Luna Lockhart poses for a photo in downtown Fresno on Aug. 11, 2022. (Larry Valenzuela/CalMatters/CatchLight Local)
Just before midnight on a recent Tuesday, Luna Lockhart, 25, jumped in the car with their roommate and drove three-and-a-half hours from Fresno to San Francisco.
Their destination: Zuckerberg San Francisco General Hospital, where more than 400 people were already waiting in line to get a monkeypox vaccine.
“They aren’t giving out monkeypox vaccines in Fresno,” Lockhart told CalMatters at the time. “We decided just to be proactive.”
The monkeypox outbreak has disproportionately affected gay and bisexual men as well as transgender individuals, fueling comparison to the early days of the HIV/AIDS epidemic and calls for a stronger public health response. The state prioritized sparse resources, including the monkeypox vaccine, for counties with the greatest number of cases — Los Angeles, San Francisco, Alameda and San Diego. But queer advocates in the Central Valley say when it comes to allocating monkeypox resources, they feel abandoned by state public health officials.
San Francisco has more doses per capita than any other county in the state. It has 27 per 1,000 residents compared to 4 in Los Angeles and 1 across all 19 Central Valley counties.
“Unfortunately, a lot of the resources do go to San Francisco and Los Angeles … We need to remember that there are LGBTQ people in every part of the state,” said Tracy City Councilmember Dan Tavares Arriola, the city’s first openly queer elected official.
Arriola testified last week during a special state Senate committee hearing on monkeypox. He told CalMatters he has spoken to numerous queer people in the Central Valley who, like Lockhart, have driven hours to get a vaccine.
“It’s frustrating, because the Central Valley always gets left behind,” Arriola said. He contracted monkeypox in late July and spent days trying to get treatment and a vaccine for his partner.
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When Lockhart drove to San Francisco to get vaccinated, Fresno County, with 1 million residents, had only 20 vaccines to distribute. As a two-dose shot, that meant that only 10 people could be fully vaccinated. At the time, statewide, there were fewer than 650 cases of monkeypox, but the outbreak has since ballooned to nearly 2,000 cases — a nearly threefold increase in the past two-and-a-half weeks. State Sen. Scott Wiener, a San Francisco Democrat and chair of the Senate Select Committee on Monkeypox, compared getting a vaccine appointment to “The Hunger Games,” with lines stretching around the block.
For people who don’t have the time, transportation or money to drive to another county, not being able to get a vaccine locally is “a very big problem,” said Walter Hewitt, a Fresno resident.
Hewitt, 23, has been trying to get a vaccine for weeks. He’s queer, which puts him in a higher-risk category, but he also works at a gym and is afraid he’ll get infected from touching contaminated equipment. Monkeypox is not a sexually transmitted disease and can be passed along by touching contaminated objects.
“It’s something that needs to be available for everyone,” Hewitt said. “Everyone should have a choice just like they did with the COVID vaccine to protect themselves.”
Sixteen days after Fresno County confirmed its first monkeypox case and 10 weeks after California reported its first case, Jennifer Cruz, executive director of the Fresno Economic Opportunities Commission's LGBTQ+ Resource Center, said she had not gotten any information from the county health department about vaccinations or where to direct people with questions. Britni Lloyd, executive director at the MoPride Center in Stanislaus County, said she receives calls about monkeypox every day. The county health department plans on opening a vaccine clinic at the MoPride Center, but it hasn’t happened yet. Lloyd has started making her own waiting list of people to call once it does.
At a media briefing at the end of July, Fresno health officials said they were planning community meetings to get information about monkeypox to those who need it. Officials did not respond to a CalMatters request for information about vaccine clinics.
As of Aug. 11, Fresno and Stanislaus counties each had seven cases, according to state data.
Slowly, the Central Valley has gotten more vaccines as the federal government distributes supplies to each state. Fresno County’s vaccine allocation increased to 430 while Stanislaus’ increased to 282. Kern County, which also had seven cases as of Aug. 11 but received more than 800 initial doses, administered 200 at a recent vaccine site.
Still, the vaccine rollout has been slow and resources have been slim compared to urban areas. The California Department of Public Health has prioritized distribution of the extremely scarce vaccine primarily based on the number of cases in each county, which some say overlooks how much people travel throughout the state.
Case in point: Lockhart’s roommate has a boyfriend in San Francisco and travels back and forth frequently.
Tracy City Councilmember Arriola said most people in his city work in the Bay Area, where the infection is prevalent, but San Joaquin County initially received only 10 vaccines.
“That’s 86,000 people just in the city of Tracy who are in the Bay Area working to make a living and who are having the exact same contact each and every day,” Arriola said. The state has since allocated 712 doses to San Joaquin County as the federal government distributes more supplies.
Los Angeles and San Francisco counties have been the epicenters of the outbreak in California, with 670 and 516 recorded cases respectively. Those counties received tens of thousands of vaccines, setting up mass vaccination clinics in a matter of days — and they’ve also wielded outsized political power.
Sen. Wiener is among 10 lawmakers who submitted a $38 million emergency budget request to the state. All except one of those legislators represent districts in the Bay Area or surrounding Los Angeles and San Diego, which has the fourth-highest number of cases. The same is true of a letter sent by lawmakers to the U.S. Health and Human Services Agency requesting aid.
In Los Angeles, Assembly Speaker Anthony Rendon of Lakewood held a press conference with LGBTQ+ groups calling for more federal support and a stronger response to the monkeypox outbreak. San Francisco was the first local government to declare a state of emergency in response to monkeypox.
And while the efforts of urban activists have certainly helped direct resources to their communities and spurred conversations about stigma against the LGBTQ+ community, queer people in other places of the state say they need more help.
The day before the state issued stay-at-home orders to suppress the COVID-19 pandemic in March 2020, Cruz said many of the people her LGBTQ+ center serves hadn’t even heard of the virus and didn’t understand why the center was closing.
“In Fresno, you’re dealing with high poverty, which means people don’t necessarily have access to the news like the rest of us,” Cruz said. “They’re not watching the news on TV. They might have smartphones with poor data. People with free phones with poor data plans don’t spend a lot of their data on news sites.”
Instead, it’s up to community advocates to do the legwork to reach marginalized communities, she said, which is a problem when LGBTQ+ centers are few and far between.
“It feels like we’re several decades behind other parts of the state,” Arriola said. “And so that’s what’s frustrating about the allocation of resources related to (monkeypox), is that we’re still falling behind.”
State Epidemiologist Dr. Erica Pan said during the Senate hearing that as vaccine supply increases, the state health department will reassess how it’s distributing it. The U.S. Food and Drug Administration recently told states to split each shot of the Jynneos monkeypox vaccine into five doses in an effort to stretch inadequate supplies.
Experts say vaccines aren’t the be-all-end-all when it comes to stopping the outbreak. Health workers could contain monkeypox by identifying everyone who has been in close proximity to an infected person and doing precautionary testing and vaccination — a process known as contact tracing — but health departments frequently don’t have sufficient staff to do so.
“We’re still at a point where (contact tracing) would continue to be effective for monkeypox,” said Dr. Jason Andrews, an infectious disease specialist and associate professor at Stanford. “But it requires systems and resources that we don’t have in place right now.”
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Lockhart poses for a photo in downtown Fresno on Aug. 11, 2022.","description":null,"title":"Screen Shot 2022-08-18 at 3.37.20 PM","credit":"Larry Valenzuela/CalMatters/CatchLight Local","status":"inherit","altTag":"A person wearing a bandana and glasses stands in front of a mural of a rose.","fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_news_11922983":{"type":"authors","id":"byline_news_11922983","meta":{"override":true},"slug":"byline_news_11922983","name":"Kristen Hwang","isLoading":false}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11922983":{"type":"posts","id":"news_11922983","meta":{"index":"posts_1716263798","site":"news","id":"11922983","found":true},"parent":0,"labelTerm":{"site":"news","term":18481},"blocks":[],"publishDate":1660867568,"format":"standard","disqusTitle":"Monkeypox Vaccines in Particularly Short Supply in California's Central Valley","title":"Monkeypox Vaccines in Particularly Short Supply in California's Central Valley","headTitle":"CALmatters | KQED News","content":"\u003cp data-reader-unique-id=\"10\">Just before midnight on a recent Tuesday, Luna Lockhart, 25, jumped in the car with their roommate and drove three-and-a-half hours from Fresno to San Francisco.\u003c/p>\n\u003cp data-reader-unique-id=\"11\">Their destination: Zuckerberg San Francisco General Hospital, where more than 400 people were already waiting in line to get a monkeypox vaccine.\u003c/p>\n\u003cp data-reader-unique-id=\"12\">“They aren’t giving out monkeypox vaccines in Fresno,” Lockhart told CalMatters at the time. “We decided just to be proactive.”\u003c/p>\n\u003cp data-reader-unique-id=\"13\">The monkeypox outbreak has disproportionately affected gay and bisexual men as well as transgender individuals, fueling comparison to the early days of the HIV/AIDS epidemic and \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/07/california-monkeypox-state-of-emergency/\" data-reader-unique-id=\"14\">calls for a stronger public health response\u003c/a>. The state prioritized sparse resources, including the monkeypox vaccine, for counties with the greatest number of cases — Los Angeles, San Francisco, Alameda and San Diego. But queer advocates in the Central Valley say when it comes to allocating monkeypox resources, they feel abandoned by state public health officials.[pullquote size=\"medium\" align=\"right\" citation=\"Walter Hewitt, Fresno resident\"]'Everyone should have a choice just like they did with the COVID vaccine to protect themselves.'[/pullquote]San Francisco has more doses per capita than any other county in the state. It has 27 per 1,000 residents compared to 4 in Los Angeles and 1 across all 19 Central Valley counties.\u003c/p>\n\u003cp data-reader-unique-id=\"21\">“Unfortunately, a lot of the resources do go to San Francisco and Los Angeles … We need to remember that there are LGBTQ people in every part of the state,” said Tracy City Councilmember Dan Tavares Arriola, the city’s first openly queer elected official.\u003c/p>\n\u003cp data-reader-unique-id=\"22\">Arriola testified last week during a special state Senate committee hearing on monkeypox. He told CalMatters he has spoken to numerous queer people in the Central Valley who, like Lockhart, have driven hours to get a vaccine.\u003c/p>\n\u003cp data-reader-unique-id=\"23\">“It’s frustrating, because the Central Valley always gets left behind,” Arriola said. He \u003ca href=\"https://www.kcra.com/article/tracy-city-council-member-tests-positive-monkeypox/40885877?utm_campaign=CHL%3A%20Daily%20Edition&utm_medium=email&_hsmi=222949625&_hsenc=p2ANqtz--K0r2WU2df_8l0zJzpFpr63eyeH9aSbYEAF53dChsCNHiE3Y3mSx1Hp3CZ82ggzt1lSKZo546M41ptv7lHkeuJRPOnxQ&utm_content=222949625&utm_source=hs_email\" data-reader-unique-id=\"24\">contracted monkeypox in late July\u003c/a> and spent days trying to get treatment and a vaccine for his partner.[aside postID=\"news_11921327,news_11920455,news_11921618\" label=\"Related Posts\"]When Lockhart drove to San Francisco to get vaccinated, Fresno County, with 1 million residents, had only 20 vaccines to distribute. As a two-dose shot, that meant that only 10 people could be fully vaccinated. At the time, statewide, there were \u003ca href=\"https://www.sacbee.com/news/local/health-and-medicine/article263887552.html\" data-reader-unique-id=\"26\">fewer than 650 cases of monkeypox\u003c/a>, but the outbreak has since ballooned to \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\" data-reader-unique-id=\"27\">nearly 2,000 cases\u003c/a> — a nearly threefold increase in the past two-and-a-half weeks. State Sen. Scott Wiener, a San Francisco Democrat and chair of the Senate Select Committee on Monkeypox, compared getting a vaccine appointment to “The Hunger Games,” with lines stretching around the block.\u003c/p>\n\u003cp data-reader-unique-id=\"32\">For people who don’t have the time, transportation or money to drive to another county, not being able to get a vaccine locally is “a very big problem,” said Walter Hewitt, a Fresno resident.\u003c/p>\n\u003cp data-reader-unique-id=\"33\">Hewitt, 23, has been trying to get a vaccine for weeks. He’s queer, which puts him in a higher-risk category, but he also works at a gym and is afraid he’ll get infected from touching contaminated equipment. Monkeypox is not a sexually transmitted disease and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/transmission.html\" data-reader-unique-id=\"34\">can be passed along by touching contaminated objects\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"35\">“It’s something that needs to be available for everyone,” Hewitt said. “Everyone should have a choice just like they did with the COVID vaccine to protect themselves.”\u003c/p>\n\u003cp data-reader-unique-id=\"36\">Sixteen days after Fresno County confirmed its first monkeypox case and 10 weeks after California reported its first case, Jennifer Cruz, executive director of the Fresno Economic Opportunities Commission's LGBTQ+ Resource Center, said she had not gotten any information from the county health department about vaccinations or where to direct people with questions. Britni Lloyd, executive director at the \u003ca href=\"https://www.facebook.com/MoPrideInc/\" data-reader-unique-id=\"37\">MoPride Center\u003c/a> in Stanislaus County, said she receives calls about monkeypox every day. The county health department plans on opening a vaccine clinic at the MoPride Center, but it hasn’t happened yet. Lloyd has started making her own waiting list of people to call once it does.\u003c/p>\n\u003cp data-reader-unique-id=\"45\">“Our health services agency seems anxious to get (vaccine) services rolling in our county, but there’s a lot of red tape,” Lloyd said; this was a\u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/08/california-monkeypox-covid-response/\" data-reader-unique-id=\"46\"> common complaint from local officials during the Senate oversight hearing on monkeypox\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"47\">At a media briefing at the end of July, Fresno health officials said they were planning community meetings to get information about monkeypox to those who need it. Officials did not respond to a CalMatters request for information about vaccine clinics.\u003c/p>\n\u003cp data-reader-unique-id=\"48\">As of Aug. 11\u003cem data-reader-unique-id=\"49\">,\u003c/em> Fresno and Stanislaus counties each had seven cases, according to state data.\u003c/p>\n\u003cp data-reader-unique-id=\"50\">Slowly, the Central Valley has gotten more vaccines as the federal government distributes supplies to each state. Fresno County’s vaccine allocation increased to 430 while Stanislaus’ increased to 282. Kern County, which also had seven cases as of Aug. 11 but received more than 800 initial doses, \u003ca href=\"https://www.kget.com/health/kern-county-public-health-hosts-free-monkeypox-vaccine-clinics-in-bakersfield/\" data-reader-unique-id=\"51\">administered 200 at a recent vaccine site\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"52\">Still, the vaccine rollout has been slow and resources have been slim compared to urban areas. The California Department of Public Health has prioritized distribution of the extremely scarce vaccine primarily based on the number of cases in each county, which some say overlooks how much people travel throughout the state.\u003c/p>\n\u003cfigure id=\"attachment_11922984\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM.png\">\u003cimg class=\"size-medium wp-image-11922984\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-800x531.png\" alt=\"A person wearing a mask and gloves holds a syringe and a small bottle at a hospital.\" width=\"800\" height=\"531\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-1020x677.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-160x106.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-1536x1020.png 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM.png 1542w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Zelynn Tirona prepares monkeypox vaccines for administration at Zuckerberg San Francisco General Hospital on Aug. 12, 2022. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp data-reader-unique-id=\"58\">Case in point: Lockhart’s roommate has a boyfriend in San Francisco and travels back and forth frequently.\u003c/p>\n\u003cp data-reader-unique-id=\"59\">Tracy City Councilmember Arriola said most people in his city work in the Bay Area, where the infection is prevalent, but San Joaquin County initially received only 10 vaccines.\u003c/p>\n\u003cp data-reader-unique-id=\"60\">“That’s 86,000 people just in the city of Tracy who are in the Bay Area working to make a living and who are having the exact same contact each and every day,” Arriola said. The state has since allocated 712 doses to San Joaquin County as the federal government distributes more supplies.\u003c/p>\n\u003cp data-reader-unique-id=\"61\">Los Angeles and San Francisco counties have been the epicenters of the outbreak in California, with 670 and 516 recorded cases respectively. Those counties received tens of thousands of vaccines, setting up mass vaccination clinics in a matter of days — and they’ve also wielded \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/07/california-monkeypox-state-of-emergency/\" data-reader-unique-id=\"62\">outsized political power\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"68\">Sen. Wiener is among 10 lawmakers who submitted a $38 million emergency budget request to the state. All except one of those legislators represent districts in the Bay Area or surrounding Los Angeles and San Diego, which has the fourth-highest number of cases. The same is true of a \u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">letter sent by lawmakers to the U.S. Health and Human Services Agency\u003c/a> requesting aid.\u003c/p>\n\u003cp data-reader-unique-id=\"70\">In Los Angeles, Assembly Speaker Anthony Rendon of Lakewood held a press conference with LGBTQ+ groups calling for more federal support and a stronger response to the monkeypox outbreak. San Francisco was the first local government to declare a state of emergency in response to monkeypox.\u003c/p>\n\u003cp data-reader-unique-id=\"71\">And while the efforts of urban activists have certainly helped direct resources to their communities and spurred conversations about stigma against the LGBTQ+ community, queer people in other places of the state say they need more help.\u003c/p>\n\u003cp data-reader-unique-id=\"72\">The day before the state issued stay-at-home orders to suppress the COVID-19 pandemic in March 2020, Cruz said many of the people her LGBTQ+ center serves hadn’t even heard of the virus and didn’t understand why the center was closing.\u003c/p>\n\u003cp data-reader-unique-id=\"73\">“In Fresno, you’re dealing with high poverty, which means people don’t necessarily have access to the news like the rest of us,” Cruz said. “They’re not watching the news on TV. They might have smartphones with poor data. People with free phones with poor data plans don’t spend a lot of their data on news sites.”\u003c/p>\n\u003cp data-reader-unique-id=\"74\">Instead, it’s up to community advocates to do the legwork to reach marginalized communities, she said, which is a problem when LGBTQ+ centers are few and far between.\u003c/p>\n\u003cp data-reader-unique-id=\"75\">“It feels like we’re several decades behind other parts of the state,” Arriola said. “And so that’s what’s frustrating about the allocation of resources related to (monkeypox), is that we’re still falling behind.”\u003c/p>\n\u003cp data-reader-unique-id=\"76\">State Epidemiologist Dr. Erica Pan said during the Senate hearing that as vaccine supply increases, the state health department will reassess how it’s distributing it. The U.S. Food and Drug Administration recently told states to \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\" data-reader-unique-id=\"77\">split each shot of the Jynneos monkeypox vaccine into five doses\u003c/a> in an effort to stretch inadequate supplies.\u003c/p>\n\u003cp data-reader-unique-id=\"78\">Experts say vaccines aren’t the be-all-end-all when it comes to stopping the outbreak. Health workers could contain monkeypox by identifying everyone who has been in close proximity to an infected person and doing precautionary testing and vaccination — a process known as contact tracing — but health departments \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\" data-reader-unique-id=\"79\">frequently don’t have sufficient staff\u003c/a> to do so.\u003c/p>\n\u003cp data-reader-unique-id=\"80\">“We’re still at a point where (contact tracing) would continue to be effective for monkeypox,” said Dr. Jason Andrews, an infectious disease specialist and associate professor at Stanford. “But it requires systems and resources that we don’t have in place right now.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","disqusIdentifier":"11922983 https://ww2.kqed.org/news/?p=11922983","disqusUrl":"https://ww2.kqed.org/news/2022/08/18/monkeypox-vaccines-in-particularly-short-supply-in-californias-central-valley/","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1588,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":2},"modified":1660870020,"excerpt":"While monkeypox vaccines are targeted to the state's largest cities, where case numbers are highest, other communities are struggling to respond.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"While monkeypox vaccines are targeted to the state's largest cities, where case numbers are highest, other communities are struggling to respond.","title":"Monkeypox Vaccines in Particularly Short Supply in California's Central Valley | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Monkeypox Vaccines in Particularly Short Supply in California's Central Valley","datePublished":"2022-08-18T17:06:08-07:00","dateModified":"2022-08-18T17:47:00-07:00","image":"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.37.20-PM-1020x659.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"authorsData":[{"type":"authors","id":"byline_news_11922983","meta":{"override":true},"slug":"byline_news_11922983","name":"Kristen Hwang","isLoading":false}],"imageData":{"ogImageSize":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.37.20-PM-1020x659.png","width":1020,"mimeType":"image/png","height":659},"ogImageWidth":"1020","ogImageHeight":"659","twitterImageUrl":"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.37.20-PM-1020x659.png","twImageSize":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.37.20-PM-1020x659.png","width":1020,"mimeType":"image/png","height":659},"twitterCard":"summary_large_image"},"tagData":{"tags":["Central Valley","LGBTQ community","Monkeypox","monkeypox vaccine"]}},"guestAuthors":[],"slug":"monkeypox-vaccines-in-particularly-short-supply-in-californias-central-valley","status":"publish","sourceUrl":"https://calmatters.org","nprByline":"Kristen Hwang","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11922983/monkeypox-vaccines-in-particularly-short-supply-in-californias-central-valley","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp data-reader-unique-id=\"10\">Just before midnight on a recent Tuesday, Luna Lockhart, 25, jumped in the car with their roommate and drove three-and-a-half hours from Fresno to San Francisco.\u003c/p>\n\u003cp data-reader-unique-id=\"11\">Their destination: Zuckerberg San Francisco General Hospital, where more than 400 people were already waiting in line to get a monkeypox vaccine.\u003c/p>\n\u003cp data-reader-unique-id=\"12\">“They aren’t giving out monkeypox vaccines in Fresno,” Lockhart told CalMatters at the time. “We decided just to be proactive.”\u003c/p>\n\u003cp data-reader-unique-id=\"13\">The monkeypox outbreak has disproportionately affected gay and bisexual men as well as transgender individuals, fueling comparison to the early days of the HIV/AIDS epidemic and \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/07/california-monkeypox-state-of-emergency/\" data-reader-unique-id=\"14\">calls for a stronger public health response\u003c/a>. The state prioritized sparse resources, including the monkeypox vaccine, for counties with the greatest number of cases — Los Angeles, San Francisco, Alameda and San Diego. But queer advocates in the Central Valley say when it comes to allocating monkeypox resources, they feel abandoned by state public health officials.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Everyone should have a choice just like they did with the COVID vaccine to protect themselves.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Walter Hewitt, Fresno resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>San Francisco has more doses per capita than any other county in the state. It has 27 per 1,000 residents compared to 4 in Los Angeles and 1 across all 19 Central Valley counties.\u003c/p>\n\u003cp data-reader-unique-id=\"21\">“Unfortunately, a lot of the resources do go to San Francisco and Los Angeles … We need to remember that there are LGBTQ people in every part of the state,” said Tracy City Councilmember Dan Tavares Arriola, the city’s first openly queer elected official.\u003c/p>\n\u003cp data-reader-unique-id=\"22\">Arriola testified last week during a special state Senate committee hearing on monkeypox. He told CalMatters he has spoken to numerous queer people in the Central Valley who, like Lockhart, have driven hours to get a vaccine.\u003c/p>\n\u003cp data-reader-unique-id=\"23\">“It’s frustrating, because the Central Valley always gets left behind,” Arriola said. He \u003ca href=\"https://www.kcra.com/article/tracy-city-council-member-tests-positive-monkeypox/40885877?utm_campaign=CHL%3A%20Daily%20Edition&utm_medium=email&_hsmi=222949625&_hsenc=p2ANqtz--K0r2WU2df_8l0zJzpFpr63eyeH9aSbYEAF53dChsCNHiE3Y3mSx1Hp3CZ82ggzt1lSKZo546M41ptv7lHkeuJRPOnxQ&utm_content=222949625&utm_source=hs_email\" data-reader-unique-id=\"24\">contracted monkeypox in late July\u003c/a> and spent days trying to get treatment and a vaccine for his partner.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11921327,news_11920455,news_11921618","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>When Lockhart drove to San Francisco to get vaccinated, Fresno County, with 1 million residents, had only 20 vaccines to distribute. As a two-dose shot, that meant that only 10 people could be fully vaccinated. At the time, statewide, there were \u003ca href=\"https://www.sacbee.com/news/local/health-and-medicine/article263887552.html\" data-reader-unique-id=\"26\">fewer than 650 cases of monkeypox\u003c/a>, but the outbreak has since ballooned to \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Data.aspx\" data-reader-unique-id=\"27\">nearly 2,000 cases\u003c/a> — a nearly threefold increase in the past two-and-a-half weeks. State Sen. Scott Wiener, a San Francisco Democrat and chair of the Senate Select Committee on Monkeypox, compared getting a vaccine appointment to “The Hunger Games,” with lines stretching around the block.\u003c/p>\n\u003cp data-reader-unique-id=\"32\">For people who don’t have the time, transportation or money to drive to another county, not being able to get a vaccine locally is “a very big problem,” said Walter Hewitt, a Fresno resident.\u003c/p>\n\u003cp data-reader-unique-id=\"33\">Hewitt, 23, has been trying to get a vaccine for weeks. He’s queer, which puts him in a higher-risk category, but he also works at a gym and is afraid he’ll get infected from touching contaminated equipment. Monkeypox is not a sexually transmitted disease and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/transmission.html\" data-reader-unique-id=\"34\">can be passed along by touching contaminated objects\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"35\">“It’s something that needs to be available for everyone,” Hewitt said. “Everyone should have a choice just like they did with the COVID vaccine to protect themselves.”\u003c/p>\n\u003cp data-reader-unique-id=\"36\">Sixteen days after Fresno County confirmed its first monkeypox case and 10 weeks after California reported its first case, Jennifer Cruz, executive director of the Fresno Economic Opportunities Commission's LGBTQ+ Resource Center, said she had not gotten any information from the county health department about vaccinations or where to direct people with questions. Britni Lloyd, executive director at the \u003ca href=\"https://www.facebook.com/MoPrideInc/\" data-reader-unique-id=\"37\">MoPride Center\u003c/a> in Stanislaus County, said she receives calls about monkeypox every day. The county health department plans on opening a vaccine clinic at the MoPride Center, but it hasn’t happened yet. Lloyd has started making her own waiting list of people to call once it does.\u003c/p>\n\u003cp data-reader-unique-id=\"45\">“Our health services agency seems anxious to get (vaccine) services rolling in our county, but there’s a lot of red tape,” Lloyd said; this was a\u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/08/california-monkeypox-covid-response/\" data-reader-unique-id=\"46\"> common complaint from local officials during the Senate oversight hearing on monkeypox\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"47\">At a media briefing at the end of July, Fresno health officials said they were planning community meetings to get information about monkeypox to those who need it. Officials did not respond to a CalMatters request for information about vaccine clinics.\u003c/p>\n\u003cp data-reader-unique-id=\"48\">As of Aug. 11\u003cem data-reader-unique-id=\"49\">,\u003c/em> Fresno and Stanislaus counties each had seven cases, according to state data.\u003c/p>\n\u003cp data-reader-unique-id=\"50\">Slowly, the Central Valley has gotten more vaccines as the federal government distributes supplies to each state. Fresno County’s vaccine allocation increased to 430 while Stanislaus’ increased to 282. Kern County, which also had seven cases as of Aug. 11 but received more than 800 initial doses, \u003ca href=\"https://www.kget.com/health/kern-county-public-health-hosts-free-monkeypox-vaccine-clinics-in-bakersfield/\" data-reader-unique-id=\"51\">administered 200 at a recent vaccine site\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"52\">Still, the vaccine rollout has been slow and resources have been slim compared to urban areas. The California Department of Public Health has prioritized distribution of the extremely scarce vaccine primarily based on the number of cases in each county, which some say overlooks how much people travel throughout the state.\u003c/p>\n\u003cfigure id=\"attachment_11922984\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM.png\">\u003cimg class=\"size-medium wp-image-11922984\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-800x531.png\" alt=\"A person wearing a mask and gloves holds a syringe and a small bottle at a hospital.\" width=\"800\" height=\"531\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-1020x677.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-160x106.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM-1536x1020.png 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/Screen-Shot-2022-08-18-at-3.36.58-PM.png 1542w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Zelynn Tirona prepares monkeypox vaccines for administration at Zuckerberg San Francisco General Hospital on Aug. 12, 2022. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp data-reader-unique-id=\"58\">Case in point: Lockhart’s roommate has a boyfriend in San Francisco and travels back and forth frequently.\u003c/p>\n\u003cp data-reader-unique-id=\"59\">Tracy City Councilmember Arriola said most people in his city work in the Bay Area, where the infection is prevalent, but San Joaquin County initially received only 10 vaccines.\u003c/p>\n\u003cp data-reader-unique-id=\"60\">“That’s 86,000 people just in the city of Tracy who are in the Bay Area working to make a living and who are having the exact same contact each and every day,” Arriola said. The state has since allocated 712 doses to San Joaquin County as the federal government distributes more supplies.\u003c/p>\n\u003cp data-reader-unique-id=\"61\">Los Angeles and San Francisco counties have been the epicenters of the outbreak in California, with 670 and 516 recorded cases respectively. Those counties received tens of thousands of vaccines, setting up mass vaccination clinics in a matter of days — and they’ve also wielded \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/07/california-monkeypox-state-of-emergency/\" data-reader-unique-id=\"62\">outsized political power\u003c/a>.\u003c/p>\n\u003cp data-reader-unique-id=\"68\">Sen. Wiener is among 10 lawmakers who submitted a $38 million emergency budget request to the state. All except one of those legislators represent districts in the Bay Area or surrounding Los Angeles and San Diego, which has the fourth-highest number of cases. The same is true of a \u003ca href=\"https://a19.asmdc.org/sites/a19.asmdc.org/files/2022-07/Monkeypox%20letter%20-%20HHS%20%287.28.22%29.pdf\">letter sent by lawmakers to the U.S. Health and Human Services Agency\u003c/a> requesting aid.\u003c/p>\n\u003cp data-reader-unique-id=\"70\">In Los Angeles, Assembly Speaker Anthony Rendon of Lakewood held a press conference with LGBTQ+ groups calling for more federal support and a stronger response to the monkeypox outbreak. San Francisco was the first local government to declare a state of emergency in response to monkeypox.\u003c/p>\n\u003cp data-reader-unique-id=\"71\">And while the efforts of urban activists have certainly helped direct resources to their communities and spurred conversations about stigma against the LGBTQ+ community, queer people in other places of the state say they need more help.\u003c/p>\n\u003cp data-reader-unique-id=\"72\">The day before the state issued stay-at-home orders to suppress the COVID-19 pandemic in March 2020, Cruz said many of the people her LGBTQ+ center serves hadn’t even heard of the virus and didn’t understand why the center was closing.\u003c/p>\n\u003cp data-reader-unique-id=\"73\">“In Fresno, you’re dealing with high poverty, which means people don’t necessarily have access to the news like the rest of us,” Cruz said. “They’re not watching the news on TV. They might have smartphones with poor data. People with free phones with poor data plans don’t spend a lot of their data on news sites.”\u003c/p>\n\u003cp data-reader-unique-id=\"74\">Instead, it’s up to community advocates to do the legwork to reach marginalized communities, she said, which is a problem when LGBTQ+ centers are few and far between.\u003c/p>\n\u003cp data-reader-unique-id=\"75\">“It feels like we’re several decades behind other parts of the state,” Arriola said. “And so that’s what’s frustrating about the allocation of resources related to (monkeypox), is that we’re still falling behind.”\u003c/p>\n\u003cp data-reader-unique-id=\"76\">State Epidemiologist Dr. Erica Pan said during the Senate hearing that as vaccine supply increases, the state health department will reassess how it’s distributing it. The U.S. Food and Drug Administration recently told states to \u003ca href=\"https://www.fda.gov/news-events/press-announcements/monkeypox-update-fda-authorizes-emergency-use-jynneos-vaccine-increase-vaccine-supply\" data-reader-unique-id=\"77\">split each shot of the Jynneos monkeypox vaccine into five doses\u003c/a> in an effort to stretch inadequate supplies.\u003c/p>\n\u003cp data-reader-unique-id=\"78\">Experts say vaccines aren’t the be-all-end-all when it comes to stopping the outbreak. Health workers could contain monkeypox by identifying everyone who has been in close proximity to an infected person and doing precautionary testing and vaccination — a process known as contact tracing — but health departments \u003ca href=\"https://calmatters.org/health/2022/08/california-monkeypox/\" data-reader-unique-id=\"79\">frequently don’t have sufficient staff\u003c/a> to do so.\u003c/p>\n\u003cp data-reader-unique-id=\"80\">“We’re still at a point where (contact tracing) would continue to be effective for monkeypox,” said Dr. Jason Andrews, an infectious disease specialist and associate professor at Stanford. “But it requires systems and resources that we don’t have in place right now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11922983/monkeypox-vaccines-in-particularly-short-supply-in-californias-central-valley","authors":["byline_news_11922983"],"categories":["news_8"],"tags":["news_311","news_20003","news_31133","news_31325"],"affiliates":["news_18481"],"featImg":"news_11922985","label":"news_18481","isLoading":false,"hasAllInfo":true}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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