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“A large number of the new notifications of HIV in Australia these days are among women,” Harlum said. Stigma can also lead to clinicians being less likely to test patients who do not fit within a narrowed criteria. This can also be exacerbated in ethnic minority groups, and in some religions and cultures opposed to homosexuality. “Anything that presents a haze of stigma is counter to that public health effort.” “Stigma generally stops people from disclosing, from seeking testing, from seeking treatment, from seeking care,” Harlum told. Higher numbers of monkeypox detection within this community could also be due to the “active health-seeking behaviour of gay, bisexual or men who have sex with men around sexual health,” NSW sexual health organisation ACON said. Harlum says the Australian response to HIV is a “global best standard” and more broadly that “we must always be mindful when trying to do good with public health, that we do no harm”. Nobody working in the population health sector will be reckless with information and advice.”
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“Australia has a very mature and professional public health sector and that is, in part, thanks to the legacy of HIV. “It’s not about being gay or having gay sex, the evidence tells us with monkeypox to date it’s about skin-to-skin contact. “I’m not saying that we don’t target messaging into particular communities that the evidence tells us are at particular risk, but we need to relate that not to a group of people. “We need to be really razor-focused on what the evidence is actually telling us,” he told. National Association of People Living with HIV Australia president and Australian Federation of AIDS Organisations director Scott Harlum says there are lessons that can be learned from the response to the HIV/AIDS crisis. “Would football players have been listed as particularly vulnerable in monkeypox commentary if the outbreak had spread at a sports match? Would it have carried as much risk of stigma then?,” Lee wrote. “It could just as easily have been an outbreak in a heterosexual friendship network, or a group of sports people. The patterns of sexual orientation within the monkeypox case numbers “reflects their social networks”, UK University of Sheffield professor of public health Andrew Lee wrote for The Conversation. While recommending extra vigilance in communities where the infection is known to be circulating is an effort to protect them, some have questioned whether highlighting this group specifically is doing more harm than good. NSW Health confirmed to its use of sexual orientation in its information was to acknowledge the international situation, and was based on language used by peak Australian bodies opposed to stigmatising people, including ACON. What is monkeypox? A microbiologist explains what we know about this smallpox cousin
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SA Health also notes “several countries have reported cases in men who have sex with men” and a WA Health media release this week said: “Many of the recently recorded cases have occurred in men who have sex with men.” “NSW Health is urging people who have recently returned from overseas and have attended large parties or sex on premises venues to watch for symptoms.” “A large proportion of cases detected in Europe and North America are among gay, bisexual or men who have sex with men,” NSW Health said in its website monkeypox fact sheet, most recently updated on Thursday. Monkeypox is spread by close, skin-to-skin contact between any person - so the viral infection can be caught by anyone, but some local health authorities have made specific mention of sexual orientation. The body said infection came from close physical contact and “that risk is not limited in any way, to men who have sex with men”. “Experience shows that stigmatising rhetoric can quickly disable evidence-based response by stoking cycles of fear, driving people away from health services, impeding efforts to identify cases, and encouraging ineffective, punitive measures,” Joint United Nations Program on HIV/AIDS ( UNAIDS) deputy executive director Matthew Kavanagh said. UN officials last week raised concerns about unnecessary stereotypes, highlighting a history of problematic stigma.
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