While a large fraction of those infected in current global outbreak identify as gay or bisexual men, Brooks noted that there is no correlation between the identity and the illness. In response to a question from a conference call guest, John Brooks, leader of the CDC’s epidemiology research team, emphasized that anyone can develop and spread monkeypox infection. Though they have over 100 million doses of that vaccine, McQuiston said, they would be less likely to use that at scale given its side effect profile.
A second vaccine, ACAM2000, is an older smallpox vaccine that holds some potentially significant side effects. The CDC currently has about 1,000 doses of a two-dose vaccine to prevent monkeypox infection, though they will be building up that stockpile in the coming weeks. There is currently a strategic national stockpile of vaccines for the family of viruses that cause monkeypox, with two different vaccines available, a CDC official named Jennifer McQuiston told reporters on Monday’s conference call.
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Until very recently, TV and film whitewashed HIV/AIDS. While some media reports of the current outbreak might tie the spread to gay and bisexual men, it’s important to note that, as recently as 2003, the United States experienced a monkeypox outbreak related to the handling of prairie dogs in mostly midwestern states like Wisconsin, Illinois and Indiana.
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The rash typically begins as small bumps on the skin and progresses to blisters filled with a white fluid. Those infected often experience a rash one to three days later. Symptoms include fever, headache, muscle aches and exhaustion for a few days after infection. In a conference call on Monday, officials at the CDC emphasized that close physical contact led to transmission and disavowed the idea that casual proximity, such as the kind that might happen in a grocery store, could not facilitate transmission. Transmission can also occur from direct contact with bodily fluids, lesions or contaminated items including clothing and bedding. Person-to-person exchange of the virus can occur through respiratory droplets during “prolonged face-to-face contact,” according to NBC News.
The first case in humans was diagnosed 12 years later in 1970. Monkeypox belongs to the same virus of families as smallpox and was first discovered among lab monkeys in 1958. That perception of HIV as a white gay illness remains with us to this day, as the majority of HIV-related media continues to highlight white gay men. In 2012, Gottlieb told PBS called the decision not to mention race was “an omission on our part,” which understates how monumental it truly was.
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Nor were those five white gay men the full story of the epidemic's beginning: According to the doctor who recorded those cases, Michael Gottlieb, the CDC completely excluded two other patients with the same symptoms - a Black gay man and a Haitian man. Even that beginning is not true, given that the first recorded AIDS-related death in the United States was the death of a Black gay teen named Robert Rayford in 1969, an account that has received relatively little attention compared to the CDC's official report. Many consider the anniversary of the HIV epidemic to be the CDC’s 1981 report identifying five white gay men with pneumocystis pneumonia. The effects of these incomplete narratives harken back to the beginning of the AIDS epidemic as well.
Though the WHO says the outbreak is primarily spreading through sex, and infections could be traced back to what some outlets have sensationally described as “sex at two European raves,” the organization has been trying to stem the potential for homophobic coverage by reminding people of two things: Monkeypox is not a sexually transmitted disease - it is spread by very close contact - and just because an illness affects a population, does not mean that population should be blamed. These cases represent just a small fraction of the 80 global cases that have been recently identified, mostly concentrated in European countries.Įarly identified cases of these instances of monkeypox were concentrated in gay and bisexual men, according to the Associated Press, which later reported that World Health Organization (WHO) officials had linked the cases to two queer events in Europe, one a Canary Islands Pride celebration in Spain and the other a Belgian fetish festival called Darklands. On Saturday, a New York City resident tested positive for the virus that causes monkeypox. As of May 18, the first United States-based case was confirmed in a Massachusetts man who had recently traveled to Canada. In the past week, several cases of monkeypox, a virus with flu-like symptoms that is rarely seen outside the African countries where it is endemic, were reported in the United States.