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Biden administration shifts monkeypox vaccine approach amid shortage

Health experts sees new guidance as mixed bag

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The Biden administration has changed its guidance on monkeypox vaccines to enhance availability amid the shortage.

The Biden administration, amid criticism it was slow to act on the monkeypox outbreak and still not meeting the demand for vaccines as the number of cases continues to grow, has announced a shift in guidance for implementation of the shot in an effort to enhance availability.

As the estimated number of monkeypox cases in the United States reaches 8,900, top health officials announced the new move on Tuesday as part of a decision by Secretary of Health & Human Services Xavier Becerra to issue a determination under Section 564 of the Federal Food, Drug and Cosmetic Act to justify emergency use authorization of vaccines. The announcement follows up on the Biden administration’s announcement last week declaring the monkeypox outbreak a public health emergency.

Becerra said in a conference call with reporters the 564 determination and change in approach to vaccines would “boost and strengthen” the Biden administration’s response to monkeypox, which has overwhelmingly affected gay and bisexual men, and “safely accelerates and multiplies our supply of effective vaccines by up to fivefold.”

“Today’s action also reaffirms HHS and this administration’s commitment to using all available resources and capabilities to end the monkeypox outbreak and provide the best possible care to those suffering from the virus,” Becerra added.

The new vaccine approach, which may may be considered minor to non-medical observers, would change injections of the JYNNEOS vaccine from the subcutaneous route (delivery of the vaccine under the fat layer underneath the skin) to the intradermal route (delivery of the vaccine into the layer of skin just underneath the top layer). In theory, that would allow for greater accessibility of monkeypox vaccines as it increases the number of doses from each vial of vaccine.

The change was made amid criticism the Biden administration failed to meet the demand for vaccines during the outbreak and geographic inequity as certain metropolitan areas of the country have more access to vaccines than other places.

As The New York Times reported last week, the Biden administration has faced criticism for not moving quickly enough in acquiring and distributing vaccines, including bulk stocks already owned by the U.S. government manufactured in Denmark by Bavaria Nordic now being given to other clients.

“The government is now distributing about 1.1 million doses, less than a third of the 3.5 million that health officials now estimate are needed to fight the outbreak,” the Times reported. “It does not expect the next delivery, of half a million doses, until October. Most of the other 5.5 million doses the United States has ordered are not scheduled to be delivered until next year, according to the federal health agency.”

Biden officials, nonetheless, touted the numbers of vaccines and tests in response to monkeypox as a positive, acknowledging the 1.1 million vaccines being made available as well as delivery of more than 620,000 of those doses, deployment more than 15,000 courses of the monkeypox treatment and increasing the country’s capacity to administer tests on a weekly basis to around 80,000. Meanwhile, officials also promoted the change in approach in vaccines as means to allow greater accessibility to the shots.

Rochelle Walensky, director of the Centers for Disease Control & Prevention, promoted during the conference call the use of intradermal injections and said they’re “often used for TB skin tests and have been used for other types of vaccines.”

Although Walensky conceded some health care providers “may not be as familiar with intradermal administration” as they are with subcutaneous injection, she said CDC would make additional guidance materials available, including a clinician alert message to the Association of State & Territorial Health Officials, outreach to key clinician partners and an education resource video. The change in guidance, Walensky said, is for vaccine implementation in adults, but children — where single digit monkeypox cases have been reported — would continue to receive vaccination in the traditional subcutaneous approach.

But health experts aren’t responding with overwhelming praise to the decision to change the guidance on vaccine implementation from subcutaneous injections to intradermal injections, expressing concerns the new approach may be insufficient.

Jennifer Kates, director of global health & HIV policy at the Kaiser Family Foundation, was among those saying the change in guidance on vaccine approach was a mixed bag and told the Blade more data is needed to evaluate the effectiveness.

“As we saw with COVID, using these authorities in the context of public health emergencies is an important strategy,” Kates said. “In this case, this step will significantly expand access to vaccines for those most at risk. However, there remain questions about the effectiveness of this approach — real world studies are needed — and challenges to translating vaccines into vaccinations.”

Peter Marks, director of the Center for Biologics Evaluation & Research (CBER) at the Food & Drug Administration, was asked during the conference call with reporters to respond to concerns the change in guidance was insufficient and downplayed the novelty of implementing the vaccines through the intradermal route as “not at all new.”

“In fact, the reason why the Bavaria part of this equation comes from the fact that in Germany, this vaccine was given intradermally originally, in an effort to replicate the original version of the smallpox vaccine,” Marks said. “It’s been given to thousands of people intradermally, so this isn’t the first time it’s been done.”

Walkensky said the intradermal vaccine approach has been implemented amid policies among localities to implement a one-dose approach to the JYNNEOS vaccine through the subcutaneous route. (The D.C. government is one of the jurisdictions that had enacted a one-dose approach amid a vaccine shortage.) There is not data, Walkensky said, to support that approach and “in fact, if anything, there are data saying that that is not protective enough.”

“So by using this alternative strategy of intradermal dosing, not only do we have more doses, but we actually allow people to get two doses in a way that shows immunologic response that’s superimposable from the subcutaneous dosing,” Walkensky said. “So we have more doses, and in fact, we have the ability to doubly vaccinate people so that they get the protection that they need.”

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U.S. Military/Pentagon

HRC holds retirement ceremony for ousted transgender servicemembers 

White House executive order bans openly trans military personnel

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From left: Colonel Bree B. Fram from the U.S. Space Force, Commander Blake Dremann from the U.S. Navy, Lt. Col. (Ret.) Erin Krizek from the Air Force, Chief Petty Officer (Ret.) Jaida McGuire from the Coast Guard, and Sgt. First Class (Ret.) Catherine Schmid from the Army at the Human Rights Campaign on Jan. 8, 2026. (Washington Blade photo by Joe Reberkenny)

When retirement celebrations are planned — especially military ones — crowded rooms are usually filled with joyous energy: smiling people celebrating over glasses of champagne and stories of “the good old days,” marking the moment when service members decide it is the right time to step back from work. This retirement event, however, felt more like a funeral than a major life milestone.

The Human Rights Campaign Foundation hosted an event on Jan. 8 in D.C. to commemorate the forced retirement of transgender servicemembers. The event was a direct result of President Donald Trump’s 2025 Executive Order 14183, titled “Prioritizing Military Excellence and Readiness,” which directed the Pentagon to adopt policies prohibiting trans, nonbinary, and gender-nonconforming people from serving in the military.

In the heart of the nation’s capital, mere blocks from where the president signed that executive order, five military members followed the traditional pomp and circumstance that military retirement celebrations demand — the U.S. Army’s passing of the NCO sword, the U.S. Navy’s reading of “The Watch,” speeches from colleagues and bells ringing, flags folded tightly while family members, and bosses talk about the peaks of their careers and sacrifices made to protect the Constitution. But the tears that could be heard and seen were not bittersweet, as they often are for the millions of Americans who came before them. They were tears of sadness, fear, and ultimately of acceptance — not agreement — that they were removed from their posts because of their gender identity.

Thousands of trans servicemembers were forced out of all six branches of the military after Executive Order 14183, joined by a February memo from Defense Secretary Pete Hegseth stating that trans and nonbinary individuals would no longer be eligible to join the military. The memo also directed that all trans people currently serving be separated from service because their gender identity supposedly goes against the military’s accession requirements and that, as a collective group, they “lack the selflessness and humility” required for military service.

For many trans servicemembers, their careers had suddenly come to an end. Unlike the five on stage on Jan. 8, they would not have a ceremony, the ability to say goodbye to a job they didn’t want to leave, or a packed room of supporters clapping and crying alongside them.

Colonel Bree B. Fram from the U.S. Space Force, Commander Blake Dremann from the U.S. Navy, Lt. Col. (Ret.) Erin Krizek from the U.S. Air Force, Chief Petty Officer (Ret.) Jaida McGuire U.S. from the Coast Guard, and Sgt. First Class (Ret.) Catherine Schmid from the Army were granted the chance to say goodbye to more than 100 years of combined service to the country.

“This ceremony is unprecedented — not because their careers fell short in any way, but because they shined so brightly in a military that cast them aside as unworthy,” said Maj. Gen. Tammy Smith (Ret.), who was the master of ceremonies for the roughly 5-hour event. “For every one of them, there are thousands of other transgender service members who were denied the opportunity to even reach this moment of retirement, despite records that mark them as among the best of the best.”

Shawn Skelly, former assistant secretary of defense for readiness under President Joe Biden and member of HRC’s board of directors, also spoke at the event. She emphasized that this is not a result of anything a trans servicemember did — or didn’t do — but rather a country trying to villainize them.

“Trans service members … are on the front lines, canaries in the coal mine of our democracy as to who can be seen as not just American, but among the best that America has to offer,” Skelly said.

Two members of Congress who have been at the heart of the fight for ensuring LGBTQ rights for Americans also addressed the crowd and the retiring officers: the first openly gay non-white member of the U.S. House of Representatives, U.S. Rep. Mark Takano (D-Calif.), and the first openly trans member of Congress, U.S. Rep. Sarah McBride (D-Del.).

“I want to begin by apologizing to our [trans] servicemembers and reiterating that your service and commitment to our nation does not go unnoticed,” Takano said. “I am sorry this administration has chosen to target you for no reason other than cruelty.”

“Each of you answered the call to serve. Each of you met the standards. And each of you served and led with integrity, professionalism, and courage,” said McBride. “Each of you are brave, honorable, and committed patriots who also dared to have the courage to say out loud that you’re transgender.”

Former Air Force Secretary Frank Kendall also gave a speech, noting that there was no reason for thousands of trans military members to lose their jobs and for the country to lose invaluable personnel that make the Armed Forces the best in the world.

“As I read the biographies of each of our retirees today, one thing came across to me,” former Kendall said. “It was how similar these read to those of all other retirees, and to others still serving. … It is a huge injustice, and an enormous loss to our nation that [they] … are not being allowed to continue to serve their country in uniform.”

Each service member had an introducer highlight their accomplishments before they gave their own heartfelt and pointed speeches, all of which can be watched in full on HRC’s YouTube page.

“I joined the military to be part of the solution … I learned that living authentically proved far more truthful and beneficial to not only myself but also my units than pretending to be someone else,” McGuire told the audience of family members, friends, LGBTQ rights activists, and former military personnel. “Being transgender never kept me from deploying, and I never failed to fulfill my duties.”

Despite the circumstances, McGuire said she would use this moment as an opportunity to continue serving.

“Even when it was forced upon you with no choice or discussion, [retirement] is still a new chapter … I’ll keep advocating for the rights and freedoms we all cherish,” McGuire said.

Schmid from the Army spoke about accepting the feeling of institutional betrayal after giving so much of herself to the service.

“The Army taught me what honor and integrity meant, and that integrity cost me the only thing I’ve ever really known how to do — it cost me being a soldier,” Schmid said. “Institutions fail people, but institutions are made of people, and that’s what I keep going back to … the soldiers, the people — that’s the Army that matters.”

Presik from the Air Force went next.

“Over my career, I’ve been called a hero and thanked for my service … I did all those things for the hope that I was making this country a better place for my three children and for your children and your families and your hopes as well,” Presik said, emphasizing that this was a fundamental policy failure, not a personal failure. “Now I have been separated from the Air Force, not because my performance, commitment, or ideals were found lacking, but because the policy changed on who could serve — and that reality is difficult to say out loud.”

“You matter. Your service matters, and you are not alone … transgender airmen are surrounded daily by so many fellow Americans who serve quietly and professionally,” Presik added, acknowledging that some trans people will continue to serve their country, even if it means hiding a piece of themselves until this policy is remedied.

Draiman from the Navy was fourth, emphasizing that his work serving the American people would continue despite retirement.

“I have spent my entire career pushing back against systems that too often treated my sex, my sexuality, or my gender as a measure of my capability under the guise of readiness,” Draiman told the crowd. “The work of dismantling hate and building better systems is far from over, and I still have more to give as I step out of uniform.”

Fram from the Space Force went last.

“My service was real. My dedication was real, and the years I gave to this country were given fully, honorably, and especially at the end with great pride,” she said with tears welling in her eyes — as did most of those in the audience. “Transgender service members are persons of character, not caricatures, and a society that justifies exclusion by denying our humanity needs to learn its lesson better from the Civil Rights Movement.”

“The uniform may come off, but the values it represents never will.”

Across the five branches of the military represented, each retiree carried countless honors and awards, evidence of their strength and dedication to protecting a country that elected a president who has now attempted to strip them of their service in both of his terms in office.

After the ceremony, the Washington Blade sat down with HRC Senior Vice President of Campaigns and Communications Jonathan Lovitz, to discuss why HRC decided to honor these five servicemembers.

“Why do this? Because they deserve nothing less. These are our heroes. These are our fellow Americans who have done more to serve this country than anyone who has been attacking them for that service,” Lovitz said. “These five are stand-ins for the thousands more, many of whose stories we’re never going to know, but it’s our obligation to find and uplift every single one of them.”

Multiple times during the ceremony, it was noted that military members vow to protect the Constitution rather than any individual in the White House. For Lovitz, that is the crux of why HRC felt the need to act.

“Civil rights protect all of us — or at least they’re supposed to. That’s at the heart of the Constitution … and that includes, and especially includes, our heroes who fight, sometimes die, to protect even those who would try to erase them.”

He ended the conversation by sharing a private moment with one of the retirees.

“I just hugged one of the honorees, and she said to me, ‘We never should have had to do this, but if we had to do it, this was the way.’ So I feel great that they feel loved and honored and seen and celebrated, and that so many leaders in the community were able to be here to lift them up.”

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The White House

Hundreds protest ICE killing of Renee Nicole Good in D.C.

Married queer woman shot in Minneapolis on Wednesday

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Hundreds of people took to the streets of D. C. on Thursday night to protest the killing of a U.S. citizen by a U.S. Immigration and Customs Enforcement agent.

Protests began at the busy — and increasingly queer — intersection of 14th and U Streets, N.W. There, hundreds of people held signs, shouted, and made their way to the White House to voice their dissent over the Trump-Vance administration’s choice to increase law enforcement presence across the country.

The protest, which also occurred simultaneously in cities large and small across the country, comes in the wake of the death of Minneapolis resident Renne Nicole Good at the hands of ICE Agent Jonathan Ross. Good left behind two children and a wife, Rebecca Good.

Records obtained by the Associated Press found that Ross was an Iraq War veteran and nearly two decades into his career with U.S. Border Patrol and ICE.

Good was gunned down just blocks away from where George Floyd was killed by police in 2020, sparking weeks of national protests. Minnesota officials say the FBI has blocked their access to an investigation into the fatal shooting, according to a BBC story published on Friday.

In the nation’s capital, protesters marched from the intersection of 14th and U Street to Lafayette Square, right outside the White House. Multiple D.C. organizations led the protest, most notably Free DC, a nonprofit that works to ensure the right of “self-determination” for District residents, as many local laws can be reviewed, modified, or overturned by Congress. Free DC had organized multiple protests since the Trump-Vance administration was elected.

The Washington Blade spoke to multiple protesters towards the tail end of the protest about why they came out.

Franco Molinari, from Woodbridge, Va., crossed the Potomac to partake in his first-ever protest.

“I don’t appreciate ICE and the use of federal agents being pretty much militarized against America,” Molinari said while holding a “Justice for Renee” sign. “The video of Renee being executed cartel style in her car was enough for me to want to come out, to at least do something.”

Molinari, like many others the Blade spoke with, found out about the protest on Instagram.

“It was my friend there, Sarah … had sent a link regarding the protest to a group chat. I saw it in the morning, and I thought, ‘You know what, after work, I’m head out.’”

He also shared why protesting at the White House was important.

“I already saw the response that the president gave towards the murder of Renee, and it was largely very antagonizing,” Molinari said.

President Donald Trump, along with federal leaders under him, claimed that Good “violently, willfully and viciously ran over the ICE officer.” The president’s claims have been widely discredited through multiple videos of the incident, which show Good was attempting to leave the scene rather than attacking the officer.

“I hope that anybody would be able to see that and see the response and see for themselves that it just is not correct,” Molinari said.

The Blade also spoke with leftist influencer Dave the Viking, who has more than 52,000 followers on TikTok, where he posts anti-fascist and anti-Trump videos.

“We’re out here to make sure that this regime can’t rewrite history in real time, because we all know what we saw … we’re not going to allow them to run with this narrative that they [ICE agents] were stuck in the snow and that that poor woman tried to weaponize her car, because we all saw video footage that proves otherwise,” he told the Blade. “We’re not going to let this regime, the media, or right-wing influencers try to rewrite history in real time and try to convince us we didn’t all see what we know we saw.”

Dave the Viking continued, saying he believes the perceived power of ICE and other law enforcement to act — oftentimes in deadly and unjustifiable ways — is a product of the Trump-Vance administration.

“There’s a line between fascism and anti-fascism. These motherfuckers have been pushing that envelope, trying to label an idea a terrorist organization, to the point of yesterday, crossing that line hardcore. You face the point of looking at history and saying there was this 1989, 2003 America, where we’re just going in, raiding resources. Where is this fucking 1930s Germany, where we’re going in and we’re about to just start clearing shit and pulling knots? Yeah, nope. We proved that shit yesterday.”

Two people were injured in another shooting involving federal agents, this time Border Patrol in Portland, Ore., on Thursday afternoon.

KC Lynch, who lives near American University, also spoke about her choice to protest with a group.

“I came out today because everything that ICE has done is absolutely unacceptable, not only killing this one woman, but also the fact that they’ve been imprisoning people in places that are literally, that have been literally on record by international organizations shown to be human rights violating. It’s unbelievably evil.”

Lynch also echoed Dave’s opinion about parallels between the Trump-Vance administration and the rise of Adolf Hitler in Nazi Germany.

“It’s literally what happened before the Holocaust. We should all be scared. We should all be angry. I’m so angry about it … even talking about it — I’m sorry,” she said before getting choked up.

Lynch emphasized that despite the circumstances in which people were protesting together, the sense of community was strong and powerful.

“I feel like it’s important for people to know that we’re angry, even if no policy changes come out of it, and it’s just nice to yell and be angry about it, because I feel like we’ve probably all been feeling this way, and it’s nice to be around people that are like minded and to like have a sense of community.”

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Minnesota

Reports say woman killed by ICE was part of LGBTQ community

Renee Nicole Good shot in Minneapolis on Wednesday

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(Screen capture via @maxnextsterak/X)

A U.S. Immigration and Customs Enforcement agent shot and killed a woman in Minneapolis as she attempted to drive away from law enforcement during a protest on Wednesday.

The Star Tribune newspaper identified the victim as Renee Nicole Good, 37, a Minneapolis resident who lived blocks from where she was shot in the Central neighborhood, according to reports. Donna Ganger, Good’s mother, told the Star Tribune that her daughter lived in the Twin Cities with her wife.

Multiple videos of the shooting have gone viral on social media, showing various angles of the fatal incident — including footage that shows Good getting into her car and attempting to drive away from law enforcement officers, who had their weapons drawn.

In the videos, ICE agents can be heard telling Good to “get out of the fucking car” as they attempted to arrest her. Good, who press reports say was married to a woman, ended up crashing her car into an electric pole and other vehicles. She was later transported from the scene of the shooting and died at the hospital.

President Donald Trump defended the ICE agent on Truth Social, saying the officer was “viciously” run over — a claim that coincides with Homeland Security Secretary Kristi Noem’s assessment of the situation. Noem, a South Dakota Republican, insisted the officer “fired defensive shots” at Good after she attempted to run over law enforcement agents “in an attempt to kill them — an act of domestic terrorism.”

Multiple state and local officials disputed claims that the shooting was carried out in self-defense at the same time Noem was making those assertions.

An Instagram account that appears to belong to Good describes her as a “poet and writer and wife and mom and shitty guitar strummer from Colorado; experiencing Minneapolis, MN,” accompanied by a rainbow flag emoji.

A video posted to X after the shooting shows a woman, reportedly her wife, sitting on the ground, crying and saying, “They killed my wife. I don’t know what to do.”

“We’ve dreaded this moment since the early stages of this ICE presence in Minneapolis,” Mayor Jacob Frey said during a Wednesday press conference. “Having seen the video myself, I want to tell everybody directly that [the DHS’s claim of self-defense] is bullshit. This was an agent recklessly using power that resulted in somebody dying, getting killed.”

“I have a message for ICE. To ICE, get the fuck out of Minneapolis,” Frey continued. “We do not want you here. Your stated reason for being in this city is to create some kind of safety, and you are doing exactly the opposite. People are being hurt. Families are being ripped apart. Long-term Minneapolis residents that have contributed so greatly to our city, to our culture, to our economy are being terrorized, and now somebody is dead. That’s on you, and it’s also on you to leave.”

Across the Capitol, members of the House and the Senate condemned the actions of the officer.

“There’s no indication she’s a protester, there’s nothing that at least you can see on the video, and therefore nothing that the officers on the ground could see that identify her as someone who’s set out to try to do harm to an ICE officer,” U.S. Sen. Elizabeth Warren (D-Mass.) said Wednesday night on MS NOW’s “The Weeknight.”

“There is no evidence that has been presented to justify this killing,” House Minority Leader Hakeem Jeffries (D-N.Y.) said in a statement on his website. “The masked ICE agent who pulled the trigger should be criminally investigated to the full extent of the law for acting with depraved indifference to human life.”

“ICE just killed someone in Minneapolis,” U.S. Rep. Robert Garcia (D-Calif.) the highest-ranking Democrat on the House Oversight Committee, posted on X. “This administration’s violence against communities across our country is horrific and dangerous. Oversight Democrats are demanding answers on what happened today. We need an investigation immediately.”

In a statement to the Advocate, Human Rights Campaign President Kelley Robinson wrote, “Today, a woman was senselessly killed in Minneapolis during an ICE action — a brutal reminder that this agency and the Trump regime put every community at risk, spreading fear instead of safety. Reports that she may have been part of the LGBTQ+ community underscore how often the most vulnerable pay the highest price.”

National LGBTQ Task Force President Kierra Johnson also responded to Good’s death.

“We recognize and mourn the loss of Renee Nicole Good and extend our condolences to her family, loved ones, and community,” said Johnson in a statement. “This loss of life was preventable and reprehensible, particularly coming at the hands of federal agents.”

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