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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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Monkeypox

Supervisor Hahn to host Downey & Long Beach vax pop-ups

“This vaccine is critical to keeping people safe from the MPOX virus and I want to make it as easy as possible for people to get vaccinated”

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Supervisor Hahn's Mpox vaccine pop-up at Hamburger Mary's in Long Beach (Photo Credit: Office of Supervisor Janice Hahn)

DOWNEY, Ca – Los Angeles County Supervisor Janice Hahn will host a series of Mpox vaccine pop-up clinics outside of bars in Downey and Long Beach this coming weekend. These follow a successful Mpox vaccine pop-up that the Supervisor held outside of Hamburger Mary’s in Long Beach earlier this month, where 67 people received a dose.

“This vaccine is critical to keeping people safe from the MPOX virus and I want to make it as easy as possible for people to get vaccinated,” said Supervisor Hahn. “I am partnering with the LA County Department of Public Health, Long Beach Public Health, and the City of Downey to bring these pop-up vaccine clinics to places where people spend their free time and that are considered safe spaces by the LGBTQ+ community.”

Muevelo Fridays is an LGBTQ+ Latino dance party held once a week at The Epic Lounge in Downtown Downey. Falcon and Falcon North are well-established bars serving Long Beach’s LGBTQ+ community. The Falcon is located on East Broadway, home to several other gay bars that attract people from across the region.

“We appreciate that the Supervisor listens to community concerns, especially when it comes to public health, and we’re grateful that she’s using her resources at the county level to bring the mobile testing unit to Downey,” said Downey Councilman Mario Trujillo, who worked with Supervisor Hahn’s office to bring the pop-up to Downey on Friday. “We invite Downey residents and residents from surrounding communities to take advantage of the unit that’s being brought locally for their benefit.”

The vaccine pop-ups are carried out using a cargo van mobile unit. Supervisor Hahn purchased one of these mobile vans to bring COVID-19 vaccines to communities across her district.

On-site vaccination staff are employees of the Los Angeles County and Long Beach public health agencies.             

What:  Supervisor Janice Hahn Mpox vaccine pop-ups

Details:

Friday, September 23, 8pm to 10:30pm
Muevelo Fridays
The Epic Lounge
8239 2nd St., Downey, CA 90241
Saturday, September 24, 8pm to 12am
Falcon
1435 East Broadway, Long Beach, California 90802
Sunday, September 25, 5pm to 9pm
Falcon North
2020 East Artesia Boulevard, Long Beach, California 90805
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Monkeypox

Racial disparities persist in monkeypox outbreak

With the racial disparity ongoing, health observers say additional efforts are needed to reach out to marginalized communities

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Dr. Demetre Daskalakis (Screenshot/YouTube White House)

WASHINGTON – 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.

Dr. 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.”

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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Monkeypox

LA County Public Health confirms first death due to Monkeypox

The patient was severely immunocompromised & hospitalized. To protect confidentiality & privacy additional information won’t be made public

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Photo Credit: County of Los Angeles

LOS ANGELES – In a press statement issued Monday afternoon, the Los Angeles Department of Public Health, along with the Centers for Disease Control and Prevention (CDC), has confirmed the first death due to monkeypox in a Los Angeles County resident. 

According to the statement the resident was severely immunocompromised and had been hospitalized. To protect confidentiality and privacy, additional information on this case will not be made public the statement added.

LA County Public Health Chief Medical Director Rita Singhal had told reporters last week during a briefing that this second possible death from monkeypox in the U.S. was under investigation.

In the first case, NBC News reported that in late August, the Texas Department of State Health Services reported that a person diagnosed with monkeypox in the Houston area had died. The patient was described in a statement as “severely immunocompromised.”

The role of monkeypox in the patient’s death was under investigation, Texas officials said at the time.

The Centers for Disease Control and Prevention said Friday that a case analysis found that 61% of people in the U.S. who have developed monkeypox also had HIV or another sexually transmitted infection or disease.

Monkeypox cases data in LA County as of September 9, 2022 showed 1,836 cases which included the cities of Long Beach and Pasadena which have separate health departments.

Los Angeles County (excl. Long Beach and Pasadena)1,722, Long Beach 92, and Pasadena 22.

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