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15.9303C0.0874636 17.264 0.878901 18.6348 2.21255 18.9922L5.37495 19.8396V7.66664C5.37495 6.40099 6.40096 5.37498 7.66661 5.37498H19.4723C19.3299 5.30548 19.1788 5.24858 19.0201 5.20604L6.785 1.92766Z" stroke="none"></path><path fill-le="evenodd" clip-le="evenodd" d="M8.44161 7.4C7.86632 7.4 7.39995 7.86637 7.39995 8.44167V22.1081C7.39995 22.6834 7.86631 23.1498 8.4416 23.1498L22.1083 23.15C22.6836 23.15 23.1499 22.6836 23.1499 22.1083V8.44167C23.1499 7.86637 22.6836 7.4 22.1083 7.4H8.44161ZM10.3999 9.65C9.84766 9.65 9.39995 10.0977 9.39995 10.65C9.39995 11.2023 9.84766 11.65 10.3999 11.65H18.3999C18.9522 11.65 19.3999 11.2023 19.3999 10.65C19.3999 10.0977 18.9522 9.65 18.3999 9.65H10.3999ZM10.3999 14.15C9.84766 14.15 9.39995 14.5977 9.39995 15.15C9.39995 15.7023 9.84766 16.15 10.3999 16.15H15.3999C15.9522 16.15 16.3999 15.7023 16.3999 15.15C16.3999 14.5977 15.9522 14.15 15.3999 14.15H10.3999Z" stroke="none"></path></g></svg></div><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__size-14--Ume6q ontend-pencraft-Text-module__le-height-20--p0dP8 ontend-pencraft-Text-module__weight-normal--s54Wf ontend-pencraft-Text-module__font-text--QmNJR ontend-pencraft-Text-module__lor-sendary--WRADg ontend-pencraft-Text-module__ret--dW0zZ ontend-pencraft-Text-module__body4--Pl3xY">Not</div></button><button tabInx="0" id="trigger19899" aria-expand="false" aria-haspopup="dialog" aria-ntrols="dialog19900" ariaLabel="View more" type="button" class="button share-actn"><div class="actn-in"><svg role="img" width="100" height="100" viewBox="0 0 100 100" fill="none" stroke-width="1.8" stroke="#000" xmlns="><g><tle></tle><circle cx="23" cy="50" r="9"></circle><circle cx="50" cy="50" r="9"></circle><circle cx="77" cy="50" r="9"></circle></g></svg></div><div translated class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__size-14--Ume6q ontend-pencraft-Text-module__le-height-20--p0dP8 ontend-pencraft-Text-module__weight-normal--s54Wf ontend-pencraft-Text-module__font-text--QmNJR ontend-pencraft-Text-module__lor-sendary--WRADg ontend-pencraft-Text-module__ret--dW0zZ ontend-pencraft-Text-module__body4--Pl3xY">Other</div></button></div></div></div></div></div></div></div><div class="post-hear"><h1 class="post-tle unpublished">How Not To Talk To The Public About Monkeypox</h1><h3 class="subtle">A se study hidg the ball, public health official-style</h3><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-directn-lumn--Rq7pk ontend-pencraft-Box-module__paddg-bottom-16--KVxKv"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-directn-lumn--Rq7pk ontend-pencraft-Box-module__paddg-y-16--ohCEm"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-jtify-start--_8fEd ontend-pencraft-Box-module__flex-align-center--rSd6h ontend-pencraft-Box-module__flex-gap-12--rODKq"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt"><div class="pencraft ontend-pencraft-Box-module__flexGrow--mx4xz ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-align-center--rSd6h ontend-pencraft-Box-module__flex-gap-8--HFpIK facepile"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-align-center--rSd6h"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-align-center--rSd6h ontend-ponents-Facepile-module__fac--FVkdk ontend-ponents-Facepile-module__size-40--pH6IT"><div class="profile-hover-rd-target ontend-rear2-ProfileAndPublitnHoverCard-module__profileHoverCardTarget--Od_YL"><a href=" target="_blank" rel="noopener" class="pencraft ontend-pencraft-Box-module__flexAuto--CnX9I ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt"><picture><source type="image/webp" srcset=" /><img src=" siz="100vw" alt width="80" class="ontend-ponents-rponsive_img-module__img--Pgjj2 facepile-face ontend-ponents-Facepile-module__face--uAQkp ontend-ponents-Facepile-module__size-40--pH6IT ontend-ponents-Facepile-module__first--TZamh ontend-ponents-Facepile-module__last--DT3p3" /></picture></a></div></div></div></div></div><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-directn-lumn--Rq7pk"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__size-11--k1e8b ontend-pencraft-Text-module__le-height-20--p0dP8 ontend-pencraft-Text-module__weight-medium--x7khA ontend-pencraft-Text-module__font-meta--U_nxy ontend-pencraft-Text-module__lor-pub-primary-text--RzL7j ontend-pencraft-Text-module__transform-upperse--IDkUL ontend-pencraft-Text-module__ret--dW0zZ ontend-pencraft-Text-module__meta--jzHdd"><div class="profile-hover-rd-target ontend-rear2-ProfileAndPublitnHoverCard-module__profileHoverCardTarget--Od_YL"><a href=" class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__ratn-hover-unrle--BEYAn ontend-pencraft-Text-module__ret--dW0zZ">Josh Barro</a></div></div><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-gap-4--zeW5_"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__size-11--k1e8b ontend-pencraft-Text-module__le-height-20--p0dP8 ontend-pencraft-Text-module__weight-medium--x7khA ontend-pencraft-Text-module__font-meta--U_nxy ontend-pencraft-Text-module__lor-pub-sendary-text--OzRTa ontend-pencraft-Text-module__transform-upperse--IDkUL ontend-pencraft-Text-module__ret--dW0zZ ontend-pencraft-Text-module__meta--jzHdd">Aug 11, 2022</div></div></div></div></div><div class="pencraft ontend-pencraft-Box-module__flexGrow--mx4xz ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-jtify-space-between--NvIcg ontend-pencraft-Box-module__flex-align-center--rSd6h ontend-pencraft-Box-module__flex-gap-16--TpblU ontend-pencraft-Box-module__paddg-y-16--ohCEm ontend-pencraft-Box-module__borr-top-tail-themed--e17yZ ontend-pencraft-Box-module__borr-bottom-tail-themed--eVwFY post-ufi"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-gap-8--HFpIK"><div class="like-button-ntaer post-ufi-button style-button"><a role="button" class="post-ufi-button style-button has-label wh-borr"><svg role="img" style="height: 20px; width: 20px;" width="20" height="20" viewBox="0 0 24 24" fill="#000000" stroke-width="2" stroke="#000" xmlns=" class="in"><g><tle></tle><svg xmlns=" width="24" height="24" viewBox="0 0 24 24" stroke-width="2" stroke-lep="round" stroke-lejo="round" class="luci luci-heart"><path d="M19 14c1.49-1.46 3-3.21 3-5.5A5.5 5.5 0 0 0 16.5 3c-1.76 0-3 .5-4.5 2-1.5-1.5-2.74-2-4.5-2A5.5 5.5 0 0 0 2 8.5c0 2.3 1.5 4.05 3 5.5l7 7Z"></path></svg></g></svg><div class="label">77</div></a><div role="dialog" class="modal typography out gone share-dialog popup"><div class="modal-table"><div class="modal-row"><div class="modal-cell modal-ntent no-fullscreen"><div class="ntaer"><button tabInx="0" type="button" data-ttid="close-modal" class="pencraft modal-btn modal-ex-btn no-marg ontend-pencraft-Button-module__inButton--xpBoH ontend-pencraft-Button-module__buttonBase--T0hXz ontend-pencraft-Button-module__size_40--RASvV 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ontend-pencraft-Box-module__borr-radi-12--AmQy9 social-preview-box post"><div class="social-image-box"><picture><source type="image/webp" srcset=" /><img src=" siz="100vw" alt loadg="lazy" width="120" class="ontend-ponents-rponsive_img-module__img--Pgjj2 social-image" /></picture></div><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-directn-lumn--Rq7pk ontend-pencraft-Box-module__paddg-y-8--exiCC ontend-pencraft-Box-module__paddg-left-12--eE6bp"><h4 class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Text-module__size-16--fFowu ontend-pencraft-Text-module__le-height-20--p0dP8 ontend-pencraft-Text-module__weight-bold--Ps9DB ontend-pencraft-Text-module__font-text--QmNJR ontend-pencraft-Text-module__lor-primary--ud4Z0 ontend-pencraft-Text-module__ret--dW0zZ ontend-pencraft-Text-module__hear4--hH3cg">How Not To Talk To The Public About Monkeypox</h4><div class="pencraft 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class><div class="available-ntent"><div dir="to" class="body markup"><p>Dear rears,</p><p><span>Happy Wednday! You may have seen some FBI-related news this week — if you’re terted the Mar-a-Lago raid, cludg some ferenc about the stat of the vtigatns to and around Donald Tmp, I remend you check out the </span><a href=" rel>newt episo of Ser Trouble</a><span> wh me and Ken Whe. (Remember: Very Ser paid subscribers n email for a 50% disunt on Ser Trouble, which will get you accs to the full length episo.)</span></p><p><span>We also talk about one thg Tmp uld do if the purpose of the raid really was bizarrely piyune — he uld release the warrant, which the FBI agents were </span><em>required</em><span> to leave at Mar-a-Lago when they executed the search. The warrant don’t nta all the rmatn about why they thk there’s evince of a crime at Mar-a-Lago, but do say which specific statut they’re vtigatg Tmp unr. So far, he’s keepg that unr wraps.</span></p><div><hr /></div><p>But now: monkeypox, and the public health officials who keep gaslightg . A rear, Everett, referred me to a recent terview wh a public health official Portland, Oregon, about monkeypox that really hs all the wrong not about how to talk to the public about this outbreak:</p><blockquote><p><span>I would like to share a piece of </span><a href=" rel>a recent terview</a><span> I heard on OPB (Our NPR affiliate). The gut is a senr adviser wh the Oregon Health Authory, the state agency that was also charge of most policy cisns for Covid-19. Here is the exchange between Jenn Chávez (OPB host) and Dr. Tim Menza (OHA adviser) that left me a b puzzled. </span></p></blockquote><p><span>Yeah, this terview was really bad. I want to talk about the </span><em>manner</em><span> which is bad, bee while ’s jt one terview wh one public health official one state, Dr. Menza do four thgs that are emblematic of how public health has repeatedly failed recent years:</span></p><ol><li><p><span>He fails to clu velopg knowledge about an ongog outbreak his public munitn about how </span><em>this</em><span> outbreak is happeng.</span></p></li><li><p>He lets woke iology get the way of clear munitn.</p></li><li><p>He whholds rmatn bee he don’t tst the public to e the way he would like them to.</p></li><li><p>He unnecsarily alarms the broad public about a disease wh fairly specific risk factors, while failg to effectively highlight those factors for those most at risk.</p></li></ol><p><span>As you know om readg this newsletter, there are several ways that monkeypox </span><em>n</em><span> spread, but this outbreak largely </span><em>is</em><span> spreadg though sexual ntact between men. So, you would thk, when the OPB host asked “what are the bt ways for people to rce their risk of ntractg the vis?” Menza might have at least </span><em>mentned</em><span> sex. Unfortunately, he did not. He found time to discs the risks associated wh a handful of other activi — beg an office, learng a classroom, gog to a bar or a club, </span><em>massagg someone wh monkeypox sor</em><span>, etc. — but uldn’t que brg himself to say “sex.”</span></p><p>Here’s his termable answer to that simple qutn:</p><blockquote><p><em>We n kd of try to put activi to specific risk levels. Thgs that I would say are unlikely to transm hMPXV are thgs like takg public transportatn, gog out to eat, gog to the grocery store, gog to have ffee wh iends, beg an office wh your workers and learng a classroom. Those thgs are all low-risk activi. Hangg out outsi at a bar or a club or a fe, totally low risk activi.</em></p><p><em>Beg more crowd spac where there’s ls clothg and more sk-to-sk ntact, like a bar or club perhaps, that’s where that sk-to-sk ntact to play. We’ve been tryg to msage to folks to jt nsir the amount of sk-to-sk ntact you might expect a suatn or a place that you might be or an event that you might be attendg.</em></p><p><em>And then the thgs that then move up sle are thgs that clu more prolonged sk-to-sk ntact. Like perhaps massagg an area wh sk that is affected by hMPXV, or huggg ntact wh sk that is affected by hMPXV. Or perhaps cuddlg. The other thg is we know that when we talk about rpiratory secretns we thk about saliva too. So thgs like kissg or sharg a toothbsh might be a ltle b higher risk.</em></p><p><em>And then the thgs that have the most risk is when there’s that really direct prolonged sk-to-sk ntact wh the sor, the sbs or the fluids of the rash.</em></p></blockquote><p><span>Image you were a person who knew nothg about monkeypox. Would hearg that answer help you unrstand what monkeypox risks you have and what you n do to addrs them? Not really. If you’re </span><em>not</em><span> a man who has sex wh men, you might e away ordately ncerned that you’ll tch monkeypox om beg a crowd at a ncert. If you </span><em>are</em><span> a man who has sex wh men, you won’t be rmed of your particular risk om sexual exposure — which is a problem, bee </span><a href=" rel>CDC data as of late July showed that 99% of US monkeypox s had been men</a><span>, and 94% of those men wh data provid to the CDC reported “sexual or close timate ntact” wh another man wh the 3 weeks prr to the start of symptoms.</span></p><p><span>And even if you — still a gay man, this hypothetil — read between the l of Menza’s weirdly pdish mg about what nstut “prolonged sk-to-sk ntact” (“perhaps massagg… or huggg… or perhaps cuddlg…”) and fer that </span><em>sex</em><span> might be one of the major risks here, you’re still liable to be improperly reassured by Menza’s overemphasis on the importance of ntact wh sor and sbs.</span></p><p class="button-wrapper" data-attrs="{"url":"" data-ponent-name="ButtonCreateButton"><a class="button primary" href=" rel><span>Share</span></a></p><p><span>Most people, I thk, stctually avoid extend ntact wh other people’s sor and sbs whout havg to be told to do that by a public health profsnal.</span><div class="footnote-hoverrd-target"><a class="footnote-anchor" data-ponent-name="FootnoteAnchorToDOM" id="footnote-anchor-1-68079182" href=" rel>1</a></div><span> But if you’re led to believe that ntact wh sor and sbs is sential to spreadg monkeypox, then you might fer that ’s low-risk to have sex wh someone who has clear sk. And until very recently, </span><a href=" rel>the CDC was reassurg the public that ’s impossible to spread monkeypox whout symptoms</a><span>. But as the NYC Department of Health has been rrectly warng gay men, </span><em>we don’t know if that’s te</em><span> — and the manner which this outbreak has propagated self would ankly make more sense if there is a signifint gree of non-symptomatic spread. </span></p><p>Menza did eventually get around to talkg about gay men, sort of, when prompted by his terviewer (who, of urse, went directly to the issue of “stigma” before anyone voted any time to the qutn of whether gay men need any particular rmatn about risk rctn):</p><blockquote><p><em><strong>Chávez:</strong><span> Right now my unrstandg is that many of the s Oregon have been found cisgenr men who have sex wh men. And I’m wonrg how you are approachg public health msagg around this — ristg stigmatizatn and shame and blame while also still targetg those most at risk right now wh rourc.</span></em></p><p><em><strong>Menza:</strong><span> It’s que the challenge. What we’ve been tryg to do as bt as we n is stick wh what we know. In the Uned Stat, we know that </span><strong>people assigned male at birth who have sex wh men and people assigned female at birth</strong><span>, cludg at least one pregnant person, have been affected by hMPXV Oregon. We know that cisgenr men and nonbary people are affected by hMPXV. While most intify as gay or queer and report close ntact wh people assigned male at birth, we have s that also intify as straight and bisexual and report close ntact wh people assigned female at birth.</span><strong> (emphasis add)</strong></em></p></blockquote><p><span>It is simple enough to say that monkeypox is spreadg pecially among </span><em>men who have sex wh men</em><span>. If you also say that there is elevated risk for </span><em>trans and nonbary people who have sex wh men</em><span>, you’ve vered the whole universe of elevated sexual risk for monkeypox a clear and unrstandable way. Instead, Menza starts by talkg about, for some reason, “people assigned male at birth who have sex wh men and people assigned female at birth” — that is, to a first approximatn, gay men </span><em>pl women</em><span>, which is not anywhere close to an accurate scriptn of the high-risk group.</span></p><p><span>It is unacceptable, if you have Dr. Menza’s job, to speak woke word salads like this. Menza is speakg on a broadst news program. It is his </span><em>job</em><span> to munite clear terms to the broad public. And few members of the public scribe themselv as “assigned male at birth” or even thk of their sex as somethg that was “assigned.” This is woke jargon, and ’s unsuable for a news terview.</span></p><div data-ponent-name="SubscribeWidget" class="subscribe-widget"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-jtify-center--SQPji"><div class="ontend-ponents-ee_email_form-module__ntaer--OfBh4"><form actn="/api/v1/ee?nojs=te" method="post" noValidate class="form ontend-ponents-ee_email_form-module__form--LDIzl"><put type="hidn" name="first_url" /><put type="hidn" name="first_referrer" /><put type="hidn" name="current_url" /><put type="hidn" name="current_referrer" /><put type="hidn" name="referral_" /><put type="hidn" name="source" value="subscribe-widget" /><put type="hidn" name="referrg_pub_id" /><put type="hidn" name="addnal_referrg_pub_ids" /><div class="ontend-ponents-ee_email_form-module__siBySiWrap--yhsgv"><put type="email" name="email" placeholr="Type your email..." class="pencraft ontend-ponents-ee_email_form-module__emailInput--BLQGf" /><button tabInx="0" type="subm" class="button rightButton primary subscribe-btn ontend-ponents-ee_email_form-module__button--WcLG9"><span class="button-text ">Subscribe</span></button></div><div id="error-ntaer"></div><div class="subtle-help-text below-put ontend-ponents-ee_email_form-module__lks--G_QlQ"></div></form><div class="ontend-log-typo_handler-EmailTypoHandler-module__animatnWrapper--UT0du"></div></div></div></div><p><span>Menza also sists on llg the disease hMPXV — later the terview, there’s an extend discsn of why he don’t like the term “monkeypox” — but aga, </span><em>clary</em><span>. People have likely heard of monkeypox. They have not heard of hMPXV. Even if you feel the name is unfortunate, ’s the name people know. Why are you nfg the public pursu of some polil objective about disease nam?</span></p><p>He go on:</p><blockquote><p><em><span>That beg said, is a challenge bee jt like you poted out, we want to e our data to prrize and drive our outbreak rponse. So om our perspective, Oregon Health Authory really needs to provi the people most affected cludg cisgenr men who have sex wh men, nonbary folks and folks who intify as gay and bisexual wh support re, vacc and other preventn tools, </span><strong>pecially when rourc require thoughtful prrizatn. (emphasis add)</strong></em></p></blockquote><p>What “thoughtful prrizatn” means is that, when time to allote srce monkeypox vacce, the same public health officials who hem and haw and obfte about “anyone n get monkeypox” sudnly bee really clear that they’re lookg for men wh multiple or anonymo male sex partners. For example, pare the DC Department of Health’s monkeypox “one-sheet” wh the webpage where DC Health says who n get a monkeypox vacce — ’s night and day.</p><div data-ponent-name="Twter2ToDOM" class="tweet" data-attrs="{"url":"'s grimly funny: The DC Dept of Health one-sheet says nothg to help people figure out if they're at disproportnate risk of monkeypox, but when time to allote srce vacce, sudnly the partment n be ank about who actually needs . <a class=\"tweet-url\" href=\";>…</a> ","ername":"jbarro","name":"Josh Barro","date":"Thu Aug 04 13:28:07 +0000 2022","photos":[{"img_url":",{"img_url":"],"quoted_tweet":{},"retweet_unt":106,"like_unt":419,"expand_url":{},"vio_url":null,"belowTheFold":te}"><a class="tweet-lk-top" href=" target="_blank" rel><div class="tweet-hear"><img class="tweet-hear-avatar" src=" alt="Twter avatar for @jbarro" loadg="lazy" /><div class="tweet-hear-text"><span class="tweet-thor-name">Josh Barro </span><span class="tweet-thor-handle">@jbarro</span></div></div></a><div class="tweet-text"><a class="tweet-lk-top" href=" target="_blank" rel>It's grimly funny: The DC Dept of Health one-sheet says nothg to help people figure out if they're at disproportnate risk of monkeypox, but when time to allote srce vacce, sudnly the partment n be ank about who actually needs . </a><a class="tweet-url" href=" target="_blank" rel>…</a><span> </span></div><div class="tweet-photos-ntaer two"><div class="tweet-photos-lumn"><div class="tweet-photo-wrapper "><picture><source type="image/webp" srcset=" /><img class="tweet-photo" src=" alt="Image" loadg="lazy" /></picture></div></div><div class="tweet-photos-lumn"><div class="tweet-photo-wrapper "><picture><source type="image/webp" srcset=" /><img class="tweet-photo" src=" alt="Image" loadg="lazy" /></picture></div></div></div><a class="tweet-lk-bottom" href=" target="_blank" rel><div class="tweet-footer"><span class="tweet-date">1:28 PM ∙ Aug 4, 2022</span><hr /><div class="tweet-ufi"><span href=" class="lik"><span class="like-unt">419</span><span>Lik</span></span><span href=" class="retweets"><span class="rt-unt">106</span><span>Retweets</span></span></div></div></a></div><p>Unfortunately, back on OPB, Dr. Menza ntued on:</p><blockquote><p><em><span>At the same time, we know that anyone n be affected by hMPXV. And so we want to provi a level of awarens to those who may not be affected to que the gree that gay and queer men who have sex wh men are affected. </span><strong>And so at tim we do feel ught between how we munite to the general public and then how we have another channel of munitn to folks most affected by hMPXV. And our strategy has been this is to really e our muny partners to do a lot of the muny engagement and munitn to folks who are most affected by hMPXV. Partly bee … the msagg is bt livered by folks and anizatns who know the muni bt.</strong><span> And so our task has been tryg to partner as much as possible to listen to those muni and to hear how bt we n support [them].</span><strong> (emphasis add)</strong></em></p></blockquote><p>This mak me angrit of all.</p><p><span>He’s beg explic: There’s one msage for the general public, and another msage that they’re tryg to liver only to gay men. They rely on “muny partners” to liver that secret msage. </span><em>Well, first of all, what about gay men who listen to Oregon Public Broadstg? </em><span>I promise you there are gays listeng to public rad. And if they hear this terview, they’re gog to e away ls rmed and ls equipped to avoid monkeypox than they ought to be.</span></p><p class="button-wrapper" data-attrs="{"url":"" data-ponent-name="ButtonCreateButton"><a class="button primary" href=" rel><span>Share</span></a></p><p><span>Another problem wh this secret-msage strategy is that rmatn about who’s a high-risk group isn’t relevant only to people the high-risk group. It’s relevant to people </span><em>not</em><span> the group, bee helps them figure out their risk isn’t high. And this go to the part of the monkeypox msagg nonsense that </span><em>isn’t</em><span> polil rrectns — ’s nrotic public health officials beg veterately pable of tellg anyone their risk is low due to mographics.</span></p><p>But the biggt problem wh this msagg strategy is simply that is dishont. </p><p>Menza knows somethg — that this outbreak is happeng almost entirely through gay sex — but this terview, he’s hidg the ball about that bee he don’t tst the broad public wh that rmatn. He’s ncerned that knowledge of this fact will e people to stigmatize gay men.</p><p><span>I first of all thk is crazy — if you want to </span><em>avoid</em><span> stigmatizg gay men — to duce straight people to be unnecsarily aaid of acquirg, through sual ntact, a disease that is spreadg mostly among gay men through sex. But I would also note that we have jt gone through a multi-year procs which the public teem for the public health apparat has dimmed nsirably. People have noticed that public health statements were not always on the level, and that mak them ls cled to tst those statements. (Remember the CDC tellg people March 2020 not to wear masks? And then not acknowledgg airborne COVID spread until October 2020? Remember thoands of ‘experts’ signg that June 2020 letter sayg was sudnly okay to go out public so long as you were prottg for the right polil ?)</span></p><p>And public health officials, stead of swallowg their pri and tryg to rega public tst, have been credibly arrogant, ntug to view themselv as the judg of what rmatn the public n and n’t be tsted wh, as they try to supply and whhold that rmatn the way they thk will bt shape public behavr toward their own iologil ends.</p><p>Frankly, I feel a great al of spair about this suatn. We do need public health experts. Their work, when done well, is important. But the field is full of leftist weirdos who let iology get the way of facts and who n’t help themselv om puttg their thumbs on the sle to promote their preferred iologil out. As a rult, many of them are pable of dog their jobs properly, pecially when the job scriptn entails behavg a manner that might engenr the tst of the broad public. And I don’t know what to do about that.</p><div><hr /></div><p>Speakg of tst officials, FDA Commissner Robert Califf has ma a pretty “whoa, if te” announcement about monkeypox vacc: That we’ve found a way to oculate people wh jt one-fifth the normal vacce dose amount. The FDA says jectg the JYNNEOS vacce trarmally (that is, wh the sk) duc a much stronger antibody rponse than the ual subcutaneo jectn, which turn mak possible to greatly shrk the vacce dose, so we n get 5 or 6 shots out of what is supposed to be a one-dose vial.</p><p>Or at least, the FDA thks will work that way.</p><p><span>I am genuely unsure what to make of this cisn, and </span><a href=" rel>relevant experts are divid on </a><span>. It do seem clear that the smaller trarmal jectn do jt as well at </span><em>ducg the productn of antibodi</em><span> as the larger subcutaneo jectn. What’s ls clear is whether that means ’s siarly equivalent for producg immuny — immune rpons are plex and, as many of learned durg COVID, don’t always simply rrpond to antibody ter levels. It’s also unclear how quickly lol health partments n sle the new vacce strategy, which will be more plited to admister and require retrag the profsnals who provi the jectns.</span></p><p><span>The problem is we don’t have any </span><em>available</em><span> optns that are known to be better than the one the FDA is advancg, sce we don’t have enough vacce to immunize the relevant populatn through the ual admistratn method, and we likely won’t until well to 2023.</span></p><p><a href=" rel>As I’ve wrten before</a><span>, several large health partments are currently alg wh the vacce shortage by layg the send dose of the two-dose vacce regimen. As wh the swch to an trarmal jectn, ’s currently unknown exactly how much that impacts effectivens. Another optn is to e an olr smallpox vacce that we have much more ample supply, ACAM2000, but that vacce has an unappealg si-effect profile and also (unlike JYNNEOS) nsists of a replitg live vis that n be spread through ntact wh the jectn se.</span></p><p>In the difficult circumstanc, I am pleased to see the FDA gettg creative a suatn where creativy was need. But we wouldn’t be this posn if the FDA and other agenci had ma better cisns months and years ago. Hopefully, the outcry over this shortage will be the wake-up ll policymakers need to ensure there is aquate vacce stockpiled for the risk of a smallpox outbreak, when the stak would be far, far higher than they are now — and jt as important for straight people as for everybody else.</p><p>I’ll be back tomorrow wh some thoughts on flatn.</p><p>Very serly,</p><p>Josh</p><div class="subscriptn-widget-wrap"><div class="subscriptn-widget show-subscribe"><div class="preamble"><p>Very Ser is a rear-supported publitn. To receive new posts and support my work, nsir beg a ee or paid subscriber.</p></div><div data-ponent-name="SubscribeWidget" class="subscribe-widget"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-jtify-center--SQPji"><div class="ontend-ponents-ee_email_form-module__ntaer--OfBh4"><form actn="/api/v1/ee?nojs=te" method="post" noValidate class="form ontend-ponents-ee_email_form-module__form--LDIzl"><put type="hidn" name="first_url" /><put type="hidn" name="first_referrer" /><put type="hidn" name="current_url" /><put type="hidn" name="current_referrer" /><put type="hidn" name="referral_" /><put type="hidn" name="source" value="subscribe-widget-preamble" /><put type="hidn" name="referrg_pub_id" /><put type="hidn" name="addnal_referrg_pub_ids" /><div class="ontend-ponents-ee_email_form-module__siBySiWrap--yhsgv"><put type="email" name="email" placeholr="Type your email..." class="pencraft ontend-ponents-ee_email_form-module__emailInput--BLQGf" /><button tabInx="0" type="subm" class="button rightButton primary subscribe-btn ontend-ponents-ee_email_form-module__button--WcLG9"><span class="button-text ">Subscribe</span></button></div><div id="error-ntaer"></div><div class="subtle-help-text below-put ontend-ponents-ee_email_form-module__lks--G_QlQ"></div></form><div class="ontend-log-typo_handler-EmailTypoHandler-module__animatnWrapper--UT0du"></div></div></div></div></div></div><p></p><div class="footnote" data-ponent-name="FootnoteToDOM"><a id="footnote-1-68079182" href=" class="footnote-number" ntentedable="false" rel>1</a><div class="footnote-ntent"><p>I’m really sorry that we have to talk about this.</p></div></div></div></div><div class="visibily-check"></div><div class="post-footer"><div class="pencraft ontend-pencraft-Box-module__flexGrow--mx4xz ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-jtify-space-between--NvIcg ontend-pencraft-Box-module__flex-align-center--rSd6h ontend-pencraft-Box-module__flex-gap-16--TpblU ontend-pencraft-Box-module__paddg-y-16--ohCEm ontend-pencraft-Box-module__borr-top-tail-themed--e17yZ ontend-pencraft-Box-module__borr-bottom-tail-themed--eVwFY post-ufi"><div class="pencraft ontend-pencraft-Box-module__ret--VfQY8 ontend-pencraft-Box-module__display-flex--ZqeZt ontend-pencraft-Box-module__flex-gap-8--HFpIK"><div class="like-button-ntaer post-ufi-button style-button"><a role="button" class="post-ufi-button style-button has-label wh-borr"><svg role="img" style="height: 20px; width: 20px;" width="20" height="20" viewBox="0 0 24 24" fill="#000000" stroke-width="2" stroke="#000" xmlns=" class="in"><g><tle>.