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Biden-Harris administration commemorates Intersex Awareness Day

Blade speaks with senior State Department advisor Kimberly Zieselman

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Kimberly Zieselman (Photo courtesy of Kimberly Zieselman)

Thursday is the annual Intersex Awareness Day.

Intersex Awareness Day commemorates the worldā€™s first-ever intersex protest that took place in Boston on Oct. 26, 1996. The Washington Blade this week spoke with Kimberly Zieselman, a senior policy advisor to Jessica Stern, the special U.S. envoy to advance the human rights of lesbian, gay, bisexual, transgender, queer and intersex persons.

BLADE: What is intersex?

ZIESELMAN: Intersex is an umbrella term used to describe a person with one or more sex characteristics (including genitals, internal reproductive organs, chromosome patterns and hormone levels) that do not fit typical binary notions of male or female bodies. In some cases, intersex traits are visible at birth while in others they are not apparent until puberty. Some intersex variations may not be physically apparent at all. 

According to experts, between 0.05 percent and 1.7 percent of the population is born with intersex traits ā€” the upper estimate is similar to the number of red-haired people or people with green eyes and is more common than identical twins. Approximately 136 million people meet the definition. 

BLADE: What are some common misconceptions about intersex people?

ZIESELMAN: Two common misconceptions include assuming all intersex persons have nonbinary gender identities or bisexual orientations. A third common mistake is confusing intersex with transgender.  

Being intersex relates to biological sex characteristics and is distinct from a person’s sexual orientation or gender identity. An intersex person may be straight, gay, lesbian, bisexual or asexual and may identify as female, male, both or neither. Intersex individuals may identify as men, women, transgender, nonbinary or any of the range of diverse gender identities ā€” just like everyone else. 

BLADE: What is Intersex Awareness Day? 

ZIESELMAN: Intersex Awareness Day falls annually on Oct. 26 and marks the first public demonstration by intersex persons in North America that took place back in 1996 in Boston, Massachusetts, outside a conference of the American Academy of Pediatrics. In 2003 activists began using the date to raise awareness, and today 20 years later, it has become an internationally recognized date, and the period between Oct. 26 and Nov. 8 (Intersex Day of Solidarity) has increasingly become a period of both education and awareness raising across the world.  

BLADE: Why is Intersex Awareness Day important?

ZIESELMAN: Despite not being that rare (after all, it is more common than cystic fibrosis or identical twins), intersex has largely remained invisible due to the shame and stigma many cultures and societies have attached to it. Because their bodies are seen as different or even disordered (medical practitioners commonly refer to intersex persons as having “disorders of sex development”), intersex children and adults are often stigmatized and their human rights undermined, including related to their health and physical integrity, equality and nondiscrimination and freedom from harmful medical practices. 

Intersex infants and young children are frequently subjected to unnecessary harmful medical practices (including cosmetic genital surgery) for the purpose of trying to make their appearance conform to binary sex stereotypes. These medically unnecessary procedures can cause permanent infertility, pain, incontinence, loss of sexual sensation and life-long mental suffering, including anxiety and depression, post-traumatic stress and even suicide. In some cases, intersex persons may even grow up not identifying with the sex they were surgically assigned in infancy. 

In essence, much of society has historically tried to erase intersex persons. 

These medical procedures undermine bodily integrity and subject intersex persons to harmful practices. They are regularly performed without the full, free and informed consent of the intersex person concerned. Moreover, they are frequently performed on individuals under age two and children who are too young to be part of the decision-making.  

Parents and caregivers are often not given all necessary information to make a fully informed decision and may be pressured by doctors and other community members to permanently ā€œfixā€ their healthy child. Such procedures are frequently justified by harmful norms and discriminatory beliefs about intersex persons and their integration into society.   

In short, Intersex Awareness Day is important because many are still unaware that intersex persons exist and/or that they are often subjected to human rights abuses. Sharing information and stories can help change hearts and minds and lead to changes in harmful treatment. 

BLADE: How is the State Department planning to commemorate Intersex Awareness Day?

ZIESELMAN: Last year State hired me as the first intersex policy advisory to assist with advancing the human rights of intersex persons in foreign policy. 

Last month, State, under the leadership of the Special Envoy to Advance the Human Rights of LGBTQI+ Persons, hosted five intersex activists to share their perspectives and activism work in five diverse regions of the world. The intersex experts met with a range of State Department staff as well as other agencies and NGOs while in D.C. 

Now the special envoyā€™s team is working on new resources for all State Department employees providing information on key issues of concern related to intersex persons and suggestions for working together with civil society and local governments to not only raise awareness but also to work towards the advancement of human rights.

In celebration and recognition of Intersex Awareness Day, State will release a statement once again affirming the United Statesā€™ commitment to promoting the human rights of intersex persons globally. 

BLADE: What has the Biden-Harris administration done to protect intersex people? Can you please highlight a specific example/s? 

ZIESELMAN: The Biden-Harris administration has been the first ever to invite intersex Americans to share their stories and voice their concerns. This has occurred during two separate roundtables hosted by the White House as well as via a public call for input this year as part of the development of a soon-to-be-released report on Intersex Health Equity by the Department of Health and Human Services as mandated by Executive Order in 2022.  

Also, the State Department and USAID (U.S. Agency for International Development) have released an updated U.S. Strategy to Prevent and Respond to Gender-Based Violence (GBV) Globally that is inclusive of the GBV risks and needs of LGBTQI+ persons, including medically unnecessary and harmful surgeries on intersex persons. Intersex persons, and their needs and concerns, are starting to be addressed. 

BLADE: What have other countries done to protect intersex people? What can the Biden-Harris administration do to implement so-called best practices from around the world with regards to intersex people? 

ZIESELMAN: Some countries have passed laws banning or significantly restricting harmful cosmetic genital surgeries on intersex infants and children. Malta was the first to do so in 2015 and since then Germany, Greece, Iceland, Kenya, Portugal and Spain have joined the list. In addition, territories in both Australia and India have passed laws in attempt to protect intersex children. 

Though these medical practices still occur across most of the world including the United States, the Biden-Harris administration is currently working with intersex persons and families, provide platforms to share their lived experiences, and develop medical practices that affirm and support intersex persons across the lifespan.Ā 

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U.S. Reps. Becca Balint (D-Vt.) and Mark Pocan (D-Wis.), who chairs the Congressional Equality Caucus, on Thursday introduced the first-ever Intersex Awareness Day resolution.

TheĀ resolution specifically:

  • Supports the goals and ideals of Intersex Awareness Day;
  • Encourages the federal government, states, localities, nonprofit organizations, schools and community organizations to observe the day with appropriate programs and activities, with the goal of increasing public knowledge of theĀ intersex community and empowering individuals to celebrate and respect their diversity;
  • Encourages health care providers to offer culturally and clinically competent care to theĀ intersexĀ community, and schools to support education regarding theĀ intersexĀ community and connect individuals to resources for young people withĀ intersex variations and their families and
  • Encourages the federal government, states, international funding organizations, and United States bilateral and multilateral aid efforts to prioritize the health and human rights ofĀ intersexĀ people.Ā 

ā€œIntersexĀ people must be recognized as valid and seen within the LGBTQI+ community,ā€ said Balint in a press release. This resolution is an important step in uplifting theĀ intersexĀ community and fighting interphobia.”

Erika Lorshbough, executive director of interACT, a group that advocates on behalf of intersex youth, in a statement applauded the resolution.

ā€œIntersex awareness is not merely a matter of educating the public that people with intersex variations exist; it is additionally about illuminating the harmful legacy ā€” and continuing practice ā€” of unnecessary and unwanted medical interventions on young intersex children, which is increasingly recognized as a human rights violation around the world,ā€ said Lorshbough. ā€œWe extend our deep gratitude to Representatives Balint and Pocan for taking action to further these goals.ā€

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Four states to ignore new Title IX rules protecting transgender students

Biden administrationĀ last Friday released final regulations

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March for Queer and Trans Youth Autonomy in D.C. in 2023. (Washington Blade photo by Michael Key)

BY ERIN REED | Last Friday, the Biden administration released its final Title IX rules, which include protections for LGBTQ students by clarifying that Title IX forbids discrimination based on sexual orientation and gender identity. 

The rule change could have a significant impact as it would supersede bathroom bans and other discriminatory policies that have become increasingly common in Republican states within the U.S. 

As of Thursday morning, however, officials in at least four states ā€” Oklahoma, Louisiana, Florida, and South Carolina ā€” have directed schools to ignore the regulations, potentially setting up a federal showdown that may ultimately end up in a protracted court battle in the lead-up to the 2024 elections.

Louisiana State Superintendent of Education Cade Brumley was the first to respond, decrying the fact that the new Title IX regulations could block teachers and other students from exercising what has been dubbed by some a ā€œright to bullyā€ transgender students by using their old names and pronouns intentionally. 

Asserting that Title IX law does not protect trans and queer students, Brumley states that schools ā€œshould not alter policies or procedures at this time.ā€ Critically, several courts have ruled that trans and queer students are protected by Title IX, including the 4th U.S. Circuit Court of AppealsĀ in a recent case in West Virginia.

In South Carolina, Schools Supt. Ellen Weaver wrote in a letter that providing protections for trans and LGBTQ students under Title IX ā€œwould rescind 50 years of progress and equality of opportunity by putting girls and women at a disadvantage in the educational arena,ā€ apparently leaving trans kids out of her definition of those who deserve progress and equality of opportunity. 

She then directed schools to ignore the new directive while waiting for court challenges. While South Carolina does not have a bathroom ban or statewide “Donā€™t Say Gay or Trans” law, such bills continue to be proposed in the state.

Responding to the South Carolina letter, Chase Glenn of Alliance For Full Acceptance stated, ā€œWhile Supt. Weaver may not personally support the rights of LGBTQ+ students, she has the responsibility as the top school leader in our state to ensure that all students have equal rights and protections, and a safe place to learn and be themselves. The flagrant disregard shown for the Title IX rule tells me that our superintendent unfortunately does not have the best interests of all students in mind.ā€

Florida Education Commissioner Manny Diaz also joined in instructing schools not to implement Title IX regulations. In a letter issued to area schools, Diaz stated that the new Title IX regulations were tantamount to ā€œgaslighting the country into believing that biological sex no longer has any meaning.ā€ 

Governor Ron DeSantis approved of the letter and stated that Florida ā€œwill not comply.ā€ Florida has notably been the site of some of the most viciously anti-queer and anti-trans legislation in recent history, including a “Donā€™t Say Gay or Trans” law that was used to force a trans female teacher to go by ā€œMr.ā€

State Education Supt. Ryan Walters of Oklahoma was the latest to echo similar sentiments. Walters has recently appointed the right-wing media figure Chaya Raichik of Libs of TikTok to an advisory role ā€œto improve school safety,ā€ and notably, Raichik has posed proudly with papers accusing her of instigating bomb threats with her incendiary posts about LGBTQ people in classrooms.

The Title IX policies have been universally applauded by large LGBTQ rights organizations in the U.S. Lambda Legal, a key figure in fighting anti-LGBTQ legislation nationwide, said that the regulations ā€œclearly cover LGBTQ+ students, as well as survivors and pregnant and parenting students across race and gender identity.ā€ The Human Rights Campaign also praised the rule, stating, ā€œrule will be life-changing for so many LGBTQ+ youth and help ensure LGBTQ+ students can receive the same educational experience as their peers: Going to dances, safely using the restroom, and writing stories that tell the truth about their own lives.ā€

The rule is slated to go into effect Aug. 1, pending any legal challenges.

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Erin Reed is a transgender woman (she/her pronouns) and researcher who tracks anti-LGBTQ+ legislation around the world and helps people become better advocates for their queer family, friends, colleagues, and community. Reed also is a social media consultant and public speaker.

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The preceding article was first published at Erin In The Morning and is republished with permission.

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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 Forest 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, ā€œPresident Biden is leading the most ambitious climate, conservation, and environmental justice agenda in history ā€” and that means working toward a future where all people can breathe clean air, drink clean water, and live in a healthy community.”

ā€œThis 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 ā€” including the LGBTQI+ community ā€” and that we leave no community behind as we build an equitable and inclusiveĀ clean energy economy for all.ā€

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 nationā€™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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Francisco Ruiz appointed director of White House Office of National AIDS Policy

Former CDC official is first Latino to run office

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Francisco Ruiz, director of the Office of National AIDS Policy. (Photo public domain)

Francisco Ruiz’s appointment as the director of the White House Office of National AIDS Policy has elicited widespread acknowledgment across various sectors.

Ruiz, a distinguished figure in public health with a history of collaboration and strategic partnerships, assumes the role as the first-ever Latino to serve as ONAP’s director, underscoring a commitment to diversity and inclusivity in addressing public health challenges.

In response to his appointment, Domestic Policy Advisor Neera Tanden underscored the Biden-Harris administration’s steadfast commitment to ending the HIV epidemic and enhancing the quality of life for people living with HIV. Ruiz himself acknowledged this sentiment, emphasizing that accelerating efforts to combat the HIV epidemic and improve the well-being of those affected remain a paramount public health priority for the White House.

Previously serving at the U.S. Centers for Disease Control and Prevention, Ruiz played a pivotal role in advancing national HIV prevention campaigns, particularly contributing to the goals of the Ending the HIV Epidemic in the U.S. Initiative. His experience in fostering strategic partnerships and ensuring sensitive prevention messaging has been noted as instrumental in reaching diverse communities across the country and in U.S. territories.

Ruiz in his new role will be tasked with accelerating efforts to end the HIV epidemic and improve the quality of life for people living with HIV. 

Guillermo ChacĆ³n, president of the Latino Commission on AIDS and founder of the Hispanic Health Network, expressed confidence in Ruiz’s ability to advance the national strategy to end the HIV epidemic.

“Mr. Ruiz is a respected public health leader and a fitting choice to ensure that the Biden-Harris administration meets the goal of ending the HIV epidemic in the United States and U.S. Territories,” said ChacĆ³n.

ā€œFrancisco Ruiz’s appointment signifies a renewed focus on addressing health disparities and promoting health equity, particularly for historically marginalized and underserved communities,ā€ he added. ā€œAs a person living with HIV and the son of Mexican immigrants, Ruiz brings personal insight and professional expertise to his new role, ensuring that strategies to combat HIV/AIDS are scientifically grounded and connected with the experiences of those most affected.ā€

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