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Global study finds pandemic exacerbates inequities for trans people

The study is one of the first of its kind to analyze the intersections of economy, mental health and gender-affirming care for trans people

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Johns Hopkins Bloomberg School of Public Health (Photograph: Johns Hopkins)


BALTIMORE – A new global study has found the coronavirus pandemic has had a disproportionate impact on transgender people’s mental health and economic stability.

The study by a team of seven researchers from the Johns Hopkins Bloomberg School of Public Health and the University Center for Public Health and Human Rights found 77 percent of respondents expected a decrease in income. And more than half of them reported losing gender-affirming resources; including surgery delays, inability to purchase beauty products and other factors. 

The study is one of the first of its kind to analyze the intersections of economy, mental health and gender-affirming care for trans people.

The team was also purposeful in making the work community-based with equitably involving queer scientists in the study, said Brooke Jarrett, an author of the study who is a queer woman of color and a doctoral candidate in epidemiology at the university. 

“I think that this topic is something that … is always lit within us,” said Jarrett. “And so whenever I see an area where there’s an opportunity to highlight, to bring out our voices, I think it’s so important to do that.”

LGBT Foundation CEO Sean Howell, who is the founder of Hornet, a global queer dating app, also served as an author of the study.

He disseminated a survey on the app, as well as on the queer dating app Her, from April to August. It received responses from 76 countries that include Turkey, Thailand and Russia. More than 900 users participated in the survey, which was translated into 13 languages.

Howell said the team was purposeful in releasing and analyzing this data during the pandemic in hopes it will point to the need for changes to help trans and non-binary people economically and health-wise. 

The study found positive screens for depression and anxiety are correlated with access to gender-affirming care, and more than 40 percent of respondents reported losing access to mental health counseling. One in six respondents also expected to lose their health insurance.

Access to these resources is essential for trans and non-binary people, said Will Beckham, a study author and a queer trans man who focuses much of his work on trans research. Beckham also serves on Johns Hopkins University’s junior faculty.

He said delays in surgeries are related to symptoms of depression and anxiety. Beckham added losing access to health services or being unable to afford haircuts, binders and other gender-affirming products also have profound negative consequences on mental health.

“It’s not elective, it can be literally life-saving for someone to get a trans-related surgery when they need it,” he said. “Policies need to change, we need to grow the awareness that trans-related surgeries are not elective, but are actually essential medical services.”

Before focusing his research on LGBTQ and trans topics, Beckham focused his work on HIV and was completing research in Tanzania when he realized he was trans. He said he came back to the U.S. to “live fully” and transition. Beckham added limited access to gender-affirming care is a crucial issue that needs to be addressed, and medical and supply chain models need to be reformed to make surgeries deemed as essential.

In addition, a third of respondents reported an inability to live openly in their gender. This could be a result of youth moving back in with unsupportive families as a result of the pandemic, which correlated to positive screens for depression and anxiety.

“They’re having to live less in their affirmed gender, which certainly has an impact on mental health,” Beckham said. “I know very well personally, having been in the closet for a while in Tanzania.”

Jarrett said virtual health interventions, like therapy apps, need to be expanded and explored as a solution to this uptick in depression and anxiety. Beckham said health systems as a whole need to be more inclusive, as well.

Researchers said economic instability is also a notable aspect of the trans experience during the pandemic, with 77 percent of respondents indicating they expected a disruption in their income. More than half of respondents also reported needing and not receiving financial aid.

Jarrett said trans people already dealt with economic instability prior to the pandemic, and “live on the margins of society economically already, especially in places where there’s a lot of stigma and discrimination.” She added those who are employed often have unstable jobs that include casual labor and factory work.

“So when a thing like COVID hits, and there was a lot of job loss, they are the people already on those margins that are the most quickly kicked out of those places and spaces,” said Jarrett. 

Jarrett and Beckham said the amount of community-based assistance popping up during the pandemic for trans people in need is helpful, such as fundraising campaigns for rent payments or giving free haircuts. But they both said there is a need for systemic solutions, such as LGBTQ organizations expanding their advocacy for trans and non-binary people.

Howell said there aren’t government entities or non-profits that have been models in trans inclusion, and this study shows that fact. He said priorities need to be more balanced to better support trans and non-binary people.

“The community has often been put as an afterthought, and I think now we have evidence of a global health crisis that further exacerbated those things,” said Howell. “We’ve known this for quite a long time. But we have to take better action because there’s human factors that are being realized, more and more.”

The research team is currently expanding on this research and beginning new research focused on partner violence, surgery delays and digital mental healthcare during the pandemic.

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California unveils digital COVID-19 vaccination records

Californians will enter into a state-owned website their name, date of birth and email or phone associated with their vaccine records

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Photo Credit: County of Los Angeles

SACRAMENTO – Officials announced Friday that the state is providing Californians with a newly created way to access their coronavirus vaccination records in a digital format.

Dr. Erica Pan, the state’s epidemiologist told reporters the new tool allows residents access to their COVID-19 vaccination records from the state’s immunization registry and includes the same information as the paper cards issued by the Centers for Disease Control and Prevention.

To access the information, Californians will enter into a state-owned website their name, date of birth and email or phone associated with their vaccine records and they will be asked to create a four-digit PIN. The record will include a QR code that users can save to their mobile phones.

With nearly 20 million people fully vaccinated in California and proof of vaccination already required in some circumstances such as travel, state health officials felt there would be demand for the tool, though it remains optional, Pan noted.

“The odds are someone is going to misplace their paper CDC card and a digital COVID-19 vaccine record provides a convenient backup,” she told reporters.

 Amy Tong, director of the state’s department of technology told reporters that businesses that use a QR scanner would see the same information as residents — their name, birthdates and vaccination details, she said. She added that businesses would not be able to store that data for future use.

The system is accessible through myvaccinerecord.cdph.ca.gov. Governor Gavin Newsom has said the digital version wouldn’t be a “passport” or a requirement.

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LA Public Health emphasizes vaccinations as pandemic guidelines relax

The County will also follow the State on lifting current travel restrictions on June 15 to align with CDC travel recommendations

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Photo Credit: County of Los Angeles

LOS ANGELES – On June 15, the state of California will be lifting most capacity limits and distancing restrictions at businesses, and Los Angeles County will align with the State in order to allow businesses to fully re-open. Specific requirements will continue for large capacity events, schools, day cares, day camps, high-risk congregant settings and health care facilities.

The County remains in the least restrictive yellow tier in the State’s Blueprint for a Safer Economy framework.

The County will also follow the State on lifting current travel restrictions on June 15 to align with CDC travel recommendations. Businesses must comply with all Cal/OSHA requirements at worksites past the June 15 reopening.

Tuesday, the State released the final blueprint tier numbers before the Blueprint for a Safer Economy program is retired next week; L.A. County’s adjusted case rate remains at 0.7 new cases per 100,000 people, and the overall test positivity rate remains at 0.4% across the county and in areas with the fewest health affirming resources.

The Los Angeles County Department of Public Health will host a Virtual Town Hall on Reopening on Thursday, June 10, at 6:00 p.m. Join the town hall to get the latest updates on the June 15 reopening of Los Angeles County. The town hall will be streamed live on Twitter, Facebook, and YouTube @lapublichealth. For more information and to submit a question, visit: tinyurl.com/AskReopeningTownHall

Public Health confirmed 13 new deaths and 186 new cases of COVID-19. Of the 13 new deaths reported Tuesday, three people that passed away were over the age of 80, six people who died were between the ages of 65 and 79 and four people who died were between the ages of 50 and 64.

To date, Public Health identified 1,245,412 positive cases of COVID-19 across all areas of L.A. County and a total of 24,404 deaths. There are 232 people with COVID-19 currently hospitalized and 16% of these people are in the ICU.

“As California reopens and most physical distancing requirements and capacity limits are lifted a week from today, it’s very important that those not vaccinated continue to take precautions,” said Barbara Ferrer, Director of Public Health.

“While we are making great progress with vaccinations in the County with 54% of L.A. County residents 16 and over fully vaccinated and 65 percent having received one dose of the vaccine, there are millions of residents who do not have protection from COVID-19. For those not yet vaccinated, and the over 1.3 million children under 12 years old, wearing a face covering remains important for preventing transmission.”

Free COVID-19 vaccines are available for everyone age 12 and older. You do not need to have health insurance and you will not be asked about your immigration status. Vaccines are offered at hundreds of locations across L.A. County. These include clinics, hospitals, pharmacies, places of worship, and mobile clinics. Many sites are open late and on weekends and no appointment needed at many locations.

To find a vaccination site near you, to make an appointment at vaccination sites, and much more, visit: www.VaccinateLACounty.com (English) and www.VacunateLosAngeles.com (Spanish). If you don’t have internet access, can’t use a computer, or you’re over 65, you can call 1-833-540-0473 for help finding an appointment, connecting to free transportation to and from a vaccination site, or scheduling a home-visit if you are homebound. Vaccinations are always free and open to eligible residents and workers regardless of immigration status.

With 12-17 year olds now eligible to receive the COVID-19 vaccine, providing accurate and important information to teens is critical. Public Health participated in a COVID Vaccine Teen Forum and helped answer some of the most popular questions from Los Angeles County teens themselves, ranging from vaccine safety to how they can talk to their parents about getting the vaccine. The forum can be seen at the following link: https://youtu.be/U7U5VnckkP0.

Through Thursday, June 10, everyone 18 and older coming to get their first vaccine or who brings a first-time vaccine recipient with them to their second dose appointment at County-run vaccination sites, L.A. City and St. John’s Well Child and Family Center sites, will have an opportunity to win a pair of season tickets to the 2021-2022 home season of either the LA Football Club soccer team or the LA Dodgers. Official rules and participating site locations can be found on the Los Angeles County Vaccination Sweepstakes page online.

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Newsom; “Vax for the Win” and LA sports teams also enter vax push

The incentives aim to give an extra nudge to those who still need to get vaccinated, especially in hard-to-reach communities

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California Governor Gavin Newsom appearing on Jimmy Kimmel Live Thursday (Screenshot via YouTube)

SACRAMENTO – California Governor Gavin Newsom announced a multi-million dollar vaccine incentive program Thursday to motivate more people to get vaccinated leading up to June 15, when the state economy is slated to fully reopen. The $116.5 million vaccine incentive program is the largest in the nation to boost vaccinations as the state prepares to fully reopen the economy June 15.

The incentives aim to give an extra nudge to those who still need to get vaccinated against COVID-19, especially those in hard-to-reach communities, while also thanking everyone who has already been vaccinated.

More than 62.8 percent of Californians aged 12+ are at least partially vaccinated, but an estimated 12 million people who are eligible still have not gotten a vaccine to protect their health and the well-being of their communities.

“Getting every eligible Californian vaccinated is how we bring our state roaring back from this pandemic,” said the Governor. “California has already made incredible progress in the fight against COVID-19, with the lowest case rates in the country, while administering millions more vaccines than any other state. But we aren’t stopping there, we’re doing everything it takes to get Californians vaccinated as we approach June 15 to help us fully reopen safely.”

California residents who have been vaccinated are already entered for cash prizes, and those who haven’t been can get inoculated for the chance to receive a $50 card and win cash prizes. “You don’t have to register to do this as is the case in other states,” Newsom said. “You’re automatically registered.”

Beginning on May 27, the next two million people who begin and complete their COVID-19 vaccination will automatically be eligible to receive a $50 prepaid or grocery card, worth a total of $100 million. It gives them the option to select from a $50 Virtual Prepaid Card (which can be spent online, in-store where major debit cards are accepted, or added to a mobile wallet to be used to shop in stores that accept mobile wallets), or a $50 grocery gift card from Kroger (which includes Ralphs, Food 4 Less and Foods Co.) or Albertsons (which includes Safeway, Albertsons, Vons, Pavilions and Andronico’s Community Markets), while supplies last.

Californians will receive a text message with an electronic prepaid card redemption code sent to their mobile phone or email address 7-10 days after their two-dose series of Pfizer or Moderna, or single dose of Johnson and Johnson. An incentive card will be held for those who start their vaccination at the launch of the program.

Those who do not have a mobile phone or email address can receive a physical card by calling 1-833-993-3873, 7-10 days after receiving their final dose. Those without a permanent address can also call to coordinate delivery.

For more information, visit COVID19.ca.gov/vax-for-the-win. To schedule an appointment to be vaccinated, visit MyTurn.ca.gov or call the CA COVID-19 Hotline at 1-833-422-4255.

Los Angeles County Department of Public Health Launches Vaccination Sweepstakes with Los Angeles Kings and Los Angeles Galaxy

In Los Angeles County, starting tomorrow, Friday, May 28, two Los Angeles County residents 18 and older who get their first vaccine or bring a person needing their first vaccine to their second dose appointment can enter to win a pair (2) of 2021-22 season tickets to the Los Angeles Kings or 2022 season tickets to the Los Angeles Galaxy.

The vaccination sweepstakes will run from Friday, May 28 to Thursday, June 3. Two residents will be awarded prizes.

Residents can book appointments or walk in to County, LA City, and St. John’s Well Child and Family clinic vaccination sites to enter.

For more information, including official rules and participating site locations, residents can visit the Los Angeles County Vaccination Sweepstakes page at: www.publichealth.lacounty.gov/media/Coronavirus/vaccine/sweepstakes.htm

Must be a Los Angeles County resident 18 years or older to enter.

Related: Jimmy Kimmel- ‘GOP Throws Out MyPillow Mike, Trump’s Crazy Memorial Day Message & Governor Gavin Newsom Sneaks In’

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