currently serves as director of operations for the D.C. Mayor’s Office of Talent and Appointments.

Under D.C. election rules, ANC candidates must obtain the signatures of at least 25 registered voters who live in their ANC single member district to gain access to the election ballot. Under the D.C. government, ANCs are unpaid, voluntary elected positions given the role of advising city government officials on neighborhood issues, with city officials required to give “great weight” to the ANCs’ recommendations.

Musa told the Washington Blade on Sept. 3 that he withdrew his candidacy after realizing he only obtained about 26 or 27 signatures, with a few of them appearing to be from people who did not live in his ANC single member district 2B01. He said the person challenging his petition, whom he called a neighborhood rival, would likely have succeeded in the challenge and invalidated his candidacy.

“With the signatures, I just didn’t meet the level,” he said. “There were several people that I thought lived in my district, but they didn’t. So, if I ever do this again, I’ll make sure I get like triple the amount that I need.”

Rangel told the Blade on Sept. 4 that after receiving the challenge to her petition she too realized she fell short on the number of needed petition signatures. “After reviewing that challenge and checking records of what I could correct, I would have ended up coming just four signatures short,” she said. “So, in the end I decided to withdraw. It’s very disappointing.”

She said she also decided not to run for the ANC seat as a write-in candidate. “I think as a write-in I wouldn’t be anywhere as viable with my opponent Billy Easley running for re-election and with the name recognition he has,” Rangel said. “So, I think it’s best for me to step back and let him continue his service.”

Gay D.C. political activist Joe Bishop-Henchman filed the challenge against Rangel and seven other ANC candidates.

Bishop-Henchman disputed claims by some neighborhood activists who said he and others who challenged the signature petitions of ANC candidates were targeting those candidates because they disagreed with the candidates’ positions on issues impacting their respective neighborhoods. He insisted he only files challenges against “the candidate that says they have the 25 valid signatures but doesn’t.”

Vincent Slatt, who serves as chair of the ANC Rainbow Caucus, which includes LGBTQ ANC members from across the city, said he recognized the names of about three or four other LGBTQ ANC candidates whose petitions were also being challenged.

Slatt said he believes most of the challenges were “petty” and motivated by neighborhood political rivalries. He and Musa pointed out that the person who challenged Musa’s petition, Martha ‘Marcy’ Logan, serves on the board of directors of the Dupont Circle Citizens Association. Some Dupont Circle neighborhood activists, including LGBTQ activists, consider the organization, referred to as the DCCA, to be biased against nightlife businesses, including some of the gay bars in the Dupont Circle area.

Musa said he believes Logan targeted him for a petition challenge because she believes he sides with the nightlife businesses. He describes himself as a “pro-growth” advocate from a neighborhood business perspective as opposed to the DCCA, which Musa considers “anti-growth” regarding community businesses that he feels are an asset to the neighborhood.

The DCCA didn’t immediately respond to a request from the Blade for comment and for contact information for Logan.

Musa said he too decided not to run for the ANC seat as a write-in candidate. With his withdrawal from the race, there will be no candidate on the November election ballot for the 2ANC 2B01 seat.

At the time she announced her candidacy in July, Rangel said among her priorities as an ANC commissioner would be improving language access for the large number of Spanish-speaking residents in the Columbia Heights neighborhood.

“We need a commissioner who is going to push for Spanish language resources so that our government officials can hear the voices of all Columbia Heights residents, not just the ones who speak English,” she told the Blade.