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LGBTQs at high risk for COVID-19 – but where’s the data?

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The California state Capitol went blue Monday night to show love for healthcare workers.

One month ago, the whole world changed as the novel coronavirus quickly became a global pandemic. On March 13, President Trump finally ordered a national state of emergency but told the states they were responsible for the frontline reaction, including medical equipment, protection and hospital beds. There was no federal plan for mass testing, though Trump had received ample early warning about the potential for a pandemic, according a bombshell New York Times report.

As NPR reported April 13, Trump’s promises during his emergency announcement have gone largely unfulfilled.

The nation’s governors took action in the vacuum Trump’s magical thinking created around the virus. “It’s going to disappear,” Trump said Feb. 27.

California Gov. Gavin Newsom, who declared a state of emergency on March 12, set in motion a series of actions, including ordering social distancing, shutting down schools and non-essential businesses, setting up a main COVID-19 website with reliable, up-to-date information and a myriad of resources, and initiating a series of executive orders  targeting specific issues and populations to combat the novel coronavirus, for which there is no immunity, treatment, cure or vaccine.

The hope and intention of Newsom and local elected officials such as LA Mayor Eric Garcetti  and Long Beach Mayor Robert Garcia, is to flatten the curve of new infections to find and control the virus through testing, quarantining, isolating and finding contacts of those infected.

On April 7, Newsom signed an order to expand support for vulnerable populations, identified as older adults and vulnerable young children. But early data indicate that  COVID-19 is not the “great equalizer” as more blacks and Latinos contract and die from the virus; they are twice as at risk than whites in New York City.

He addressed the disparities during his daily briefing. “A lot of attention is appropriately being placed as it always must be placed on the issue of disparities,” he said. “Those issues preceded this crisis and they continue to persist even within this crisis.” He cautioned that, at least in California, the only data so far has been collected from less than half of the confirmed cases.

The latest statewide coronavirus numbers that day, April 8, were 16,957 cases with 442 deaths.

Five days later, on April 13, the state reported 22,348 cases with 687 deaths. Meanwhile, Los Angeles County reported that there were 9,420 cases in the county, including 779 new cases over the preceding 48 hours, with 320 total deaths.

LA county has also started publishing information about race and ethnicity of the COVID-19 deaths. The data for April 12: “for 240 people (85 percent of the cases); 33% of deaths occurred among Latinx residents, 32% among White residents, 19% among Asian residents, 14% among African American residents, and 2% among residents identifying with other races.”

No public official has clearly identified LGBTQ COVID-19-related deaths, though Newsom has at least talked briefly about LGBTQ people and has implemented at least one LGBTQ-specific resource.

On April 4, Newsom was asked by the Los Angeles Blade if the state’s response met the specific health and economic needs of LGBTQ Californians, especially those living with HIV and LGBTQI+ residents solely dependent on the gig economy. The governor noted that it was a “point of pride” for him to proactively address those needs.

“Yeah, from across the spectrum — from addressing homeless youth — particularly in LA County, so the answer is ‘yes.’ From an LGBTQ perspective but also from a geographical perspective. And from an age perspective, as it relates to finding more federal resources for housing opportunities for LGBTQ youth and adults. Look, I come from San Francisco, 5th generation, it’s a point of deep pride when we talk in terms of cultural competency- neighborhood by neighborhood,” Newsom said.

“The history of the HIV epidemic searing the consciousness of our health care delivery focus — again a bottom-up focus, and yeah, of course that extended to Dr. Fauci, who is very familiar to the folks in San Francisco and within the LGBTQ community as being one of our heroes decades ago, in terms of how he met that moment and he spoke truth in that moment. So, the answer is absolutely ‘yes’– point of pride for me as a former mayor of San Francisco, who’s deeply attached to the needs and desires and aspirations and the health of our LGBTQ community,” he added.

On April 7, Newsom talked about the importance of managing stress and promoted new resources for emotional support and well-being on the COVID19.CA.GOV  website, including helping lines directed to LGBTQ people in distress.

Newsom said at his briefing:

“We are struggling, as you know, as a nation to address the needs of our LGBTQ youth, in particular. The state of California bears a unique responsibility to do more and better than any other part of the nation to address those needs – and we’ve done so through policy, through advocacy, and through highlighting those challenges.

 

LA County, in particular, has been a leader. The number of LGBTQ youth – homeless youth – disproportionately is represented in LA County.

 

And so, we look at the world, not through the lens of one size fits all but through the competency lens and the unique needs and the unique challenges that reside within the LGBTQ community. And not just in the community writ large, but specifically on the basis of age, as well.

 

So know that is a big part of our agenda, a big part of our focus, a big part of the reason we’ve been so aggressive in terms of these Helplines, these Teen Crisis lines – they include specific resources on that COVID19.ca.gov website – specific resources and hotlines for the LGBT community. Know we’re going to do everything in our power to continue to support incredible organizations, non-profit associations, community centers, as we recover from this crisis because they disproportionally will be bearing the brunt of those that are particularly in need for a multitude of reasons and issues.”

The Emotional health resources page includes:

Hotlines if you need to talk to someone 

If you are feeling overwhelmed with sadness, depression, or anxiety, or feel like you want to harm yourself or others, you can call the National Suicide Prevention Hotline at 1-800-273-8255.

There are additional resources available if you are in crisis:

They also list specific resources:

  Trevor Project: Call 1-866-488-7386 or text START to 678678 for 24/7 information and suicide prevention resources for LGBTQ youth.

  Lesbian, Gay, Bisexual and Transgender National Hotline: Call 1-800-273-8255from 1pm – 9pm for support, information or help finding resources.

  Victims of Crime Resource Center: Call or text 1-800-842-8467 or chat online for information about LGTBQ rights, legal protections, and local resources.

The issue is more dire than public and elected officials recognize.

“Over the past week, the number of calls, chats, and texts from LGBTQ youth to The Trevor Project’s 24/7 crisis services have spiked to double our normal call volume. Mentions of the pandemic have increased more than 60 times over the last month. In fact, 25% of our conversations with LGBTQ youth are now about COVID-19,” says Amit Paley, CEO & Executive Director of The Trevor Project in an email last week.

The LGBTQ community was facing an existential threat before COVID-19. The Trump administration has erased, revoked or rolled back LGBTQ progress toward full equality and has wantonly unleashed anti-LGBTQ forces to strip or undermine state protections.

Meanwhile, anti-LGBTQ forces use old tropes to scapegoat the community. The Rev. Ralph Drollinger, bible study coach for Trump’s Cabinet, wrote a “wrath of God” screed on his Capitol Ministries blog March 21 that he subsequently told NBC News in an email was misinterpreted and not anti-LGBTQ. Drollinger said he does not “believe that homosexuality played any role whatsoever in the coronavirus.” But here’s a key citation:

No wonder there was a spike in hate crimes last month.

But other than statistics on hate crimes and HIV/AIDS and data collected by the Williams Institute and some organizations’ specific issue surveys, LGBTQ people still do not exist as an identifiable minority demographic. LGBTQ people exist as donors and voters and cool kids on TV but somehow do not exist in real life – otherwise the LGBTQ COVID-19 cases and death toll would be of equal importance with gender, race and ethnicity.

In fact, under the Obama administration, LGBTQs did matter. In June 2011, as part of the Affordable Care Act, the nation’s healthcare system had an edict from then-US Health and Human Services Sec. Kathleen Sebelius to collect LGBTQ healthcare data.

This reporter repeatedly brought the Sebelius order to the attention of then-LA County Public Health Director Jonathan Fielding in 2013 when the county was accused by AIDS Healthcare Foundation of being “indifferent” to the LGBTQ community after the county failed to sound the alarm about a meningitis outbreak in which two of four gay men who contracted meningitis in a four-month period died.

Fielding acknowledged that the county started tracking sexual orientation data in November of 2012 but did not connect the dots between the four gay men and meningitis until slammed by AHF.

So what happened? Was LGBTQ healthcare data collection killed after Trump was elected? Why would LA County in the state with the nation’s largest LGBTQ population decide such data was no longer significant? On whose orders?

Recently health professionals have warned of a potential “explosion” of the coronavirus in black, brown, Native American and other minority communities.

And experts responded.

“We cannot have a colorblind policy,” Stephen Thomas, director of the University of Maryland’s Center for Health Equity, told Politico. “With a colorblind policy — ‘Hey, we’re all in this together’ — we’ll be left with an explosion of Covid-19 concentrated in racial and ethnic minority communities.”

But on March 11, the National LGBT Cancer Network and GLMA: Health Professionals Advancing LGBTQ Equality were distributed an open letter from more than 100 organizations specifying how COVID-19 could impact LGBTQ communities with vulnerabilities and underlying medical conditions. For instance: 37% of LGBTQ adults smoke every day compared to 27% of non-LGBTQ people; 21% of LGBTQ people have asthma, compared to 14% of non-LGBTQ people.

“At the same time, like our colleagues who joined the open letter, we call on public health officials to ensure the LGBTQ community is considered and included in the public health response to COVID-19 based on potential risk factors that exist in our community,” wrote GLMA President Scott Nass, MD, MPA.

No one seemed to care.

State Sen. Scott Wiener and Assemblymember Todd Gloria, Chair and Vice-Chair of the California Legislative LGBTQ Caucus respectively, pushed the issue, sending an April 10 letter to Newsom asking the state to begin collecting data regarding the impacts of COVID-19 on the LGBTQ community.

“Right now, the LGBTQ community is incredibly vulnerable to both the health and economic impacts of coronavirus. Many LGBTQ individuals work in sectors that are deeply impacted by COVID-19, and LGBTQ individuals are more likely to be immunocompromised due to HIV/AIDS and other health issues,” Weiner wrote in a press release. “And LGBTQ youth are more likely to experience homelessness. We need to collect data on how COVID-19 is impacting the LGBTQ community, or we won’t be able to get the support we need. We are asking Governor Newsom to ensure the state and California counties are collecting relevant data to make sure we can understand the breadth of the impacts COVID-19 will have on our community, so we can allocate appropriate public health and economic resources.”

“Data collection allows us to answer pertinent questions and evaluate outcomes. It is more important than ever that data is gathered on all communities, including sexual orientation and gender identity, race, disability status and more,” Gloria said. “The more data that can be collected will only better help resources be appropriated to communities with the greatest needs.”

LGBTQ people live a multi-layered, nuanced existence across all demographics. As the Williams Institute at UCLA School of Law noted, an estimated 162,300 LGB and 9,000 transgender people age 65 and older live in California and are at high risk for serious illness from COVID-19. Additionally, LGBT people have intense housing instability with higher rates of poverty, lower rates of homeownership and higher rates of homelessness – and face widespread discrimination.

The Los Angeles Blade has repeatedly tried to ask public officials about the health and economic fallout in the LGBTQ community during the crisis.

Rep. Adam Schiff responded. “One thing this virus is teaching us is that nobody is invincible, not even the healthiest or youngest amongst us,” Schiff said. “And when our mayors and governors tell us that they need us to stay at home to lower the rate of infection and flatten the curve, it’s important to follow their advice. That means we must all practice social distancing by connecting with friends, loved ones and even potential dates online, rather than in person, until this virus is under control.”

Newsom, Garcetti (early on) and Long Beach Mayor Robert Garcia have also responded to inquiries from LA Blade – and West Hollywood City Councilmember John Duran does daily briefings on Facebook – but LA County Dept. of Public Health has not responded to email requests to the communications department nor has an LGBTQ question been taken during the county’s daily briefings — despite the desperate need for attention and specific resources.

“St. John’s is continuing to see 500-600 trans patients each month,” Jim Mangia, the out director of St. John’s Well Child and Family clinics, told the Los Angeles Blade recently. “Dozens of trans patients have presented with [COVID-19] symptoms in the last two weeks. It’s taking 5-14 days to get test results back – but we’ve already had one trans patient who has tested positive for COVID.” St. John’s is on the frontlines and they don’t have the tools they need to protect their workforce and patients from the spread of the virus.

Chela Demuir, President and Executive Director of the LA-based Black Trans organization, The Unique Woman’s Coalition, recently held a virtual town hall with Dr. Nina Harawa, an Epidemiologist from UCLA.

“We’ve launched an emergency relief fund to offset challenges community may be dealing with,” Demuir told the Blade. “We’re also in the process of actively raising funds to support this fund via CASH APP @theuwcofficial. We’re a small organization doing our part to pitch in. Donations go directly to community members in dire need of emergency assistance.”

Bamby Salcedo, founder of [email protected] Coalition, and coalition partners Michae Pulido, Ebony Ava Harper and Thomi Clinton also held a video conference for the trans, gender non-conforming and intersex communities. They are pushing for an emergency fund to address many of their issues, especially given a pre-COVID-19 high unemployment rate of 29% and “likely” poverty.

“COVID-19 is a setback to all LGBTQ organizations but it’s a disaster for us,” Salcedo writes in an open letter circulated April 8. “TGI people are not part of discussions on how to address LGBTQ needs.  For instance, we provide shelter to members of our community in our own places (if we have one) and we feed our people even when we do not have food to feed ourselves.”

Salcedo adds: “We need for our siblings in philanthropy to step up to the plate and demonstrate that the principles of humanity and equity are a real driving factor in funding decisions. TGI people want to believe that ‘we are in this together’ building a world that we all want to live in.”

And like the multiple communities within the LGBTQ community, the [email protected] Coalition has lost dear activist friends to COVID-19, such as Lorena Borjas.  (Portrait courtesy Michaé @_singenero via Salcedo)

And the deep need goes on.

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Coronavirus

CDC backtracks and releases new guidance on facial masks

CDC’s mask guidance recommends fully vaccinated people wear masks indoors when in areas with “substantial” & “high” transmission of Covid-19

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The Centers for Disease Control and Prevention Headquarters Building and Campus in Atlanta, GA (Blade file photo)

ATLANTA – The Centers for Disease Control and Prevention, citing increasing concern around the fast-spreading and highly contagious delta variant on Tuesday, reversed its earlier mask guidance to specifically target areas of the country with the highest levels of the coronavirus and recommended that everyone in those areas, vaccinated or not, wear a mask as the delta variant continues to spread rapidly across the U.S.

“CDC recommends localities encourage universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status,” the CDC announced. “Children should return to full-time in-person learning in the fall with proper prevention strategies are in place.”

The White House issued a statement from President Joe Biden which read in part:

“Today’s announcement by the CDC—that new research and concerns about the Delta variant leads CDC to recommend a return to masking in parts of the country—is another step on our journey to defeating this virus. I hope all Americans who live in the areas covered by the CDC guidance will follow it; I certainly will when I travel to these areas.

Today, the CDC also reaffirmed that we can safely reopen schools this fall—full time. Masking students is inconvenient, I know, but will allow them to learn and be with their classmates with the best available protection.

Most importantly, today’s announcement also makes clear that the most important protection we have against the Delta variant is to get vaccinated. Although most U.S. adults are vaccinated, too many are not. While we have seen an increase in vaccinations in recent days, we still need to do better.”

The CDC’s mask guidance that recommends fully vaccinated people wear masks indoors when in areas with “substantial” and “high” transmission of Covid-19 includes nearly two-thirds of U.S. counties.

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Coronavirus

State employees & health care workers must show proof of vaccination

Newsom blasts ‘right-wing echo chamber’ for vaccine misinformation & claimed individuals refusing the vaccine are similar to drunk drivers.

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California Governor Gavin Newsom (Blade file photo)

SACRAMENTO – As the Delta variant continues to surge driving coronavirus case numbers higher, Governor Gavin Newsom in a press conference Monday announced California is implementing a first-in-the-nation standard to require all state workers and workers in health care and high-risk congregate settings to either show proof of full vaccination or be tested at least once per week.

“We are now dealing with a pandemic of the unvaccinated, and it’s going to take renewed efforts to protect Californians from the dangerous Delta variant,” said Newsom. “As the state’s largest employer, we are leading by example and requiring all state and health care workers to show proof of vaccination or be tested regularly, and we are encouraging local governments and businesses to do the same. Vaccines are safe – they protect our family, those who truly can’t get vaccinated, our children and our economy. Vaccines are the way we end this pandemic.” 

The new policy for state workers will take effect August 2 and testing will be phased in over the next few weeks. The new policy for health care workers and congregate facilities will take effect on August 9, and health care facilities will have until August 23 to come into full compliance.

 

Despite California leading the nation in vaccinations, with more than 44 million doses administered and 75 percent of the eligible population having received at least one dose, . This increase is heavily due to the Delta variant, which is more contagious and kills people faster:

  • As of last week, California’s statewide case rate more than quadrupled from a low in May of 1.9 cases/100,000/day to at least 9.5 cases/100,000. 
  • The testing positivity was at a low of 0.7 percent in June, now it has risen to 5.2 percent. 
  • Hospitalizations were at a low in June of under 900, and the state numbers are now approaching 3,000. 
  • The vast majority of new cases are among the unvaccinated, with 600 percent higher case rates among the unvaccinated than for those who are vaccinated.

“California has administered more vaccines than any other state, with 75 percent of those eligible having gotten at least one dose, and we were weeks ahead of meeting President Biden’s 70 percent goal. But we must do more to fight disinformation and encourage vaccine-hesitant communities and individuals,” said California’s Health and Human Services Secretary Dr. Mark Ghaly. “The Delta variant is up to 60 percent more infectious than the Alpha strain but many times more infectious than the original COVID-19 strain. If you have been waiting to get vaccinated, now is the time.”  

Appearing on MSNBC, Newsom aggressively lashed out at some conservatives after being asked what the governor attributed to those 25% of Californians who remain unvaccinated. Newsom responded by saying he credited “[an] overwhelming majority of misinformation by right-wing pundits.

California to require vaccinations or frequent testing of state workers:

Appearing on MSNBC and CNN, Newsom claimed that individuals who refused to take the vaccine posed a risk to the public similar to drunk driving.

“It’s like drunk drivers, you don’t have the right to go out and drink and drive and put everybody else at risk including your own life,” the governor said.

Newsom also denounced high-profile conservatives, including Fox News host Tucker Carlson. In a harsh exchange on Twitter, Newsom aggressively put down an attack by Georgia Rep. Marjorie Taylor Greene (R) a noted QAnon and conspiracy afficando:

In addition to these new measures, the state continues its efforts to vaccinate Californians. Last week, California surpassed 2 million newly vaccinated individuals since launching its incentive program, Vax for the Win. The program increased HPI Q1 vaccinations, and increased doses administered to the Latinx population by 10 percent. It also successfully slowed the rate of decline that California was experiencing in vaccination rates.

The program’s peak showed a 33 percent increase in vaccinations, “outpacing the inoculation trends in much of the country,” including more recently a 4.4 percent increase for the week ending July 14 – a promising sign in California, as vaccination rates declined nationwide. 

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Coronavirus

Fauci says CDC may now back masks as Delta variant explodes

Caused by the Delta variant, 40% of all cases reported in the United States occurred in three states, Texas, Missouri and Florida.

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WASHINGTON – Dr. Anthony Fauci told CNN’s Sunday morning political talk show “State of the Union” that he’s taken part in conversations about the U.S. Centers for Disease Control and Prevention altering its masking guidelines, which he described as being “under active consideration.”

Fauci, the chief medical advisor to President Joe Biden, also acknowledged that in some jurisdictions where infection rates are surging are already mandating individuals to wear masks in public regardless of their vaccination status. He added those mandates are not incompatible with the CDC’s recommendation that the vaccinated don’t need to wear masks in public.

CNN’s Jake Tapper pointed out that in the most recent surge caused by the Delta variant, 40% of all coronavirus cases reported in the United States occurred in three states, Texas, Missouri and Florida. Tapper and Fauci both noted that the sudden explosion in COVID-19 was primarily caused by those Americans, 12-years-old and older who remained unvaccinated.

Politico reported that the Republican governor of Arkansas on Sunday said resistance to the coronavirus vaccine “has hardened” in some areas of the state, blaming the hesitancy on “false information” and “myths.”

“I don’t know if I underestimated it, but, certainly, the resistance has hardened in certain elements, and is simply false information,” Gov. Asa Hutchinson said in an interview on CNN’s “State of the Union.”

“It is myths. As I go into these town hall meetings, someone said: Don’t call it a vaccine. Call it a bioweapon. And they talk about mind control,” Hutchinson said. “Well, those are obviously erroneous. Other members of the community correct that.”

Delta Variant Fuels Surge Of New Cases Across U.S.

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