Connect with us

National

Racial disparities persist in monkeypox outbreak despite equity efforts

Percentage of cases for Black men grows amid overall decline

Published

on

Demetre Daskalakis, the face of LGBTQ outreach for the Biden Administration in monkeypox efforts, speaks as new cases are on the decline.

Racial disparities persist in response to the monkeypox outbreak as the numbers of Black and Latino men contracting the disease are now disproportionately high, but that inequity is getting new attention as overall cases drop.

Although overall new cases in the monkeypox outbreak are steadily on the decline after numbers peaked in the summer, a growing share of the continuing numbers belong to men who have sex with men who are racial minorities.

The latest numbers show the racial disparity dramatically. In the week of Sept. 4, Black people consisted of 41 percent of the cases and Latinos consisted of 27 percent, while 26 percent were white and three percent were Asian, according to data from the Centers for Disease Control.

Black people among the new cases of monkeypox were much smaller when numbers were first reported earlier in the summer. For example, the percentage was 18 on June 22 and as low as 8 percent June 8. The percentage of Latinos, as with white people, has been on the decline, although they’re still overrepresented in new cases in the context of their demographics in the U.S. population at large.

The disproportionate impact of new monkeypox cases on racial minorities hasn’t gone unnoticed. As a result, health officials are attempting to shift the focus of the monkeypox outbreak away from gay and bisexual men and other men who have sex with men more broadly and more toward men of color who are sexual minorities.

Sean Cahill, director of health policy research at the Boston-based Fenway Institute, said in an interview with the Washington Blade the racial disparities in the monkeypox outbreak are largely the result of Black and Latino men being “less likely to get vaccinated than their proportion of the population.”

“So they’re more vulnerable to monkeypox, and they’re less likely to get the vaccine,” Cahill said. “So that’s a real problem, and it’s really critical that you know, federal, state and local partners come together and really center equity in the response and try to reduce the burden on Black and Latino gay men, but also increase access to the vaccine to ensure that people can protect themselves.”

The Fenway Institute last week issued a blueprint calling for a more effective federal response to monkeypox, accusing the U.S. government of failing to effectively mobilize existing public health infrastructure to aid communities affected by the virus. The document outlines a range of possible actions, but also concludes marginalized communities are having difficulty accessing vaccines and treatments, which are concentrated at well-resourced institutions less accessible to communities of color.

Cahill, asked to characterize whether the numbers demonstrating racial disparity have changed over time or have remained stagnant, said any trends are difficult to determine because the data on racial demographics has been available only recently and “it’s very imperfect data.”

“I don’t know if it’s getting worse or better, the disproportionate racial ethnic impact,” Cahill said. “But it’s definitely there, and it doesn’t seem to be going away.”

The Biden administration, while touting the 20 percent decline in overall cases in the monkeypox outbreak, has also started to recognize the continued disproportionate impact of monkeypox on Black and Latino men who have sex with men.

Rochelle Walensky, director for the Centers for Disease Control & Prevention, said during a conference call with reporters the U.S. government approaches the decline with “cautious optimism.”

“Over the past several weeks, we have also seen the racial and ethnic makeup of this outbreak evolve,” Walensky said. “While monkeypox cases were first seen predominantly in non-Hispanic white men, in the last week, among the cases for which we have race and ethnicity data, non-Hispanic Black men represented 38 percent of cases, Latino or Hispanic men represented 25 percent of cases, and non-Hispanic white men represented 26 percent of cases.”

Among the efforts the Biden administration has undertaken is a pilot program for vaccines reserved for large events and equity. Monkeypox vaccines have been administered to more than 10,000 people, including at Southern Decadence in New Orleans, Atlanta Black Gay Pride, Charlotte Pride, Boise Pride Festival, and Oakland Pride and Pridefest.

Demetre Daskalakis, the face of LGBTQ outreach for the Biden administration in monkeypox efforts and deputy director the White House monkeypox task force, was among those promoting the pilot program in equity efforts during a conference call with reporters.

“Health departments will use their local experience and connection to the community to identify hyperlocal strategies to improve vaccine access to communities of color, specifically those that are overrepresented in this outbreak,” Daskalakis said.

David Johns, executive director of the National Black Justice Coalition, said in the racial disparities in the monkeypox outbreak are consistent with other trends in public health.

“There have been so many opportunities to learn ways to address health inequities before they grow,” Johns said. “That Black people continue to be disproportionately impacted by this newest health epidemic is additional evidence of how white supremacy works and the importance of democratized responses to crises.”

Biden health officials, asked by the Washington Blade during the virtual meeting why the administration’s stated goal of equity in managing the monkeypox outbreak isn’t producing racial equity among new cases, restated their efforts and talked about the difficulty in achieving that goal.

Walensky, who has also had a lead role in the Biden administration combating the coronavirus pandemic, said racial disparities in the monkeypox outbreak “is not uncommon for many infectious diseases, quite unfortunately,” and defended the U.S. government’s approach to monkeypox.

“And it is exactly for these reasons why we started on these pilot projects before we even saw the shifts in data, as that is often the case in infectious diseases that we have more vulnerable population — racial and ethnic minorities — who are most impacted later on,” Walensky added. “And so, we anticipated this. We have embarked on these activities to address this in exactly this moment.”

Daskalakis, following up in defense of the Biden administration’s efforts on equity, said he’s “spoken to providers on the ground and also promoters at these events who have noted that this effort is really unprecedented in terms of reaching deeply into these communities.”

“I think all of our commitment in the administration is to really focus efforts on equity to resolve the issues that we’re seeing. It is a hard effort and it’s a challenge,” Daskalakis added. “And I think that the way to address equity is intentionally, and this is an example of intentional work to address equity.”

With the racial disparity in the monkeypox outbreak ongoing, health observers say additional efforts are needed to reach out to marginalized communities to ensure they have access to public messaging and vaccinations.

Cahill said although people of color in urban areas go to LGBTQ centers to receive health care, many of them are also getting care through other facilities that aren’t LGBTQ-specific, such as emergency rooms and urgent care clinics .

“I think providing some training and technical assistance to those healthcare organizations in how to provide affirming care to bisexual men could be an important approach and could make it so that people might be more likely to disclose same-sex behavior in those contexts,” Cahill said.

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

National

Victory Institute to honor Biden at D.C. conference

Former president to receive award on Friday

Published

on

Then-President Joe Biden speaks on the National Mall on World AIDS Day 2024 with AIDS Memorial Quilt panels in the background. (Washington Blade photo by Michael Key)

The LGBTQ+ Victory Institute on Friday will honor former President Joe Biden at its annual International LGBTQ+ Leaders Conference in D.C.

Biden will receive the Chris Abele Impact Award in recognition of what the Victory Institute described as “his historic role in championing LGBTQ+ rights and for his leadership in achieving the most LGBTQ+ inclusive administration in U.S. history.” He will be the third recipient of the award in the Institute’s history.

The conference will take place Dec. 4-6 at the JW Marriott Hotel in Downtown Washington, where more than 700 elected LGBTQ+ political leaders and human rights advocates will come together to build public service skills, better represent their communities, and support the LGBTQ+ community.

Notable speakers slated to appear include Massachusetts Gov. Maura Healey; Hawaii Attorney General Anne Lopez; Arizona Attorney General Kris Mayes; and Mayors Gina Ortiz Jones and Todd Gloria.

LGBTQ+ representation and policy progress reached historic levels under the Biden-Harris administration, due in part to support from the Victory Institute’s David Mixner Political Appointments Program and LGBTQ+ Excellence Program.

Approximately 15 percent of President Biden’s appointees identify as LGBTQ+, far surpassing any previous administration. This includes several groundbreaking firsts: Transportation Secretary Pete Buttigieg, the first openly LGBTQ+ Senate-confirmed Cabinet member; Admiral Rachel Levine, the first openly transgender Senate-confirmed official and four-star officer; Chantale Wong, the first out LGBTQ+ woman and person of color to serve at the ambassador level; and Karine Jean-Pierre, the first openly LGBTQ+ person to serve as White House press secretary.

Beyond representation, the Biden-Harris administration reinstated and expanded federal civil rights protections for LGBTQ+ people, strengthened anti-discrimination rules in employment and healthcare, reversed prior restrictions on transgender military service, and advanced protections for LGBTQ+ youth and families across federal agencies. These actions reflect a comprehensive approach to addressing systemic inequities and ensuring the dignity of LGBTQ+ people is recognized, valued, and protected.

This is a stark contrast to how the current administration is handling LGBTQ+ affairs. The Trump-Vance administration has taken a hardline anti-trans stance in terms of policy and rhetoric. Dozens of high-profile lawsuits have been filed against the Trump administration for discriminatory bans on locker rooms and bathrooms, on gender-affirming healthcare, on military ability, and on sports teams.

“President Biden has shown unwavering commitment to ensuring LGBTQ+ people can participate fully and openly in our democracy,” said Victory Institute President Evan Low in a press release. “From appointing a record number of LGBTQ+ leaders to reversing harmful policies and expanding civil rights protections, his administration set a new and necessary standard for what inclusive governance looks like.”

Continue Reading

National

Faith leaders denounce anti-transgender attacks

‘You are holy. You are sacred. We love you.’

Published

on

(Photo by nito/Bigstock)

This past Trans Awareness Week, 10 heads of diverse religious traditions issued a statement proclaiming that transgender, intersex, and nonbinary people are worthy of love, support, and protection. Led by Rev. Dr. Sofía Betancourt, president of the Unitarian Universalist Association, representatives from the Universal Fellowship of Metropolitan Community Churches, The Fellowship of Affirming Ministries, the Union for Reform Judaism, the Presbyterian Church, the Christian Church (Disciples of Christ), The Episcopal Church, the United Church of Christ, and Reconstructing Judaism called out the violent and systemic persecution of trans, nonbinary, intersex, and queer people–proclaiming that their faith and their humanity urged them to affirm that trans, intersex, and quere people are “sacred” and “holy.”

Their statement comes at a critical time. Over the past three months, Trump and his Cabinet’s anti-trans rhetoric has only intensified, with a report released late September by journalist Ken Klippenstein in which national security officers leaked that the FBI is planning to classify trans people as “extremists.” By classifying trans people as “Nihilistic Violent Extremists,” far-right groups would have more “political (and media) cover,” as Abby Monteil reports for them, for anti-trans violence and legislation. 

While the news is terrifying, it’s not unprecedented – the fight against trans rights and classification of trans people as violent extremists was included in Project 2025, and in the past several weeks, far-right leaders’ transphobic campaign has expanded: boycotting Netflix to pressure the platform to remove trans characters, leveraging anti-trans attack ads in the Virginia governor’s race and banning professors from acknowledging that trans people exist. In fact last month, two Republican members of Congress called for the institutionalization of trans people

It seems that the government shutdown was predicated, at least partially, on Trump’s own anti-trans policies that were attached as riders in the appropriations bill. 

It’s a dangerous escalation of transphobic violence that the Human Rights Campaign has classified as an epidemic. According to an Everytown for Gun Safety report published in 2020, the number of trans people murdered in the U.S. almost doubled between 2017 and 2021. According to data released by the Gun Safety report from February 2024, 34 percent of gun homicides of trans, nonbinary, and gender expansive people remain unsolved

As Tori Cooper, Director of Community Engagement for the Transgender Justice Initiative for the Human Rights Campaign Foundation, this violence serves a purpose. “The hate towards transgender and gender expansive community members is fueled by disinformation, rhetoric and ideology that treats our community as political pawns ignoring the fact that we reserve the opportunity to live our lives full without fear of harm or death,” Cooper said.

The faith leaders came out in this statement to affirm that it is their spiritual and human imperative to call out this escalating violence and protect trans, nonbinary, intersex, and queer people. The leaders acknowledge that historically and today, religion is used as a weapon of hate to degrade and deny the human dignity of LGBTQ+ peoples. The Supreme Court is hearing Chiles v. Salazar, a case about the constitutionality of a Colorado ban of conversion therapy for minors, with the majority of conversion therapy practices being faith based. And despite the Supreme Court declining to hear a case challenging the constitutionality of same-sex marriage conferred in Obergefell v. Hodges, efforts to end marriage equality remain ongoing with Katy Faust’s End Obergefell movement

“During a time when our country is placing their lives under increasingly serious threat,” the statement reads, “there is a disgraceful misconception that all people of faith do not affirm the full spectrum of gender – a great many of us do. Let it be known instead that our beloveds are created in the image of God – Holy and whole.”

The faith leaders argue that commendation of LGBTQ peoples and religiously motivated efforts to deny their dignity and rights is not the belief of all faith communities, and far-right Christian nationalist communities and others who uphold homophobia and seek to exact it writ large in the United States do not speak for all faith leaders. 

This is a critical piece of the statement and builds on historical precedence. During the 1980s AIDS crisis, when far-right Christian leaders like Jerry Falwell, one of the founders of the Moral Majority, stated that HIV was “God’s punishment” for LGBTQ+ people and indicative of a broader moral decline in America, affirming faith communities came out to affirm the dignity and divinity of queer people. As funeral homes and churches refused to prepare the dead and bury them, some faith communities stepped up to say that these homophobic leaders do not speak on behalf of all people of faith. 

In 1985, the United Church of Christ General Synod urged its member congregations to claim and declare themselves “Open and Affirming,” in order to express their welcome and support for LGBTQ+ people, and two years later, the Church of the Brethren issued a statement titled “A Call to Compassion” where conference members urged member congregations to speak out boldly against discrimination, provide direct care to people with HIV/AIDS, and actively educate themselves and others to stop the spread of fear and prejudice surrounding the disease.

Just one year later, the Evangelical Lutheran Church in America Church Council issued a statement, “AIDS and Church’s Ministry of Caring,” which outlined the ways in which welcoming, ministering to and advocating on behalf of people with HIV/AIDS is critical to their mission. Even the US Conference of Catholic Bishops, which earlier this month banned gender-affirming care at Catholic hospitals, issued a statement in 1987 calling discrimination against people with HIV/AIDS “unjust and immoral,” and denouncing the label of “innocent” or “guilty” patients.

Thus, the faith leaders’ statement this past week builds on a rich history of faith communities fighting the stigma that far-right faith groups perpetuate about LGBTQ+ people and committing to action. What sets this latest statement apart is its decidedly interfaith heart, which speaks to the history of the Pride Interfaith Service in Washington, DC that was first started by a group of faith leaders and lay people who gathered at the AIDS Memorial quilt. 

As the statement reads, “Our scriptures vary, but they share a common conviction. As we make justice our aim we must give voice to those who are silenced. Our shared values, held across many faiths, teach us that we are all children of God and that we must cultivate a discipline of hope, especially in difficult times. As such, we raise our voices in solidarity to unequivocally proclaim the holiness of transgener, nonbinary, and intersex people, as well as the recognition of the entire spectrum of gender identity and expression.”

The statement ended by arguing that they need to call out the violence they are witnessing. Their silence, they argue, would be in compliance and reinforce the idea that homophobic religious leaders and lay people speak on behalf of all people of faith. Their statement is not only words, however, it is a written promise affirming the dignity and holiness of queer people but also to protect them in the face of increasing violence and persecution. 

“When people of faith and conscience stay silent in the face of oppression, we are all made less whole. When people of faith and conscience speak out against that which violates the sacred in its own name, we have the power to stay the hand of sin. Transgender, nonbinary, and intersex people are vulnerable today,” the statement concluded. 

“Our faiths, our theologies, and our practices of prophetic witness call on us to say with one voice to transgender people among us: ‘You are holy. You are sacred. We love you. We support you, and we will protect you.’”

Continue Reading

The White House

White House halts World AIDS Day recognition amid HIV funding cuts

Trump-Vance administration under increased criticism over policies

Published

on

HIV/AIDS activists attend a rally outside the White House on World AIDS Day. (Washington Blade photo by Michael Key)

For the first time since the global observance began, the U.S. government did not commemorate World AIDS Day on Monday.

World AIDS Day, first marked in 1988, has long served as an annual reminder of the ongoing effort to end an epidemic that has killed more than 44.1 million people worldwide and continues to disproportionately impact LGBTQ people, communities of color, and those in the American South. Yet the Trump-Vance administration declined to acknowledge the day this year, severing a symbolic but consistent tradition upheld by every president since Ronald Reagan.

The move comes despite the scale of the epidemic today. Approximately 1.2 million people in the U.S. are living with HIV, according to federal estimates, and about 13 percent — 158,249 people — do not know their status. Globally, the World Health Organization reports 40.8 million people were living with HIV at the end of 2024.

Presidents of both parties have historically used World AIDS Day to highlight progress, remember lives lost, and recommit to reducing disparities in prevention and treatment. Past administrations have also commemorated the day through displays of the AIDS Memorial Quilt — first created in 1987 and later spread across the National Mall and White House lawn. Today, the quilt includes the names of more than 94,000 people lost to AIDS on more than 47,000 panels.

The AIDS Quilt on the White House lawn in 2024 under President Joe Biden. (Washington Blade photo by Michael Key)

This year’s silence from the White House follows several sweeping foreign aid rollbacks instituted by President Donald Trump after his 2024 inauguration. According to an October report by KFF, the administration enacted a “90-day review of foreign aid; a subsequent ‘stop-work order’ that froze all payments and services for work already underway; the dissolution of USAID, including the reduction of most staff and contractors; and the cancellation of most foreign assistance awards.”

These cuts have created significant funding gaps for nongovernmental organizations around the world — many of which work directly to prevent HIV transmission and expand access to lifesaving treatment.

The State Department dismissed criticism of the administration’s decision not to acknowledge World AIDS Day.

“An awareness day is not a strategy. Under the leadership of President Trump, the State Department is working directly with foreign governments to save lives and increase their responsibility and burden sharing,” deputy spokesperson Tommy Pigott said in a statement CNN first reported. “Earlier this year, we released a global health strategy aimed at streamlining America’s foreign assistance and modernizing our approach to countering infectious diseases.”

The U.S. historically played a central role in the global HIV response. Since 2003, the United States has been the largest financial supporter of HIV/AIDS programs — primarily through President George W. Bush’s PEPFAR initiative, which has invested more than $110 billion into the fight to end the epidemic.

Despite overall declines in transmission, HIV continues to disproportionately affect racial and ethnic minorities, LGBTQ people, and men who have sex with men. More than half of new HIV diagnoses occur in the South.

The Centers for Disease Control and Prevention’s Ending the HIV Epidemic in the U.S. initiative focuses on the 48 counties, D.C., San Juan, Puerto Rico, and seven rural states that accounted for more than half of all new diagnoses in 2016 and 2017.

Advocates say the administration’s withdrawal from World AIDS Day — combined with its cuts to foreign and domestic health programs — risks reversing hard-won gains.

“Though new HIV infections declined 12 percent from 2018 to 2022, progress is uneven with Black people accounting for 38 percent of new diagnoses, Latino people accounting for 32 percent of new diagnoses and more than half (52 percent) of new HIV diagnoses were among people living in the South,” Jarred Keller, senior press secretary at the Human Rights Campaign, told the Washington Blade via email. “Cuts to CDC funding have driven HIV prevention resources to historic lows, stripping support from HIV-focused programs.”

Legal and public health experts echoed that concern, saying that there is a possibility to stop HIV/AIDS, but only if efforts are taken gradually over time.

“HIV is a preventable and treatable condition, but only if the research, organization, and effort continue to be a priority to those looking out for the health of Americans and people worldwide,” said Lambda Legal HIV Project Director Jose Abrigo.

Continue Reading

Popular