HIV-AIDS now MONKEYPOX!
2022-06-18 02:11:09 UTC
In article <rqrjvl$2vp4$***@neodome.net>
***@panix.com (Bradley K. Sherman) wrote:
Since new outbreaks of monkeypox started making headlines across
the world, we have been receiving text messages non-stop. If I
get monkeypox, will everyone know I am gay? asked one friend in
the Gulf. Another who works for an NGO in Lebanon was unsure
whether to even share news about the disease, for fear of adding
to the already intense stigma experienced by gay people across
the country. We applaud the recent statement by UNAIDS
denouncing the racist and homophobic coverage of monkeypox,
but much more is needed as a lot is at stake here.
Lets be clear upfront: monkeypox is very different from
HIV/AIDS. But as headlines link the disease to outbreaks among
men who have sex with men, the lessons we learned 40 years ago
about stigma and infectious diseases have come roaring back to
prominence.
As monkeypox moves towards the top of the international news
agenda, the world has a small window of time to get it right,
and prevent the same mistakes that fuelled HIV/AIDS-related
panic, fear and discrimination for over four decades.
So far, we are in danger of failing the test. Unlike 40 years
ago, thanks to social media, and 24-hour news coverage, any news
about monkeypox travels across the world in the blink of an eye.
And for now, news reports on the infectious disease are
suggesting a unique association between monkeypox and sexuality,
specifically an association between the virus and gay men or men
who have sex with men.
Yet there is nothing about the way this viral disease is
transmitted that is actually unique to gay men or men who have
sex with men. Monkeypox is transmitted through large respiratory
droplets via prolonged face-to-face contact, contact with bodily
fluids, or contaminated objects or surfaces. These transmissions
can occur between any two people regardless of sexual
orientation or gender identity or any other identity.
Media coverage that clouds these simple facts is a threat to
everyone. Such coverage causes men who have sex with men to face
even more stigma while creating the false impression that
everyone else is somehow immune or not at risk. Its a recipe
for disaster.
We have seen all this 40 years ago. Back then, early media
reports linking a new infectious disease to gay men raised
alarms and fed panic. Soon the disease was given a name rooted
in that panic: GRID, or gay-related immune deficiency.
Overlooked were the data and science showing that, while
identities may put certain communities at higher risk, it does
not mean that the virus infects these communities specifically.
In fact, we learned from HIV that the answer is tied closely to
conditions in which people are born, grow, live, work and age
such as their financial status, education, neighbourhood and
physical environment, employment, and social support (aka social
determinants of health) rather than sexual or gender identities.
Today, we must learn that lesson quickly and ensure that the
conversation focuses on a public health approach to critically
synthesise social determinants of health that allow marginalised
communities to be at higher risk for the spread of such viruses.
To avoid repeating the mistakes of the past, we must take a step
back and consider a few important questions.
Does it help in any way to put a label on this disease at this
stage? In other words, does associating it with gay men or men
who have sex with men offer any help in curbing the spread of
this disease? Based on what we know about the way this disease
is spread, it seems very unlikely. In fact, if we learned one
thing from HIV/AIDS, its that infectious diseases even if
they are sexually transmitted never stay confined to one group
of people and eventually spread throughout the whole society.
The lesson is clear: it is counterproductive to segregate people
into sexual orientation silos in our approach to these diseases.
Because in reality, sexual orientation and behaviour are fluid,
and change over time. Further, stigma leads to people avoiding
healthcare services all together and in fact exacerbates the
problem.
Does it stigmatise gay men and men who have sex with men if we
make a connection between this disease and them? Yes, it does.
Even in Western countries, gay men and men who have sex with men
continue to face discrimination and poorer health outcomes
compared with their heterosexual counterparts. Associating a new
deadly disease with these groups will push them further behind.
More importantly, in countries where homosexuality is
criminalised, making the connection between monkeypox and
homosexuality can mean humiliation, imprisonment and even death.
In some cases, this association can be used as a way of outing
people (irrespective of whether it is true). In countries where
homosexuality is still criminalised, such an outing can be a
death sentence.
So what should we do?
First, it is essential that we proceed with extreme caution as
we learn more about this disease and as we fight it together.
Labels and judgements have no place in healthcare and should not
be what is leading this conversation. What is needed at this
point is to focus on the facts and the science: with clear
messages about the symptoms, transmission, prevention and
treatment.
Second, we should ensure that resources, not stigma, are
directed to communities that are on the front lines of the
disease. Marginalised groups such as gay men or men who have sex
with men are more prone to adverse health outcomes because of
social disadvantages, continued victimisation, and
discrimination. More resources will help level the playing
field, so these communities can stop the spread. This includes
fact-based public health campaigns along with ample testing
programmes when there is confirmed exposure of the presence of
symptoms.
Third, Western countries and the World Health Organization (WHO)
have a responsibility to ensure that their messaging takes into
account the safety and security of LGBTQ people all over the
world, especially in places where they are the least safe. The
media landscape is very different from 40 years ago, with
information instantly travelling across the globe, and
information that seems benign in the West can be very damaging
in certain parts of the world.
Finally, interventions that further stigmatise communities
such as closing gay saunas or cancelling gay events must be
condemned. These will not solve the issue; instead, they will
feed hate and lose time while the virus is transmitted in other
spaces. Following the evidence and learning from our experiences
is the only way forward. Believing that we can learn from our
most recent pandemic and transferring what we know to dealing
with monkeypox is key. We are all tired and traumatised for the
last couple of years, we need to use the public health measures
that have worked and proceed with caution.
As monkeypox continues to rise on the news agenda, the world is
watching. We still have a chance to get it right. By proceeding
with caution, and focusing on data and science, we can make sure
that we fight the disease, not the people.
Black and gay, you will pay.
https://www.aljazeera.com/opinions/2022/5/31/with-monkeypox-the-
world-must-heed-the-lessons-of-hiv
***@panix.com (Bradley K. Sherman) wrote:
Since new outbreaks of monkeypox started making headlines across
the world, we have been receiving text messages non-stop. If I
get monkeypox, will everyone know I am gay? asked one friend in
the Gulf. Another who works for an NGO in Lebanon was unsure
whether to even share news about the disease, for fear of adding
to the already intense stigma experienced by gay people across
the country. We applaud the recent statement by UNAIDS
denouncing the racist and homophobic coverage of monkeypox,
but much more is needed as a lot is at stake here.
Lets be clear upfront: monkeypox is very different from
HIV/AIDS. But as headlines link the disease to outbreaks among
men who have sex with men, the lessons we learned 40 years ago
about stigma and infectious diseases have come roaring back to
prominence.
As monkeypox moves towards the top of the international news
agenda, the world has a small window of time to get it right,
and prevent the same mistakes that fuelled HIV/AIDS-related
panic, fear and discrimination for over four decades.
So far, we are in danger of failing the test. Unlike 40 years
ago, thanks to social media, and 24-hour news coverage, any news
about monkeypox travels across the world in the blink of an eye.
And for now, news reports on the infectious disease are
suggesting a unique association between monkeypox and sexuality,
specifically an association between the virus and gay men or men
who have sex with men.
Yet there is nothing about the way this viral disease is
transmitted that is actually unique to gay men or men who have
sex with men. Monkeypox is transmitted through large respiratory
droplets via prolonged face-to-face contact, contact with bodily
fluids, or contaminated objects or surfaces. These transmissions
can occur between any two people regardless of sexual
orientation or gender identity or any other identity.
Media coverage that clouds these simple facts is a threat to
everyone. Such coverage causes men who have sex with men to face
even more stigma while creating the false impression that
everyone else is somehow immune or not at risk. Its a recipe
for disaster.
We have seen all this 40 years ago. Back then, early media
reports linking a new infectious disease to gay men raised
alarms and fed panic. Soon the disease was given a name rooted
in that panic: GRID, or gay-related immune deficiency.
Overlooked were the data and science showing that, while
identities may put certain communities at higher risk, it does
not mean that the virus infects these communities specifically.
In fact, we learned from HIV that the answer is tied closely to
conditions in which people are born, grow, live, work and age
such as their financial status, education, neighbourhood and
physical environment, employment, and social support (aka social
determinants of health) rather than sexual or gender identities.
Today, we must learn that lesson quickly and ensure that the
conversation focuses on a public health approach to critically
synthesise social determinants of health that allow marginalised
communities to be at higher risk for the spread of such viruses.
To avoid repeating the mistakes of the past, we must take a step
back and consider a few important questions.
Does it help in any way to put a label on this disease at this
stage? In other words, does associating it with gay men or men
who have sex with men offer any help in curbing the spread of
this disease? Based on what we know about the way this disease
is spread, it seems very unlikely. In fact, if we learned one
thing from HIV/AIDS, its that infectious diseases even if
they are sexually transmitted never stay confined to one group
of people and eventually spread throughout the whole society.
The lesson is clear: it is counterproductive to segregate people
into sexual orientation silos in our approach to these diseases.
Because in reality, sexual orientation and behaviour are fluid,
and change over time. Further, stigma leads to people avoiding
healthcare services all together and in fact exacerbates the
problem.
Does it stigmatise gay men and men who have sex with men if we
make a connection between this disease and them? Yes, it does.
Even in Western countries, gay men and men who have sex with men
continue to face discrimination and poorer health outcomes
compared with their heterosexual counterparts. Associating a new
deadly disease with these groups will push them further behind.
More importantly, in countries where homosexuality is
criminalised, making the connection between monkeypox and
homosexuality can mean humiliation, imprisonment and even death.
In some cases, this association can be used as a way of outing
people (irrespective of whether it is true). In countries where
homosexuality is still criminalised, such an outing can be a
death sentence.
So what should we do?
First, it is essential that we proceed with extreme caution as
we learn more about this disease and as we fight it together.
Labels and judgements have no place in healthcare and should not
be what is leading this conversation. What is needed at this
point is to focus on the facts and the science: with clear
messages about the symptoms, transmission, prevention and
treatment.
Second, we should ensure that resources, not stigma, are
directed to communities that are on the front lines of the
disease. Marginalised groups such as gay men or men who have sex
with men are more prone to adverse health outcomes because of
social disadvantages, continued victimisation, and
discrimination. More resources will help level the playing
field, so these communities can stop the spread. This includes
fact-based public health campaigns along with ample testing
programmes when there is confirmed exposure of the presence of
symptoms.
Third, Western countries and the World Health Organization (WHO)
have a responsibility to ensure that their messaging takes into
account the safety and security of LGBTQ people all over the
world, especially in places where they are the least safe. The
media landscape is very different from 40 years ago, with
information instantly travelling across the globe, and
information that seems benign in the West can be very damaging
in certain parts of the world.
Finally, interventions that further stigmatise communities
such as closing gay saunas or cancelling gay events must be
condemned. These will not solve the issue; instead, they will
feed hate and lose time while the virus is transmitted in other
spaces. Following the evidence and learning from our experiences
is the only way forward. Believing that we can learn from our
most recent pandemic and transferring what we know to dealing
with monkeypox is key. We are all tired and traumatised for the
last couple of years, we need to use the public health measures
that have worked and proceed with caution.
As monkeypox continues to rise on the news agenda, the world is
watching. We still have a chance to get it right. By proceeding
with caution, and focusing on data and science, we can make sure
that we fight the disease, not the people.
Black and gay, you will pay.
https://www.aljazeera.com/opinions/2022/5/31/with-monkeypox-the-
world-must-heed-the-lessons-of-hiv