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ALERT: Meningitis outbreak, LA County urges vaccination

Slow response by officials risks lives

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Gay and bisexual men and people who are HIV-positivetake this warning very seriously.

Friday afternoon, Los Angeles County Public Health issued a press release reminding men who have sex with men that “they may be at increased risk for invasive meningococcal disease (IMD) and therefore need to be vaccinated. Public Health reports that there have been 28 outbreak-associated cases of meningococcal disease since March 2016 in Southern California. Meningococcal disease is a rare, but serious disease that can lead to swelling in the brain and spinal cord, loss of a limb, deafness, brain damage or even death.”

Of the 28 people diagnosed, the latest was identified one week ago. One person died earlier this year, though the County has not yet provided statistics on how many of the 28 patients were LGBT.

Meningococcal disease “can be spread to others through the respiratory secretions of people who carry the bacteria without symptoms in their nose and throat. Meningococcal disease can start with flu-like symptoms, and progress to high fever, headache, stiff neck, confusion and rash. People who experience these symptoms should seek medical care immediately,” the County reports.

Meningitis is transmitted casually, through the air in closed quarters such as when someone sneezes and through saliva such as kissing or sharing drinks, utensils, food, toothbrushes, joints or cigarettes.

”The upcoming Pride festivities are a great time to remind those at risk for meningococcal disease to get vaccinated,” Jeffrey Gunzenhauser, MD, MPH, Los Angeles County Interim Health Officer, said in a press release. “Because this vaccine is highly effective against this disease, we want to make it as easily available as possible for those who need it.”

There is also an outbreak of mumps, in LA County involving over 40 patients. “[H]ealth officials said most of the patients are men who have sex with men, and the majority of the cases were linked to patients being at large venues such as gyms, bars, theaters and nightclubs. Some of the patients are women and heterosexual men who have social connections to men who have sex with men, health officials noted,” the LA Daily News reported.

“Mumps typically begins with a few days of fever, headache, myalgia, fatigue, and anorexia followed by development of salivary gland swelling, pain, and tenderness.”

Regarding meningitis, the County says: “Vaccinations can also be obtained from your healthcare provider and in select pharmacies. Call your provider or pharmacy or visit http://publichealth.lacounty.gov/ip for more information.

Public Health clinics provide vaccines for all people at higher-risk for Invasive Meningococcal Disease, regardless of health insurance status. Those who do not have a regular health care provider or health insurance that covers vaccines can call the LA County Information Line at 2-1-1 for referrals to providers offering vaccines at no-cost or a reduced cost.

The following locations offer free meningococcal vaccinations for all people at higher-risk (please call to confirm availability):

APLA Health – Gleicher/Chen Health Center 3743 S. La Brea Ave, Los Angeles 90016, 323-329-9900
APLA Health – Long Beach Health Center 1043 Elm Ave., Suite 302, Long Beach, CA 90813, 562-247-7740
Los Angeles LGBT Center 1625 N. Schrader Blvd, Los Angeles, 90028, 323-993-7500
AHF Wellness Center – West Adams 2146 W. Adams Blvd, Los Angeles 90018, 888-836-5946
AHF Wellness Center – Hollywood 1300 N. Vermont Ave, Suite 407, Los Angeles 90027, 866-339-2525
AHF Wellness Center – San Fernando Valley 4940 Van Nuys Blvd, Suite 200, Sherman Oaks 91403, 866-625-4559
Central Health Center –  241 N. Figueroa Street, Los Angeles 90012, 213-240-8204
Hollywood/Wilshire Health Center – 5205 Melrose Avenue, Los Angeles 90038, 323-769-7800
North Hollywood Health Center – 5300 Tujunga Avenue, North Hollywood 91601, 818-766-3982
Pomona Health Center –  750 S. Park Avenue, Pomona 91766, 909-868-0235
Antelope Valley Health Center – 335-B East Avenue K6, Lancaster 93535, 661-723-4526

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AIDS and HIV

$48 million earmarked for HRSA centers in effort to beat HIV/AIDS

“Community health centers are often a key point of entry to HIV prevention and treatment services, especially for underserved populations”

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The Hubert H. Humphrey Building, HHS headquarters Washington D.C. (Photo Credit: U.S. GSA)

WASHINGTON – The Biden administration has awarded more than $48 million in allocations earmarked to medical centers under Health Resources & Services Administration in localities with high incidents of HIV infection as part of the initiative to beat the disease.

Xavier Becerra, U. S. Secretary of Health and Human Services, in a statement said that the contributions are key component of the initiative, which is called “Ending the HIV Epidemic in the U.S.” and seeks to reduce new infections by 90 percent by 2030.

“HHS-supported community health centers are often a key point of entry to HIV prevention and treatment services, especially for underserved populations,” Becerra said. “I am proud of the role they play in providing critical services to 1.2 million Americans living with HIV. Today’s awards will ensure equitable access to services free from stigma and discrimination, while advancing the Biden-Harris administration’s efforts to ending the HIV/AIDS epidemic by 2025.”

The $48 million in government spending allocations went to HRSA centers 71 HRSA-supported health centers across 26 states, Puerto Rico and D.C. — areas identified with the highest rates of HIV infections — to expand HIV prevention and treatment services, including access to pre-exposure prophylaxis (PrEP) as well as outreach and care coordination, according to HHS.

The Ending the HIV Epidemic was set up under the previous administration, which made PrEP a generic drug after an accelerated effort and set a goal of beating HIV by 2030. Biden has continued the project, after campaigning on beating HIV a full five years earlier in 2025. Observers, however, are skeptical he can meet that goal.

Diana Espinosa, acting administrator for the Health Resources and Services Administration, (HRSA) said in a statement the $48 million will go a long way in reaching goals to beat HIV/AIDS.

“We know our Health Center Program award recipients are well-positioned to advance the Ending the HIV Epidemic in the U.S. initiative, with a particular focus on facilitating access to PrEP, because of their integrated service delivery model,” Espinosa said. “By integrating HIV services into primary care, and providing essential enabling services like language access or case management, HRSA-supported health centers increase access to care and improve health outcomes for patients living with HIV.”

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Coronavirus

LA County requiring vax proof for indoor bars & nightclubs by Oct. 7

Participants and workers at outdoor “mega events” with more than 10,000 attendees must provide proof of vax or show a recent negative test

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Photo Credit: County of Los Angeles

LOS ANGELES – The Los Angeles County Department of Public Health announced Wednesday that it will begin requiring verification of vaccination in select high-risk settings by October 7.

During a Los Angeles County Board of Supervisors meeting Wednesday, L.A. County Health Director Barbara Ferrer told the supervisors that vaccine verification will be required for customers and employees at indoor portions of bars, wineries, breweries, night clubs, and lounges.

The modified Health Officer Order would require customers and employees at bars, breweries, wineries, night clubs and lounges to have at least one dose of the vaccine by October 7 and both doses by November 4.

Public Health will require vaccination verification or a negative test within 72 hours prior to attending outdoor mega events. Participants and workers at outdoor “mega events” with more than 10,000 attendees must provide proof of vax or show a recent negative test.

Attendees at indoor mega events are already required to show proof of vaccination or a negative test result prior to entry. 

Los Angeles County Department of Public Health officials are prepared to move forward with the updated order later this week, Ferrer said.

“This modified health officer order aligns with the continued need to reduce risk for transmission and increase vaccination coverage,” Ferrer said. “This is a reasonable path forward that can position us to be better able to break the cycle of surges.”

She noted that while the health order won’t require it, Public Health will recommend that restaurants also begin verifying vaccination status for indoor dining.

“As evidence mounts affirming the safety and effectiveness of COVID-19 vaccines, vaccination mandates are an increasingly important tool to prevent future COVID surges that cause widespread suffering. The modified Health Officer Order aligns with the continued need to reduce risk for transmission and increase vaccination coverage; this is a reasonable path forward that can position us to be better able to break the cycle of surges,” Ferrer added.

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Coronavirus

LAUSD to require vaccines- Biden lays out new plan to require vaccines

“The COVID-19 vaccines are safe, effective & requiring students to be vaccinated is the strongest way to protect our school community.”

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Photo Credit: Los Angeles Unified School District

LOS ANGELES – The Los Angeles Unified School District announced Thursday that it will require for students 12 and older who are attending class in person to be vaccinated against the coronavirus.

The LAUSD Board of Education voted, 6-0, to pass the measure making it the first major school system, the second largest in the United States to require its more than 460,000 students, including some enrolled at independent charter schools located in LAUSD owned buildings, to be vaccinated.

Interim superintendent, Megan Reilly, said at Thursday’s board meeting that student vaccination was one way to ensure that the district’s classrooms would be able to remain open. Los Angeles had some of the country’s most extended school closures last year. All students ages 12 and up will be required to be fully vaccinated by Jan. 10, 2022, unless they have a “medical or other exemption,” Reilly noted.

The science is clear — vaccinations are an essential part of protection against COVID-19,” Reilly said in a statement following the vote. “The COVID-19 vaccines are safe, effective and requiring eligible students to be vaccinated is the strongest way to protect our school community.”

New York Times educational journalist Dana Goldstein tweeted:

As the Delta variant brought another wave of COVID-19 infections this summer, in California the number of unvaccinated young people being hospitalized has increased in certain areas of the state.

The Los Angeles County Department of Public Health noted that while case rates increased among children in all age groups between mid-July and mid-August, cases have declined by about 30% in all age groups among children (0-4, 5-11, and 12-17 years old) over the past two weeks.

The decrease is similar to the decreases we are seeing in cases among adult residents and occurred as many schools reopened with testing, masking, infection control and outbreak management protocols in place.  Over the past week, children under 18 comprised, on average, 27% of all cases seen in L.A. County.

Among L.A. County teens 12 to 17 years old, more than half of whom are vaccinated, we see just how powerfully protective the vaccines really are. As of August 28, the case rate among unvaccinated 12 to 17-year-olds was 424 cases among every 100,000 unvaccinated children in this age group compared with 51 cases among 100,000 of those vaccinated.

Among groups ineligible for vaccination, the case rate was 130 per 100,000 children aged 0 to 4, and 230 per 100,000 children aged 5 to 11.

As of September 5, 62% of L.A. County residents 12 to 15 years old received at least one dose of vaccine, while 51% were fully vaccinated. Sixty-nine percent of residents 16 to 17 years old received at least one dose, and 59% were fully vaccinated.

In K-12 school settings countywide, between August 15 and September 7, 7,784 student cases and 1,250 staff cases were reported, with the vast majority occurring at LAUSD, which tests everyone weekly.

The second highest number of cases came from other K-12 schools in L.A. County. With more than 1.5 million students and 175,000 staff countywide (by last year’s counts), 0.5% of the student body and 0.7% of staff have become infected since school districts reopened.  This is slightly higher than the 0.4% rate of infection experienced overall in the County.

“We support the actions taken by the Los Angeles Unified School District and other schools and school districts to add an additional layer of protection at schools through a sensible school vaccine requirement for eligible students,” said Barbara Ferrer, Director of Public Health.

“Vaccination remains one of the quickest and most powerful ways to decrease community transmission and prevent serious illness, which helps keep students, teachers, and staff in school, and the COVID-19 vaccines have proven to be safe and effective. Public Health will continue to work closely with school districts as they take critical actions to protect students and staff from a dangerous and highly infectious virus,” said Ferrer.

Battle over vaccinations and mask wearing has become so acrimonious in some parts of the country it is not unusual to see fistfights breaking out at school board meetings and law enforcement agencies effecting arrests as those who are adamantly opposed to coronavirus safety protocols protest, sometime violently, measures designed to protect the risk of infection by the COVID-19 virus.

As school boards weigh their options in implementation, in one highly publicized and now viral moment, anti-maskers in Rutherford County Schools in Tennessee at a school board meeting attacked a teen student who had lost a grandparent to the pandemic.

At the White House Thursday, President Joe Biden addressed the nation on his plans to implement plans to address the shortfall in the number of Americans who are vaccinated.

Many of us are frustrated with the nearly 80 million Americans who are still not vaccinated, even though the vaccine is safe, effective, and free,” the President acknowledged. 

This is a pandemic of the unvaccinated.  And it’s caused by the fact that despite America having an unprecedented and successful vaccination program, despite the fact that for almost five months free vaccines have been available in 80,000 different locations, we still have nearly 80 million Americans who have failed to get the shot

And to make matters worse, there are elected officials actively working to undermine the fight against COVID-19.  Instead of encouraging people to get vaccinated and mask up, they’re ordering mobile morgues for the unvaccinated dying from COVID in their communities.  This is totally unacceptable,” Biden argued. 

The President then took direct aim at officials and others who in his eyes who have blocked progress saying; “These pandemic politics, as I refer to, are making people sick, causing unvaccinated people to die.” 

President Joe Biden (Official White House photo by Adam Schultz)

Biden laid out the steps he was going to order to combat the lack of vaccinations in the nation.

I’m announcing that the Department of Labor is developing an emergency rule to require all employers with 100 or more employees, that together employ over 80 million workers, to ensure their workforces are fully vaccinated or show a negative test at least once a week. Some of the biggest companies are already requiring this: United Airlines, Disney, Tysons Food, and even Fox News,” he said.

He announced vaccination requirements for all nursing home workers who treat patients on Medicare and Medicaid and then expanded those requirements to include those who work in hospitals, home healthcare facilities, or other medical facilities –- a total of 17 million healthcare workers.

The President then said he would sign an executive order requiring all executive branch federal employees to be vaccinated as well as another executive order that will require federal contractors to do the same.

As part of his plan Biden said that the Department of Labor will require employers with 100 or more workers to give those workers paid time off to get vaccinated.  “No one should lose pay in order to get vaccinated or take a loved one to get vaccinated,” he said.

The President then noted; “And my message to unvaccinated Americans is this: What more is there to wait for?  What more do you need to see?  We’ve made vaccinations free, safe, and convenient. The vaccine has FDA approval.  Over 200 million Americans have gotten at least one shot.”

We’ve been patient, but our patience is wearing thin.  And your refusal has cost all of us.  So, please, do the right thing.  But just don’t take it from me; listen to the voices of unvaccinated Americans who are lying in hospital beds, taking their final breaths, saying, “If only I had gotten vaccinated.”  “If only,” he said. 

Biden also addressed the future availability of vaccines for children under 12 and schools.

Now, if you’re a parent of a young child, you’re wondering when will it be — when will it be — the vaccine available for them.  I strongly support an independent scientific review for vaccine uses for children under 12.  We can’t take shortcuts with that scientific work

Now to the schools.  We know that if schools follow the science and implement the safety measures — like testing, masking, adequate ventilation systems that we provided the money for, social distancing, and vaccinations — then children can be safe from COVID-19 in schools.

Today, about 90 percent of school staff and teachers are vaccinated.  We should get that to 100 percent.  […] And tonight, I’m calling on all governors to require vaccination for all teachers and staff.  Some already have done so, but we need more to step up,” Biden said.

The President castigated local and state officials he viewed as an impedimentg to winning the fight against the virus;

Let me be blunt.  My plan also takes on elected officials and states that are undermining you and these lifesaving actions.  Right now, local school officials are trying to keep children safe in a pandemic while their governor picks a fight with them and even threatens their salaries or their jobs.  Talk about bullying in schools.  If they’ll not help — if these governors won’t help us beat the pandemic, I’ll use my power as President to get them out of the way. 

The Department of Education has already begun to take legal action against states undermining protection that local school officials have ordered.  Any teacher or school official whose pay is withheld for doing the right thing, we will have that pay restored by the federal government 100 percent.  I promise you I will have your back,” he stated.

Addressing the increasing violence against mask wearing and other simple measures Biden noted;

In addition to testing, we know masking helps stop the spread of COVID-19.  That’s why when I came into office, I required masks for all federal buildings and on federal lands, on airlines, and other modes of transportation,” he said.

Today — tonight, I’m announcing that the Transportation Safety Administration — the TSA — will double the fines on travelers that refuse to mask.  If you break the rules, be prepared to pay.  And, by the way, show some respect.  The anger you see on television toward flight attendants and others doing their job is wrong; it’s ugly,” he added.

 







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