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Liz Highleyman Profile picture
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Dec 29, 2022 • 4 tweets • 3 min read
#Monkeypox/#mpox had a disproportionate effect on #transgender & gender variant people. Both trans men & trans women are part of, or connected to, sexual networks of gay, bi & other men who have sex with men. @CDCgov @CDCMMWR
cdc.gov/mmwr/volumes/7…
Another recent study by @profchloeorkin et al found that mpox risk factors differed for cis & trans women, with the latter being more likely to be exposed via sex & having more sex partners & a higher STI rate. 2/
poz.com/article/study-…
In Orkin's study, 8% of cisgender women & 50% of trans women were #HIV positive. The CDC study, too, saw high HIV rates: 60% for transgender women, 29% for trans men & 44% for gender-diverse people. 3/
These findings suggest that while mpox has declined dramatically since its peak this summer, it still remains a concern for some people living with HIV. 4/ @dr_demetre

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More from @LizHighleyman

Liz Highleyman Profile picture
Dec 31, 2022
Since it's that time of year, here's a selection of some of my favorite articles I wrote in 2022.
My main focus is #HIV. Here, for @pozmagazine, a look at advances in antiretroviral treatment & prospects for a functional cure. 1/
poz.com/article/long-w…
For @aidsmap, a report from #AIDS2022 about a 5th person cured of #HIV after a stem cell transplant. (The 4th such case was reported earlier in the year at #CROI2022/#CROI22). 2/

aidsmap.com/news/aug-2022/…
I did a couple articles on #HIV vaccines, which remain elusive. But mRNA technology is advancing that effort & also showing promise for cancer vaccines. 3/

cancerhealth.com/article/mrna-r…
Read 10 tweets
Liz Highleyman Profile picture
Dec 30, 2022
This psychologizing of people with different risk tolerance is tedious. Mask proponents can't grasp that we've seen evidence over 3 years that masking doesn't appear to affect case trajectories much at the community level & decided marginal benefits aren't worth the drawbacks. 1/ Image
.@ianmSC can be a gadfly, but he's posted many graphs like this showing that cities & countries with mask mandates or strong masking culture have case trajectories similar to those of places that don't. 2/

If masks had a substantial protective effect at the community level, it should be clearly apparent by now, like the substantial effect of vaccines on COVID hospitalization & deaths. 3/
Read 7 tweets
Liz Highleyman Profile picture
Aug 30, 2022
I think this is a terrible idea. As we saw many times with #COVID & now #monkeypox the accepted consensus can change -- & it should change as we get more evidence. Who's smart enough & prescient enough to decide what's misinformation? 1/ nytimes.com/2022/08/29/tec…
Yes, sometimes misinformation is obvious -- those are the easy cases.
- Is SARS-CoV-2 airborne?
- Were school closures beneficial or harmful?
- How common is long COVID?
- Is monkeypox an STI?
Just a few questions where experts disagree & our understanding has evolved. 2/
Read 6 tweets
Liz Highleyman Profile picture
Aug 30, 2022
There's a new round of dis/misinformation about the safety of #COVID vaccines during pregnancy. While pregnant women weren't included in clinical trials (as is typical), hundreds of thousands have safely gotten the vaccines in the real world.
Good thread on the topic by @VikiLovesFACS:

And a systemic review of COVID vaccines & pregnancy in Nature:

Read 4 tweets
Liz Highleyman Profile picture
Aug 30, 2022
It's true children historically got #monkeypox in African countries where the virus is endemic. But until recently, MPX was considered rare. It was not thought to spread easily between humans & outbreaks were small. That's still the case for everyone *except* gay/bi/MSM. 1/
That remained true until an outbreak in Nigeria in 2017, when cases shifted towards young urban men. Dr. Ogoina (profiled here) & other experts think it might be transmitted sexually there as well (& not necessarily limited to sex between men). 2/
n.pr/3PPiCR5
Currently, ~440 of the ~48,000 global cases in 2022 (~1%) are in countries that historically reported monkeypox. About 1/2 the children with MPX worldwide are in these countries & the gender breakdown, while still majority male, isn't so heavily skewed. 3/
worldhealthorg.shinyapps.io/mpx_global/
Read 5 tweets
Liz Highleyman Profile picture
Aug 29, 2022
Just to be clear, @WHO reports 140 people under age 18 with #monkeypox. @CDCgov reports <20 in US. There has been no known transmission in schools. Official data lags, but cases in children have remained well under 1% for 3 months. 1/ Image
If MPX were going to spread like wildfire among kids — & if it were easily transmitted through casual contact or the air — surely we’d have started to see some indication of that by now. 2/
I know people don’t trust PH these days — assuming they’re either minimizing threats to get people back to work or exaggerating risk to impose restrictions — but @CDCgov says no extra MPX precautions are needed in schools. 3/ cdc.gov/poxvirus/monke…
Read 5 tweets

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