Sexual health clinics are scrambling to properly track, test and treat hundreds of monkeypox patients. So far, it isn't going well.
— doctors warn the epidemic may have grown too large and diffuse for them to contain.
Dr. Shira Heisler, medical director of the Detroit Public Health STD Clinic, said she's proud of the quality of care she provides but simply doesn't have time to see every patient who needs care."We just don't have the bodies," she said."It's a total infrastructure collapse." Funding from the Centers for Disease Control and Prevention to prevent sexually transmitted infections has fallen by almost 10% since 2003, to $152.5 million this year, even though syphilis cases alone have more than quadrupled in that time. Taking inflation into account, that funding has fallen 41% since 2003, according to an analysis by the National Coalition of STD Directors.
Meanwhile, hundreds of local and state health professionals who trace the origins, track the trajectory and stop the spread of cases reported by sexual health clinics have quit or been replaced since the pandemic began. Some left due to burnout, and others were driven from their jobs by critics protesting unpopular policies on masks and lockdowns. Some federal grants toData reporting systems have not been updated during the pandemic, in spite of glaring inadequacies it helped reveal.
"Even with the advantages of having a test and a vaccine, we still haven't invested enough in the public health system in order for us to respond quickly enough," said Dr. Tao Kwan-Gett, Washington state's chief science officer. Many people"will tell you we have the best health care system in the world. But I think the COVID-19 pandemic, as well as [the monkeypox] outbreak, shows that the system is broken and needs fixing.
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