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Racial disparities persist in monkeypox outbreak despite equity efforts

Percentage of cases for Black men grows amid overall decline

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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.ā€

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.

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National

Trump refers to Anderson Cooper as ā€˜Allisonā€™

Crude insults continue in effort to attract male voters

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Donald Trump is referring to CNNā€™s Anderson Cooper as ā€˜Allison.ā€™

Republican presidential nominee Donald Trump referred repeatedly over the weekend to CNNā€™s Anderson Cooper as ā€œAllison Cooper.ā€

Cooper, one of the nationā€™s most prominent openly gay television anchors, moderated a town hall last week with Democratic presidential nominee Vice President Kamala Harris.

Trump last Friday called Anderson ā€œAllisonā€ in a social media post, then used the moniker again at a Michigan rally.

ā€œIf you watched her being interviewed by Allison Cooper the other night, heā€™s a nice person. You know Allison Cooper? CNN fake news,ā€ Trump said, before adding, ā€œOh, she said no, his name is Anderson. Oh, no.ā€

Trump repeated the name during another Michigan rally on Saturday, according to the Associated Pres, then followed it up during a reference in Pennsylvania. ā€œThey had a town hall,ā€ Trump said in Michigan. ā€œEven Allison Cooper was embarrassed by it. He was embarrassed by it.ā€

Describing Anderson Cooper as female plays into offensive and stereotypical depictions of gay men as effeminate as Trump continues to pursue the so-called ā€œbro vote,ā€ amping up crude and vulgar displays in an effort to appeal to male voters.

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Pennsylvania

Transgender Honduran woman canvasses for Harris in Pa.

Monserrath Aleman is CASA in Action volunteer

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Monserrath Aleman, a transgender woman in Honduras, has canvassed in Pennsylvania for Vice President Kamala Harris and other Democratic candidates. (Photo by Phil Laubner/CASA in Action)

A transgender woman from Honduras has traveled to Pennsylvania several times in recent weeks to campaign for Vice President Kamala Harris and other Democratic candidates.

Monserrath Aleman traveled to York on Aug. 31 and Lancaster on Sept. 21 with a group of other volunteers from CASA in Action. 

They door-knocked in areas where large numbers of African Americans, Black, and Latino voters live. Aleman and the other CASA in Action volunteers urged them to support Harris, U.S. Sen. Bob Casey (D-Pa.), and other down ballot Democratic candidates.

Aleman will be in Harrisburg on Nov. 2, and in York on Election Day.

“We achieved the goal that we had in mind and that we wanted to achieve,” she told the Washington Blade on Oct. 22 during a Zoom interview from Baltimore. “We knocked on doors, passed out flyers.”

Aleman cited Project 2025 ā€” which the Congressional Equality Caucus on Thursday sharply criticized ā€” when she spoke with the Blade.

“We know that there is a Project 2025 plan that would affect us: The entire immigrant Latino community, the LGBTI community, everyone,” said Aleman. “So that’s why I’m more motivated to go knocking on doors, to ask for help, for support from everyone who can vote, who can exercise their vote.”

She told the Blade that she and her fellow volunteers “did not have any bad response.”

Aleman grew up in Yoro, a city that is roughly 130 miles north of the Honduran capital of Tegucigalpa.

She left Honduras on Nov. 25, 2021.

Aleman entered Mexico in Palenque, a city in the country’s Chiapas state that is close to the border with Guatemala. The Mexican government granted her a humanitarian visa that allowed her to legally travel through the country.

Aleman told the Blade she walked and took buses to Ciudad JuƔrez, a Mexican border city that is across the Rio Grande from El Paso, Texas.

She scheduled her appointment with U.S. Customs and Border Protection while living at a shelter in Ciudad JuĆ”rez.Ā Aleman now lives in Baltimore.

“Discrimination against the LGBTI community exists everywhere, but in Honduras it is more critical,” said Aleman.

Aleman added she feels “more free to express herself, to speak with someone” in the U.S. She also said she remains optimistic that Harris will defeat former President Donald Trump on Election Day.

“There is no other option,” said Aleman.

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National

HRC rallies LGBTQ voters in 12 states ahead of Election Day

10 Days of Action campaign targets pro-equality candidate

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Human Rights Campaign headquarters (Washington Blade photo by Michael Key)

The Human Rights Campaign said it filled 1,426 new volunteer shifts and held 174 events across key swing states between Oct. 10-20 as part of its 10 Days of Action campaign.Ā 

The LGBTQ civil rights advocacy group is working to mobilize and turn out voters in support of pro-equality and LGBTQ candidates, including the Harris-Walz ticket, on Election Day.

HRC reported exceeding its recruitment goals, noting the strong response across the 12 states as a ā€œclear and resounding messageā€ that LGBTQ and allied voters are energized to back the Harris-Walz ticket. 

To kick off the 10 Days of Action, Gwen Walz, the spouse of Minnesota governor and Democratic vice presidential nominee Tim Walz, spoke at a Philadelphia event that HRC and the Out for Harris-Walz coalition hosted on Oct. 10.

Walz highlighted her husbandā€™s long-standing support for LGBTQ issues, such as his role in fighting to repeal “Donā€™t Ask, Donā€™t Tell” in Congress and banning so-called conversion therapy as governor, according to the Pennsylvania Capital-Star.Ā 

Other events launched canvassing efforts for Senate candidates, such as U.S. Sens. Tammy Baldwin (D-Wis.) and Bob Casey (D-Pa.), along with House candidates, such as Will Rollins and Mondaire Jones in California and New York respectively. 

A virtual organizing call on Oct. 11 that the Out for Harris-Walz coalition hosted featured prominent figures, including actor Jesse Tyler Ferguson, Andy Cohen, U.S. Rep. Robert Garcia (D-Calif.), and Delaware state Sen. Sarah McBride, who is running for Congress.

To close out the 10 Days of Action, HRC President Kelley Robinson canvassed with LGBTQ organizers in Phoenix on Oct. 20. 

In a statement, Robinson said the campaignā€™s work is ā€œfar from over.ā€

ā€œWe plan to spend every day until the election making sure everyone we know is registered to vote and has a plan to vote because no one is going to give us the future we deserve ā€” we have to fight for it and show America that when we show up, equality wins,ā€ she said. ā€œTogether, we will elect pro-equality leaders like Vice President Harris and Governor Walz who value our communities and are ready to lead us forward with more freedom and opportunity.ā€

A September HRC poll found that LGBTQ voters favor Kamala Harris over Donald Trump in the presidential race by a nearly 67-point margin.

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