Connect with us

District of Columbia

D.C. officials monitoring Mpox outbreak in Africa for possible local impact

New, more potentially fatal strain declared global health emergency

Published

on

(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 cityā€™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.

ā€œD.C. Health is monitoring the situation very closely and taking the necessary steps to ensure preparedness,ā€ according to a statement released by D.C. Health to the Washington Blade

ā€œWe have treated over 300 patients with Mpox, with most of the cases occurring in 2022,ā€ a statement released on Sept. 9 by Whitman-Walker Health says. ā€œWe continue to see sporadic cases, with 11 cases in the last year,ā€ 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-Walkerā€™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 ā€”  referred to as clade 2 Mpox.

ā€œWe have not seen any cases recently or cases we believe to be due to the clade 1 outbreak occurring in Africa,ā€ Benda told the Blade. ā€œWe have been able to treat patients with Mpox through use of tecovirimat obtained from the CDC through their expanded access program.ā€

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. 

ā€œWe 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,ā€ Whitman-Walkerā€™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, ā€œCurrently, there is no recommendation for more than two doses in most people.ā€ 

The statement adds, ā€œThose 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 ā€“ 10 years depending on the nature of their work.ā€

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. 

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

District of Columbia

NYC Council candidate advocates for LGBTQ refugees

Edafe Okporo fled homophobic violence in Nigeria eight years ago

Published

on

Edafe Okporo at the Amica Center for Immigrant Rights' 25th anniversary celebration at the National Museum of Women in the Arts in D.C. on Sept. 26, 2024. (Photo by Sam Levin)

Edafe Okporo, an author and immigrant rights activist, on Sept. 26 headlined the 25th anniversary celebration of the Amica Center for Immigrant Rights, a nonprofit providing legal services to immigrants facing detention and deportation, at the National Museum of Women in the Arts.

Before taking the stage to read from his book ā€œAsylum: A Memoir and Manifesto,ā€ Okporo spoke to the Washington Blade about his experiences as an asylum seeker and the challenges faced by LGBTQ refugees in the U.S.

ā€œImmigration detention centers are jails, but special jails for migrants,ā€ Okporo, who is running for New York City Council, said. 

In 2016, he was detained in an immigration detention center in Elizabeth, N.J., for more than five months. He had fled to the U.S. from his home country of Nigeria ā€” which in 2014 criminalized same-sex relationships with penalties of up to 14 years in prison ā€” after being beaten unconscious by a group of people who broke into his apartment and dragged him out onto the street. They had targeted him for helping found an LGBTQ rights organization. 

He had imagined the U.S. as a place of safety and refuge, but after informing immigration officers he was seeking asylum, he was detained in a cell with 44 other inmates while officials evaluated his asylum plea.

He eventually won asylum with the help of immigration attorneys, but once he was released from detention, he initially experienced homelessness and a deep sense of isolation.Ā 

ā€œIn detention centers,ā€ Okporo explained, ā€œitā€™s hard for you to be able to have a sense of connection to American society.ā€

Today, he is the executive director of Refuge America, a nonprofit that aims to limit the time LGBTQ refugees like himself spend in detention centers by organizing Americans sponsors to secure housing and other needs before their arrival. Prior to founding the organization, he was the director of the RDJ shelter, New York City’s only full-time refuge for asylum-seekers and refugees. 

Okporo noted that integrating into life in America can be especially challenging for LGBTQ refugees, many of whom come from countries where they had to hide their sexual orientation or gender identity. This often makes it difficult for them to open up and seek the services they need.

ā€œThey are thinking within the hierarchy of needs. ā€˜Can I tell the service provider that Iā€™m gay?ā€™ Then, ā€˜Can I tell them Iā€™m HIV positive?ā€™ Then, ā€˜Can I tell them that I need testosterone hormones?ā€™ā€ Okporo said.

He explained that the immigrant communities refugees might seek out for support might not be accepting of LGBTQ people. At the same time, however, the LGBTQ community in the U.S. ā€œis very white-centric, especially in the coastal areas,ā€ he said, contributing to a broader sense of isolation for some LGBTQ immigrants.

Through his work at the RDJ shelter and Refuge America, Okporo has been helping LGBTQ immigrants integrate into U.S. society. However, he noted that the scale of these organizationsā€™ efforts is limited due to the fact that the “political narrative in America frowns upon immigration.”

ā€œThe narrative on immigrants is very toxic,ā€ he said. ā€œWe have a presidential candidate who is anti-immigrant, and even the mayor of New York City is using ā€˜migrants versus New Yorkers.ā€™ā€

New York City Mayor Eric Adams, who was indicted on federal corruption charges last week, called for the rollback of some of the cityā€™s ā€œsanctuaryā€ policies that protect migrants accused of crimes from being turned over to federal authorities, including Immigration and Customs Enforcement officers, in February. 

Okporo is running to represent District 7, which includes the Manhattan neighborhoods of Washington Heights and West Harlem ā€” where the RDJ shelter is located ā€” in the 2025 New York City Council elections. He aims to make housing more affordable and address the needs of New York Cityā€™s significant immigrant population in the council.

ā€œThey say representation is one of the best ways to lift up issues. We donā€™t have anyone in city hall right now who has an understanding of what it is to come to America and build a life in New York City. I hope to bring that diversity and perspective to city council,ā€ he said. 

In the section of the book he read from at the Amica Centerā€™s celebration, he reflects on feeling ā€œutterly alone in America,ā€ when he first arrived. 

But eight years later, following protests by advocacy groups against the detention center where Okporo was held, the facility is poised to close. And Okporo has found his community in New York City, sharing dinner with fellow gay immigrants and playing soccer with others on Sunday mornings. 

ā€œAs a foreigner who came to America, I was able to build a life here, and people see me, people support me ā€” people want me to succeed. That gives me a sense of like, there is a reason to continually go on,ā€ he said. ā€œAnd that is what I try to do with my work, to show others that they too, should go on.ā€

Continue Reading

District of Columbia

Trans employee awarded $930,000 in lawsuit against D.C. McDonaldā€™s

Jury finds franchise failed to stop harassment, retaliation by staff

Published

on

Diana Portillo Medrano, second from right, joins her legal team from the law firm Correia & Puth outside D.C. Superior Court on Aug. 15. From left to right are paralegal Claudia Inglessis, attorney Andrew Adelman, Medrano, and attorney Jonathan Puth. (Photo courtesy of Correia & Puth)

A D.C. Superior Court jury on Aug. 15 ordered a company that owned and operated a McDonaldā€™s restaurant franchise in Northwest Washington to pay $930,000 in damages to a transgender employee who charged in a lawsuit that she was subjected to discrimination, harassment, and retaliation because of her gender identity in violation of the D.C. Human Rights Act.

The lawsuit, which was filed in January 2021 by attorneys representing Diana Portillo Medrano, says Medrano was first hired to work at the McDonaldā€™s at 5948 Georgia Ave., N.W. in 2011 as a customer service representative and was recognized  and promoted for good work until she began to transition as a trans woman two years later.

It says she was fired in 2016 after she filed a discrimination complaint with the D.C. Office of Human Rights on grounds that she did not have legal authorization to work in the U.S. as an immigrant from El Salvador. One of her attorneys, Jonathan Puth, said the jury agreed with the lawsuitā€™s allegation that the reason given for the firing was a ā€œpretextā€ and the real reason was retaliation for her discrimination complaint.

Puth said evidence was presented during the eight-day civil trial that the McDonaldā€™s had knowingly hired other immigrant employees who did not have legal authorization to work and never held that against them.

ā€œDespite a successful five-year career with McDonaldā€™s marked by raises, promotions, and awards and absence of discipline, Plaintiff Diana Medranoā€™s supervisors and co-workers subjected her to a barrage of taunts, laughter, ridicule, and harassment because she is a transgender woman,ā€ the lawsuit states.

ā€œManagers and supervisors routinely referred to her as male despite her expressed request that they respect her gender identity as female, encouraging co-workers to harass her relentlessly in like fashion,ā€ it says.Ā ā€œWhen she complained to her managers, they claimedĀ Ithat the harassment was justified because she hadnā€™t legally changed her name,ā€ the lawsuitā€™s complaint continues.

ā€œAfter she formalized and elevated her complaints, Defendants fired her on pretextual grounds. Defendants discriminated against Ms. Medrano because of her gender identity and retaliated against her in violation of the District of Columbia Human Rights Act,ā€ the lawsuit complaint states.

The lawsuit names as defendants International Golden Foods LLC and MCI Golden Foods LLC, two companies based in Burke, Va. that it says were owned and operated by Luis Gavignano, who is also named as a defendant in the lawsuit. The lawsuit says the two companies held the franchise rights to own and operate the McDonaldā€™s where Medrano worked.

The Washington Bladeā€™s attempts to reach a spokesperson for the two companies and for Gavignano as well as two of the attorneys that represented them in contesting the lawsuit through email and phone messages were unsuccessful. 

In a nine-page written answer to the lawsuit filed Feb. 12, 2021, on behalf of International Golden Foods, which is referred to as IGF, attorneys Amy M. Heerink and Kelvin Newsome dispute the allegations that Medrano was targeted for discrimination and harassment because of her gender identity.

The written answer to the complaint highlights the companyā€™s claim that Medrano was fired because she didnā€™t have legal authority to work in the U.S. It refers to the companyā€™s personnel official, Carla Vega, who informed Medrano that she could no longer work for the McDonaldā€™s outlet.

ā€œIGF admits that Ms. Vega informed Plaintiff that her employment had to be terminated due to Plaintiffā€™s voluntary and unprompted statement during the investigation that she was not authorized to work in the United States,ā€ the written answer to the lawsuit states. ā€œIGF admits that Plaintiffā€™s employment was terminated based on her ineligibility to work in the United States,ā€ it says.

ā€œThe jury clearly found that IGF continually used unauthorized employees, hired and employed unauthorized workers knowingly,ā€ Puth, Madranoā€™s attorney, told the Blade. ā€œAnd they never fired anyone for that reason at any of their stores except for Diana,ā€ Puth said.

ā€œAnd so, the jury found that the reason given was a pretext for retaliation,ā€ he said. ā€œThat was what was motivating them. They were motivated to retaliate against her because she kept complaining about discrimination.ā€

Puth noted that Medrano initially filed her complaint with the D.C. Office of Human Rights and was represented at that time by an attorney with Whitman-Walker Healthā€™s legal clinic. He said Whitman-Walker later referred her to his law firm, Correia & Puth, after determining the case could not be resolved at the Office of Human Rights.

The juryā€™s verdict of $930,000 in damages included $700,000 in punitive damages and $230,000 in damages for the emotional distress Medrano suffered due to the discrimination and harassment to which she was subjected.

A statement released by the law firm representing her says the action by the jury is believed to be the first jury verdict in a transgender employment discrimination case under the D.C. Human Rights Act.

Attorney Puth and his law firm partner, attorney Andrew Adelman, were the attorneys of record representing Medrano in her lawsuit.Ā 

 ā€œWhen you are sure of what you have experienced, no matter how much time passes, the truth will come to light,ā€ Medrano said in the statement released by her attorneys. ā€œOur truth is our best weapon to achieve justice,ā€ she said. ā€œIt is truth, justice, and faith in God that have helped me get here.ā€

In his law firmā€™s statement, Puth called the juryā€™s verdict a vindication of Medranoā€™s 11-year battle for her legal rights.

ā€œDiana is our hero,ā€ he said. ā€œShe stood up for her rights in the face of terrible harassment and kept fighting even after she was fired for doing so. This verdict puts other employers on notice that tolerating harassment of transgender employees is both unlawful and costly.ā€

Puth said earlier this year Medrano was approved for U.S. political asylum based on discrimination and harassment she faced in El Salvador. He said she is currently working full-time as a counselor for Empoderate, an LGBTQ health organization providing services for the Latina/Latino community that is affiliated with the D.C.-based La Clinica del Pueblo.

Continue Reading

District of Columbia

Man charged with assaulting gay men in D.C.ā€™s Meridian Hill Park acquitted

Defense lawyer argued victims misidentified defendant

Published

on

Meridian Hill Park (Washington Blade photo by Michael Key)

A U.S. District Court jury in D.C. on Sept. 27 found a Virginia man not guilty of multiple charges that he assaulted five men, four of whom he believed to be gay, with pepper spray between 2018 and 2021 in D.C.ā€™s Meridian Hill Park, which is also known as Malcolm X Park.

The verdict came a little over two years after a federal grand jury handed down an indictment charging Michael Thomas Pruden, 50, with five counts of assault on federal park land, one count of impersonating a federal officer, and a hate crime designation alleging that he assaulted four of the men because of their perceived sexual orientation. 

The indictment states, and witnesses at the trial testified, that Meridian Hill Park is well known as a ā€œcruisingā€ place where men seek out other men for consenting sexual encounters during nighttime hours. 

“Michael Thomas Pruden frequented Meridian Hill Park after nightfall on multiple occasions, including those described below, assaulted men in Meridian Hill Park by approaching them with a flashlight, giving them police-style commands, and spaying them with a chemical irritant,ā€ the indictment states. The indictment was handed down by a federal grand jury on June 29, 2022. 

Court records show that Pruden was arrested two weeks later on July 14, 2022, in Norfolk, Va., where he was living at that time. Records show he had been living in Oxon Hill, Md., at the time he allegedly committed the assaults in Meridian Hill Park.

Reports surfaced at the time of Pruden’s arrest that he is a former Maryland elementary school teacher.  

Prudenā€™s lead attorney, Alexis Morgan Gardner, who is an assistant federal public defender, argued during the trial that Pruden himself is a gay man who regularly visited Meridian Hill Park. She told the jury that Pruden was misidentified as the perpetrator in the attacks by each of the victims who testified that they recognized Pruden as their attacker. 

The two lead prosecutors in the case, Assistant U.S. Attorneys Andrew Cherry and Timothy Visser, argued that each of the victims who testified at the trial identified Pruden as the person who sprayed them with pepper spray after shining a flashlight in their eyes. The prosecutors pointed out that during an investigation of the assaults by the U.S. Park Police, each of the victims identified Pruden from an array of photos that included photos of several other men and Pruden.

The prosecutors noted that Meridian Hill Park is among the federal parks in D.C. that U.S. Park Police oversee.

The victims testified that their attacker identified himself as a police officer or a security guard and gave them police-like commands to leave the park on grounds that it is closed to the public after nightfall.

But during intense cross examination of the victims on the witness stand, Gardner argued that each of their accounts of the attacks during their trial testimony conflicted with statements they made to police or FBI agents, who also became involved in the investigation, at the time they were interviewed by either police or the FBI during the investigation. 

At one point during Gardnerā€™s questioning one of the victims, Carl Williams, Williams yelled at Gardner, angrily saying he believed the police reports of his account of what happened were inaccurate in some of the details and that his statements during his trial testimony were the correct version of what happened at the park on the night he says he was assaulted by Pruden. 

ā€œIā€™m not sure what I may have said,ā€ he told Gardner while testifying. ā€œI did not say it the way it was written,ā€ he said, referring to a police report that Gardner told the jury had conflicting information from what Williams said when he was questioned by one of the prosecutors on the witness stand. 

Gardner also pointed out that Williams himself has been charged and convicted of violating park rules at Meridian Hill Park by going there at night when it was legally ā€œclosedā€™ to the public. 

The juryā€™s verdict came on the second day of its deliberations and after U.S. District Court Judge Jia M. Cobb instructed the jury that, as in all criminal cases, they should not render a verdict of guilt unless they believe the evidence presented by the government proved the defendant committed the crimes beyond a reasonable doubt. 

Prudenā€™s acquittal on Sept. 27 marked the second time he has been acquitted by a jury in a trial on charges that he targeted gay men for assault in a park. 

In September 2021, a U.S. District Court jury in Alexandria, Va., found him not guilty of a charge of assault with a dangerous weapon for allegedly pepper spraying and striking in the head with a tree branch a man in Daingerfield Island park in Alexandria. That park is also known as a gay male cruising site. 

Federal court records in Virginia show that the Daingerfield Island assault took place on March 21, 2021, five days before the D.C. grand jury indictment against Prudent says he allegedly assaulted the fifth victim in the Meridian Hill Park attacks on March 26, 2021.

During the trial in the Meridian Hill case, Cherry and Visser argued that any inconsistencies between the testimony by the victims and their statements to police investigators two years or more earlier did not change the overall evidence that proved beyond a reasonable doubt that Pruden committed each of the offenses he was charged with. 

The juryā€™s decision to acquit Pruden on all charges indicates jurors believed Gardner and co-defense attorney Courtney Millian from the Office of the Federal Public Defender for D.C. provided sufficient evidence that prosecutors did not prove their case beyond a reasonable doubt. 

Gardner did not respond to a request from the Washington Blade for comment on the juryā€™s verdict.

Although the U.S. Attorneyā€™s Office for D.C. almost always issues a press release announcing a jury conviction in cases that it prosecutes, in this case spokesperson Patricia Hartman said no statement would be released. 

ā€œWe respect the juryā€™s decision,ā€ Hartman told the Blade.

Continue Reading
Advertisement
Advertisement

Sign Up for Weekly E-Blast

Follow Us @washblade

Advertisement

Popular