With limited monkeypox vaccine, Southern Decadence is a concern for Louisiana

By: - August 4, 2022 2:05 pm

Health worker administers a vaccination against monkeypox. Credit: Mario Tama/Getty Images

Louisiana is headed into one of the largest gatherings of gay and bisexual men in the country next month without nearly enough monkeypox vaccine to meet the demand – and with a shortage of vaccine nationwide during a growing outbreak of the virus.

Any person, regardless of gender or sexual history, can contract monkeypox, health officials have emphasized, but an overwhelming number of the cases in the United States and Europe so far have been among men who have sex with men. If the outbreak in the LGBTQ+  is not controlled, health experts expect that the virus will spread farther into the general population.

Yet so far, the federal government has resisted calls from Louisiana health officials to provide the state with more vaccine ahead of one of the major events on the national gay social calendar.

Southern Decadence, advertised as the largest LGBTQ+ festival held annually in the Deep South, is scheduled for Labor Day weekend (Sept. 1-5) in New Orleans. It typically attracts 100,000 to 300,000 participants and is a major economic boon to the city in a season when tourism is otherwise sluggish.

People come from all over the country and world to attend, and anticipation is particularly high this year, since the festival was canceled in 2020 and 2021 over COVID-19 concerns.

Yet health officials at the state and local level say Louisiana’s meager vaccine supply will leave the state vulnerable to a large monkeypox outbreak following such a massive event. Southern Decadence could also further the virus spread in other parts of the country if visitors become infected while in New Orleans and carry monkeypox back to their hometowns, they said.

“This will be a superspreader event without additional vaccine doses ahead of time to get as many people as possible [vaccinated],” said Jennifer Avegno, New Orleans health director and an emergency room physician, in an interview this week.

Ideally, Louisiana and New Orleans would launch a widespread vaccine drive to inoculate as many people – particularly gay and bisexual men – before Southern Decadence.

But the federal government has only agreed to give the state 9,200 doses of the monkeypox vaccine in total.  Some of those doses might not arrive until the middle of September, after Southern Decadence has already taken place, state officials said last week.

The Louisiana Department of Health pleaded with the federal government to give the state an additional 15,000 doses outside of the state’s normal allocation ahead of Southern Decadence to help prepare for the event, but the request has not been granted so far.

Absent more vaccine doses, Avegno said public health officials are working with Southern Decadence organizers and bars that cater to the LGBTQ+ community to educate them on how the virus spreads. Louisiana and New Orleans are totally dependent on the federal government to provide the drug.

Monkeypox is thought to be easily transmitted through prolonged skin-to-skin contact, though it could also spread through sharing personal items like towels and bedsheets. The virus can produce flu-like symptoms and a painful rash, which is subtle at first but then turns into oozing scabs. A person who has monkeypox can be contagious and sick for as long as a month.

The disease is only rarely fatal, but may leave scarring. People who get monkeypox have a difficult time going to the bathroom and describe it as one of the most uncomfortable experiences of their lives. They can have trouble sleeping because the pain is so severe.

Louisiana may have an uphill battle when it comes to advocating for more vaccine doses. It has a lower infection rate – about 1 in about 80,400 residents has monkeypox – than the country as whole, where 1 in every 49,800 residents has tested positive. The state is also competing with places like California and New York, that are experiencing larger monkeypox outbreaks and have larger populations of gay and bisexual men.

Louisiana only has 58 confirmed cases of monkeypox, 42 of which are in New Orleans or its surrounding parishes, as of Wednesday evening. By comparison, New York had 1,666 and California had 826. In the South, Texas and Florida both had over 500 cases.

This story was published earlier by the Louisiana Illuminator, an affiliate of the nonprofit States Newsroom network, which includes the Florida Phoenix.

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Julie O'Donoghue
Julie O'Donoghue

Julie O’Donoghue is a senior reporter for the Louisiana Illuminator and producer of the Louisiana Illuminator podcast. She’s received awards from the Virginia Press Association and Louisiana-Mississippi Associated Press. Julie covered state government and politics for NOLA.com | The Times-Picayune for six years. She’s also covered government and politics in Missouri, Virginia and Washington D.C.