Day: August 5, 2022

As a sex worker and adult film actor, Roc was relieved when he was among the first Spaniards to get a monkeypox vaccine. He knew of several cases among men who have sex with men, which is the leading demographic for the disease, and feared he could be next.

“I went home and thought, ‘Phew, my God, I’m saved,’ ” the 29-year-old told The Associated Press.

But it was already too late. Roc, the name he uses for work, had been infected by a client a few days before. He joined Spain’s steadily increasing count of monkeypox infections that has become the highest in Europe since the disease spread beyond Africa, where it has been endemic for years.

He began showing symptoms: pustules, fever, conjunctivitis and tiredness. Roc was hospitalized for treatment before getting well enough to be released.

Spanish health authorities and community groups are struggling to check an outbreak that has killed two young men. They reportedly died of encephalitis, or swelling of the brain, that can be caused by some viruses. Most monkeypox cases cause only mild symptoms.

Spain has confirmed 4,942 cases in the three months since the start of the outbreak, which has been linked to two raves in Europe, where experts say the virus was likely spread through sex.

The only country with more infections than Spain is the much larger United States, which has reported 7,100 cases.

Global count

In all, the global monkeypox outbreak has seen more than 26,000 cases in nearly 90 countries since May. There have been 103 suspected deaths in Africa, mostly in Nigeria and Congo, where a more lethal form of monkeypox is spreading than in the West.

Health experts stress that this is not technically a sexually transmitted disease, even though it has been mainly spreading via sex among gay and bisexual men, who account for 98% of cases beyond Africa. The virus can be spread to anyone who has close, physical contact with an infected person, their clothing or bed sheets.

Part of the complexity of fighting monkeypox is striking a balance between not stigmatizing men who have sex with men, while also ensuring that both vaccines and pleas for greater caution reach those currently in the greatest danger.

Spain has distributed 5,000 shots of the two-shot vaccine to health clinics and expects to receive 7,000 more from the European Union in the coming days, its health ministry said. The EU has bought 160,000 doses and is donating them to member states based on need. The bloc is expecting another 70,000 shots to be available next week.

To ensure that those shots get administered wisely, community groups and sexual health associations are targeting gay men, bisexuals and transgender women.

In Barcelona, BCN Checkpoint, which focuses on AIDS/HIV prevention in gay and trans communities, is now contacting at-risk people to offer them one of the precious vaccines.

Pep Coll, medical director of BCN Checkpoint, said the vaccine rollout is focused on people who are already at risk of contracting HIV and are on preemptive treatment, men with a high number of sexual partners and those who participate in sex with the use of drugs, as well as people with suppressed immune responses.

But there are many more people who fit those categories than doses, about 15,000 people just in Barcelona, Coll said.

The lack of vaccines, which is far more severe in Africa than in Europe and the U.S., makes social public health policies key, experts say.

Contact tracing more difficult

As with the coronavirus pandemic, contact tracing to identify people who could have been infected is critical. But, while COVID-19 could spread to anyone simply through the air, the close bodily contact that serves as the leading vehicle for monkeypox makes some people hesitant to share information.

“We are having a steady stream of new cases, and it is possible that we will have more deaths. Why? Because contact tracing is very complicated because it can be a very sensitive issue for someone to identify their sexual partners,” said Amós García, epidemiologist and president of the Spanish Association of Vaccinology.

Spain says that 80% of its cases are among men who have sex with men and only 1.5% are women. But García insisted that will change unless the entire public, regardless of gender or sexual orientation, grasps that having various sexual partners creates greater risk.

Given the dearth of vaccines and the trouble with contact tracing, more pressure is being put on encouraging prevention.

From the start, government officials ceded the leading role in the get-out-the-word campaign to community groups.

Sebastian Meyer, president of the STOP SIDA association dedicated to AIDS/HIV care in Barcelona’s LGBTQ community, said the logic was that his group and others like it would be trusted message-bearers with person-by-person knowledge of how to drive the health warning home.

Community associations that represent gay and bisexual men have bombarded social media, websites and blogs with information on monkeypox safety. Officials in Catalonia, the region including Barcelona that has over 1,500 cases, are pushing public service announcements on dating apps Tinder and Grindr warning about the disease.

But Meyer believes fatigue from the COVID-19 pandemic has played a part. Doctors advise people with monkeypox lesions to isolate until they have fully healed, which can take up to three weeks.

“When people read that they must self-isolate, they close the webpage and forget what they have read,” Meyer said. “We are just coming out of COVID, when you couldn’t do this or that, and now, here we go again. … People just hate it and put their heads in the sand.”

Source: Voice of America

Defying anxiety about a possible recession and raging inflation, America’s employers added a stunning 528,000 jobs last month, restoring all the jobs lost in the coronavirus recession. Unemployment fell to 3.5%, lowest since the pandemic struck in early 2020.

July’s job creation was up from 398,000 in June and the most since February.

The red-hot jobs numbers from the Labor Department on Friday arrive amid a growing consensus that the U.S. economy is losing momentum. The U.S. economy shrank in the first two quarters of 2022 — an informal definition of recession. But most economists believe the strong jobs market has kept the economy from slipping into a downturn.

That surprisingly strong jobs numbers will undoubtedly intensify the debate over whether the U.S. is in a recession or not.

“Recession – what recession?” wrote Brian Coulton, chief economist at Fitch Ratings, wrote after the numbers came out. “The U.S. economy is creating new jobs at an annual rate of 6 million – that’s three times faster than what we normally see historically in a good year. ”

Economists had expected only 250,000 new jobs this month.

The Labor Department also revised May and June hiring, saying an extra 28,000 jobs were created in those months. Job growth was especially strong last month in the healthcare industry and at hotels and restaurants.

Hourly earnings posted a healthy 0.5% gain last month and are up 5.2% over the past year — still not enough to keep up with inflation.

The strong job numbers are likely to encourage the Federal Reserve to continue raising interest rates to cool the economy and combat resurgent inflation.

There are, of course, political implications in the numbers being released Friday: Voters have been worried about rising prices and the risk of recession ahead of November’s midterm elections as President Joe Biden’s Democrats seek to maintain control of Congress. The unexpectedly strong hiring number will be welcomed at the White House.

The economic backdrophas been troubling: Gross domestic product — the broadest measure of economic output — fell in both the first and second quarters; consecutive GDP drops is one definition of a recession. And inflation is roaring at a 40-year high.

The resiliency of the current labor market, especially the low jobless rate — is the biggest reason most economists don’t believe a downturn has started yet, though they increasingly fear that one is on the way.

Recession is not an American problem alone.

In the United Kingdom, the Bank of England on Thursday projected that the world’s fifth-largest economy would slide into recession by the end of the year.

Russia’s war in Ukraine has darkened the outlook across Europe. The conflict has made energy supplies scarce and driven prices higher. European countries are bracing for the possibility that Moscow will keep reducing — and perhaps completely cut off — flows of natural gas, used to power factories, generate electricity and keep homes warm in winter.

If Europeans can’t store enough gas for the cold months, rationing may be required by industry.

Economies have been on a wild ride since COVID-19 hit in early 2020.

The pandemic brought economic life to a near standstill as companies shut down and consumers stayed home. In March and April 2020, American employers slashed a staggering 22 million jobs and the economy plunged into a deep, two-month recession.

But massive government aid — and the Feds decision to slash interest rates and pour money into financial markets — fueled a surprisingly quick recovery. Caught off guard by the strength of the rebound, factories, shops, ports and freight yards were overwhelmed with orders and scrambled to bring back the workers they furloughed when COVID hit.

The result has been shortages of workers and supplies, delayed shipments — and rising prices. In the United States, inflation has been rising steadily for more than a year. In June, consumer prices jumped 9.1% from a year earlier — the biggest increase since 1981.

The Fed underestimated inflation’s resurgence, thinking prices were rising because of temporary supply chain bottlenecks. It has since acknowledged that the current spate of inflation is not, as it was once referred to, ” transitory.”

Now the central bank is responding aggressively. It has raised its benchmark short-term interest rate four times this year, and more rate hikes are ahead.

Higher borrowing costs are taking a toll. Rising mortgage rates, for instance, have cooled a red-hot housing market. Sales of previously occupied homes dropped in June for the fifth straight month.

Real estate companies — including lending firm loanDepot and online housing broker Redfin — have begun laying off workers.

The labor market is showing other signs of wobbliness.

The Labor Department reported Tuesday that employers posted 10.7 million job openings in June — a healthy number but the lowest since September.

And the four-week average number of Americans signing up for unemployment benefits — a proxy for layoffs that smooths out week-to-week swings — rose last week to the highest level since November, though the numbers may have been exaggerated by seasonal factors.

Source: Voice of America