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D.C. health officials quiet meningitis fears

22 cases have been reported in New York City since 2010

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Saul Levin, gay news, Washington Blade

Dr. Saul Levin (Washington Blade photo by Michael Key)

D.C. health officials maintain they have not seen an increase in meningitis cases amid growing concerns over a potential epidemic in New York City.

ā€œThe District of Columbia Department of Health closely monitors meningitis cases in the District,ā€ Dr. Saul Levin, interim director of the D.C. Department of Health, said in a statement. ā€œWhile we have not seen an increase from meningitis, as a public health official and physician, I strongly recommend people living with HIV or those that travel to the New York area frequently, consult with their physician regarding a meningitis vaccination.ā€

Levin’s statement came after the New York City Department of Health and Mental Hygiene noted four new cases of meningitis among men who have sex with men have been reported since the beginning of the year. The DOHMH said 22 meningitis cases have been reported in the five boroughs since 2010 with seven of them fatal.

New York City officials recommended MSM who ā€œregularly have intimate contact with other menā€ they met online, through an app or at a bar or party receive a meningitis vaccine. The New York State Department of Health on March 25 expanded the list of those whom they said should receive the vaccine to include MSM with HIV/AIDS and those who have engaged in the aforementioned activities since Sept. 1, 2012.

ā€œThe City Council is working with the Health Department to make sure that New Yorkers know how to protect themselves from invasive meningococcal disease,ā€ New York City Council Speaker Christine Quinn said. ā€œWhile the rise in cases of the disease commonly known as meningitis is concerning, particularly for men who are HIV-positive or who have sex with men, vaccines and treatments are available.ā€

GMHC last month offered two free meningitis vaccine clinics with the New York City Department of Health and Mental Hygiene. It also echoed city health officialsā€™ recommendations that any MSM of any HIV status who is at least 18 years old and has had intimate contact with a man since last September (or plan to have such interactions in the future) should get vaccinated.

Ray Martins, chief medical officer of Whitman-Walker Health, told the Washington Blade his organization typically doesnā€™t stock the meningitis vaccine because it is not commonly used outside of those who need to have it before they attend college.

Whitman-Walker can order it and receive it the next day for anyone who requests it. Health insurance companies typically cover the vaccine, but it costs between $100-$150 for those who are uninsured.

ā€œWe havenā€™t encouraged a vaccine at all,ā€ Martins said. ā€œThere have been a number of personal patients at Whitman-Walker whoā€™ve requested it.ā€

Headaches, fever and a stiff neck are the most common symptoms associated with meningitis. It is spread through respiratory droplets or oral secretions, and the incubation period is typically between three and seven days.

ā€œ[If youā€™ve] shared a cup with someone, youā€™d be at high risk or if you coughed within three feet of someone for a long period of time youā€™d be at risk,ā€ Martins said. ā€œPeople in the same household, roommates or intimate sexual contact are those who are typically more at risk.ā€

Martins spoke with the Blade three days after Brett Shaad, an attorney from West Hollywood, Calif., died from meningitis at a Los Angeles hospital.

His best friend, Cory B. Savage, denied media reports that Shaad attended the annual White Party in Palm Springs before he developed meningitis symptoms. He also strongly criticized West Hollywood City Councilman John Duranā€™s comments during a Friday press conference that he said suggested the disease is ā€œa gay disease.ā€

ā€œEveryone is treated for meningitis when they go to college, so this is not a new bacteria,ā€ Savage told the Blade. ā€œThis is something thatā€™s very commonly known.ā€

Martins echoed this message.

ā€œItā€™s not a gay disease,ā€ he said. ā€œIt just happens to be spreading in the gay community.ā€

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Commentary

Asian American and LGBTQ: A Heritage of Pride

May is Asian American, Native Hawaiian and Pacific Islander Heritage Month

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Glenn D. Magpantay (Photo courtesy of Glenn D. Magpantay)

Asian Americans and Pacific Islanders (APIs) are the nationā€™s fastest growing racial minority group by 2040, one in 10 Americans will be of Asian ancestry. And, while many Americans think that anti-Asian hate and racism towards Asian Americans has disappeared, the community disagrees.

The Asian American Foundation which found that Asian Americans are continually subjected to hate, violence, and discrimination, baldly reveals that disparity. 

  • 33 percent of Americans think hate towards Asian Americans has increased in the past year, compared to 61 percent of Asian Americans themselves.
  • In the past year, 32 percent of Asian Americans across the country reported being called a racial slur; 29 percent said they were verbally harassed or verbally abused.
  • Southeast Asian Americans report even higher incidences of being subject to racial slurs (40 percent), verbal harassment or abuse (38 percent), and threats of physical assault (22 percent).
  • Many Asian Americans live in aĀ state of fear and anxiety withĀ 41 percentĀ of Asian American/ Native Hawaiian/Pacific Islander (AANHPI) believing they will likely be the victims of a physical attack dueĀ to their race, ethnicity, or religion. These numbers are disturbing.Ā Ā 

I serve as the only Asian American Pacific Islander member on the U.S. Commission on Civil Rights. And, I am the first and only queer AAPI on the U.S. commission. I am deeply honored to both serve my country and represent my Asian Americans and Pacific Islander community.    

Last year, the commission investigatedĀ the Federal Response to Anti-Asian Racism in the United States. With congressional authorization, the report documented the experiences of AANHPIs in the U.S. since the dubbing of COVID-19 as the “China Virus” infecting people with the “Kung Flu” by government leadership. Words matter, as this report shows.

This report has a deep personal connection for me. I am the survivor of a hate crime of 25 years ago for being gay, and the victim of a hate crime for being Asian 25 months ago 

The Stop AAPI Hate Coalition reported that bias incidents against individuals who are Asian and lesbian, gay, bisexual, transgender or queer (LGBTQ) were most prominent between 2019 and 2022, highlighting the intersectional nature of these incidents. For example, two transgender Asian women stated: 

ā€œI was with my new boyfriend at a restaurant. When we walked in the server started calling me names ā€¦ a b—h, ch—k, tra—i.e. ā€¦ He said I have a big fat p—s, and told me to go back to China. Then my boyfriend proceeded to walk in the restaurant and when I took a step forward, the server hit me, so I left.ā€Ā 

ā€œLeft a restaurant with friends in the Asian district of town. A man began to follow me calling out ā€˜Hey you fā€”got c—k!ā€™ and ā€˜Come here you virus!ā€™ I began to walk fast towards a crowd until he stopped following me.ā€

To address these and other equally appalling experiences, I helped shepherd the bipartisan Commission on Civil Rights recommendations to the president, Congress, and the nation that: 

  • Prosecutors and law enforcement should vigorously investigate and prosecute hate crimes and harassment against Asian Americans, as well as Asian Americans who are LGBTQ.
  • First responders should be trained to understand what exactly constitutes a hate crime in their jurisdiction, including the protections of LGBTQ people.
  • Federal, state, and local law enforcement and victim services should identify deficiencies in their programs for individuals with limited English proficiency

Greater language access will make an enormous impact for the Asian American community as one in five Asian individuals speak a language other than English at home. A third (34 percent) is limited English proficient. The most frequently spoken languages are Chinese, Korean, Vietnamese, Tagalog, Thai, Khmer, Bengali, Gujarati, Hindi, and Punjabi.   

For me, this report comes full circle. Since 1988, Iā€™ve lobbied for passage of LGBTQ-inclusive federal and state laws to prevent hate crimes. Since 2001, I’ve supported South Asian and Muslim victims of post 9/11 violence. In response to the shootings at the Pulse nightclub in Orlando, Fla, in 2016; Atlanta Spa in Georgia in 2021; and Club Q in Colorado Springs, Colo., in 2022, Iā€˜ve trained over 3,000 lawyers, law students, and community leaders on hate crimes law.Ā Ā 

And yet, our work is not yet done. 

May is Asian Pacific American Heritage Month. June is LGBTQ Pride Month. Despite these challenges, we are resilient. Let us join together in celebrating our Heritage of PrideĀ 

Glenn D. Magpantay, Esq., is a long-time civil rights attorney, professor of law and Asian American Studies, and LGBTQ rights activist. Glenn is a founder and former Executive Director of the National Queer Asian Pacific Islander Alliance (NQAPIA). He is principal at Magpantay & Associates: A nonprofit consulting and legal services firm. In 2023, the U.S. Senate (majority) appointed Glenn to the U.S. Commission on Civil Rights to advise Congress and the White House on the enforcement of civil rights laws and development of national civil rights policy. 

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Health

CDC issues warning on new ‘deadlier strain’ of mpox

WHO says epidemic is escalating in Congo

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JYNNEOS mpox vaccine (Photo courtesy of the CDC)

The Centers for DiseaseĀ Control and Prevention has issued a health advisory regarding a deadlier strain of theĀ Mpox virus outbreakĀ which is currently impacting the Democratic Republic of Congo.

According to the CDC, since January 2023, DRC has reportedĀ more than 19,000 suspect mpox cases and more than 900 deaths.Ā The CDC stated that the overall risk to the U.S. posed by theĀ clade I mpox outbreakĀ is low.

The risk to gay, bisexual, and other men who have sex with men who have more than one sexual partner and people who have sex with men, regardless of gender, is assessed as low to moderate the agency stated.

While no cases of that subtype have been identified outside sub-Saharan Africa so far, the World Health Organization said earlier this week that the escalating epidemic in Congo nevertheless poses a global threat, just as infections in Nigeria set off the 2022 outbreak according to a WHO spokesperson.

The spokesperson also noted that as Pride Month and events happen globally, there is more need for greater caution and people to take steps at prevention including being vaccinated.

The CDC advises that while there are no changes to the overall risk assessment, people in the U.S. who have already had mpox or are fully vaccinated should be protected against the type of mpox spreading in DRC. Casual contact, such as might occur during travel, is not likely to cause the disease to spread. The best protection against mpox is two doses of the JYNNEOSĀ vaccine.

The CDC also noted the risk might change as more information becomes available, or if cases appear outside DRC or other African countries where clade I exists naturally.

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Journalists are not the enemy

Wednesday marks five years since Blade reporter detained in Cuba

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The Hungarian Parliament in Budapest, Hungary, on April 4, 2024. Prime Minister Viktor OrbƔn and his government over the last decade has cracked down on the country's independent media. (Washington Blade photo by Michael K. Lavers)

Wednesday marked five years since the Cuban government detained me at Havana’s JosĆ© Marti International Airport.

I had tried to enter the country in order to continue the Washington Blade’s coverage of LGBTQ and intersex Cubans. I found myself instead unable to leave the customs hall until an airport employee escorted me onto an American Airlines flight back to Miami.

This unfortunate encounter with the Cuban regime made national news. The State Department also noted it in its 2020 human rights report.

Press freedom and a journalist’s ability to do their job without persecution have always been important to me. They became even more personal to me on May 8, 2019, when the Cuban government for whatever reason decided not to allow me into the country.  

Washington Blade International News Editor Michael K. Lavers after the Cuban government detained him at Havana’s JosĆ© Marti International Airport on May 8, 2019. (Washington Blade photo by Michael K. Lavers)

‘A free press matters now more than ever’

Journalists in the U.S. and around the world on May 3 marked World Press Freedom Day.

Reporters without Borders in its 2024 World Press Freedom Index notes that in Cuba “arrests, arbitrary detentions, threats of imprisonment, persecution and harassment, illegal raids on homes, confiscation, and destruction of equipment ā€” all this awaits journalists who do not toe the Cuban Communist Party line.” 

“The authorities also control foreign journalistsā€™ coverage by granting accreditation selectively, and by expelling those considered ‘too negative’ about the government,” adds Reporters without Borders.

Cuba is certainly not the only country in which journalists face persecution or even death while doing their jobs.

ā€¢ Reporters without Borders notes “more than 100 Palestinian reporters have been killed by the Israel Defense Forces, including at least 22 in the course of their work” in the Gaza Strip since Hamas launched its surprise attack against Israel on Oct. 7, 2023. Media groups have also criticized the Israeli government’s decision earlier this month to close Al Jazeera’s offices in the country.

ā€¢ Wall Street Journal reporter Evan Gershkovich, Washington Post contributor and Russian opposition figure Vladimir Kara-Murza and Radio Free Europe/Radio Liberty’s Alsu Kurmasheva remain in Russian custody. Austin Tice, a freelance journalist who contributes to the Post, was kidnapped in Syria in August 2012.

ā€¢ Reporters without Borders indicates nearly 150 journalists have been murdered in Mexico since 2000, and 28 others have disappeared.

The Nahal Oz border crossing between Israel and the Gaza Strip on Nov. 21, 2016. Reporters without Borders notes the Israel Defense Forces have killed more than 100 Palestinian reporters in the enclave since Hamas launched its surprise attack against Israel on Oct. 7, 2023. (Washington Blade photo by Michael K. Lavers)

Secretary of State Antony Blinken in his World Press Freedom Day notes more journalists were killed in 2023 “than in any year in recent memory.”

“Authoritarian governments and non-state actors continue to use disinformation and propaganda to undermine social discourse and impede journalistsā€™ efforts to inform the public, hold governments accountable, and bring the truth to light,” he said. “Governments that fear truthful reporting have proved willing to target individual journalists, including through the misuse of commercial spyware and other surveillance technologies.”

U.S. Agency for International Development Administrator Samantha Power, who is a former journalist, in her World Press Freedom Day statement noted journalists “are more essential than ever to safeguarding democratic values.” 

“From those employed by international media organizations to those working for local newspapers, courageous journalists all over the world help shine a light on corruption, encourage civic engagement, and hold governments accountable,” she said.

President Joe Biden echoed these points when he spoke at the White House Correspondents’ Association Dinner here in D.C. on April. 27.

“There are some who call you the ‘enemy of the people,'” he said. “Thatā€™s wrong, and itā€™s dangerous. You literally risk your lives doing your job.”

I wrote in last year’sĀ World Press Freedom Day op-edĀ that the “rhetoric ā€” ‘fake news’ and journalists are the ‘enemy of the people’ ā€”Ā thatĀ the previous president and his followers continue to use in order to advance an agenda based on transphobia, homophobia, misogyny, islamophobia, and white supremacyĀ has placed American journalists at increased risk.” I also wrote the “current reality in which we media professionals are working should not be the case in a country that has enshrined a free press in its constitution.”

“A free press matters now more than ever,” I concluded.

That sentiment is even more important today.

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