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D.C. Dept. of Health, Whitman-Walker launch new effort to promote PrEP

PrEP Awareness Day highlighted availability of HIV prevention medication

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Mayor Muriel Bowser issued a proclamation on July 16 for PrEP Awareness Day. (Washington Blade file photo by Parker Purifoy)

Officials with Whitman-Walker Health say they are moving forward in a joint project with the D.C. Department of Health to increase public awareness of the HIV prevention medication known as PrEP that was launched on July 16 during the first annual PrEP Awareness Day in Washington, D.C.

D.C. Mayor Muriel Bowser issued a proclamation on July 16 for PrEP Awareness Day to “call upon all residents, healthcare providers, and community organizations to participate in efforts to increase awareness, understanding, and accessibility of PrEP.”

In a separate statement, Whitman-Walker noted that July 16, 2024, marks the 12th anniversary of the U.S. Food and Drug Administration’s approval of PrEP medication as a safe and effective means of preventing HIV infection.

“This day is dedicated to raising awareness about the life-saving benefits of Pre-exposure Prophylaxis (PreEP) and its critical role in the fight against HIV/AIDS,” the statement says. The statement notes  that PrEP has been proven to reduce the risk of HIV infection by up to 99 percent when taken as prescribed.

But Whitman-Walker officials and officials with the D.C. Department of Health’s HIV/AIDS, Hepatitis, STD and TB Administration, known as HAHSTA, also pointed out at a July 16 press conference announcing PrEP Awareness Day that a large majority of people who could benefit from PrEP are not using it. 

“Despite its proven efficacy, according to the Centers for Disease Control and Prevention (CDC), less than 25 percent of the approximately 1.2 million Americans who could benefit from PrEP are currently using it,” Whitman-Walker said in its statement.

“This statistic underscores the need for enhanced public education and outreach to ensure that more individuals, especially those in marginalized communities, are aware of and have access to PrEP,” the statement says.

As part of its effort to step up promotion of PrEP, Whitman-Walker hosted two happy hour social events, including one on July 17 at the D.C. gay bar Thurst Lounge. The second one was held July 24 at the Sycamore & Oak entertainment center and food court in the city’s Congress Heights neighborhood near Whitman-Walker’s Max Robison Center facility.

Whitman-Walker spokesperson Lisa Amore said Whitman-Walker also has and continues to host “PrEP conversations” at local D.C. beauty and hair salons with a special outreach to African-American women. 

Among those who spoke at the July 16 press conference launching PrEP Awareness Day related efforts were Clover Barnes, Senior Deputy Director of D.C.’s HAHSTA; Naseema Shafi, CEO of Whitman-Walker Health; Juan Carlos Loubriel, Senior Director of Community Health and Wellness at Whitman-Walker Health; and Dr. Kellan Baker, Executive Director and Chief Learning Officer at Whitman-Walker Institute.

“We gather here today not just to raise awareness, but to reaffirm our commitment to ending the HIV epidemic,” Loubriel told those attending the press conference. He said the fact that less than 25 percent of those who could benefit from PrEP are using it is a “gap” that highlights the urgent need for increased awareness and access to PrEP.

“We aim to bridge this gap and ensure that everyone, regardless of their socioeconomic status, sexual orientation, or gender identity, has the opportunity to safeguard their health,” he said.

Public health officials have pointed out that HIV/AIDS continues to be a major public health challenge, with over 1.2 million people in the U.S. living with HIIV and thousands of new infections each year.

Information about accessing PrEP can be obtained from the D.C. Department of Health at 202-741-7892; and from Whitman-Walker Health via email at [email protected] or by calling 202-939-7690.

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District of Columbia

LGBTQ veterans event set for Sept. 20 at D.C.’s Crush Dance Bar 

Event to commemorate 13th anniversary of repeal of ‘Don’t Ask, Don’t Tell’

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Crush Dance Bar on Sept. 20, 2024, will host an event that commemorates the 13th anniversary of the repeal of 'Don't Ask, Don't Tell.' (Washington Blade photo by Michael Key)

The Mayor’s Office of Veterans Affairs and the Mayor’s Office of LGBTQ Affairs are hosting a special event on Friday, Sept. 20, to commemorate the 13th anniversary of the repeal of the federal “Don’t Ask, Don’t Tell” law that banned LGBTQ people from serving openly in the U.S. military. 

The event, called “Voices of Courage: Reclaiming the Legacy of LGBTQIA+ Inclusion In the Military,” will take place from 3-5 p.m. at D.C.’s LGBTQ Crush Dance Bar at 2007 14th St., N.W. 

An announcement from the mayor’s office says the keynote speaker at the event will be Under Secretary of Defense For Personnel And Readiness Shawn G. Skelly, who will discuss “her experiences of service and the future of the LGBTQIA+ inclusion in the military.”

Skelly, a military veteran, will be joined by another veteran who will also speak at the event, Pip Baitinger, who currently serves as LGBTQIA+ Veterans Outreach and Relation Specialist in the Executive Office of the D.C. Mayor. 

The announcement says the event will also include an official reading of a proclamation to be issued by D.C. Mayor Muriel Bowser declaring Sept. 20, 2024, as LGBTQIA+ Veterans Day in Washington, D.C. 

“On this day, we honor and celebrate the LGBTQIA+ veterans who have served with honor and bravery, and we reaffirm our dedication to fostering an inclusive and respectful environment for all who have served our nation,” the mayor’s proclamation says. 

A statement from the mayor’s office says that since the “Don’t Ask, Don’t Tell” law was repealed by Congress in 2011, with the repeal bill signed by then President Barack Obama, “LGBTQ+ service members have enjoyed greater opportunities to serve authentically.”

The statement adds, “However, many transgender, intersex, nonbinary, and gender non-conforming individuals still face boundaries to serve fully authentically in the armed services.” It says the event will allow attendees to “mix and mingle” and allow “veterans, service members, and military family members with lived experiences in navigating restrictive policies to discuss the work that still needs to be done today.”

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Gender Liberation March participants rally for bodily autonomy outside Supreme Court, Heritage Foundation

‘Our bodies, our genders, our choices, our futures’

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The Gender Liberation March took place in D.C. on Sept. 14, 2024. (Washington Blade photo by Erkki Forster)

Upwards of 1,000 people gathered in D.C. on Saturday for the first-ever Gender Liberation March, rallying for bodily autonomy and self-determination outside the U.S. Supreme Court and the Heritage Foundation headquarters. 

The march brought together advocates for transgender, LGBTQ, feminist, and reproductive rights, uniting the movements to protest attacks on healthcare access and individual freedoms.

The event kicked off just after noon at Columbus Circle, outside Union Station, where organizers had set up a stage. Throughout the day, speakers such as Elliot Page, Miss Major, and Julio Torres shared personal stories and highlighted the intersectional challenges of trans rights, abortion rights, and LGBTQ rights. Raquel Willis, a core organizer of the event, outlined the broad coalition of communities represented in the Gender Liberation March. 

“This march is for the queers, and the trans folks of any age. It’s for the childless cat ladies and babies and gentlemen and gentlethem. It’s for the migrants and our disabled family. It’s for intersex folks and those living and thriving with HIV. It’s for Muslims and folks of every faith. It’s for those who believe in a free Palestine. It’s for our sex workers. It’s for our incarcerated and detained. It’s for all of us who believe there is a better way to live and love than we are today,” she told the crowd. 

Nick Lloyd, an abortion storyteller from the organization We Testify, underlined the interconnectedness of the movements by sharing his experience as a trans man who had an abortion and discussing the support he received from trans women, emphasizing the significance of “radical solidarity.”

“When we fight for liberation, we need to make sure we are fighting for liberation for all of us,” he said in his speech. 

The Gender Liberation March is organized by a collective of gender justice-based groups, including organizers behind the Women’s Marches and the Brooklyn Liberation Marches. Rachel Carmona, the executive director of the Women’s March, also addressed the importance of solidarity across movements.

She acknowledged that some within the feminist movement have questioned the inclusion of trans issues but countered this view.

“The women’s movement necessarily includes trans people,” Carmona asserted.

The march organized buses from nine East Coast cities, and many attendees arrived in D.C. in the days prior. Chris Silva and Samy Nemir Olivares left New York early that morning to make sure they could participate.

“I actually heard [about the march] from my dear friend, Samy, two weeks ago, and I got energized by the idea, and we woke up really early today to take a 5 a.m. bus and make it here this morning,” Silva said. 

At 1 p.m. the crowd began marching toward the Supreme Court on a route that also passed by the Capitol. Marchers held signs and banners proclaiming “You can’t legislate us out of existence,” and “Our bodies, our futures.”

The Supreme Court has eroded individual liberties with recent decisions such as the overturning of Roe v. Wade, and is set to hear U.S. v. Skrmetti, a case with wide-reaching implications for trans healthcare, in October. Speaking through a speaker system in front of the Supreme Court, activist Aaryn Lang urged the crowd to remain vigilant.

“We do not have the luxury of treating very real threats like a difference of opinion. It’s not that type of time. They really want us dead,” Lang said.

Republican lawmakers in state legislatures are relentlessly attacking the rights of LGBTQ people, particularly trans individuals. This year alone, 70 anti-LGBTQ laws have been signed into law, most targeting trans rights, and at least 26 states have laws or policies banning gender-affirming care, according to the Human Rights Campaign. 

From the Supreme Court, the march proceeded to the Heritage Foundation headquarters. The far-right think tank created the Project 2025 initiative, a blueprint to overhaul the federal government and attack trans and abortion rights under a potential second Trump administration. 

Marchers chanted, “Abortion rights are trans rights,” as they approached the Heritage Foundation, where DJ Griffin Maxwell Brooks and booming music received them. The crowd quickly fell into an impromptu dance party and formed a circle where marchers took turns showcasing their vogueing. Trans queer performance artist Qween Amor noted that the march was attended by a group diverse in both identity and age.

“I think it’s very empowering to see not just my generation, but also seeing younger generations coming up and finding themselves in a moment where we can be liberated together and to see a mix of intersectional identities. I think, for me, [that] lets me know that, you know, I’m alive and that there’s hope,” she told the Washington Blade. 

(Washington blade video by erkki forster)

The march then returned to Columbus Circle, where health organizations and political organizations had set up booths. Hundreds of banned books were distributed for free and all copies were claimed within two hours of the event’s start.

It was a particularly hot Saturday with temperatures reaching 87 degrees, but Columbus Circle continued to be filled with people late into the day. 

Page, known for his roles in films and series such as “Juno” and “The Umbrella Academy,” drew a large crowd when he took the stage to speak about his journey as a trans man. 

“When I was finally able to step back from the squirreling, foreboding, the self-battering, and torment, the messages to lie and hide grew faint. I was able to listen, at last, to embrace myself wholly. And goodness, do I want that feeling for everyone,” he said. “I love being trans. I love being alive, and I want everyone to have access to the care that has changed my life. So let’s fight for it.”

Máxima Mauricio Rodas, a transgender Latina activist and sex worker, participates in the Gender Liberation March that took place in D.C. on Sept. 14, 2024. (Washington Blade photo by Erkki Forster)
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D.C. officials monitoring Mpox outbreak in Africa for possible local impact

New, more potentially fatal strain declared global health emergency

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(Photo courtesy of the Centers for Disease Control and Prevention)

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 dose 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 late 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. 

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