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Financially strained sexual health clinics are on the frontline to respond to monkeypox

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Financially strained sexual health clinics are on the frontline to respond to monkeypox

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Sexual well being clinics on the frontline of the monkeypox response are already financially stretched, leaving the USA and UK ill-equipped to sort out the primary main international well being take a look at for the reason that COVID-19 pandemic.

Infectious illness consultants say sexual well being clinics – which supply confidential walk-in prognosis and therapy – are greatest positioned to establish and deal with instances of monkeypox, which is basically affecting males who’ve intercourse with males.

But such applications are doing so largely with out further funding regardless of years of monetary neglect. There may be little knowledge on funding for sexual well being companies globally, however consultants agree that the sector is under-resourced.

MONKEYPOX MUTATING MORE THAN PREVIOUSLY THOUGHT, RESEARCHERS SAY

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That has impeded the monkeypox response and diverted scarce sources wanted to curb rising charges of different sexually transmitted ailments (STD), sexual well being consultants within the UK and the USA advised Reuters.

This lack of sources may end in additional unfold of monkeypox, they stated. In keeping with the World Well being Group (WHO), the outbreak has reached 63 nations.

“This can be a hole and a weak spot in our public well being system that monkeypox has uncovered,” Dr. Meg Doherty, director of the WHO’s International HIV, Hepatitis and STIs Programmes, stated in an e-mail.

“Even amongst excessive earnings nations, funding for sexual well being globally is lowering or stays unfunded,” she stated.

Though monkeypox is being transmitted by means of sexual contact, the virus can infect anybody who is available in contact with pus-filled sores, physique fluids, respiratory droplets or contaminated linens.

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Clinic workers should take additional time cleansing examination rooms and purchase further protecting gear. When added to power low staffing, an issue exacerbated by the COVID pandemic, appointments will be onerous to come back by. Testing tools in the USA can be in brief provide.

Monkeypox has been endemic in components of Africa for years, however since early Might, the virus has been spreading quickly in different nations primarily amongst homosexual and bisexual males, who typically current with rashes within the genital and anal space that docs might confuse with herpes or syphilis. Out of 11,500 confirmed instances globally, 1,469 are in the USA and 1,856 are within the UK, in accordance with a Reuters tally.

In Spain, with 2,447 instances – essentially the most on the planet – sufferers are being seen in hospitals and well being clinics. Native well being authorities stated they added additional testing capability early within the outbreak and the well being system was not beneath strain.

Whereas sexual well being clinics are positioned to serve sufferers with monkeypox, many such applications have been financially uncared for for years.
(REUTERS/Dado Ruvic/Illustration/File Photograph)

Funding Cuts

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Information from a UK charity known as the Well being Basis present England’s sexual well being companies’ finances was minimize by 14% over a six-year interval ending in fiscal 2022. UK clinics have but to obtain any new funding to satisfy the extra monkeypox demand.

In the USA, funding for sexual healthcare and analysis likewise has dwindled, stated David Harvey, government director of the Nationwide Coalition of STD Administrators (NCSD).

“Monkeypox has shone a evident gentle on this reality. Broadly talking, the STD subject has been vastly underfunded for 20 to 30 years,” stated Harvey, whose group has requested $100 million in funding to deal with the monkeypox outbreak.

Federal funding for STD applications has remained comparatively flat prior to now 20 years – $168.5 million in 2003 vs $152.5 million in 2022 – a 40% drop when accounting for inflation, in accordance with the NCSD. State and native investments even have fallen, at the same time as STD charges reached all-time highs, in accordance with a 2021 Nationwide Academies of Sciences, Engineering and Drugs report.

A survey of NCSD’s membership launched on June 12 discovered that 42.7% of U.S.-based sexual well being clinics have entry to applicable testing swabs, and fewer than 20% have applicable tubes for gathering monkeypox specimens for transport to medical labs.

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With restricted suppliers and appointment slots, clinics should triage sufferers, prioritizing these with ache or rash or suspected monkeypox. That has left asymptomatic sufferers and people in want of different companies with out care.

Harun Tulunay, 35, a sexual well being advocate who’s HIV constructive and was not too long ago hospitalized with monkeypox in London, is aware of of mates whose sexual well being appointments had been delayed or unobtainable “as a result of they (clinics) are too busy coping with monkeypox.”

He’s not shocked, as he skilled the time-consuming decontamination efforts when he was recognized.

“We see it overwhelming clinics,” he stated. “If we immediately have 5,000 instances, what’s going to occur?”

Final week, a coalition of sexual well being/HIV organizations within the UK known as for pressing funding help, in search of £51 million ($60 million) for sexual well being companies to “include and get rid of monkeypox” as some clinics reported drastic drops in important companies.

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US MONKEYPOX CASES JUMP AS TESTING INCREASES

A part of the difficulty is that funding for HIV and different sexually transmitted infections is basically separate, particularly in the USA.

“There’s been some huge cash put into HIV, which is suitable, nevertheless, STI has been a pauper,” stated Dr. Matt Golden, director of the HIV/STD clinic serving Seattle and Washington state’s King County. His clinic has recognized half of the realm’s monkeypox instances in addition to supplied vaccines and therapy steering.

Specialists in each nations agreed that monkeypox was a wake-up name for extra funding in sexual well being. “It’s time we do one thing,” stated NCSD’s Harvey.

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How The Great British Bake Off Host Alison Hammond Lost 150 Lbs Naturally

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How The Great British Bake Off Host Alison Hammond Lost 150 Lbs Naturally


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One state leads country in human bird flu with nearly 40 confirmed cases

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One state leads country in human bird flu with nearly 40 confirmed cases

A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).

As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).

This represents more than half of the human cases in the country.

LOUISIANA REPORTS FIRST BIRD FLU-RELATED HUMAN DEATH IN US

The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.

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The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.

A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health. (iStock)

The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.

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It is not yet known how the child was exposed to the virus and an investigation is ongoing.

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“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release. 

BIRD FLU PATIENT HAD VIRUS MUTATIONS, SPARKING CONCERN ABOUT HUMAN SPREAD

“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.” 

Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks. 

Chick bird flu test

An infectious diseases expert called for “decisive action” to alert the public about the risks associated with wild birds and infected backyard flocks.  (iStock)

“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.

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Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.

     

“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.

Split image of cows and bird flu vial

As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture. (iStock)

“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”

As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).

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In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.

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Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.

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Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.

“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”

For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.

The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.

It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”

A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.

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